HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONU)a c. )� �1 i a��c�.nr-Ow I L mrn
APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED
te: 8/6/18 . Permit Number:
i .� SC�_ tl@7E® RECEIVED
Building Permit Application.2018
nning and Development Services Permitting Department
Iding and Code Regulation Division St. Lucie Counter
)0 Virginia Avenue, Fort Pierce FL 34982
one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
P
RMITAPPLICATION FOR: Roof El
PF',QPQSED
IMPROVEMENT LOCATION:': . ` . :.
ress: 3690 S 25th Street
fl DescriDtion: 283540 Fmm (Old) SW(COR Of Sec Rul S 89 DEC M Min 0 E-EALG C/L Bell AV,46.80 Ft to Old RAN LI Hawley Road, TH N 0 DEG 13 Min 33 Se, W ALG SO Old RAY 787.85 Ft
DEG 389 Min 07 Sec E 20 FT In POB, TH Cont S 89 DEG 38 MIn 7 SEC E 73028 FT, THSLN 182.56 Ft, TH N 89 DEG 38 Min 07 Sec W 729.83 Ft, TH N 0 DEG 13 Min 33 SEC W ALG New Ely RAN LI Hawby RD 182.57 FT tc POB (3.06AC) (OR 3995,818)
Pr �perty Tax ID #: 24287331-0001-130-4
Sit Plan Name:
Pr6liect Name: Chapman
S 'tbacks Front Back: Right Side: Left Side:'
D 7AILE0 DESCRIPTION QF WORK:, ,
Rea ove existingroof and Replace w/ 24 Gauge 5V Metal roof
Lot No.
Block No.
C
)tNSTRUCTION INFORMATION:
Additional
work to be pertormed under
Gas Tank.
this permit —check
❑Gas Piping
all
apply:
Shutters
❑ Windows/Doors
HVAC
_
Electric ❑ Plumbing
❑Sprinklers
❑ Generator
Roof
Roof pitch
ToFaloScl.
Ft of Construction: 6174
S . Ft. of First Floor:
Ccf
Construction: $ 30, 625.00
I
Utilities.
Sewer ❑
Septic
Building Height:
O
` ` NER/LESSEE:':
CONTRACTOR:.
Nd�11
Ad'
City-
" e.Johri & Barbara Chapman
Name: Danielle Beggs
lress:3690 S 25th Street
Fort Pierce State: FL
Company: Alliance Group
Address: 532 NW Mercantile PL #113
Zip
Code: 34981 Fax:
City: Port St. 'Lucie State. FL
Ph
ne No.
Zip Code: 34986 Fax: 772-492-8008
E-mail:
Phone No. 772-492-8006
in fee simple'Title Holder on next page ( if different
E-Mail: wanda@alliancegroupllc.com .
Fill
frc
the Owner listed above)
State or County License: CCC1330918
If Vilue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S`
PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Address:
City:
Z
LESIGNER/ENGINEER: _ Not Applicable
�me:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
State:
b: Phone
F
N7
A
C
Z
E SIMPLE TITLE HOLDER: _ Not Applicable
me:
BONDING COMPANY: Not Applicable
Name:
Address:
dress:
ly:
City:
�: Phone:
Zip: Phone:
O , NER/ 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. ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
wh ch is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
stri. ture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cQnsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in a cordance 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,
acc ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
Wi I RNNNG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
im rovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
be lore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing mencine work or recordine vour Notice of Commencement.
re of Ovti detr Lessee/Contractor as Agent for Owner I Signature of Cc tttctor/License Holder
ATE OF FLORID ° STATE OF FLORIDA
)UNTY OF t! --Ch _%,- COUNTY OFy' F--�VL_
ing instru en was ac cnowled a efore me The ing in um nt acknowledg before me
day of 20 by is &ay c 20ff by
Name of pers n makinjAt�Aement
,nally Known OR Produced Identification
of Identification
4,0101 Notary Public State of Flonoa
mi 'aR`i' Karolyn H LeBlanc
� en GG 22aodgSeal
a Expires 06/03/2022
--wwM
EWS IFRONT I ZONING
COUNTER REVIEW
,TE
CEIVED
C MPLETED
Rev18/2/17
Name of pers makinghJtt tement
Personally Known OR Produced Identification
Type of Identification
Produced
Notary Public State of Ftoriaa
CommissiF
KarolnH LeBly Mya Expires 0610312022���
SUPERVISOR PLANS I VEGETATION I SEATURTLE I MANGROVE
REVIEW I REVIEW REVIEW REVIEW REVIEW