HomeMy WebLinkAboutCCF03092017_00000,PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '�_ �_/'% Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Building Permit Application
Commercial Residential
Address: ,�'/ ,��f? �,?�°E2�� /��a2 ..
Legal Description:
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Mechanical
_ Electric
ArSe /DSI I✓ &Seer FACAAS(. ,jPli
�1ir Glwe_r'i�'r r�,njz O /n ilk /'�St�'C PvIsASe ,/1'!
_ Gas Tank
— Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
Name L& Hilo&t, Vi ta,, Co --04 /4 c
permit –
_ Gas Piping
_ Sprinklers
apply:
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Utilities: — Sewer r Septic
Address: //// A. /Ob
City: Ccctnt State: FL
Zip Code: �V5 yV Fax:
Phone No. /%� •��n' %�r�
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
— Windows/Doors
Roof
Building Height:
Name: Curds Sixwnroon S
Company: CAA5-rem A t'r 5!1 S fe ms )AJC-
Address:
AyC.Address: t( [ S SE iI r l (aP_ Q rneA D,--
City:
rCity: PO Q-7 � T bk e_ State: FL
Zip Code: 34 9S?j Fax: ' 7; 335 146 X
Phone No. 77,E 335- -30-3'2-
E-Mail: CUsToor Su , V ao) r cry
State or County License: CiR C o 5 )R 10
If value of construction is 25Kor more, a RECORDED Notice of Commencement is required.
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 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
commencing work or recorojVg your Notice of Commencement.
.. — V_ -- �2)
Signature of Owner/ Agent/ Lessee Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF jt 46ee
,S�f '%C� t COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of Mdje ,) 201_Z_ by this __�' day of 120 /y by
C'6tt-t ilHmrntnS
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- St to of FI ida) (Signature of Notary Public- State of Flo$a a )
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
CHRISTINE B. ENGLISH �`E `c CHRISTINE B. ENGLISH
Commission No. E� �� �/ �`� ** e4l)MY COMMISSION# EE8592ECommission No. )My COMMISSION #EE85928:
,, EXPIRES: April 4, 2017 s,� op EXPIRES: April4, 2017
Po Bonded ThN Budget Y $ E Cf F�OF` BOnd?d ThN sUd92t ('1Qt3lY $CMCE
f' EOF 01§31
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. Na 1 , 6 V 000 0
State of Florida, County of St. Lucie F.J,,2r, I T_/) //C,6 oC r7'7
The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available Legal Description Attached - Post Office Address: 8601 South Federal
Highway Port St. Lucie, FL. 34952
General description of improvements Replace Two - 5 Ton Air Conditioning Units over Clubhouse Office and Card Rooms See Attached Quote
/iwnPr/tPCCPP La Buona Vita Co -Op Inc.
Address
Post Office Address: 8601 South Federal Highway Port SL Lucie, FL. 34952 - Clubhouse Located on Mary Ann Lane
Interest in property:
55+ Mobile Home Community
Fee Simple Title holder (if other than owner) Sea Coast Bank
Address Vero Beach, FL
Contractor
Custom Air Systems Inc. Phone # 772 335 3232
Address
1615 SE Village Green Drive Fax # 772 335 1968
Surety N/A Phone #
Address Fax #
Amount of Bond N/A
Lender N/A Phone #
Address Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues: 772 334 8900
Name Advantage Property Management LLC Phone #
Address 11 E Fed I H hh-- Suite 100 Stuart FL. 34994 Va, #f 772 288 0175
11 S era ig y
In addition to himself, owner designates
La Buona Vita Co -Op Inc. - Address Above
Jim Coy, President - Dan Stout Vice President
Phone # 772 879 4300
Fax # 772 870 4304
of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13. F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCtNG WORK RECORDING YOUR NOTICE OF
COMMENCMENT. _ 1 JJ /
/2 J201�
JAMES A. COY
Comm,ss,on # FF 231299
My Commission Expues
MoY 17, 2019
Jwn A ssee, or ner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature
Daniel Stout - Vice President/Director
Signatory's Title/Office
State of Florida, County of St. Lucie
Acknowledged before me this Lm , day of March
who is personally known tome or who has produced PERSONALLYIOJOE TO LE
rte, James A. Coy
nature of Nota Type or Print Name of Notary
TifIP• Nntnry Public Commission Number FF 231299
2017 by Daniel Stout
as identification.
(Seal)