HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/30/21 PermitNumber:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -Roof
P POW -
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Address. : 2990 CONIFER DR Fort Pierce, FL 34947
Property Tax lD#: 1327-803-0006-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Re -Roof
ga ''! 64 ININ RIAN"I'S
Re -Roof- Remove old tile and install new tile
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 ZRoof 7/12 Pitch
Total Sq. Ft of Construction: 3,666 Sq. Ft. of First Floor: 3,666
Cost of Construction: $ 16,050.00 Utilities: —Sewer —Septic Building Height: 10'
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Name Melanie.George
Name: John George
Address: 2990 Conifer DR
Company: George &Associates Contractors
City: Fort Pierce State: FL
Address: 2990 Conifer Dr
City: Fort Pierce State. FL
Zip Code: 34951 Fax:
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
State or County License CCC1328132
from the Owner listed above)
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.
SUPPI.fVi°ENT`.,
STRlCTI,ON
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DESIGNER/ENGINEER: ✓Q Not Applicable
Name: N/A
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MORTGAGE COMPANY:
Name: N/A
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
✓ Not Applicable
BONDING COMPANY:
Jallot 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 attornev before commencing work or recording your Notice of Commpncpmpnt-
at ne / Le ee/Contra or as Agent for Owner
Signa uce of Contractor/License:Holder
'STAT OF FLORIDA
STATE OF FLORIDACOU
TY 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
❑✓ Physical Presence or Online Notarization
ED 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 E— OR Produced Identification
Personally Known �_ OR Produced Identification
Type of Identification:. • .
Type of Identification
Produced -
Produced
(Signature of Notary Public- tate
ture of Notary Public - state of Florida.
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