HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5T' �� Permit Number: 1A off"'dd 3
•
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 - 61,'-, \c
PROPOSED IMPROVEMENT LOCATION:
Address: 2924 Sherwood Lane
Legal Description: Sherwood Acres Unit 1 Lot 4(0.24 AC)(OR 1026-1182;3873-1428)
Property Tax ID#: 2421-701-0004-000-9 Lot No.4
Site Plan Name: Block No.
Project Name: Hope
Setbacks Front Back: Right Side: Left Side:
kAILED DESCRIPTION OF WORK:
Remove existing shingle roof Replace w/ new shingle roof
CONSTRUCTION INFORMATION:
Additional work toe er orme under this permit—check a appy:
HVAC E]Gas Tank 0Gas Piping Shutters ❑Windows/Doors
i
❑Electric ❑ Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 2036 S . of First Floor:
Cost of Construction: $ 8,000.00 Utilities:cn Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Elizabeth Hope _ Name: Danielle Beggs
Address:2924 Sherwood Lane Company: Alliance Group
City: Fort Pierce State:_ Address: 532 NW Mercantile PL#113
Zip Code: 34982 Fax: City: Port St.Lucie State:FL
Phone No. Zip Code: 34986 Fax: 772-492-8008
E-Mail: Phone No. 772-492-8006
Fill in fee simple Title Holder on next page(if different E-Mail: Wanda@alliancegroupllc.com
from the Owner listed above) State or County License: CCC1330918
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Na me:Citi Bank
Address: Address: POBox8855
City: State: City: Springfield State: OH
Zip: Phone Zip: 45501 P h o n e:800-283-7918
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 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.
Signature of n /-Lessee/contractor as Agent for Owner Signature of C n for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF51 - COUNTY OF.1L.-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgecj,before me
this 25th day of May ,20�t by this 25th day of May 20/ by
Danielle Beggs Danielle Beggs
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
(Signature of Notary P lic- ate of Flo Ida) (Sig re of NotaryP - to of Florid )
Commission No. „Mr' aIgAVID ALAN J I{Q(&Q,{ytn No. .��`V:''o,, D�P)ALAN JOHNS
tate of Florida-Notary Public ;State of Florida-Notary P I
'-• •= Commission N G 172248 Commission M GG 1722 IF
?awd+�c My Commission xpires =;�•� !;= My Commission Expir s
nn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION E
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17