HomeMy WebLinkAboutBuilding Permit Application f
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( s II
Date: 10/1/2015 Permit Number:
C,E ED
Building Permit Application SEP 0 7 201
Planning and Development Services
Building and Code Regulation Division pERf�ll T TI'S'; -
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie Ceu `;`• `=
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Addition ,- W
PROPOSED IMPROVEMENT,LOCATIQ.N
Address: 1615 N 42 nd ST
Legal Description: SUNLAND GARDENS-SECTION 4-13LK 46 LOT 1-LESS N 10 FT AND ALL OF LOTS 2 AND
3(MAP 24/06N)(0.58 AC)(OR 959-1176;319-341)
Property Tax ID#: 2406-506-0007-000-4 Lot No.2&3
Site Plan Name: Block No. 46
Project Name: Waight Garage
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF 1N.ORK `
Add Concrete Driveway to new garage addition
PSS ^
CONSTRUCTION
AT
IOW .a -
Additional work to be neffio—rmed under this permit–check all appy:
HVAC L=.i Gas Tank OGas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator ❑ Roof
Total Sq. Ft of Construction: 2160 SFt. of First Floor: 2160
Cost of Construction:$ 1500 Utilities:In Sewer E]Septic Building Height: 9'
t
01N'NE'AESSEE `''CONTRACTOR
Name Joseph B Waight Name: Roderick Waller
Address:1615 N 42 nd ST Company: Sunrise City CHDO, Inc.
City: Fort Pierce State:FL Address: 800 Virginia Ave Suite 61
Zip Code: 34947 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34982 Fax: 772-907-0420
E-Mail: Phone No. 772-201-2850
Fill in fee simple Title Holder on next page(if different E-Mail: rodwaller1 @gmail.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.
SUPPLEMENTALxCONSTRUCTION LIEN LAW INFORMATION `
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 thepermit 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 our Notice of Commencement.
E—U A L-Ja_�'_ � t' )OL�L
s
_Signature of Owner L see/Agent Signature of Contractor/_Iense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ;U. �S��o,`F, COUNTY OF��,�i1 (E,
The f r oing instr ent as acknowledged before me The forgoing instr ment was acknowledged before me
this day of 20 4by this.__L day of 20 j14-
by
(Name of person acknowledging) (Name of person acknowledgin
IL r
4(( Ign2a4t�u'Fecaf Notary Publ/ic-State o Florida) (Signature of Notary Pu Public-State of Florida)
Personally Known ./ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced dentification Produced
ON,fKAREN S. NIE S „�����,,, �( REN S. NIELSE
Commission No. "�� 1)�ommission K FF 1�'rl�bi ion No. �o4� (��� SPI
-• *� My Commission xpires -� *: o mission i FF 115
a My Commission Expir
.'' June 12, 2 18 .,�a,,:
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS