HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: August 20,2020 Permit Number:
97.L-L I CMiv4
o it" .,
° Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Donna Parker
PROPOSED IMPROVEMENT LOCATION:
Address: 459 Sandia Avenue Port Saint Lucie, Florida 34983
Property Tax ID ff: 3419-540-0196-000-4 Lot No.23
Site Plan Name: Block No. 48
Project Name: Donna Parker
D RIPTION OF WORK: _-
Remove existing roof covering, re-nail deck, install high temperature metal roof underlayment and install one inch
standing seam metal roofing system
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 —Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof 3/12 and 2/12 Pitch
Total Sq. Ft of Construction: 1500 Sq. Ft.of First Floor:
Cost of Construction:$ 9,875.25 Utilities: _Sewer _Septic Building Height: 10'
OWNERAESSE4 CONTRACTOR:
Name Donna Parker Name:Danielle Ryckman
Address.459 Sandia Avenue Company:Alliance Group
City: Port Saint Lucie State:_ Address:615 NW Enterprise Drive
Zip Code: 34983 Fax: City: Port Saint Lucie State:FL
Phone No.772-342-3767 Zip Code: 34986 Fax: 772-492-8008
E-Mail:donna_945@hotmail.com Phone No 772-492-8006
Fill in fee simple Title Holder on next page(if different E-Mail adamleeryckman@gmaii.com
from the Owner listed above) State or County License CCC 1330918
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: _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 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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF S/2: L +c%C COUNTY OF SAT. 4-
Sworn to(or affirmed)and subscribed before me of Sworn two Ior affirmed)and subscribed before me of
Physical Presence or Online Notarization iPhysical Presence or Online Notarization
this,O?Wdayof c1%-t f ,2020 by this,&_dayof ,2020 by
� A -It (If 4' (1yc.k^.4 �Arlelle IC� ekKq�
Name of person making stat ment. Name of person making statement.
Personally Known i OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
FRANK LASASSO
(Signature of Notary Public- IoNOTARY PUBLIC (Signature of Notary Public-WITEOFFLORIDA
Commission No. OF FLORIDA om
in#GG907745
Commission No. �s 826/2023
. Comma GG907745
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.