HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/8119 Permit Number:
SCANNED
y` BY RECEIVED
• St. Lucie County
-- Building Permit ApplicaConAPR o 8 2019
Planning and Development Services cle Count Permittln
Building and Cade Regulation Division y, g
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Re -Roof — �r.Q� a l \a� S oa�, .
PROPOSED IMPROVEMENT LOCATION:
Address: 5000. Palm Drive
Property Tax ID #: 3402-608-0178-000-7
Site Plan Name:
Project Name: Cheries
DETAILED DESCRIPTION OF WORK:
Remove existing shingle Replace w/ 1 inch snap lock
Remove existing flat roof Replace w/ new flat roof h I cl
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _ Plumbing
Total Sq. Ft of Construction: 2115
Cost of Construction: $ 12,000.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Lot No.1 & 10
Block No. 45
_ Windows/Doors
_ Roof 1 I 1 Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul & Dale Cheries
Name:Danielle Ryckman
Address:5000 Palm Drive
Company: Alliance Group
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.
Address:615 NW Enterprise Drive
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-492-8008
Phone N0772-492-8006
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail hether@alliancegroupllc.com
State or County License CCC1 330918
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 certify 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
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OMAN ATTORNEY BEFORE RECORUIIINGYOUR NOTICE OF COMMENCEMENT."
Signatureo wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Licahse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsrwaa
COUNTY OFsrwae
The forgoing instrument was acknowledgg�before me
The forgoing instrument was acknowledg efore me
this and day of AaN 20 M by
���CCC
this 3ro day of April 20 by
Danielle Rydenan
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
Produce
Produced
(Signature oVotary i_-„ atef&J)9;ajdo4state ofFlorida
• P Karolyn H LeBlanc
Commission No. My Com{pIyys�lp� G6224008
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