HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/27/2016 Permit Number:77
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RECEITH SEP 2 7 2016
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Building Permit Application
Planning and Development Services
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: Roof `
PR'OPOSED.INIPR0,1/EMENT LOCATION =`` r
Address: 414 N 38th St Fort Pierce, FL 34946
Legal Description: WESTWOOD BLK 1 N 1/2 OF LOT 19 AND ALL OF LOT 20(0.24 AC)(OR 3740-2770)
Property Tax ID#: 2408-601-0018-000-2 Lot No.
Site Plan Name: Block No.
Project Name: ReRoof
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION QF WORK f 4
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Re-Roof ��l�y�e io
CONSTR�UCTIQ`N INFOR`Mi4TI0N '`�_
Additional work toa e Orme under this permit—check a appy:
HVAC E] Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator W1 Roof
Total Sq. Ft of Construction: 1580 S Ft. of First Floor: 1580
Cost of Construction:$ 2100.00 Utilities:Sewer[]Septic Building Height:
OWNER/LESSEE , .. : x
ONTRACTUR
Name Toborrius A Stevens Name: Roderick Waller
Address:2706 Bennett DR Company: Sunrise City CHDO
City: Fort Pierce State:FL Address: 3550 Okeechobee Rd
Zip Code: 34946 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: rodwaller1@gmail.com
from the Owner listed above) State or County License: CCC1327208
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU'PPLE�MENTAL CQfVSTRUCTION LIE°N LAW INFO
t RMATION
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 rec2&ding your Notice of Commencement.
L" W Ws
_Sign ture of Ow er/Lessee/Agent Signat a of Contr for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -V. L\.,>C-\';�- COUNTY OF !�* ,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisZ_'L day of 20�by thisal day of 20 LCo—by
�csc�►�r ick W� \1e Y' 12oaet'�c�c W°�\ler
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public- ate of Florida) (Signature of Notary blit-State of Florida)
Personally Known OR Produced Id 5 3 Personally Known OR Pro&cecl,III e libil
Type of Identification Produced Type of Identification Produced Ass 023
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Commission No. � �{G� JHpu�` Commission No.� _ •. t) tlt
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Revised 07/15/2014 4.E
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS