HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` d
Date: 11%x{2018 Permit Number:
RECEIVED
Building Permit Applicatio NOV 2 0 2018
Planning and Development Services
Building and Code Regulation Division 57. Lt1�f��vUP1t Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Roof — S1r� h E;
PR®�POSED I(VIPROUEME',£NT+ LO;CATIC►`N., '°xk
Address: 775 E. Prima Vista Blvd
Legal Description: River Park-Unit 3-BLK 25 Lot 18(Map 34/22S)(Or 3534-41)
Property Tax ID#: 3419-515-0157-000-1 Lot No.18
Site Plan Name: Block No. 25
Project Name: Transitions II LLC
Setbacks Front Back: Right Side: Left Side:
k # :Pru ' � v+ 4 W ,✓yH
ETAILEDD`ESCR�IPTIO'NO°F`WQ,RK.'
Remove existing shingle Replace w/ new shingle
'qT i �ka"". k`3#"�` S¢"�`;�?n'!.`' ..t .: .t u. „S =
CONSTRUCTION I,N1FOR,MATL�N.rVf
. ,
s ..
Additional work,toe e orme under this permit—check a appy:
HVAC Ei Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof �, Roof pitch
Total Sq. Ft of Construction: 2642 SFt.of First Floor: 3652
Cost of Construction:$ 11,417.00 Utilities:n Sewer septic Building Height:
®WW+NE'R%LESSEE CONTRACTOR
-,1..`.
NameTransitions II LLC Name: Danielle Ryckman
Address:123 Queen Guinevere Ct. Company: Alliance Group
City: Fort Pierce State:_ Address: 615 NW Enterprise Drive
Zip Code: 34949 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.
SUPPLEM'ENTALCONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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:
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 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 our Notice of Commencement.
t V�t Q I I rY__0AJ1_.) 7px 10 J(.00ar
Signature Owner/Lessee/Contractor as Agent for Owner Signature I Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFS«— COUNTY OFM—
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 16th day of November 20_ by this 16th day of November 20_ by
Danielle Ryckman Danielle Ryckman
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 n '
� &�
AAA,)-
(Signature of NUary Public-State of Florida) (Signature o otary Public-State of Florida)
Commission No. GG224008 (Seal) Commission No. GG224006 (Seal)
asr Notary Public State of Florida
Notary 1311hila
M Commission GG 2aooa Karolyn H LeBlanc
REVIEWS E PW®I��ta>�022 SUPERV OR PLANS VEGETATI � � nlseiI�R44A®JVE
OU REVIEW REVIEW E 1 s�IIB/o 2%V1
VIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17