HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0%nA k Iknif�"�1
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INFO MUST BE COMPLETED FOR API?LICA O B CEPTED
�Il I � I �o� ��a-
8 Permit Number:
R E V 111`1�""'��11
Building Permit Application AUG 0.2 2018
and Development Services
ind Code Regulation Division
linia Avenue, Fort Pierce FL 34982
772) 462-1553 Fax: (772) 462-1578 Commercial
Permitting Departs nt
St. Lucie County, fL
Reside
PERM
IT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Addresslj 1006 Bukeye Drive
Legal D Ilscription: White City W 155 FT of N 131.28 FT of S 1/2 of Outiot 7-Less S 25 FT for RD R/W-(0.38)(OR 3565-2348, 4118-671)
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Properi Tax ID #: 3404-501-0536-000-3
Site Plan Name:
Project Name, Riaboukha
Setbacks Front Back: Right Side:
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DETAILED DESCRIPTION OF WORK:
Remove existing flat roof Replace w/ new flat roof
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Left Side:
Lot No.7
Block No.
CONSTRUCTION INFORMATION:
AUdi.tional work to M.Gas
orme un er t is permit— c ec a app y:
_II HVAC Tank Gas Piping _ Shutters a Windows/Doors
01 Electric El Plumbing Sprinklers ElGenerator V Roof Roof pitch
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Tot II Sq. Ft of Construction: 9.55 S . Ft. of First Floor. 2246
Cos�lof Construction: $ 5980.00 Utilities:ln Sewer Septic Building Height:
O\&N ER/LESSEE:
Addresslj 1006 Bukeye Drive
Legal D Ilscription: White City W 155 FT of N 131.28 FT of S 1/2 of Outiot 7-Less S 25 FT for RD R/W-(0.38)(OR 3565-2348, 4118-671)
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1
Properi Tax ID #: 3404-501-0536-000-3
Site Plan Name:
Project Name, Riaboukha
Setbacks Front Back: Right Side:
a�
DETAILED DESCRIPTION OF WORK:
Remove existing flat roof Replace w/ new flat roof
i
I
Left Side:
Lot No.7
Block No.
CONSTRUCTION INFORMATION:
AUdi.tional work to M.Gas
orme un er t is permit— c ec a app y:
_II HVAC Tank Gas Piping _ Shutters a Windows/Doors
01 Electric El Plumbing Sprinklers ElGenerator V Roof Roof pitch
i
Tot II Sq. Ft of Construction: 9.55 S . Ft. of First Floor. 2246
Cos�lof Construction: $ 5980.00 Utilities:ln Sewer Septic Building Height:
O\&N ER/LESSEE:
CONTRACTOR:
Na i eMaria Neibles
AAress:11715 N 57th Road
Name: Danielle Beggs
Company: Alliance Group
Address: 532 NW Mercantile PL #113
Cit is West Palm Beach State:F�
Zip Code: 33411 Fax:
Phone No.
City: Port St. Lucie State. FL
Zip Code: 34986 Fax: 772-492-8008
Phone No. 772-492-8006
E ,IMall:
Fill) in fee simple Title Holder on next page ( if different
fir i m the Owner listed above)
E-Mail: wanda@allliancegroupllc.com
State or County License: CCC1330918
If ) alue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
1'
DESIGNER/ENGINEER: _ Not Applicable
Name: II
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Addressl:
City: 11 State:
Zip: 1' Phone
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FEE SIIV1PLE TITLE HOLDER: _ Not Applicable
Name: 1I
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City: li
Zip: II Phone:
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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 Clounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is (h 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 consia�{ ration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordll6nce 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,
accessoly 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
beford the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
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Signa��ure of n / essee/Contractor as Agent for Owner
Signature of Co ac r License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFStl.ucie
COUNTY 0FStLucie
The fol,rgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ?3rd day of July 20_ by
this 23rd day of July 20_ by
Danie II Beggs
Danielle Beggs
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
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Type of Identification
Type of Identification
Produced
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Produced
(Signature
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Notary Public-
ignature of N ary Public- State of Flo i
ry Public State of FloridaCo mission No. F�yynH LeBlanc
E-)
yn Notary P��,bbllc Rate of FloridadmmissionGG224008C mmission No. Kroli�?�@ lancres
08/03/2022
4My Commission GG 224008 Expires 08/0312022
as
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
D I;TE
C Q MPLETED
8/2/17