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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)