HomeMy WebLinkAboutHernandez-roof permit application.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
L: Ll! GLL= !,
L ` L 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
PROPOSED IMPROVEMENT LOCATION:
o,f,t,.ass. 400 Southwest Airoso Boulevard
Property Tax ID tf: 3419-545-00313-000-3
Site Plan Name:
Project Name: Marilin Mendez -Hernandez
I DETAILED DESCRIPTION OF WORK:
Remove exising roof covering, renail roof deck, install self adhered undedayment and install shingles
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Lot No.12
Block No. 56
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _Sprinklers _ Generator _ Roof 5f12
Total Sq. Ft of Construction: 1895 Sq. Ft. of First Floor:
Cost of Construction: $ 9,667.00 Utilities: _Sewer _ Septic Building Height: 9.
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Marilin Mendez-Hemandez
Name: Danielle Ryckman
Address:400 Southwest Airoso Boulevard
Company: Alliance Group
City: Port St Lucie State: _
Zip Code: 34983 Fax:
Phone No.561-838-6595
Address:615 NW Enterprise Drive
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone N0772'492-8006
E-Mail: marilinmendez1972@gmail.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 CCC1330918
If value of construction is 2500 or more, a RECORDED Notice Ot commencement Is requlrea.
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:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
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 nr an atrnrnpv before commencine work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
SIgnatur6 of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTLUCIE
COUNTYOFsrwCIE
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 ISTH dyayof APRIL ,.AA2��020 by
day of �RIL 2020 by
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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
(Signal of Notary Pu i 4fafFby fi. Scale Of Florida
(Signatu of No Pu li a of -TH A. SCHXR
commission No. RH74732
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Commission No. HH74732 My Commi(gQMQxpims: 1222/2
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Commission No. ""'�'32 -+� Commissidn'FaTpilu: 12222024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/b/Z0