HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
' ` _ 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
rPROPOSED
MITAPPLICATION FOR:Alliance Group
IMPROVEMENT LOCATION:
Address: 2424 Atlantic Beach Boulevard Fort Pierce, FL 34949
Property Tax I D#: 1436-601-0026-000-5 Lot N O.3 AND ALL LOT 4
Site Plan Name: Block No. 2
Project Name: Cayetano Alfonso
DETAILED DESCRIPTION OF WORK:
Remove existing roof, renail deck, install HT SA underlayment and 24ga 5-V Crimp 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 _Roof 5112 Pitch
Total Sq. Ft of Construction: 2699 Sq. Ft. of First Floor:
Cost of Construction:$ 15,500.00 Utilities: _Sewer _Septic Building Height: 10'
CONTRACTOR:
Name Cayetano Alfonso Name:Danielle Ryckman
Address:2424 Atlantic Beach Boulevard Company:Alliance Group
City: Fort Pierce State:_ Address:615 NW Enterprise Drive
Zip Code: 34949 Fax: City: Port Saint Lucie State:FL
Phone No.772-492-8006 Zip Code: 34986 Fax:
E-Mail:e2insurance@outlook.com Phone No 772-492-8006
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: As
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
with lender or an attorneybefore commencin work or recordin our Notice of Commencement.
_;ignature of Owner/Lessee/Contractor as Agent for Owner Sign Lure of Contractor/License Holder
STATE OF FLORIDA S+ r / uGG COUNTY OFORIDA T r "�t
COUNTY OF V 1 1� G !mil
Sworn to(or affirmed)and subscribed before me of Swag-m(or affirmed)and subscribed before me of
✓Ph sical Pre e e or_Online Notarization Physical Preserrv�e or Online Notarization
this day of �202V by this ay of MAV 202P by
I "latiJl�l(.E ��-C4ARi11
Name of person making statement. Name of person making statement.
Personally Known Y OR Produced Identification Personally Known r OR Produced Identification
Type of Identification Type of Identification
Prod ed Produced
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(Signatureof NotaryP li J,State Of Florida (Signature of No ryPgNo�, ic,Sum OfFloride
Commission'No.M74132mn'y�s
Commission No. y ommijbieag pima:12r122024 Commission No. cmnmiltd�g Pires:12122I2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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