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
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Commission No. M�G ZULM 1ers
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Commission No.
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REVIEWS
FIR NT
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SUPERVISOR
PLANS
GETATION
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MANGROVE
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DATE
COMPLETED
Rev.8/2/17