HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O .
ate: 8/6/2018 Permit Number:
SCANNED ReceMeo
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Building Permit Application Permittin V.
9 D, art
fanning and Development Services St. Lucie County
e�t
wilding and Code Regulation Division
300 Virginia Avenue,, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578
PIERMIT APPLICATION FOR: Roof
I
P
Commercial Residential X
)POSED IMPROVEMENT LOCATION:
'ess: 5308.Pinetree Drive
I Description: Indian River Estates Unit 1- BLK 5 Lots 26, 27, 28 and 29 (Map 34/02S) (OR 4105-1764)
perty Tax ID #: 3402-602-0189-000-9
Plan Name:
ject Name: Dobbins
backs Front Back:
DETAILED' DESCRIPTIONOF WORK:
Right Side: Left Side:
existing Shingle Replace w/ 26 Gauge 5V Metal roof
Lot No.26-29
Block No. 5
C NSTRUCTION INFORMATION:
Ai
clitional work to e Derformed under
CLHVAC Gas Tank
this permit — check
❑Gas Piping
a
apply:
Shutters
a Windows/Doors
Electric F]Plumbing
Sprinklers
ElGenerator
R1 Roof S / Z Roof pitch
To
al Sq. Ft of Construction: 3401
S . Ft. of First Floor:
Cost
Construction: $ 24,000.00
Utilities:
D
Sewer
E]
Septic
Building Height:
of
0
9NER/LESSEE:
CONTRACTOR:
N 1meSteve
Ac
CilY:
Zi
Ph
E-
Filliin
fr ,III
&Donna Dobbins
Name: Danielle Beggs
dress:5308 Pinetree Drive
Fort. Pierce State: _
Code: 34982 Fax:
ne No.
Company: Alliance Group
Address: 532 NW Mercantile PL #113
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-492-8008
Phone No. 772-492-8006
ail:
fee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail: wanda@alliancegroupllc.com
State or County License: CCC1330918
If volue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
it ESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
lame:
Name:
ddress:
Address:
City: State:
ity: State:
ip: Phone
Zip: Phone:
EE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
ame:
Name:
ddress:
Address:
ity:
City:
ip: Phone:
Zip: Phone:
NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
It ertify that no work or installation has commenced prior 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
vv ich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
st ucture. 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 I6ccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
T1 p 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 your paying twice for
i provements 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
c6mmencinR work or recording your Notice of Commencement.
ature of Over/ Lessee/Contractor as Agent for Owner Signature of VoPractor/License Holder
TE OF FLORIDA STATE OF FLORIDA
1NTY OFStLucie COUNTY OFSt Lucie
e forgoing instrument was acknowledged before me
s sth day of August . 20_ by
iielle Beggs
Name of person making statement
rsonally Known x OR Produced Identification
De of Identification
ignature oA Notary Public- State of F
The forgoing instrument was acknowledged before me
this sth day of August . 20_ by
Danielle Beggs
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
(Signature of
ommissioF4-:K
otary Public State of tautary Publics State of FlOri
Comm i 4 H LeBlanc(S 1)
el lane yCommisson GG 224008 ` ruty Commission GG 224008 Expires 0810312022 ' Exp1tes 08tU3t2022
a n°
04
EVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ATE
ECEIVED
DNI PLETED
. 8/2/17