HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01 /08/2020 Permit Number:
IT
Is'' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 2400 Atlantic Beach Boulevard
Property Tax ID #: 1436-601-0036-000-8
Site Plan Name:
Project Name: Coto
DETAILED DESCRIPTION OF WORK:
New Electrical Meter li/a Second Electrical Meter.
Lot No.""
Block No. 2S
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _
_Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: N00 fib, le:�� Sq. Ft. of First Floor:
_ Windows/Doors _ Pond
A Roof Pitch
Cost of Construction: $ 95(b8 ee � Utilities: _ Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Michael Coto
Name: Danielle Ryckman
Address:2400 Atlantic Beach Boulevard
Company:Alliance Group Contracting Corp DBA Alliance Group
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone No.772-528-6009
Address:615 NW Enterprise Drive
City: Port St Lucie, FL State: FL
Zip Code: 34986 Fax:
Phone N0772-492-8006
E-Mail:mdcoto@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailadamleeryckman@gmail.com
State or County License CCC1 330918
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.
S PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
D SIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
me:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 commencingwz&nLiecording your Notice of Commencement.
L�:)
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Sig re o Owner/ Lessee/Contractor as Agent for Owner
Sig o Contractor/License Holder
STATE OF FLORIDA
COUNTY - , r L464E
STATE OF FLORIDA
COUNTY OF
Sw9rii to (or affirmed) and subscribed before me of
Physical Presence or_ Online Notarization
this jn day of - JAN� 2020 by
Sworyr to (or affirmed) and subscribed before me of
_ P sical Presence or Online Notarization
this day of, btN 2020 by
1DAN iaw EkK mi
-tANi�
Name of person mak-in/g statement.
Personally Known " OR Produced Identification
Name of person making statement.
Personally Known t'/OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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My Comm. Expires 12/2212 24
Commiss (Seal
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20