HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 44/28/2021 Permit Number:
O
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:Alllance Group
PROPOSED IMPROVEMENT LOCATION:
Address: 133 Queen Christina Court Fort Pierce, FL 34949
P rope rty Tax I D #: 1414-701-0079-000-0
Site Plan Name:
Project Name: Michael Jurewicz
DETAILED DESCRIPTION OF WORK:
Roof replacement, renal dekcing with 8d ring shank nails, install self -adhered high temperature u
032 aluminum 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
_ Electric _ Plumbing
Total Sq. Ft of Construction: 4.599
Cost of Construction: $ 44,000.00
_Sprinklers _Generator
Sq. Ft. of First Floor:
Lot No. H
Block No. 9
_ Windows/Doors _ Pond
,Roof 5/12 Pitch
Utilities: _ Sewer _ Septic Building Height: 10,
OWNER/LESSEE:
Name Michale Jurewicz
Address: 133 Queen Christina Court
City: Fort Pierce State:
Zip Code: 34949 Fax:
Phone No. 203-858-4904
E-Mail: easternss@sbcglobal.nel
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Danielle Ryckman
Company: Alliance Group
Address:615 NW Enterprise Drive
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: 772-492-8008
Phone No 772-492-8006
E-Mail adamleeryckman@gmail.com
State or County License CCC 1330918
of construction is 2500 or more. a RECORDED Notice of Commencement is reauired
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 AFh1UV I I: Application is hereby made to ootam a perm¢ to do the work and mstauauun ao mdiLaied.
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 attorne before commencin work or recordin our Notice of Commencement.
Signatur caner/ Lessee/Contractor as Agent for Owner
SignatureQf Contractor/License Holder
STATE OF FLORIN Li�C—
COUNTY kT LAW 6
COUNTY OF
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to (or affirmed) and subscribed before me of
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Personally Known ✓/ OR Produced Identification
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