HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5//i25/21 Permit Number:
° 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
Address: 2994 CONIFER DR Fort Pierce, FL 34947
Property Tax ID#: 1327-803-0004-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Re-Roof
MOM EMENESSEEREMMM
Re-Roof- Remove old tile and install new tile/Flat roof install peel and stick underlayment Cap with torch down.
New Electrical Meter Second Electrical Meter
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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 7112 Pitch
Total Sq. Ft of Construction: 3,666 Sq. Ft. of First Floor: 3.666
Cost of Construction: $ 33,050.00 Utilities: —Sewer _Septic Building Height: 10,
Name Charles & Marlene Rarick Name:John George
Address:2994 Conifer Drive Company:George&Associates Contractors
City: Fort Pierce State: FL Address:2990 Conifer Dr
Zip Code: 34951 Fax: City: Fort Pierce State: FL
Phone No.561-414-7329 Zip Code: 34947 Fax: 772-907-0420
E-Mail:rarick2017@gmail.com Phone No 772-834-7001
Fill in fee simple Title Holder on next page(if different E-Mail 9eorgeconstruction3@gmail.com
from the Owner listed above) State or County License CCC1328132
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.
DESIGNER/ENGINEER: ✓Q Not Applicable MORTGAGE COMPANY: ✓Q Not Applicable
Name: N/A Name:N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓ 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
withi-Rider or an attorney before commencing work or recording our Notice of Commencement.
;Sign ure of Owner/LesseelG tractor as Agent for Owner Signa re of Contr ctor/Licens older
ATE OF FLORIDA l% STATE OF FLORIDA
COUNTY OF St Lucie County COUNTY OF St Lucie County
Sw n to(or affirmed)and subscribed before me of Swor o(or affirmed)and subscribed before me of
;to
Prese a or Online Notarization P sisal Present or Online Notarization
this 5 day of 2021 by this�day of 2021 by
John George John George
Name of person making statement. Name of person making statement.
Personally Known r-1 OR Produced Identification /_L Personally Known_�OR Produced Identification _
TV0e of Ide ification Typ.s S"O 23� Z� Proe of Ideytifi tion 7 7 5� _Q Z
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/15/2
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