HomeMy WebLinkAboutBuilding Permit Applicationor
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE -ACCEPTED 11
Date: Permit Number:
Building Permit. Application
Planning and Development Services 1�N Q i Z�18
Building and Code Regulation Division
2300 Virginia Avenue, Fort -Pierce FL 34982 Permitting Department.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentials`"cie county.
PERMIT APPLICATION FOR: To Select from dropbox, click.arrow at the end of :line
RECEIVED
Address: 2969 Admiral Street; Fort Pierce, FL 34982
Legal Description: Maravilla Plaza Blk 6 Lot 22-Less N, 1'Oft-And7All Lot 23 (0.29 AC) (OR 3914-632, 3915-1881)'
Property Tax ID #: 2421-802-0074-000-0
Site Plan Name: Evon'Residence
Project Name: Evon Residence
Setbacks Front 30 Back: 35 Right Side: 20 Left Side: 29
Lot No. 23
Block No. 6
This system is sized for 3 bedrooms with a maximum occupancy of 6'persons (2per bedroom),.for a
total estimated flow of 300 gpd'. This -is a from ground up structured with a maximum-3 bedroom and 2
bath with double car garage.
a
Additionalworkto : e e orme un er t is permit - c ec a pp
y:
W1HVAC Gas Tank Etas Piping _ Shutters Q windows/Doors'
ZElectric ❑✓_ Plu'mbing Sprinklers ElGenerator Roof 5:12 Roof pitch
Total Sq. Ft of Construction ( 6Li SV
of First Flo 4`110
Cost of Construction: 200,000.00 Utilities: Sewer Se tic Building Height: 9'-4".'
$ — — p g g
0,1'IVNER LESSEE: �Tic"
C®YNTRACT®R:.�.$
Name O 14 A
Name: John L. George
Company: George & Associates. Contractors, Inc.
Address: S20 Cie /V ✓�C761�ovd%r /�
City: �f, r S -`L4/c/ C State: FL
Address: 130 S. Indian River Drive; suite 244
City: Fort Pierce State: FL
Zip Code__ 3i6Fax:
Phone Nc.
Zip Code: 34950 Fax: 800-430-5936
E-MaiL
Phone No. (877)738-7570
E-Mail: docs@cohstructionbygeorge.com
Fill in fee simple Title Holder on next page ( if.different
from the Owner listed above)_
State or County License: CGC1513360
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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$ i s vim€ ��ya •; a * r a
SU'PPL'M=ENTALCONSTRUCTIONLIENLAW'INFORMATION ��
. ,. `r4 fi - s...,�
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable -
Name: Wayne Gandy Name: John L. George
Address: 2989 Admiral street; Fort Pierce, FL 34982 Address:
City: Orlando State: FL City: Fort Pierce State:
Zip: 32805 ' " Phone (203)514-4221 Zip: Phone:
FEE SIMPLE TITLE-HOLDER:
Name:
Add Tess:. 130 s: Indian River Drive; suite 244
City:
Zip: Phone:
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commen work or recording your Notice of Commencement. -,7
Signg ure of Owner/ Less
STATE OF FLORIDA
COUNTY OF S, k :111�
as Agent for Owner
The forgoing instru nt was acknowledged before me
this r N day of 120 f 3 by
Name of person making%tatement
Personally Known OR Produced Identification
Type <Identification
Prod ce
sturetof Notary Public- StatAf Florida)
Commission No. (Seal)
LAStiAHNA INGRAM
c"to ni Florida
re of Contra
STATE OF FLORIDA
COUNTY OF S" �4
The forgoing instrument was acknowledged before me
this_ day of ! w" 20 VZ by
Name of person making staten'tent
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary. P iilie- Mate t$Uprida.�.
„""„",,•, LASH, INGRAM
. 'PaY > �a.
:ommission No. �_� Notary (Seal). State of Florida
N u My Comm. Expires Dec 20, 2018
COMMission 4 FF 1772 g
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Exnires Dec 20,
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DATE
COMPLETED
Rev. 8/2/17