HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APP,LICABL.EEIINFO MUST B1E- COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application NOV 15 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue, Fort Pierce FL 34982 County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentia-1 x
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION: cis BN
Address: 4001 Avenue J
Legal Description: PLAT 2-SUNLAND GARDENS'BLK 35 ELY 1/2 OF LOT 4 AND ALL LOT 5 (0.28 AC) (OR 286-2697)
Property Tax ID #: 2405-703-0040-000-9
Site Plan Name:
Project Name: Freeman
Setbacks Front Back: Right Side:
Left Side:
DETAILED 'ESCR,fPTIO'N OF WORK: "
Remove tile Replace w/ SS Metal .
Lot No.5
Block No. 35
CONSTRUCTION INFORMATION:
AHitional work to be nertormed under this permit— check all apply:
❑HVAC L_J Gas Tank Gas Piping _ Shutters Windows/Doors
MElectric ❑ Plumbing ❑Sprinklers ❑ Generator Fv] Roof 5/12 Roof pitch
Total Sq. Ft of Construction: 1505 S . Ft. of First Floor: 1203
Cost of Construction: $ 23596.30 Utilities:i Sewer ❑ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NamelHarrison & Gloria Freeman
Name: Danielle Ryckman
Address:4001 Avenue J
Company: Alliance Group
City: Fort Pierce State:FL
Zip Code: 34947 Fax:
Phone No.
E-Mail:
Address: 615 NW Enterprise Drive
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-492-8008
Phone No. 772-492-8006
Fill in flee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maid: Wanda@alliancegroupllc.com
State or County License: CCC1330918
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION .Lf, LAW INFORMATION:
DESIGNER/ENGINEER: XXX Not Applicable
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MORTGAGE COMPANY: Not Applicable
—
Name:
Name:
Address:
Address:
Cityi State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: —Not Applicable
Nane: Name:
Address: Address:
City: 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 certifythat 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
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, I 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, 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Ing work or recording our Notice of Com - ent.
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Signature of 0 n r/ Lessee/Contractor as Agent for Owner
1 a ure of tractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFS«.I.
COUNTY OF--
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledge - efore me
this tic day of Nev 20 by
this 1st day of Nov 20 10 by
Danielle Ryckman
Danielle Ryckman
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Pr duced
Produced
�_.A&111A
(Signature o otary Pub ' - t t o FI i a
(Si nature of tary Pu '
cc 22a00s Not�r� ,�qIlc State of Florida
Commission No. s4
+� KardTyn"H LeBlanc
�1apc1�'` Expires 06/03/202ommission 2 224008
cczzaoo Notary Public State of Florida
Commission No. KarDlyl(L9�#OBlano
a My Commission GG 224008
a ° Expires 06/0312022
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Rev. 8/2/17