HomeMy WebLinkAboutMiles Permit App ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
J2 �
. I
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 X
PERMIT APPLICATION FOR: Roof
PROPOSED IMPROVEMENT LOCATION:
Address: 6901 Ocala Ave Fort Pierce, Fpl 34951
Legal Description: LAKEWOOD PARK-UNIT 10- BILK 130 LOT 14 (MAP 13/01 S) (OR 3035-2390)
Property Tax ID#: 1301-612-0276-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK;
Tear off 3/12 existing pitched shingle roof. Go back with shingles. Only paint the existing flat deck.
CONSTRUCTION INFORMATION:
Additional work to ff
r orme un er t is permit—c ec a app y:
EIHVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing ❑Sprinklers Generator i� Roof 3/1 2 Roof pitch
Total Sq. Ft of Construction: 2800 S . Ft. of First Floor: 1300
Cost of Construction: $ 10,600 Utilities: Sewer D Septic Building Height: 12
OWNER/LESSEE: CONTRACTOR:
Name Michelle Miles Name: Jon Ashenback
Address:7008 Bayard Rd Company: Atlantic Construction and Roofing
City: Fort Pierce, State:FI Address: 4888 N Kings Highway #229
Zip Code: 34951 Fax: City: Fp State: FI
Phone No.772-475-7979 Zip Code: 34951 Fax: 772-264-0302
E-Mail: Phone No. 772-215-3306
Fill in fee simple Title Holder on next page ( if different E-Mail: jashenback@gmail.com
from the Owner listed above) State or County License: CCC-057852
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I: PPLE MENTAL�C}1�1STRUCl'ION LIEN LAW INFORMATION:
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:
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
improvem in
to your property. A Notice of Commencement m t be recorded and posted on the jobsite
before th irst inspection. If you intend to obtain financing, con It with lender or an attorney before
comment' work or recording our Notice of Commencement.
s
Signature oIF
w er/Lessee/Contractor as Agent for Owner Signature of actor/License Holder
STATE OFLORIDA STATE OF FL RIDA
COUNTY �SLC_ ��_ COUNTY OF �C1e L kc-L-c—)
The for oing instrum t was acknowledge before me The forgoing instrument was acknowledged before me
this ay of 20 Iy this day of \ 20 by
I
A�
� � n c_
(Name of person acknowledging) (Name of person acknowledging)
V Y
(Sign of Notar =!n�
Public-State of Florida ) ublic-State of Florida
Personally Kn � OR Produced Identification
T nti cad` �'o�lu�ed ANGELA h1 FF Type of Identification Produced
,• of Slaw oftioocmi
Commission# F 2 s 1^9 •""'••.
a
Commission fi r* CX, ,� ea�. Comm " _ ANQ€I A HyF `: I)
e oP. r r a "UNITY 41J Ig171@ A I
13ondec;tyro. •+ P t �.efl ?
IVIY L'UMM:
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4328797 OR BOOK 4018 PAGE 1162, Recorded 07/12/2017 02 :10 :50 PM
STATE OF FLORIDA
ST, LUCIE COUNTY
AFTER RECORDING RETURN TO: THIS IS TO CERTIFY THAT T S IS A c,R
TRUE D CORRECT CO OF TH
ORI IN
J Si E SMITH LEEK y
B "
PERDffT NUMBER, Deputy CI rk V
NOTICE OF COMMENC>L� JUL Y12 2017
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.
I, DESCRIPTION OF PROPERTY(Legal description Of the property&street address,if available)TAx FOLIO Ngy 1301-612-0276-000-1
SUBDIVISION y_ __ _BLOCK TRACT _LOT BLDG UNrT
LAKEWOOD PARK-UNIT 10- BILK 130 LOT 14 (MAP 13/01S) (OR 3035-2390)
2.GENERAL DESCRIPTION OF IMPROVEMENT:
Aertxl
3. OKTI£R INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a Nameandaddiesa Michelle Miles 6901 Ocala Ave Fort Pierce, Fl 34951 .
b Interest m property Owner -
t.Name and address offer simple titleholder(nf different from Owner bored abo,c)
4. a.CONTRACTOR'S NAME: Atlantic Construction and Roofing
Contractor's address 4888 N Kings Highway#229 Fort Pierce FL 34951 b.Pho r number'. 772-465-9700
S. SURETY(if appl:whle.a ropy ofthe payment bond is attachtd)
a Name and address.
b.Phone number. t.Amount of bond-S
6.a.LENDER'S NAME:
Lender'saddress _—__- _-- - _- Ir.pt—e nanrba
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
a.Name and address.
b Plwne nurnbe,sof designated persons:
8.a.In addition to himselfor herself,Owner designates _ _Of
to receive a copy of the Lienor's Notice as providrd in Section 713.13(1)(b),Florida Statutes.
b Phone number ofpeison or entity designated by Owner
9" Expiration date of notice of commencement(the expiration date will be 1 year firom the date of recording unless a different date is
specified): ,20
WARNING TO OWNER- ANY PA)2dLNTS MADE BY THE OWNER AFTER nIE EXPIRATION OF T11E NOTICE OF CDMMENCFh1E'dT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPT'E$713 PART l SECTION 713 13 FLORIDA STATUTFS AND CAN
RKESULZN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST B6
RECORDED AND POSTED ON TFE JOB SITE BEFORE THE FIRST MSPFCTION IF Ynl I NTFND rQ OBTAIN FINANCING.CONS t rL
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMFNCENG WORK OR RECORDING YOUR NOTICE OF COMMENCEWMr.
Michelle Miles
(Slgtreture of Owner or Lessee,or Owner's or Lessee's (Print Name stud Provide Sigantory's Tide/Office)
Authorized Officer/Director/Partner/Manager)
State of Florida
county of St Lucie
The foregoing
`instrument
-was aclato`wledged before methis —day of ki({ 20�_�_
by f t i C.tl� LY"_ ,A4l( 17°S ,as —T
(name of person) (type of authority,.,.e.g.officer,trustee,attorney in fact)
fur_ -
(name of party on behalf of whom instrument was executed))
Perso wu. yr E9tn �� d nri- Type of Identification Produced
wz,: SUSAic A 90wEN Notary Public-State of FloridaCommission#FF 231072 (Signature ofNotaryPnbfic)
;oFF My Comm.Expires Jul 28,2019 (Print,Ty
pe,or Stamp Commissioned Name of Notary Public)
Rev 10-IS•12