HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/15/2021 Permit Number:
91r. A4,
V � Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMITAPPLICATION FOR:AllianCe Group
PROPOSED IMPROVEMENT LOCATION:6907 Citrus Park Boulevard Fort Pierce, FL 34951
Address: 6907 Citrus Park Boulevard Fort Pierce, FL 34951
Property Tax ID q: Lot No. 19
Site Plan Name: Block No. 101
Project Name: Hunter Limb
DETAILED DESCRIPTION OF WORK:
Sloped Roof-Roof replacement with high temperature underlayment and 5-V crimp metal roofing system
Flat Roof-Roof replacement with one layer of Polyglass SAV basesheet self-adhered,new 26ga drip edge and one layer of self-adhered white granulated modified b1tumen
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 5112 and flat mof Pitch
Total Sq. Ft of Construction: 2,260 Sq. Ft.of First Floor:
Cost of Construction: $ 15,978.00 Utilities: —Sewer _Septic Building Height: 10'
OWNER/LESSEE: CONTRACTOR:
Name Hunter Limb Name:Danielle Ryckman
Address:6907 Citrus Park Boulevard Company:Alliance Group
City: Fort Pierce State:_ Address:615 NW Enterprise Drive
Zip Code: 34951 Fax:N/A City: Port Saint Lucie State:FL
Phone No.(321)613-8857 Zip Code: 34986 Fax: 772-492-8008
E.Mail:.hunter.limb@gmall.com Phone No 772-492-8006
Fill in fee simple Title Holder on next page(if different E-Mail adamleeryckman@gmail.com
from the Owner listed above) State or County License CCCII330918
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,S0o or more,a RECORDED Notice of Commencement is required.
�I
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 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
lender or an attorney before commencing w rding your Notice of Commencement.
Signatu a of Owner/Lessee/Contractor as Agent for Owner Sis o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S4' L Ur COUNTY OF S Lu i
Swor (or affirmed)and subscribed before me of Sworn (or affirmed)and subscribed before me of
Physical Presence or Online Notarization hysical Presence or_Online Notarization
thisT4h day of ,a wL. r 2024 by this 1 dayofJanuary 2024 by
Name of person making statement. Name of person making statement.
Personally Known v/OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Type of Identification
Pr uced Pro ed
(Signature o�blic-State of Florida I (Signature of No i - t I r
Commission DENISEMARIEU K' DENISEMRI UJERr0D
Commission No. ': ¢ +Nl
y;Commi99ia1#013 42W '. . �`ExpeesJury29,2022
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+ft. BOW TioyFa Murxe 19 . .
REVIEWS 98PERIISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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