HomeMy WebLinkAboutapplication and product reviewAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
/
Date: 'I - I'LL Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 7808 Pacific Ave. Fort Pierce, FL 34951
Property Tax ID #: 13060010003 Lot No. 7
Site Plan Name: Lakewood Park-UniB Block No. 44
Project Name: Therrien
DETAILED DESCRIPTION OF WORK:
Re -Roof: tear off existing roof, renail to code, apply underlayment and install new Standing Seam Metal Roof
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 'oof 4112 Pitch
Total Sq. Ft of Construction: 2169 Sq, Ft. of First Floor:
Cost of Construction: $ 15813.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael therrien
Name: Danielle Ryckman
Address: 7808 Pacific Ave.
Company: Alliance Group
City: Fort Pierce State: _
Address: 615 NW Enterprise Drive
City: Port St Lucie State: FL
Zip Code: 34951 Fax:
Phone No. (360) 720-3669
Zip Code: 34986 Fax:
E -Mail:
Phone N077498006
Fill in fee simple Title Holder on next page ( if different
E-Mailchad@alliancegroupllc.com
State or County LicenseCCC132867
from the Owner listed above)
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:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
3p attorney DeTOre commencing wo or recoraing your Notice OT lommencement.
Lessee/Contractor as Agent for Owner Signature of Contractor/Lice se Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF Par Ar Si- Late. COUNTY OF{ S+ Ll)C1�
Swop to (or affirmed) and subscribed before me of
✓ to
Presence or Online Notarization
this 1 day of Se 2020 by
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
this _L_ day of 5? 2020 by
Name of person making statement. I Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Commission No.
REVIEWS
NOTARY PUBLIC
STATE dkq1.bRIDA
Comm# GG907745
Personally Known ',*�OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- St+kXhW fj&§sO
NOTARY PUBLIC
Commission No. S: ATE OF 9LL%AibA
commlf GG907745
FRONT � ZONING
COUN ER REVI W REVIEW SUPERVISOR� PLANS RE EW I VREV EWON I S REV EWLE MREV EWVE
0-
Z3 Z3
`0
V
U
C
Q
'J
Q:
N
a
c
E
L
u
o
co
i
4-
A
>
LL
o
gm
i
�
E
�
� Z
O
O
v
a
�—
'J
LL
m
E3
N
z
e
0
w
W
m
f
F -
m �
6
V/
e c
O y�
�
o. O
m
n m
p �
c m
C �
�
O
�
c
0
u
m
n
W
a
o
m
W
`oo
oo
°0
o
0.
a
a
m
ry
a
cC7
C7
t
O
r
D
t
D
m
c
W
c
>
R
c
x
e
3�
a
c
c
t
`0
.`-
0
3
i
LL
m
N
N
h
ISL
i9
=
O:
D:
N
a
all
v
r4
N
m
W
E
}�
m
u
a
o
t
V
_
C
caL
E
pi
G
u
�
N
E
p
O�
J
a
LL
`m
LO
Z
N
m
o
ti
A
W
W
%
X
w
9
r �
� �
N
�a
c
�
O
d G
1
c
m
o" a
9
a "w
E �
co
1
d a
O
0
a
u
O
^
O
O
O
O
y
W
0
W
c
C
C
v
r4