HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: Permit Number:
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Building Permit Application APR 11 6017
Planning and Development Services
Building and Code Regulation Division PEWAITTINGSt. Lucie r_'ounty, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED,IMPROVEMENT LOCATION:
Address: 2550 Kings Highway
Legal Description: 36 34 39 BEG 441.5 FT N AND 74 FT E OF SW 1/4 COR OF SW 1/4 OF NW 1/4,TH RUN N 400 FT,TH E 200 FT,TH S
400 FT,TH W 200 FT TO POB(1.84 AC)(OR 3564-2967;3565-1)
Property Tax ID#: 1336-232-0000-000-8 Lot No.
Site Plan Name: Block No.
Project Name: ROOF REPAIR
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF-WORK:
/0—/ 2- S (,- kt-S
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CONSTRUCTION'IN FORMATION:
Additional work to be nertormed under t ispermit 1,k ec all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing O Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 100 S Ft.of First Floor: 8,160
Cost of Construction:$ 7,500.00 Utilities:o Sewer F]Septic Building Height:
.OWNER/LESSEE: CONTRACTOR:
Name Frank&Mary Merola Name: John L.George
Address:2500 N. Kings HWY Company: George&Associates Contractors, Inc.
City: Ft. Pierce State:FL Address: 786 Bent Creek Drive
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34947 Fax: 800-430-5936
E-Mail: Phone No. (772)834-7001
Fill in fee simple Title Holder on next page(if different E-Mail: docs@constructionbygeorge.com
from the Owner listed above) State or County License: CCC1328132/CGC1513360
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION:'
DESIGNER/ENGINEER: _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:
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 inspection. If you intend to obtain financing, consult with lender or an attorney before
corrimpnT-inR work or recording our Notice of Commenceme
1 - s
liv ure of Owner/Ler/Contractor as Agent for Owner Signat a of Contractor/Licens Holder
STATE OF FLORI A STATE OF FLORID
COUNTY OF • ��1C�IF. COUNTY OF... , ' I L Ir,IL%
The forgoing instrLtment was acknowledged before me The forgoing instru ent was acknowledged before me
this AV day of 20 1 qby this_[[--day of Awo n 20 A by
Anko
(Name of person acknowledging) J (Name of person acknowledL
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR ProclUged Identification Personally Known OR Produced Identification
Type of Identification Produced__ L..Q.(r, Type of Identification Produced t- L
Commission No I Is cion No.
KAREN S. NIEL EN """ KA EN s. NIELSEN
4PRY�� �i�
Commission# FF 1 5637 ;i �: Commission . FF 115637
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= My Commission Expires RY , -
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Revised 07/15/2014 ; ;F,:"' June 12, 2018
June 12, 2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS