HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED9002.
Date: 02/05/2020 Permit Number:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Application FEB 12 1010
Permitting Department
St. Lucie County
Commercial XX Resideritial
PERMITTYPE: ROOF
PROPOSED IN[PR.�UfMENT LOCATION
Address: 964 Fra Mar PI. Fort Pierce, FL 34982
Property Tax ID #: 2427-702=0045-000-9
Site Plan Name:
Project Name: JBM-PROPERTIES, LLC
Re -Roof From Shingle to shingle
Lot No. 3 and 4
Block No. 2
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 3/12
Total Sq. Ft of Construction: 3,595 Sq. Ft. of First Floor: 3,595
Cost of Construction: $ 12,584.00 Utilities: —Sewer —Septic Building Height: 11
Pitch
.OWNER/LE55>`E ;'
I
CONTRACTOR y.
r
Name JBM PROPERTIES, LLC
Name: JOHN GEORGE
Company: GEORGE & ASSOCIATES CONTRACTOR
Address: 964 FRA MAR PL
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.
Address: 130 S. INDIAN RIVER DR. #202
City: FORT PIERCE State: FL
Zip Code: 34950 - Fax:
Phone No 772-332-3675
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail ISLMANFL@AOL.COM
State or County License CCC 1328132
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 LA\N INFtJRMATION k
i
7` a
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:
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 LEND-ORLENDPI—ORR AN ATTORNEY BEFORE RECORDING YOUR NOTICE F COMMENCEMENT."
ev.
Signature of Owne Lesse
Contractor as ant for Owner
Signature of Cont act r/License Ho r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 5th day of FEBRUARY
, 20_ by
this 5th day of FEBRUARY , 20_ by
John George
JOHN GEORGE
Name of person making statement.
Name of person making statement.
Personally Known XX
OR Produced Identification
Personally Known XX OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of otary Pu
(Signature of Nota y P
te of Florida
Notary Pubi!1Z,G
Notary Public Stott of