HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: May 14, 2021 Permit Number:
S L LLCLL
-v- 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
PERMITAPPLICATION FOR:AIIIance Group
POSED IMPROVEMENT LOCATION:
Address: 10701 S Ocean Drive Unit 633 Jensen Beach, FL 34957
Property Tax ID#: 4511-805-0034-000-9 Lot No.34
Site Plan Name: Block No.
Project Name: Luis Gallardo
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, renail deck, install self-adhered HT underlayment and 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 _Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator Roof 4 Pitch
Total Sq. Ft of Construction: 1,218 Sq. Ft. of First Floor:
Cost of Construction: $ 13,213.00 Utilities: _Sewer _Septic Building Height: 20'
OWNER/LESS NTRACTOR:
Name Luis Gallardo Name:Danielle Ryckman
Address: 10701 South Ocean Drive Units 633 Company:Alliance Group
City: Jensen Beach State:_ Address:615 NW Enterprise Drive
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No. (904)759-8249 Zip Code: 34986 Fax:
E-MaiI:_kanc1csand@yahoo.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.
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 attorney before commencing wo rding your Notice of Commencement.
Signa re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saint was COUNTY OF saint Facie
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 14 day of May 2020 by thisihis 14 day of May 2020 by
Danielle Rycknnan Danielle Ryannan
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
(S ure�ary Public-State of Florida) (Signa Public- of Florida)
Ryan R.Salk an R.Sablc
Commission No. NotbepIlublic Commission No. a otaryPublic
State of Florida State of Florida
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