HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/22/2020
Permit Number:
``L LLL LLL
t: Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Alliance Group Contracting Corp. DBA Allliance Group
PROPOSED IMPROVEMENT LOCATION: Re -roof shingle to shingle
Address: 6504 Salemo Road Fort Pierce, FL 34951
Property Tax ID #: 1301-612-0012-000-3
Site Plan Name: 6504 SALERNO RD
Project Name: Blankenbarker Re -Roof
Lot No.
Block No.
Remove existing shingle roofing system and replace with a new GAF shingle roofing system /i ;U J // r ,;nl c' n 1/1 r i „
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _.Wiindows/Doors _ Pond
_Electric _Plumbing _Sprinklers _Generator � Roof 4/12 Pitch
Total Sq. Ft of Construction: 2,018
Cost of Construction: S 8,466.82
Sq. Ft. of First Floor: 1.706
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name( -S C14n 6aL&
Address: 5 SG 1,f no QOQd
Name: Danielle Ryckman
Company: Alliance Group Contracting Corp
City: 17� LLAC.¢.. Stater
Zip Code: 3 Q5 I Fax:
Phone No.
Address: 615 NW Enterprise Dr
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 772'492-8008
Phone No 772-492-8006
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail adamleeryckman@gmail.com
State or County UcenseCCC1330918
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
COUNTY OF� Q.
Address:
Sworn to (or affirmed) and subscribed before me of
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Type of Identification
Address:
Pro c d
City:
City:
(Signature of No rybl�` c State of Florida )
Zip: Phone:
Y RHONDALV I( MAN
Zip: Phone:
Commission No. ap.•"•.-Y.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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.
Hev.S/b/2U
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA``l II
STATE OF FLORID
(Alm
COUNTY OF X71 l , U (.UL
COUNTY OF� Q.
Swo to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
e�h1ysical Prese or_0 line Notarization
__y__ P ysiwl Pres c or_ Online Notarization
this �1 day of , 2020 by
this � day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Pro ed
Pro c d
(gnature Notary P li� ate of Florida )
(Signature of No rybl�` c State of Florida )
40......kb RHONDA LYNN OKSMAN
Commission No. CammIdAft4)GG174772
Y RHONDALV I( MAN
Commission No. ap.•"•.-Y.
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Hev.S/b/2U
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4710558 OR BOOK 4423 PAGE 520, Recorded 05/21/2020 11:44:22 AM
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1301-612-0012-000-3
The Undersigned hereby gives notice that improvement will be made to certain rest property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement
Legal Description of property and address if available 6504 Salerno RD. Fort Pierce, FL 34951
LAKEWOOD PARK -UNIT 10- BILK 119 LOT 12 (MAP 13101S) (OR 1356-1372:3357-2254:4131-1562)
General description of improvements Re -Roof Shingle to Shingle
OwnerAraaee Clayton R. Jenna L and Newell R Blankenbaker
• w.l. 6504 Salerno RD. Fort Pierce, FL 34951
Interest in property: 100%
Fee Simple Tide holder (if other than owner)
Address
Contractor Alliance Group Contracting Corp.
Phone # 772AIO-6591
Address 615 NW Enterprise Dr Port St Lucie, FL 34986
Fu # 772492-8008
Surety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone#
Address
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name
Phone#
Address
Fax #
In addition to himself, owner designates
of
Phone # Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE ExPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER C11.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FORST INSPECTION. IF YOU INTEND TOOBTALN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
O v�erMrrq or Oweer'r or I.erreeY AulbarlaN OI&er/D4eetor/Prrlett/Mourger/ 6ignolure
Sipatory'r TtntlOmce
State of Florida, County ofAt LLL
0 j,�, a I n V n n�nV fid'
A ewtedg before me this a . day of 0 Z by df -f l}�
is Imo or who has produce L as identification.
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Signature o o Ty a or Print Name of N tary (Seat)
Title: Nota ry Commission Number alarweJwalasrneNttvraaa .sovba!,��y
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