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Home My WebLink AboutBUILDING PERMIT APPLICATION`t S � ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i qO Date: SCANED Permit Number: • StIucieCou* Building Permit Application RECEIVED Planning and Development Services AUG 14 P019 Building and Code Regulation Division Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 St Lue Ct Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X county °"t' PERMIT APPLICATION FOfjy,-Renovation ('P.ROPnSFDiIMBROVFNIFNT.1nCATi(1N , Address: 6904 OCALA Legal Description: LAK Property Tax ID I Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF I Asbuilt 10- BLK 129 LOT 6 (MAP 13/01 S) (OR 4082-1 -Right Side: Left Side: Lot No. Block No. ,CONSTJ0CTIONdNFORMATION = rtiona wor to e e orme under tispermit—c eCK all apply: ❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors ❑Electric 0 Plumbing []Sprinklers ❑ Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: 1243 S Ft. of First Floor: 1243 Cost of Construction: $ 2,200 Utilities:n Sewer ❑ Septic Building Height: .FO W N ER%LESSEE: , _ CONTRACTOR.`` _ T. . Name Miguel A Guerra-Ressy Name' Roderick Waller Address: 7104 Santa Clara BLVD Company: Sunrise City CHDO Inc. City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. Address: 130 S Indian River Drive Suite 202 City: Fort Pierce State: FL Zip Code: 34950 Fax: 772-907-0420 Phone No. 772-201-2850 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: rodwallerl@gmail.com State or County License: CGC1515114 I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in convict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before comme 'n Work or recordingour tice of Commencement. EL W6 Q " N_�Kkv_� Rev.8/2/17 -SUPPLEMENTALCONSTRUCTION•LIEN-LAW INFORMATION: � s DESIGNER/ENGINEER: Q Not Applicable Name: we>Te Gandy MORTGAGE COMPANY: Name: Q Not Applicable Address: 7zo s oar Address: City: Orlando State: Ft Zip:3zsos Phonezo3-s,a-azz, City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: 0 Not Applicable Name: BONDING COMPANY: Name: QNot Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: Signatur of Owner ssee/Contractor a Agent caner Signature of Contract r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie County COUNTY OF St Lucie County The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this Bth day of May , 2018 by this 8th day of May 20 18 by Roderick Waller Roderick Waller Name of person making statement Name of person making statement Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced py (Signature of Nota y Public- State of Florida) (Signature of Nota Public- State of Florida Commission No. tarypuDfi��aolFlodda Commission No. rypuMic5�48ij~IO� n.B Sophie Hards ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I 0 " 6U%[9' SCANNED BY §t tude ciry Application Building Permi RECENED Planning and Development Services May 1 Z 28S Building and Code Regulation Division VPermitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 lDntial St. Lucie County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X PERMIT APPLICATION FOR: Renovation PROPOSED IIVIPROUEMEN7,LOCATIOIV Address: 6904 OCALA AVE, Fort Pierce FL Legal Description: LAKEWOOD PARK -UNIT 10- BLK 129 LOT 6 (MAP 13101S) (OR 4082-1285) Property Tax ID #: 1301-612-0254-000-1 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Remove french door and replace with windows in front of house. Install tankless water heater. Renovate Bathroom kCONSTRtJCTION,INFORMATION: OHVAC Gas Tank ❑Gw Electric 0 Plumbing ❑Spr Total Sq. Ft of Construction: 1243 Cost of Construction:; 190 0 na—cnecKau apply: Piping _Shutters ❑Windows/Doors nklers 1:1 Generator E Roof Roof pitch _ Sq. Ft. of First Floor: 1243 Utilities: Sewer DSeptic Building Height: r'OWNER/LESSEEµ,' ` . - _; CQNTRACTOR xzr Name Miguel A Guerra-Ressy Name: Roderick Waller Address:7104 Santa Clara BLVD Company: Sunrise City CHDO Inc. City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. Address: 3550 Okeechobee Rd City: Fort Pierce State: FL Zip Code: 34947 Fax: 772-907-0420 Phone No. 772-201-2850 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: rodwallerl@gmaii.com State or County License: CCC1327208 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION=LIEN LAW INFORMATIONm DESIGNER/ENGINEER: Name: Miguel A Guerra-Reasy Q Not Applicable MORTGAGE COMPANY: Name: 0 Not Applicable Address: 6904 0CALA AVE, Fort Pierce FL Address: 7104 Santa Clare BLVD City: Fort Pierce Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: 0 Not Applicable BONDING COMPANY: Name: ✓ LNot Applicable Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in cc 1 lict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before iQLlu14Rol IU37dGli 410i as Agent for Owner I Signature IVA STATE OF FLORIDA STATE OF FLORIDA COUNTY OF St Lucie County COUNTY OF St Lucie County The forgoing instrument was acknowledged before me this Sth day of May 2018 by Roderick Waller Name of person making statement Personally Known X OR Produced Identification Type of Identification The forgoing instrument was acknowledged before me this eth day of May 20 to by Roderick Waller Name of person making statement Personally Known X OR Produced Identification Type of Identification (Signature (Signature of"NBtary Public- State of Florida ) �y°b'", SOPHIA HARR S yyss °�c . SOPHIA HARR Commissio `No MMISSION 0MY093 Commission' 1 '• al z�¢-D' EXPIRES May 30, 2020,,,�ION M F )09� MMM (4071]09-015] Florlea7rotaryServr e.wrri �A-V EXPIRES I y 30. ?,020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETED Rev.8/2/17