HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Date: 9/20/2016 Permit Number:
RECEIV70 SEP 01016
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
PROPOSED INfPROVEMEIVT LO'CATIO`N• u
_..
Address: 2903 ANDERSON DR
Legal Description: SHERATON PLAZA -UNIT FOUR REPLAT LOT 307 (OR 3448-1367: 3688-620)
Property Tax ID #: 1432-807-0065-000-0 Lot No.
Site Plan Name: Bathroom Block No.
Project Name: Renovation
Setbacks Front Back: Right Side: Left Side:
'IF',
DE7-AILED,DESCRRlPTION WORK
a
- Add half bathroom
- Add shower in master bathroom
11HVAC F]Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 1508
Cost of Construction: $ 1900.00
unaer tnis permit — cneck all mat apply:
❑Gas Piping 11 _ Shutters
Sprinklers I Generator
S Ft. of First Floor: 1508
Utilities:Cn Sewer []Septic
QWindows/Doors
E]Roof
Building Height:
�?'�' ,n � V.
CONTRAC"FORM.
Name Anderson Family Trust
Name: Roderick Waller
Address: 10552 S US Highway 1
Company: Sunrise City CHDO
City: 5204 Sunset Blvd, Fort Pierce State: FL
Address: 3550 Okeechobee Road
Zip Code: 34982 Fax:
City: Fort Pierce State: FL
Phone No.
Zip Code: 34947 Fax: 772-907-0420
E-Mail:
Phone No. 772-201-2850
Fill in fee simple Title Holder on next page (if different
E-Mail: rodwallerl@gmaii.com
from the Owner listed above)
State or County License: CGC1515114
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict 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
commencing work or recording your Notice of Commencement.
_ Signature of Owner/
Signature
N
Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF S-�, COUNTY OF
The forgoing instrument was acknowledg d before me The forgoing instrument was acknowledged before me
this�a day of �� �� 20�Q; by this day of 5.—& 20 \G by
�36.N1-e r
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub`Hk- State of Florida )
Personally Known OR Pro uc
Type of Identification Produced
Commission No. ._ "__ %
Revised 07/15/20
(Signature of Nota
Personally Known
Type of Identificat
Commission No.
lic- State of Florida )
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS