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HomeMy WebLinkAboutDudek Permit Application 6.26ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: _ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ---- Residential ---- PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: \313 �� \ ilOP Pcx+ &:LuLtf, f\ (y\961-- Legal Description: 1\V(,,v ±Qv\(� Uh 1± 2. X9JL \\ lo+ 9 Lot No. Q\ Block No. \ � Back: Right Side: Left Side: _ Setbacks Front. _ PropertyTaxlD#: \)4\9 - Sl O- OI!QCo- OCD-4 Site Plan Name: \:kle,,h O Ad.�)L. Project Name:------------------------------------ I DETAILED DEscR1PfibN OF wbRK: CONSTRUCTl0N INFORMATION: itiona wor to DHVAC DElectric Shutters D Generator D Windows/Doors DRoof Total Sq. Ft of Construction: _ Cost of Construction:$ "]� S'f£!; of First Floor: Utilities: LJ Sewer D Septic - - Building Height: _ State:Ei_ Address:___,,,Lh..�-"'--'"-..!,,l.�..:+---1,....t<"-'-Jd,,,,,..�------ City: �y'-\-- Q LH () u Zip Code\")\ClE)) Fax: _ Phone No. _ E-Mail: _ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONJRAGJOR: Name: Todd Paroline Company: Superior Fence and Rail Address: 2778 N Harbor City Blvd #102 City: Melbourne State:� Zip Code: _3_ 2 9_3_5 Fax: 321-638-0086 Phone No. 321-\336-2829 E-Mail: spacecoast@superiorfenceandrail.com State or County License: _2_ 9 5_8_9 _ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CGNSTRU@Tl©N l.JEN'l::AW·INFORMATION: _ Not Applicable _ Not Applicable DESIGNER/ENGINEER: Name: ------------------- Address: ------------------ City:------------ State: Zip: Phone: ----- ------------ MORTGAGE COMPANY: Name: _ Address: ------------------ City: State: Zip: Phone: _ _ Not Applicable _Not Applicable FEE SIMPLE TITLE HOLDER: Name: ------------------- Address: ------------------ City:-------------------- Zip: Phone: _ BONDING COMPANY: Name: _ Address:------------------ City: _ Zip: Phone:------------ STATE OF FLORID�'t 1 1 1 COUNTY OF v\AU C J nature of Owner/ Lessee/Agent STATE OF FLORID� COUNTY OF l UL\() v 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 rs rn 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 commencin work or recordin our Notice of Commencement. The forgoing instrumJnt was acknowledged before me this 1Ii_ day of , \,lD(') 1 20 Qby The forgoing instrument was acknowledged before me this 2:2:. day of ,jux:1ed . 20 \.l by e of person acknowledging) Personally Known X: OR Produced Identification _ Type of Identification Produced. _ MY COMMISSION# FF 217128 EXPIRE��l}5. 2019 anded Thru Nota,y Public Underwriters Revised 07I15/2014 Commission No. (Name of person acknowledging) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS JOSEPH E. SMITH, FILE# 4322827 CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY OR BOOK 4011 PAGE 2172, Recorded 06/23/2017 11:24:09 AM NOTICE OF COMMEI\CEMENT Name and address: Phone number: b. a. 2. 3. STATE OF Florida _ COUNTY OF Eh-uajil t"'�.....-r- \ -j_ A _ ( _ , \ :f_) _ T�E UNDER • _STGNED hc:�by gives nonce that imp,�v�mcm will be mack to certain real property, and in accordance with Chapter 713, Florida Statutes, the follL\\�rng information is provided 111 this Notice of Comruencemem. l. c. Name and address of tee simple titleholder (if other than owner): 4. Contractor: a. Name and address: Superior Fence and Rall of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL 32935 b Phone number: 321-636-2829 �������������������- 5. Surety: a, Name and address: n/a b, Amount of bond$ n/a c. Phone number: 6. Lender: a. Nnme and address: b. Phone number: n/a 7. Persons with the Staie of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(.I )(a)7, Florida Suuutes: a. Name and address: _n_/�a--------------------------------------- b. Phone number: 8. In addition 10 himself. 0"·11cr designates the following personfs) 10 receive a copy of the Lienors Notice as provided in Section 7 U. I 3( I )(b), Florida Statutes: a. Name and address: .n/a. b. Phone number: .nLa _ . 9. Expiration date of nor ice of commencement (the expiration date is one ( I J ye.rr from the date of recording unless a different date is specified) . WARNING TO OWNER: ANY PAYMENTS MADE BY Tl!E OWNER AFTER THE EXPIRATION OF TllE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 71J. PART I. SECrTON 713.13, FLORIDA STATUTES. AND CAN RESULT I:\ YOUR .PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOll SITE llEFOIU: THE FIRST INSPECl"t()N. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WlTH YOUR LENDER OR AN ATJ"ORNEY UL:FORE COMMENCING WORK OR RECORDfNCi YOUR NOTICE OF COMMENCEMENT. �&<� , ignaturc of Owner or Owner's Authorized Officer.Director/Partner/Manager Signatory's TirleiOffic.:c _W,,}�V , _ Verification pur,11anl to Section 92.5:25. Florida Statutes Personally Known _ Type of identification produced OR _ __ . 2J.2.Ll by ··--·------- (type of authority .... e.g. ins rument was executed). ProdUld ldennflcation ·······-Y __ fi� --- Under penalties of perjury. I declare that t ha, c read the rorcgoing and that the facts suncd Ill IL arc true to the best of my knowledge and belief, .r« I <..k:. .._.... ffi,,___ . ./2e-� .':!.: .. _ --·- - -·· ------- Signature of natural person signing above w ,· I- � 0 - !a (/) � � 8 � � i ,·, .ii�,<. .• .•• " a " r., "•'! ·--·/"M . , ,, Jj':; ""._ ... _ · '- · "z_-- __ .,t_ ' . , .· . \Y\S� 2SD' -�LO· vV c. fe_hce..., \.}) l \-\. tY D\) cr-:fe co�- o· w f- .:::(. 0:: 0 o ::::, r 0 I _J .9 u I rn � ' 0(0 >-w I o:'"> tro '.< � Oz f- .:::(. 1-w (Cc 0 o (/) 0 } _J� �[ii m zW olY �- '°' -H--- '·------- \ \