HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/26/2021 Permit Number:
S't LLL;L�h
G Building 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:AIIIanCe Group l
PROPOSED IMPROVEMENT LOCATION:3480 Roselawn Boulevard Fort Pierce, Florida 34982
Address: 3480 Roselawn Boulevard Fort Pierce, Florida 34982
Property Tax ID#: 2428-702-0008-000-1 Lot No.8
Site Plan Name: Block No. 1
Project Name: Wallace Frank
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, re-nail deck with Bd ring shank nails 6"OC, install high temperature metal roof underlayment
and install 1.5"standing seam metal roofing system
New Electrical Meter Second Electrical Meter
CONSTWIO RMATION:
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 Pitch
Total Sq. Ft of Construction: 1.800 Sq. Ft. of First Floor:
Cost of Construction:$ 10,800.00 Utilities: —Sewer _Septic Building Height: 10'
Name Wallace Frank Name:Danielle Ryckman
Address:3480 Roselawn Boulevard Company:Alliance Group
City: Fort Pierce State: `l- Address:615 NW Enterprise Drive
Zip Code: 34982 Fax: City: Port Saint Lucie State:FL
Phone No.772-579-6547 Zip Code: 34986 Fax: 772-492-8008
E-Mail:strokerlmt@bellsouth.net Phone No 772-492-8006
FIII in fee simple Title Holder on next page(if different E-Mail adamleeryckman@gmail.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 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or anscovenants 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 attorneybefore commencingwork or recordin our Notice of Commencement.
Signature o Owner/Lessee/Contractor as Agent for Owner Signature o -on ractor/License Holder
STATE OF FLORI STATE OF FLORID T i✓�
COUNTY OF T LU U1= COUNTY OF JJ
Sworn to(or affirmed)and subscribed before me of Swo�o(or affirmed)and subscribed before me of
✓Physical Presence or Online Notarization ysical Pre rice cr_Online Notarization
this day of j 2024 by this day of ,2029 by
DMJIHLf,- IDA-OINU.�r- T-YC-L'MAAl
Name of person making statement. Name of person making statement.
Personally Known " OR Produced Identification Personally Known a"� OR Produced Identification
Type of Identification Type of Identification
Produced Pro du d
(Signatubi of Notary Publ c-State of ELIZABETH Ilk Notary Public-5iAt '401,LV. ) ELIZABETH A SC
A
e. ;• Notary Public State of Florida •' • Notary Public-State of I
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Commission M 1e61 2
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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