HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1'18-19Permit Number: — 0 6
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RECEIVED
'COUNTY : '` 1 , JAN 2 5 2019
11.3111111111111111111111111.11111P : Building Permit Application Permitting Deportment
Planning and Development Services St. Lucie Country
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CommercialResidential X
PERMITTYPE:Roofing
PROPOSED INPROVEMENT LOCATION:
Address: 2400 N. 53rd Street
Property Tax ID#: 1431-701-0057-000-3 Lot No.17& 18
Site Plan Name: Curry Block No.
Project Name: Curry
DETAILED DESCRIPTION OF WORK: .
Remove existing shingle Replace w/new shingle
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CONSTRUCTION INFORMATION: ;�
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _'Plumbing _Sprinklers _Generator _Roof 5 /12 Pitch
Total Sq. Ft of Construction: 3365 Sq. Ft.of First Floor: 3365
Cost of Construction:$ Ho j 100 . 00 Utilities: _Sewer _Septic Building Height: 16 '
OWNER/LESSEE: CONTRACTOR:
Name Randall&Sonja Curry Name:Danielle Ryckman
Address:2400 N 53rd Street Company:Alliance Group
City: Fort Pierce State: I Address:615 NW Enterprise Drive
Zip Code: 34946 Fax: City: Port St. Lucie State:FL '
Phone No. Zip Code: 34986 Fax: 772-492-8008
E-Mail: Phone No772-492-8006
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Fill in fee simple Title Holder on next page(if different E-Mailwanda@alliancegroupllc.com
from the Owner listed above) State or County LicenseCCC1330918
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENFLAW INFORMATION '
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State: I
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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. j
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 your Notice of Commencement.
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Signature f Owner Lessee/Contractor as Agent for Owner Signatur4flContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFstwae COUNTY OFStLuM
The forgoing instrument was acknowledg-,•efore me The forgoing instrument was acknowledge efore me
this 19th day of January ,20 ki by this 19th day of January ,20 by
Danielle Ryckman Danielle Ryckman
Name of person making statement. Name of person making statement.
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Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Pr•duced Produced
`(Si nature of otaryPub ^: ": ..
ublic state of Florida (Signature o j otary Public-S,• —Notary
4%!py Notary' yn Notary Public State of Florida
Kar yn H LeBlanc
Commission No. GG 224008 ;R My , ssion GG 224006 Commission No. GG 224008 f4 �yn H LeBlanb
. w Expires 08103/2022 e► Lc Q yies 06(sion GG 224008
a Expires 08/0312022,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER ; REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ley.9/26/18