HomeMy WebLinkAboutDijoy-Roof permit application.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
�`u-o LII�LCL
Li ' L-L `A. —== Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Alliance Group
PROPOSED IMPROVEMENT LOCATION:
Address: 2355 Dyer Road, Port St Lucie, FL 34952
Property Tax ID q:3414-501-1409-300-5
Site Plan Name:
Project Name:
Lot No.9
Block No. 2
LDETAILED DESCRIPTION OF WORK:
Remove Shingle Roof and Replace with high temperature Underlayment and 24 GAUGE 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 X Roof 5/12 Pitch
Total Sq. Ft of Construction: 5580
Cost of Construction: $ 40,118.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
q'
OWNER/LESSEE:
CONTRACTOR:
Name Douglas DiJoy
Address: 2355 Dyer Road
Name: Danielle Ryckman
Company: Alliance Group
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.772-834-9075
Address:615 NW Enterprise Drive
City: Port St Lucie State: FIL
Zip Code: 34986 Fax:
Phone No772-492-8006
E-Mail: mbolton@goldinsolar.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 LicenseCCC1330918
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:
INEER: Not
MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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
der or an attorney before commencing ordin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOFSTLUCIE
COUNTY OFSTLUCIE
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 +5TH day of APRIL 2029 by
this 15TH day of APRIL 2020 by
DAIJIE" �yuLMq rJ
_DA91EIAC 1-46V-n"
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
y. A. SCILER
. SCB.ER
(Signat of Notary a!t I I HH74732
(Signatu of Notary Pul i i ig. tare0 Florida
., omwss�on o.
My Commissi n Ex im: 12/222024
C'-
`�� ommiss�on No. HH74732
My Commim Ex res: 12/22/2024
Commission No. ""i41]
Commission No. ""'0i
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Rev. S/b/LU