HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � • � —� 1 Permit Number:
Building Permit Application `E°
Planning and Development Services MAR 0 3 2021
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resident al `uGV-ounty
PERMIT TYPE: N EW HOME
PROPOSED IN'PROVEMENT LOCATION:
Address: TBD
PropertyTax ID #: 1431-801-0073-000-8
Site Plan Name: HARMONY HEIGHT NO 4 13LK,8 LOT9
Project Name: ALFORD FAMILY DEVELOPMENT
DETAILED DESCRIPTION OF WORK:
BUILD NEW SPEC HOME. THIS 1100 SQ. FOOT HOME IN THE HARMONY HEIGHTS AREA.
1 C kr ,no/ 79
"" �4. , < :3 Zed r rs-� J ,
CONSTRUCTION INFORMATION:
Lot No.9
Block No. 4
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 2,183
Cost of Construction: $ 175,000
Sq. Ft. of First Floor: 2,183
Utilities: _Sewer _Septic Building Height: 14'-4 1/2"
OWNER/LESSEE:-
CONTRACTOR:
Name Fri l AQ—,d
Name:JOHN L. GEORGE
Address:
Company: GEORGE & ASSOCIATES CONT., INC.
city:��, �,.���,, State: R,
Address:2990 CONIFER DRIVE
Zip Code:aFax:
City: FORT PIERCE State: FL
Phone No23q) 2,>q2-
Zip Code: 34951 Fax:
E-Mail: Jgiye8;, 1,14�'IV e" Ce
Phone No (772) 834-7001.
Fill in fee simple Title Holder on next page ( if different
E-Mail georgeconstruction3@gmail.com
from the Owner listed above)
State or County License CGC1513360
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORIVIATI.O'
DESIGNER/ENGINEER,:
Name: f 4/a E1 C0110111'4 /
Address:
_ Not Applicable
AL'• 54e: -Z-36
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
State:
City:
State:
Zip: 32 6:s3 Phone(2-o,3)
S`/5' 22 J
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com cl gunk or recording your Notice of Commencement
Owner/Lessee/Co ctor as Agent for Owner
Si=ATEOF
Signat a of Contractor/License Ho er
SLORIDA
ST EOF FLORI
COUNTY OF
COUNTY OF Y
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The forgoing instrument was acknowledged before me
Theyfrgoing instrument was acknowledged before me
thisday of Y7r7a9�2C`�-� ,20� by
thiday of M t��P� }�- 20c by
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifica io
Type of Iden ' 'cation
Produced
Produced
(Signature of aY�u, ic- Stfti;®ltffio G3406i7 Y{
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(Signature of Notary Pu ic- State
MY COMMISSION
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Commission N ''A" 3i7
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DATE
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