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HomeMy WebLinkAboutAnton-Permit Application-Roof Replacement.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2i9/2021 Permit Number: D. 1i 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 PERMIT APPLICATION FOR:AllianCe Group VPROPOSED IMPROVEMENT LOCATION:8592 Lonesome Pine Trail I Address: 8592 Lonesome Pine Trail Fort Pierce, Florida 34945 Property Tax ID #: 2323-701-0030-000-9 Lot No. 15 Site Plan Name: Block No. B Project Name: Ralph Anton �7J[eI1tJLe7:7;� Remove existing roof covering, re -nail deck with 8d ring shank nails, install high temperature metal roof underlayment and install 24-gauge 5-V crimp metal roofing system New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical Electric _ Gas Tank _ Plumbing Total Sq. Ft of Construction: 4,169 Cost of Construction: $ 31,929.00 _Gas Piping _Shutters —Windows/Doors _Pond _Sprinklers _Generator X Roof 8/12 Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: 10'to 18' LESSE. ` CONTRACTOR: Name Ralph Anton Name: Danielle Ryckman Address: 8592 Lonesome Pine Trail Company: Alliance Group City: Fort Pierce State: Zip Code: 34945 Fax: N//A Phone No. (772) 480-9772 Address: 615 NW Enterprise Drive City: Port Saint Lucie State: FL Zip Code: 34986 Fax: 772-492-8008 Phone No 772-492-8006 E-Mail: rama54fp@aol.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 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 attorneybefore commencingw r recordingour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Ignature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Luoe COUNTY OF samtwue Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization x Physical Presence or Online Notarization _ this 9 day of February 2020 by this a day of Febuary 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 i v (Sign re of Notary Publi - BETH A. SCR.ER natu of Notary Publ ETH A. SCH.ER JJ (�blic, Sdte Of Florida KNotary Commission No. T11'ssion No. HH74732 `� ` to blic tare OF Florida mission No. / Q'Ision Expires: 12122/2 24 ,, Cort�AMdltM o. HH74732 My Commission Expires: 12/22/2024 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.