HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/05/2021 Permit Number:
S I I LL
—, D A
7010M001Building 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:AIIIaflce Group
PROPOSED IMPROVEMENT LOCATION:
Address: 6008 Raintree Trail Fort Pierce, FL. 34982
Property Tax ID #: 3402-610-0362-000-1 Lot No. 10
Site Plan Name: Block No. 83
Project Name: Nichole Somma
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, renail wood deck, install self -adhered high temperature underlayment and 26ga 5-V crimp
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 5/12 Pitch
Total Sq. Ft of Construction: 2538 Sq. Ft. of First Floor:
Cost of Construction: $ 15,987.00 Utilities: —Sewer —Septic Building Height: 10,
OWNER/L -
CONTRACTOR:
Name Nichole Somma
Name: Danielle Ryckman
Address: 6008 Raintree Trail
Company: Alliance Group
City: Fort Pierce State: _
Address:615 NW Enterprise Drive
City: Port Saint Lucie State: FL
Zip Code: 34982 Fax:
Phone No.772-801-7858
Zip Code: 34986 Fax: 772-492-8008
E-Mail: nicholetubbs@yahoo.com
Phone No 772-492-8006
Fill in fee simple Title Holder on next page (if different
E-Mail adamleeryckman@gmail.com
State or County License CCC 1330918
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to clothe 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 attornev before commencine work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF saintwaa
COU NTY OF um —
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 s day of Ap.1 , 2020 by
this s day of Anne 2020 by
Danielle RyG n
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 ced
Produe d
LIZABETH A. SCR.ER
g4'ZZftER
(Sign re of Notal d a (F9 WEAT 32
(Signature ilillNotar1 !ta � HH747)2
UL ommission Expires: 12/22/2021
ion Ex i es: 12/22/2024
Commission No.
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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