HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABL NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Ik-P-A Permit Number:
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
PERMIT APPLICATION FOR: Re -Roof
Address:
7403 Georges Road, Ft. Pierce, FL 34951
Property Tax ID #:
Site Plan Name:
1301-602-0113-000-0
Project Name: Wright
New Electrical Meter
Second Electrical Meter
Residential X
Lot No. 19 & 22
Block No. 15
and flat roof material.
(Affidavit required)
CiUSTR,UyCT�ON INFORiIATION• `�"� ��A ��,Y, � �� � � ��`� � �$"�
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Electric _ Plumbing
Total Sq. Ft of Construction: 2,656
Cost of Construction: $ 18,600.00
Sprinklers
Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors Pond
X Roof Pitch
Utilities: —Sewer —Septic Building Height:
Name Mark K and Kimberly A Wright
Address: 7403 Georges Road
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Paul R. Lucas
Company: Lucas Roofing, Inc.
Address: 455 3rd Lane SW
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-778-9457
Phone No 772-567-0625
E-Mail Lucascompanies(a,alol.com
State or County License CCC1326319
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.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: ! State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
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 recording our Notice of Commencement.
+nart/ureof Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
sn" L'a Cam.
COUNTY OF
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Sworn to (or affirmed) and subscribed before me of Presence Online Notarization
this :\� day of 20�'( by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Pro L
(Signature of Not - L AUG H N
1PRY PUB
State of Florida -Notary Public
Commission No. _* *= mmissi0aI)3G 270079
9rEo_i`QeP:� My Commission Expires
Ciotobor 22, 2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
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