HomeMy WebLinkAboutBuilding Permit Application 'All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: FEB 10/2020 Permit Number: i;Nk J010'26 4
RECEIVED
028
FEB 1b 2
Building Permit Application
PermiEping aecartment
Planning and Development Services 5t.,Lusie _0i
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:
Address: 2671 CONIFER'DR. FORT PIERCE FL. 34951
Property Tax I D#: 1334-502-0080-000-4 Lot No. 199
Site Plan Name: COWAN Block No.
Project Name:
TEAR OFF TILE ROOF AND PSU-30 , GULFLOK 16" ROOF PANEL 11651.9 R3 '
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Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof 6/12 Pitch
Total Sq. Ft of Construction: ."oDo Sq. Ft.of First Floor:
Cost of Construction:$ 50,000.00 Utilities: —Sewer —Septic Building Height:
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Name J PETER COWAN Name: JOHN G CANNON
Address: 2671 CONIFER DR Company: JOHN G CANNON
City: FORT PIERCE. FL State:_ Address: 7901 CITRUS PARK BLVD
Zip Code: 34951 Fax: City: FORT PIERCE State: F
Phone No. Zip Code: 34951 Fax: 772-468-0272
E-Mail: Phone No 772-468-0202
Fill in fee simple Title Holder on next page(if different E-Mail JGCANNONROOF@ICLOUD.COM
from the Owner listed above) State or County License 29914
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.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: I 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 thepermit 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ignatu of Owner/Lessee/Contractor as Agent for Owner Wr_e�of Contractor/License Holder
STATE OF COUNTY OFORIDAC`- f C J�� OUNTY OFSTATE OF ORIDA ��(
The fprgQing instrut was acknowledged a re me The for oing instru t Nas acknowledge ore me
this ay of 2 this day of 20�
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Name of person making statement. Name of person making statement.
Personally Known OR Produced Ide ""cation Personally Known OR Produced Identificati®ems
Type of Ide Type of Identification
Produced ���'P�Pv�i ELLEN VAUGHN Produced G
os -State o ori a- o ary Public
*_ Commission # GG 270079
9� My Co ELLEN VAUGHN
�� ' F '� ctober 22._2022 `,o;�+YPUa;,
(Signat of feWrNaEav�pPUbR&SI Of orida)
o"VPS. a e°�' My Commission Expires
ELLEN VAUGHN "�? fF�
Commission N _° 4�=_State of Florida-t� -is ig 11
9 public "" October 22, 2022 (Seal)
Arc` sion # G 2 0079
My Commission Expires
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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