HomeMy WebLinkAboutApplication_SignedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/02/22 Permit Number:
Building Permit Applicatio
Planning and Development Services
Building and Code Regulation Division Commercial Resi ential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578
PERMIT APPLICATION FOR: INTERIOR ALTERATION'S
PROPOSED IMPROVEMENT LM11ON:
Address: 212 N. 41 st Street
Property Tax ID 4: 2408-603-0048-000-7
Site Plan Name: Liberty 1032 LLC
Project Name: Liberty 1032 LLC Renovation
DETMLED DESCRIPTION OF WORK:
Replace 5 windows, 2 exterior doors and 1 sliding door.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters X Win
_ Electric _ Plumbing _ Sprinklers _ Generator ❑
Total Sq. Ft of Construction: 1024 Sq. Ft. of First Floor: 1(
Cost of Construction: $ 2."- Utilities: -Sewer —Septic
Lot No.7 & 8
Block No. 5
_ Pond
Pitch
Building Height:
CiWNERJt ESSEE:
CONTRACTOR:
NameLiberty 1032, LLC
Name:JOHN L. GEORGE
Com an GEORGE & ASS
P Y�
Address: 686 OLD DIXIE H
City: VERO BEACH
Zip Code: 33962
Phone No772-834-7001
E-Mail georgeconstruction3
State or County License C
Address:316 Payne DR, FL
CIATES CONTRACTORS, INC.
City: Miami Springs State: FL
Zip Code: 33166 Fax:
Phone No.
NY
State: FL
Fax: 772-907-0420
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above
cilgmail.com
C1513360
--••-••- •�•• •� -��� �• a ncwnucu rvonce or uommencemenz is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
a��au�cn�[tYuIrvCCK: ICI_ Not Applicable I MORTGAGE
Name: Name:
Address: Address: _
City: State: City:
Zip: Phone
Zip:
FEE SIMPLE TITLEHOLDER: [1✓ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZIP: Phone
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
Applicable
work and installation as indicated.
St. Lucie Count yy makes no representation that is granting a permit will authorize the permit ho der to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenan s that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any re rictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all resl acts, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendi rents.
The following building permit applications are exempt from undergoing a full concurrency revi : 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 res It in paying twice for
improvements to your property. A Notice of Commencement must be reco ded in the public records of St.
Lucie County and posted on the jobsite before t
with lender or an attorney before commencing he first inspection. If you int nd to obtain financing, consult
I work or recording your Noti a of Cnmmpnrpmcnr
'ture of Owner/ L ee/Contractor as Agent for Owner
STATE OF fLORI A
COUNTY OF St Lucie
Sworn to (or affir2wcU and subscribed before me of _Physical Presence or
this a day of t r r 20U by
Name of person making statement.
Personally Known OR
Type of Identification Produce,
(Signature of Notary Public- State of Florida )
Commission NoO C9132 0 (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
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Notary Puokc 9M1e of Florida
Eric Harrell
My Cot isWn GG 913n9
EKpim OSM512023
SUPERVISOR
REVIEW
GETATION
PLANS FEVIE
REVIEWW
Notarization
SEATURTLE I MANGROVE
REVIEW REVIEW