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HomeMy WebLinkAboutBuilding Permit Application ! j ALL APPLICABLE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nO Date: f Permit Number: ' 1 • ...................................................... Building Permit Application Planning and Development Services Building and Code Regulation Division j 2300 Virginia Avenue, Fort Pierce FL 34982 j Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PfC�PtJSEDaIiV{PROVEsIVIENT ��®CACTI�'�I � � �' �' � �9 ` ✓� ���� ' Address: Legal Description: 9-2. -Slfl 1!12 34-UI (Xo ���vr I � 1n �i de ILr� �� °�yVl,yyv, A - 11mcN �2 m\ C An di _0,,Q 4zi 14o49 t n S l z Or Property Tax ID#: 45L,,1 -tel -Dcoc�-bq,-© Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DE 'AILEODECRIPT[QN`C3F WORK - t .. �;. ,,,,. ,•.,... .as,. _._F� a �F:,o���..r._, w .r-., .,,��,�,:��'""�,�'?; z ������ ,. .�. rr 4 ��;��;��. ��' ° � x�.., � �,� s Additional work to be per ormed un er t is permit-check all appy: ❑ ❑ _ ! Wind ows/DoorsHVAC Gas Tank Gas Piping Shutters _Electric Plumbing ❑Sprinklers ❑Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 46 9-(0p. p 0 Utilities: _Sewer Septic i Building Height: L OWNER/L'E5SEFr� - {" ar a i ✓, r;, a .3K r ar' y'''^ .& L 'v s 3 S 4' �'aY ,.:...7M, ­R�� Name Address: 1 3(oo,;:— S `T1,C,�iGri 1Z�v-ems ' Company: (1 { pn�� ty City:-\,.cn SA r-, RQCc ` I, State: Zip Code: 3��5—� Fax: City:uf�L hn � State: �C— Phone No. 7 („�-63�-ri Zip Code: 3 4Z lLo Fax: E-Mail: Phone No. `(S7�- Fill in fee simple Title Holder on next page(if different E-Mail: o /��`��jOYF��,no�.�p�,,� from the Owner listed above) State or County License: �q, R'q If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I SU°PPLE11%IENTAL CONSTRUCTIO N LIENLAIN 1NFORMAI'iQN Q' �� 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 improvements to your roperty. A Notice of Commencement must be recorded,and posted on the jobsite before the first ins con. If you intend to obtain financing, consult with lender or an attorney before comm wo o recordin our Notice of Commencement. I Sign ure of Own ractor as Agent for Owner gnature of WContractor/Li se Holder TATE OF FLO IDA STATE OF FLORI A COUNTY OF COUNTY OF—.TZ.,,- The forgoing instrment was acknowledged before me The forgoing instrument was acknowledged before me this I D-day of 20 ��'by this -day of 20 by . (Na a of person acknowledging) (Name of person acknowledging) I f e of Nota lic-State of Florida ) (Si otary Pu ic- orida) Personally Known L------OR Produced Identification Personally Known Produced Identification Type of Identification Produced Type of Identification Produced Commission No.L0 a``P�"tl���"(Seal)Heather Spears Commission No.pQ 2( (Seal) COMMISSION#FF242393 a� ... !lel, Heather Spears * = ES:June 21,2019 ;oma i°SIUN.FF242393 %`ON.. WWW.AARONNOTARY.COM �* :� �vpIRES.Jmc 21,201 Revised 07/15/2014 '���,,,,,,���` %q ...... 'MIM.AAhuNNOTARY.COM 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 AFTER RECORDING—RETURN TO: SAINT LUCIE COUNTY FILE# 4336899 08/02t2017 02:04:00 PM OR BOOK 4026 PAGE 2752-2752 Doc Type:NC RECORDING: $10.00 PERMIT NUMBER: NOTICE OF COMMENCEMENT 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- 1. 'DESCRIPTION OF PROPERTY(Legal description of the property&street address,if mailable)TAX FOLIO NQ.: SUBDIVISION BLOCKTRACT -LOT BLDG UNIT 2. GENERALDESCRIPTION OF IMPROVEMENT, Ce mo, A� 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a Name and (�-tt,PL b.Interest in property: c.Name and address of fee simple titleholder(if different from Owner listed above): 4. a.CONTRACTOR'S NAME: Superior Fence and Rail ntrActor'5 address: 1420 Neptune Drive, Ste G, Boynton BeaCh 3342j�, Co 54-480-8338 5. SURETY(ifapplicable,a copy of the payment bond is attached): a.Name and address: b.Phone number: c.Amount of bond:S 6.a.LENDER'S NAME: Lender's address: h Phone number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may y be served as provided by Section 713.13(1)(a)7.,Florida Statutes: n.Name and address: b.Phone numbers ofdesignated persons: 8.a.In addition to himself or herself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. b.Phone number of person or entity designated by Owner. 9. Expiration date of notice of commencement(the expiration date will be I year from the date of recording unless a different date is specified):.20 IN 1 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE OTICE OF COMMENCEMENT ARE CONSIDERED OPER PAYMENTS UNDER CHAPTER 713,PART 1.SECTION 713.13 FLORIDA STATUTES,AND CAN RESULT IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RE ORDER BEFORE THE FIRST IN PECTIN IF YOU INTEND TO OBTAIN FINANCING.CONSULT W ITH YOUR Ig,914DER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.' A u f(S n are f 0;Wr*orU6scit,4r Owner's or Lessee's (Print Name and Provide Signa pry's Title/Officc)- tori z�edt�Of III�cer/D?i.re c I o rIP a r In e r/M a n age r) ate of County of The foregoing instrument was acknowledged before me this 1 day of io_I_— by ",,OL as (name of rsoAn (type of authority,...e.g,officer,trustee,attorney in fact) forA - (name of party on behalf of whom instrumentent was executed) Personally Known or Produced Identification Type of Identification Produced A - Heather Spears-- -/jEn #FF242393N%i,,­;, COMMISSION ---"y p 21 2 JUN �eta,Public) 1AXj ;q_ EXPIRES:Junt Wignature o tary Public) WWWARWHO Vm.AAR0NN01AA1,1-1-'lv1 (Print,Type,or Stamp Commissioned Name of Notary Public)Brut ' OF Rev,10.15-12 ry f��4_l� •d'{If711C1 _. .. � �f��.'i f I.f..71(,r P �+ '+of i Silo tui SurveYl_. --- CAVE 'jYn lJl,, 1•���,r FH'.,'r,I r(11{4, i t• `,.` �t\.�`• ;.. _ � J '+ IV .r-.- I• �p I o RMNKaWwOr++fanmve+ ', i y F I L,f 1 if1 ; th f 1 � � I .,�l `',tASi•1.1 ' k ++ Iu DTt� �t Pr.�.�`,r=�c'H.IY,`, s+tl Y. ,`:•,` f'I •� '.iFni�, . .. . _. ._ . _ ,..,.,.-_..:._.. .I 1 �<'H.;:lr�iC"If ;irW C','.'•+rr}A'w1"^rflJ ' Y 1 .:r.VG'�yt r:'�; Z f � »� �I(A$a r 14 Od BeaC 1, F,-- (561) {N(561) / 9v', �'�X '4 j1; ����� x''14', . ,