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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4130/21 Permit Number: C�i o Building Permit Application Planning P and Development Services Building and Code Regulation Division Commercial Residential X 1 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR:StUCCO Address: 2990 CONIFER DR Fort Pierce, FL 34947 Property Tax ID#: 1327-803-0006-000-4 Lot No. Site Plan Name: Block No. Project Name: Stucco i �T©l � ' r � .. xw3 yi ., i „ AW > ,' max, s, z�,...<. 'rl x,R,nEs rlZr ?< z �r;_ .�, .a n -, Z ,,, x. ;a✓ c ? r. � ` Stucco entire building New Electrical Meter Second Electrical Meter Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator ❑Roof Pitch Total Sq. Ft of Construction: 3,666 Sq. Ft. of First Floor: 3,666 Cost of Construction:$ 4,650.00 Utilities: —Sewer _Septic Building Height: 10, nC l dACC�R1 � ?y , u,,. , ,, a9 «�� �. ,w� WON Name Melanie George Name:John George Address:2990 Conifer DR Company:George&Associates Contractors City: Fort Pierce State: FL Address:2990 Conifer Dr Zip Code: 34951 Fax: City: Fort Pierce State:FL Phone No.772-834-7001 Zip Code: 34947 Fax: 772-907-0420 E-Mail: Phone No 772-834-7001 Fill in fee simple Title Holder on next page(if different E-Mail georgeconstruction3@gmaii.com from the Owner listed above) State or County License CGC1513360 If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. �If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. I i �, ,n'' a 3"'�.:a z.✓s.: K1' �' i a'i 2 g " '� SIjPPLEMENTf� CO(1STRUCTIONaND[E�N SAW,INFQRMATI iJ,9 A DESIGNER/ENGINEER: ✓ NotA Applicable Q pp MORTGAGE COMPANY: ✓� Not Applicable Name: N/A Name:N/A Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: ✓ Not Applicable BONDING COMPANY: ✓ Not Applicable Name:N/A Name:N/A 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult With lender or an attorney before commencing work or recordin 1, our:Notice of Commencement. n of caner/Less' /Contractor as Agent for Owner Signatur of Contractor/Licens Holder ST' E OF FLORIDA STAT OF FLORIDA COUNTY OF St Lucie County COUNTY OF St Lucie County Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of 0✓ Physical Presence or Online Notarization IZI Physical Presence or Online Notarization this 30th day of April 2021 by this 30th day of April 2021 by John George John George Name of person making statement. Name of person making statement. Personally Known_ EZI OR Produced Identification Personally Known 0✓ OR Produced Identification Type of Identification_ Type of Identification Produced Pro ced y I�Lf i'Uld Notary ) Si nature of Notar Public-State of Florida) (Signature of Nota Public-State of Florida E p yP S10*0tFio 0 (seal) io Ubk StimofFforms (Seal) j►My r.so9rts+mts REVIEWS FRONT = `ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED I ev. I � I