HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S't: LLCIL
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e -"' 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:
Address: 3439 Southern Pines Drive Fort Pierce, FL 34982
Property Tax ID#: 2428-702-0063-000-4 Lot No.21 &22
Site Plan Name: Block No. 3
Project Name: Joann Lebron
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, renail deck, install self-adhered HT underlayment, and install 1"standing seam 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 1;4-Roof 4112 Pitch
Total Sq. Ft of Construction: 2,040 Sq. Ft. of First Floor:
Cost of Construction: $ 16,474.00 Utilities: —Sewer _Septic Building Height: 10,
bWNER/LESSEE: CONTRACTOR:
Name Joann Lebron Name:Danielle Ryckman
Address:3439 Southern Pine Drive Company:Alliance Group
City: Fort Pierce State:_ Address:615 NW Enterprise Drive
Zip Code: 34982 Fax: City: Port Saint Lucie State:FL
Phone No.772-631-0572 Zip Code: 34986 Fax: 772-492-8008
E-Mail:frontdesk@alliancegroupllc.com Phone No 772492-8006
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 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:
DESIGNER/ENGINEER: _Not Applicable 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.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countty�,makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an9covenants 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 o ordin r otce of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID r STATE OF FLORID
COUNTY OF _\ ao Gc'e' a-T COUNTY OF A,
Swor (or affirmed)and subscribed before me of Swoprto(or affirmed)and subscribed before me of
Physical Presence or Online Notarization ✓ �P�hysical Presence or Online Notarization
�t\his 7`L day of �i( ,2020 by tL1is\z�\.day of Aor� 2020 by
te ��.okN—P^� L Ar- C k/b_A nJ
Name of person making statement. Name of person makings statement.
Personally Known--lZfOR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signat a of NotaryPuAN
16161i1!I nblic,State Of FloridafSignat of No Publi - f�b� lic,Sq�e Of Florida
Commnission No.RH74732 Co o.HH74732
Commission No. MyC gp�i ion Expires:1222R02ion No. yCom� 'nx:Iyyf1024
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
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