HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL 'PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �( q
Dat". 18 �'Z �� O(�i Permit Number: ' U D6 O 9
SCANNED
QM RECEIVED
Building P�e•r�lli��'i��App�cation
AUG 02 2,018
Pla717,
ng and Development Services
Builng and Code Reguldtion Division L
Lucie County, Permitting
2300- irginia Avenue, Fort Pierce FL 34982 - -
Pho : (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPiOSED IMPROVEMENT LOCATION:
Addr
Legal
681 Rio Vista Drive
: Rio Vista S/D Lot 16-Less W 184.29 FT-( OR 3557-2011)
Propert�+ Tax ID #: 2426-5010018-000-1
Site Pla I� Name:
Project ame: McCarthy
SetbacFront Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Removq existing flat roof system Replace w/ new flat roof system
Lot No.16
Block No.
CONST', UCTION INFORMATION:
Addition I work to be nertormed under this permit — check all apply:
I]i
HV C _ Gas Tank Gas Piping _ Shutters a Windows/Doors
LIEle,'Itric ❑ Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. I,t of Construction: 870 S . Ft. of First Floor: 1270
Cost of Coll 4265.90 struction: $ Utilities: _ Sewer [] Septic Building Height:
OWNELESSEE:
CONTRACTOR:
NameJ114�p & Caitlin McCarthy
Name: Danielle Beggs
Address: 6 1 Rio Vista Drive
Company: Alliance Group
City: Fort .'ierce State:
Address: 532 NW Mercantile PL #113
Zip Code: �4982 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 s pie Title Holder on next page ( if different
from the 0 ner listed above)
E-Mail: wanda@alliancegroupllc.com
State or County License: CCC1330918.
If value of c destruction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name�li
Addre�I
s:
Name:
Address:
State:
Phone
City: State:
Zip: Phone:
City: H
Zip: IN
FEE SI
PLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name
Addr
Name:
ss:
Address:
I
City:
City: i
Phone:
Zip: Phone:
Zip:
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OWNE, / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify' hat no work or installation has commenced prior to the issuance of a permit.
St. Luciei ounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which isJ conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structur Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consi eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accor nce with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil owing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessor,i structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN VG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improv ments to your property. A Notice of Commencement must be recorded and posted on the jobsite
before he first inspection. If you intend to obtain financing, consult with lender or an attorney before
Comm : cing work or recording our Notice of Commencement.
I
c I II
Signat' a of n ssee/Contractor as Agent for Owner Signature of C actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFS«UL1e COUNTY 0FStLuae
The forgoing, instrument was acknowledge, efore me The forgoing instrument was acknowledg �efore me
this 23r l day of duly 2010 by this 23rd day of July 20 by
Danielle,eggs
Name of person making statement
Persor ally Known x OR Produced Identification
Type o fIdentification
Pr du ed
(Signa ire o otary Pub='PothIlarAiml
otary Public State of Florida
Comm lion No. 111111 LeBlanc
• < My Commission GG 224008
Expires 0810312022
Danielle Beggs
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
A14N I A I I Atli Apia
ignature of tary P
T%"�Notary Public State of Florida
arol, GG
Commission No. GG 224008
My Co
Expirea0810312022 , I
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