HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI.,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
: t � Date ' u �J
' � ` Permit Number:
92 h -^- - RECEIVED SEP 2 9'2017
is 010111F.1we SCANNED
Building Permit Application BY
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Lucie County
Planning and Development Services St. Y
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Roof _ > a { ',, fi
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PROPOSED IMPROVEMENT LOCATION:
Address: 3490 OLEANDER AVENUE FORT PIERCE, FL 34982
Legal Description: 3490 OLEANDER AVE. FORT PIERCE FL 34982 (SEE ATTACHED)
Property Tax ID #: 2427-601-0021-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.166
Block No.
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to e e orme under
❑HVAC 11GasTank
t—checkispermit a
❑Gas Piping
apply:
❑Windows/Doors
_Shutters
❑ Electric ❑ Plumbing
[]Sprinklers
❑ Generator
R1
Roof O�12 Roof pitch
Total Sq. Ft of Construction: 8050
44,100.00
S
[]Sewer
Ft. of First Floor:
❑Septic
Cost of Construction: $
Utilities:
Building
Height:
OWNER/LESSEE:
CONTRACTOR:
Name LARRY W STEEVES
Name: DANIELLE BEGGS
Address: 3490 OLEANDER AVENUE
Company: ALLIANCE GROUP
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No:
Address: 532 NW MERCANTILE PL #113
City: PORT ST. LUCIE State: FL
Zip Code: 34986 Fax: 772-492-8008
Phone No. 772-492-8006
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: 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 LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants 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
commencingwork or recordingour Notice of Commencement. STATE OF Rev.8/2/17
20111
Signature of O n /Lessee/Contractor as Agent for Owner
Signature of '�gFr�a�ctor�/License Holder
STATE OF FLp�A
COUNTY OF \\ '�� �
COUNTY OF l�D C7i11 P��
The f g instr was a cnowledged efore me
The mg inst then was acknowledged before me
thi ay o 20�by
I
this ay of 20L by
Name of person maki atement
Name of person ma ' tatement
Personally Known � OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(g lure of Notary Publi
lure of Notary Public- State of Florida )
ADAM L RYCKMA
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Commission No.
•i I,�¢eafj�,,MISSION #FFlas
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mmission No. Af�)L RYCKMAN
EXPIRES July 27, 20
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'•� },f' MY COMMISSION #FFt4551
I4071 aesaf ea FlorltlnNoterySorvicc.com
EXPIRES July 27,