HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 211112021 Permit Number:
-
` 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:AIIiance Group
PROPOSED IMPROVEMENT LOCATION:
Address: 203 Melton Drive Fort Pierce, Florida 34982
Property Tax ID #: 3403-805-0129-000-7 Lot No. 9,10,11 and 12
Site Plan Name: Block No. 7
Project Name: 605 Ministries LLC
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, re -nail decking with 8d ring shank, install high temperature self -adhered underlayment
and 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 _ Gas Tank —Gas Piping _ Shutters -Windows/Doors _ Pond
Electric —Plumbing _ Sprinklers —Generator )L Roof 4 Pitch
Total Sq. Ft of Construction: 3.456 Sq. Ft. of First Floor:
Cost of Construction: $ 18,923.00 Utilities: —Sewer _Septic Building Height: 10'
OWNER/.:_: N `
Name 605 Ministries LLC Name: Danielle Ryckman
Address: 1239 Alton Road Company: Alliance Group
City: Miami Beach State: _ Address:615 NW Enterprise Drive
Zip Code: 33139 Fax: City: Port Saint Lucie State: FL
Phone No.561-598-9505 Zip Code: 34986 Fax: 772-492-8008
E-Mail:jhon.osorio.pieroeharbor@gmail.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 CCC 1330918
If value of construction is 25W 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.
AII
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
with lender or an attorney before commencing work or recording our Notice of Commencement.
tr�_
Signat wner/ Lessee/Contractor as Agent for OwneI
�aL
Signatur ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Salot Lane
COUNTY OF aim 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
X Physical Presence or Online Notarization
this „to day of Febwary 2020 by
_
this 110 day of Fe-aiy 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
Pr uced
Pro duc d
ELIZABETH A. SCB.ER
E1HA. SCILER
(Sign re of Notary P blic- I=Isvon No. HH74132
My Commission Expires: 12/22/20
Commission No.
ignatureVof Notary Public it6J9Wr.QbIiC,StAeOfFIorida
CO M MIen No. HH74732
ommission No. My Co ' Expires: 12/22/202
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