HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONqw
ALL APPLICABLE I6'FOMIST BE COMPLETIWOR APPLICATI%)N Y04E ACCEPTED
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Date: 2t PermitNumber:
SCANNED)
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Buildin Permit Application MAR 21 `2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort. Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 commercial Residential x
PERMIT APPLICATION FOR:
Roof
E .
PROPOSED IMPROVEMENT
LOCATION:
Address: 11205 S Indian River Drive
Legal Description: 32 36 41 Tract Marked Reserved By Miss Gertrude England As in Plat BK 5 Page 31 and Also Beg At PT On Waters Edge
Of Rhr 5 CHS 65 Links N Of S Bdry Of Lot 1, Thrun W 200 FT, TH S 73 FT, TH E 200 FT To TH NLY 73 FT To POB With Rip RTS (7) (OR 1193-2843)
Property Tax ID #: 3532-134-0001-000-2 Lot No.1
Site Plan Name: Block No.
Project Name: Egger I
Setbacks Front Back: Right Si e: Left Side:
DETAI`LED°,DESCRI,PTION OF WORK:
Remove existing Modified .Roof System Replace v` 1 New Modified Roof System
CONSTRUCfION'1'NFORMATION:
Additional work to performed Under tIs permit —c ec
aM
apply:
0HVAC
je-
L__I
Gas Tank
❑Gas Piping
Shutters
❑ Windows/Doors
❑ Electric ❑ Plumbing
❑Sprinklers
❑ Generator
Roof Roof pitch
Total Sq. Ft of Construction: 2144
. Ft. of First Floor:
Cost of Construction: $ 8620.00
Utilities.
❑Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR:
NameBonita Egger
Name: Danielle Beggs
Address:11205 S Indian River Drive
Company: Alliance Group
City: Fort Pierce State:
A�dress: 532 NW Mercantile PL #113
_
Zip Code: 34982 Fax:
City : Port St. Lucie State: FL
Phone No. ,Q-7a-- 8L 0 r C95I 6-
Zip Code: 34986 Fax: 772-492-8008
E-Mail:
Phone No. 772-492-8006
Fill in fee simple Title Holder on next page ( if different
E-Mail: Wanda@alliancegroupllc.com
from the Owner listed above)
Statll or County License: CCC1330918
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name:_
Address:
City: _
Zip:
INEER: X Not Appl
State:
Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:. _Not Applicable
Name:
I
Name:
Address:
I
Address:
City:
City:
Zip: Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is �ereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prier 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 As ociation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Associ tion 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 fri m undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sign, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of OwbirlLessee/Contractor as Agent for O
ner
Signature of C ctor/License Holder
STATE OF FLORIDA , t
S IrUC
STATE OF FLORIDA�I1 r
COUNTY OF
COUNTYOF �G� P✓
The forgo'ng instru nt wa acknowledged before me
this day of 264Tby
The forg ing instrum nt wa�ss acknowledged before me
thi day of v1 201' by
el rc fmf 9 1s
i g
Name of person katement
n
Name of persostatement
Personally Known OR Produced Identification
Personally Known o�OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
pamw
ignature of Nota ub c- S r' a
(' nature oota Pu ic- State of lorida )
"Y°''
1P 4 �i
a,, ID ALAN
Commission No. c, of Florida
JOHN
S® fission No. 4MJD ALAN JOH
��s
*= Commission
Notaryublic
ar° tare of Florida -Notary
a: My Commiss'on
GG 17
Expi
=' • Commission # GG 17
248 ;�
%;?°F My Commission Ex
es' �oQ°`
REVIEWS
FRONT
ZONING
SUPERV�I_S-O
S
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
N
is