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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6/30/21 Permit Number: IM WOE O Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 RECEIVED JUL 01 2021 St. Lucie County Permitting Residential X PERMIT APPLICATION FOR: Re -Roof - y,,,, 4ck y ad [�M. `'�._i. 4x3 •;e © �....s�3€/5ir ..t n„�. i?Sy�+ ! (�1� # 9i:.S ^. " ak l'i ;Y a�;`, i 2''� �CiY f x P "x iJ A - 6� 'd.�3es� Address: 3000 Dame road, Fort Pierce, FL 34981 _ Property Tax ID #: 2430-121-0009-000-2 Lot No. Site Plan Name: Woreley Roof Block No. Project Name: Worley Re -Roof shingles to Metal Re -Roof;- Remove old -shingles and install new metal 31sq (Underlayment FL11602-R12/ Metal FL14645.3-R4 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 Total Sq. Ft of Construction: 2,109 Cost of Construction: $ 20,050.00 Sprinklers _ Generator ✓❑ Roof 3/12 Sq. Ft. of First Floor: @•109 Pitch Utilities: —Sewer _Septic Building Height: 10' NameSteve & Kris Worley Name: John George Company: George & Associates Contractors Address:3000 Dame Road City: Fort Pierce State: FL Address:686 Old Dixie Hwy Zip Code: 34981 Fax: City: Vero Beach State: FL Phone No. 772-834-7001 Zip Code: 32962 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@gmail.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. !� 0, itl el ;z7Z 62- 9-511 ro ���`'�����7K�,�������y'���.r l�,�s�':� 2�e ����71,����� •�.����,,u��".y'z" `� �� .� - €� "''a3';,g"�-h'�:a �: n. DESIGNER/ENGINEER: Q Not Applicable MORTGAGE COMPANY: ✓V Not Applicable Name: N/A Name: N/A Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: ✓a Not Applicable BONDING COMPANY: ELNot 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 Commencement. agn:off ]Contra6tor/Licenie' Own / Lessee/ ntractor as Agent for Owner IgrTEOFfFLORIDA Holder ST ST 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 Physical Presence or Online Notarization Z Physical Presence or Online Notarization this 30th day of June 2021 by this 30th day of June 2021 by John George John George Name of person making statement. Name of person making statement. Personally Known [21_ OR Produced Identification Personally Known E— OR Produced Identification Type of Identification Type of Identification Produced ' ^ Produced (Signature of Notary Publ (Signature o j� Noly Public SWOD6913M Notary► Public SbHs a ? EdCHsMh Commission No. Y MExYp Commission 06g1&al) « Ctrs OW161x043 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.