HomeMy WebLinkAboutBuilding Permit Application M1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/24/2015 Permit Number:- 4-K/ 0
-00
• Ci,:;1V
Building Permit Application OCT ® 1 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
PROPOS ED.IMP.ROVEMENTIOCATION .
Address: 5907 Bamboo Dr, Ft Pierce, FL 34982
Legal Description: Indian River Estates-Unit 09-BLK 86 Lot 20(Map 34/12S)(OR 3766-365)
Property Tax ID#: 3402-610-0480-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Nove Dita 5097 Bamboo
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: _
Remove and replace asphalt shingle roof •��/�T�"
CONSTRUCTION NFORMATION
Additional work to be partormed under tispermit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: 1302 S Ft.of First Floor: 1302
Cost of Construction:$ 5,000.00 Utilities Cn Sewer E]Septic Building Height:
OINNERLESSEE. CONTRACTOR,
Name Nove Dita LLC Name: Richard Ward
Address:8048 SE Asaro St Company: Alliance Group Contracting Corp dba Alliance Group
City: Hobe Sound State:FL Address: 532 NW Mercantile Place, Suite 113
Zip Code: 33455 Fax: City: Port St Lucie State:FL
Phone No.703-220-4372 Zip Code: 34986 Fax: 772-492-8008
E-Mail:bang@noveditallc.com Phone No. 772-492-8006
Fill in fee simple Title Holder on next page(if different E-Mail: adamryckman@alliancegroupllc.com
from the Owner listed above) State or County License: CCC1328267
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
J '
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION 3.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 jobsite
before the first' ection. If you intend to obtain financing,consult with lender or an attorney before
commencing Work)pr recorAing your Notice of Commencement.
J� s
_Signature of wner essee/Agent Signature of Contractor/License-Ro-Ider
STATE OF f�Mz`/�N� STATE OF FLORIDA
COUNTY OF 2)AL,- A O� COUNTY OF . LUC'_k
The r oing instru ent as ac novel ge Wore me The forgoing instrume t was acknowledged before me
this day of 11 20 �by this2,day of 20 1 by
ry-VI 'S f� U-1 r�"xC\A, L,_-)":X'
(Name of pers n acknowledging) (Name of person acknowledging)
(Signatur J otary Publi State of ) ����ll 11 l lli�rii (Signature of Notary Public-State of Florida)
��`��\\\OW 'AlN�//����i
Personally Known OR Produced Id�elit ,ationPersonally Known OR Produced Identification
Type of Identification Produced �5 `' Hype of Identificat on Produced
_=UZE rn >® °�I �►
Commission No. 5�1 Edi '��r �mmission No. °a `•..` c;_ AID(A1iU)L RYCKMAN
"_ MY COMMISSION#FF145513
............,.•'
..• �� �� (407)398-0153 FloridallotaryService.com
Revised 07/15/2014 /'�����d gat t'I i�+"`\\\`
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS