HomeMy WebLinkAboutBuilding -Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 /11 /2021
;D I J
IT L 140
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR:Alliance Group
`PROPOSED IMPROVEMENT LOCATION:6009 S Indian River Drive Fort Pierce
Address: 6009 S Indian River Drive Fort Pierce, Florida 34982
Property Tax ID #: 3401-431-0001-000-1
Site Plan Name:
Project Name: Gustavo Gutierrez
Lot No.
Block No.
Mechanically attach one layer of insulation, mechanically attach TPO Invisiweld plates 6" on center in rows at 60bn center, install new 3x3 perimeter edge
flashings and instalt .060 mil white Firestone TPO system fused to Invisiweld plates
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 1/4"per foot Pitch
Total Sq. Ft of Construction: 4,561
Cost of Construction: $ 33,820.00
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height: 18�
WNER/LESSEE:
CONTRACTOR:
Name Gustavo Gutierrez
Name: Danielle Ryckman
Address:6009 S Indian River Drive
Company: Alliance Group
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.561-598-9505
Address:615 NW Enterprise Drive
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-492-8008
Phone No772-492-8006
E-Mail:ihon.osorio.pierceharbor@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail adamleeryckman@gmail.com
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.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: 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 co Act 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 commencin work or recording vour Notice of Commencement.
CCJ
Signature o caner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OF gain Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
• Physical Presence or Online Notarization
this 11 day of January 2020 by
_
this 11 day of January 2020 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
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