HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/14/2021 Permit Number:
S : LIlCLL
01 a
RL
c ° ti- 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:AIIlance Group
I PROPOSED IMPROVEMENT LOCATION:
Address: 3496 Southern Pines Drive Fort Pierce, FL 34982
Property Tax ID R: 2428-702-0036-000-6 Lot No. 12
Site Plan Name: Block No. 2
Project Name: Veronica Rico
DETAILED DESCRIPTION OF WORK:
Remove existing roof covering, renal deck, install self-adhered HT underlayment and 24ga 1.5"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 Pitch
Total Sq. Ft of Construction: 2.100 Sq. Ft. of First Floor:
Cost of Construction: $ 15.543.00 Utilities: —Sewer _Septic Building Height: 10'
OWNER/LESSEE: CONTRACTOR:
Name Veronica Rico Name:Danielle Ryckman
Address:3496 Southern Pines 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. (520) 245-0488 Zip Code: 34986 Fax:
E-Mail:ronniemrico@gmail.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.
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co%ct with any applicable Home Owners Association rules,bylaws or and covenantsthat 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
h lender or an attorney before commencin ecordin our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF saint Lude COUNTY OF SainLLucie
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 ,4 day of May 2TR by this 14 day of May 2646 by
Danielle Ryckman Danielle Ryckman
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
(Signature of Notary Public-State of Florida) (Signal re of Notary Public-State of Florida
Ryan R.Salbk: 4yan R.Sahib
Commission No. N01:4SeB lic Commission No. S"ry Public
State of Flod//da 5 — State of Floridag
REVIEWS FRONT ZONING 54/ g0 RVISOR PLANS VEGETATION SEA TURTLE E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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