HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date: 7/ 12019 Permit Number:
RECEIVED
JUL 02 2019
- -- - Building Permit Applicatio
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
.2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Hardy Board
PROPOSED IMPROVEMENT LOCATION:'
Address: 6;00 Johnston Road
Property Tax ID#: 1303-323-0001-010-5 Lot No.
Site Plan Name: Block No.
Project Name:
DETAFLED'DESCRIPTION OF-WORK:
Remove existing hardy board on chimney and Replace w/new hardy board
Remove existing hardy board at boston hips and Replace w/new hardy board
FcgNSTRUCTION "INFORM ATIdN: -
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 Pitch
Total Sq. Ft of Construction: 300 Sq. Ft.of First Floor: 1836
Cost of Construction:$ 1500.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTORS
Name Daniel Brolmann Name:Danielle Ryckman
Address:61 00 Johnston Road Company:Alliance Group
City: Fort Pierce State:_ Address:615 NW Enterprise Drive
Zip Code: 34951 Fax: City: Port St, Lucie State:FL
Phone No. Zip Code: 34986 Fax:
E-Mail: Phone No772-492-8006
Fill in fee simple Title Holder on next page(if different E-Mail hether@alliancegroupllc.com
from the Owner listed above) State or County License CGC1 520974
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDERR ATTORNEY BEFORE RECO RDI OUR NOTICE OF OMMENCEMENT."
Signature of Owner/Lessee tractor as Agent for Owner Signature of Contractor i ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F St Lucie CO U NTY O F St.Lucie
The forgoing instrument was acknowledgebefore me The forgoing instrument was acknowledgeA me
this 1st day of July 20 by this 1st day of July 20a 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
Xf
(Sig ature of No ry Publi S�_"r FIWWEY public State of Florida (Signature of N ary o i a
Karolyn H LeBlanc , Notary Public State of Florida
Commission No. M otry�tlssion GG 224006 Tr7,
Karol n Le lanc
G Exs tl6fo3�2o22 ommission No. My�oyn� l'�G 224008
or M1 Expires 0610312022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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