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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date_1_?J101'8 Permit Nu b _
0
Building Permit Applicati n DEC 18 2018
Planning and Development Services Permitting D e p a rtm e n t
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982 1.
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Roof
P'ROPOSED,:INIPROVEMENT LOCATION:
Address: 214 N.41st Street
Legal Description: WILBUWE BLK 5 N 30 FT of Lot 8 S 45 Ft of Lot 9(0.21 AC)(OR 3913-1535)
Property Tax ID#: 2408-603-0049-000-4 Lot No.8&9
Site Plan Name: Block No. 5
Project Name: Tege Florida Holdings LLC
Setbacks Front Back: Right Side: Left Side:
'ETAILEU D'ESCRIPTION;OF WORK: _.
Remove existing shingle Replace w/ new shingle
CONSTRIJ, � ION`INFORMATION:
Additional work to e e Orme under this permit—check ec a apply:
HVAC 0 Gas Tank Gas Piping _Shutters Windows/Doors
❑ a
Electric El Plumbing Sprinklers Generator Roof 3 2 Roof pitch
Total Sq. Ft of Construction: 1050 S . Ft.of First Floor:
Cost of Construction:$ 9.350.00 Utilities:]Sewer E]Septic Building Height:
aWNER/LESSEE CONTRACTOR:
NameTege Florida Holdings LLC Name: Danielle Ryckman
Address:5 Decker Lane Company: Alliance Group
City: Florham Park State:NJ Address: 615 NW Enterprise Drive
Zip Code: 07932 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.
�SUPFEEMENTAL CONSTRUCT 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 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.
Ic
Su�re
Signa ure of ner/Lessee/Contractor as Agent for Owner ractor/License Holder
STATE OF COUNTY OFORIDr L—��lN� STATE OF FLORIDA
��)) JJ COUNTY OF
The ins t was acknowledg efore me The fg tns was acknowledg efore me
this�day of 20LO by this day of 20 �by
i no ile, eA_)rtfm_n L(L V-
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Name of peD6n ma ' g statement Name of persgf�making statement
Personally Known OR Produced Identification Personally Known Y OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of _ -
NM I n Public
tate at Florida ( NoMY public State of Fion lori )
Commission No. rF Karolyn io�c2aooe C dCarolyn H LeBlanc aooe Seal)
Exmmiss
pires 08/0312022 Expires 08/0312022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17