HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5�3\, �� Permit Number:
SCANNED
BY RECEIVED
-- -- Buil Af,11090 ApplicationMAY 31 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ! ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 'Commercial Residential x
i
PERMIT APPLICATION FOR: Roof mc,a1`
PROPOSED IMPROVEMENT LOCATION:
Address: 54ua 6ouin inalan rover unve
Legal Description:
I
Property Tax ID #: 3401-604-0003-000-5 1 Lot No.,
Site Plan Name: Block No.
Project Name: Boykin
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION -OF WORK':
Remove existing metal Replace w/ new meta
CONSTRUCTION INFORMATION: ,
Additional work to be nertormed under this permit 7 check all apply:
IIHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing 05prinklllers Generator R] Roof Roof pitch
Total Sq. Ft of Construction: 76 3 1 S . Ft. of First Floor:
Cost of Construction: $ 25,165.00 Utilities: LJ Sewer Septic
Building Height:
.OWNER/LESSEE:
CONTRACTOR:
Name Ian Boykin
Name: Danielle Beggs
Address:5409 S Indian River Drive'
City: Fort Pierce State: F�
Com an Alliance Group -
p y:
Address: 532 NW Mercantile PL #113
Zip Code: 34982 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34986 Fax: 772-492-8008
Phone No. 772-492-8006
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: wanda@alliancegroupllc.com
State or County License: CCC1330918
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: VNot Applicable
Name:
Address:
Address:
City: I
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 grantingla 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, 11 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, signsl, 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 vour Notice of Commencement.
Signature of 0'u �rX lessee/Contractor as Agent for Owner I Signature of gbr tr4tor/License Holder
STATE OF FLORIDA r ' STATE OF FLORIDA r
COUNTY OF ���------- COUNTY OF 574 Lone
The forgo'ng instrum n as acknowledged before me
this=� (ay of b 20aby
Name of perso ak` istatement
Personally Known t/ OR Produced Identification
Type of Identification
Produced
of N-otary'eubli¢- State of
Commission No.
REVIEWS I FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
DAVIDiALAN .�4qR§dq
State of Florida Notary Publi
Commission 4 GG 172248
MY Commiss on Ex
January 03, 2022
The forgoing instrumt was acknowledge before me
thisGday of e 20,)X by
Name of perso aking s atement
wn I Personally KnoOR Produced Identification
Type of Identification
Produced
(Signatdrf-of Notary Public- St to of lorida)
° DAVID ALAN
C �``ti►Ar rp4i,�
;State of Florida -
Commission #
ZO _ VEGETATION SEA
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
HNSO
iry Publ
17224E
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