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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4.160� 1 1$ Permit Number: _�� GRs Building Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 RECEIVED Permit Applicati FEB 0 9 2018 ST. Lucie County, PermRting Commercial x Residential PERMIT APPLICATION FOR: To Select.from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 3300 Avenue L; Ft. Pierce Florida 34947 Legal Description: PLAT 3-SUNLAND GARDENS ELK 38 LOTS 15 AND 16 (0.36 AC) (OR 266-340) Property Tax ID #: 2405-701-0034-000-8 Lot No.15 & 16 Site Plan Name: House Of Prayer Pentecost f Block No. 38 Project Name: Roof Replacement Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK- c• III Re -Roof from shingles to metal. BY —v Coup ty CONSTRUCTION INFORMATION: III iumonarworKtooerrormea unaerimspermit—ci e E1HVAI Gas Tank ❑Gas Piping 11 Electric 0 Plumbing []Sprinklers Total Sq. Ft of Construction: 5000 Cost of Construction: $ 20,000 Shutters ❑ Windows/Droo[s��II ��� Generator R] Roof / Roof pitch S . Ft. of First Floor: 5OX70 Utilities:llSewer 0septic Building Height: 20ft. OWNER/LESSEE: CONTRACTOR: NameHouse of Prayer Name: John L. George Address:3300 Avenue L Company: George 8 Assoiciates Contractors, Inc. City: Fort Pierce State:FL Zip Code: 34947 Fax: Phone No.(772)971-0049 Address: P.O. Box 13081 City: Fort Pierce State: FL Zip Code: 34979 Fax: 800-438-5936 Phone No. (772) 834-7001 E-Mail:cmon58@bellsouth.net Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: dots@constructionbygeorge.com State or County License: CCC1328132 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: NEER: Not Name: House or Prayer Add ress:3300 Avenue L; FL Pierce Flodda 34947 City: FodPien State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: P-o. B-- 43o8, City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Na me: John L George Address: 3300 Avenue L City: Fat Piece State: Zip: Phone: BONDING COMPANY: _Not Applicable Name: Address: City: 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, 1 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 copwrienciaa-work or recording your Notice of CommencemePA-i A , + l Sig atcrre of Owner/ Lessee ontractor as Agent for Owner ure of Contr ctor/Licens older SigXE STATE OF FLORIWA 5 L %3C� ST OF FLORIDA COUNTY OF • COUNTY OF 51r, The forgoing instrumeqt was acknowledged before me -K 'rX The f rgoing instrument was acknowledged before me this day of . 201 d by thisday of 20Lq by �q,n c$Col� VU ZTr� Name of person making statement Name of person a ing statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced *F f) Produced V- L L (Signature of Notary P lic-Stab . IEGNENS (Signature of Notary P I' - FfdaypR' GG py2023 GEN'1NA �,1N#Go 0220V COW Commission No. M�G ZULM 1ers p� ., o.o"y.,., GGMtd\5ffiGy �ttfi 2020 tcrs at�0.EN o ` �ub�leundere�d Commission No. No ryp �, , - '��"oi Fes.•` REVIEWS FIR NT ZONING SUPERVISOR PLANS GETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17