HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONNOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 3``10Q- &to- -000 5
State of Florida County of St. Lucie��
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 street address if available):
;Uo-"W—
n ;Um a
G4ti r ,�- 1 (-0 2
y
,.,
00A -4x
W0m
General description of improvement: REROOF
ZN
o EA m to
wsn�
owner informoon or Lessee information if the Lessee contracted,for the improvement:
Qpm0-4
C77
0
om^
Name
Q
�m
Address it/ �� r
�
Interest in property: OWNER
0 0
Name and address of fpl etitleholder (if different from Owner listed above):
o a
��� ►�+ �� C(_ b &
o a
n 0 t�
X
Contractor's Name: Treasure Coast Roofing
r-
Contractor Address: 181E SW BILTMORE PSL,FL 34984 Phone Number: 772-379-9770
O
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
C
Name and address: Phone number:
Lender Name: _
Lender's address:
one Number:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sec Tion
713.13(1) (a)7., Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself, Owner designates
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes -
Phone number of person or entity designated by owner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 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 CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, 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 INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of
knowled r
1, (Signa re a 0
rjury, I declare th I-jnave read the foregoing notice of commencement and that the facts stated therein are true to the best of
or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing it
By Jo C— (f
Name of
acknowledged before me this '� day Of
�Q� 2{��
Nz
' 7S P"sem
" c 10
as for
Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
(Signature of Pqkbv4Wc - State of Florida)
(Print, Type, qVStamp Com ' stoned Name of Notary Public)
Personally known, or produced Identification_.
Type of Identification produced
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 712-o It 7 Permit Number:
Building Permit Application
Planning and Development Services
Building and Lode 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: 6009 3 y 2 -
Legal
Legal Description. F ¢e L?IK I -e
Property Tax 1D #:
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. Z 1�
Block No. $ 7
rear criC
ex,SA'ny "ar
ZnS a// new
Sk'^9%tS
P" 1�G�j
7112 -
CONSTRUCTION INFORMATION:
itiona work
HVAC
to be er orme un
Gas Tank
er t is permit- c ec
❑Gas Piping
a ff-S
Myt
C
11
rs
Windows/Doors
Electric
Plumbing
Sprinklers
[]Generator
Z
Roof
Total Sq. Ft of Construction: _2/_�C3 Sq. Ft. of First Floor: 2 /,5-3
Cost of Construction: $ G, ODo Utilities: 0 Sewer Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
Name Toe Lnt,rcnco Name: BRIAN J MALONEY
Address:, 6009 164 am dr Company: TREASURE COAST ROOFING
City: f fir erc'd State: FL Address: 5 816 5W BILTMORE
Zip Code: 311ySV Fax: NLA City: PORT ST LUCIE State: FL
Phone No. Zip Code: 34984 Fax: 772-343-8358
E -Mail: N/A Phone No. 772-370-9770
Fill in fee simple Title Holder on next page (if different E -Mail: TCROOFINGLLC c@GMAIL.COM
from the Owner listed above) State or County License: CCC1330653
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip:
one:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applica
State:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Na me:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
_Not Applicable
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 recording our Notice of Commencement. r, _
_ Signafure of-Awlji�'r/
Signatu
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �Z =AjLt COUNTY OF
The forgoing instrument wa acknowledged efore me
this 7 day of 20 ) by
(Name of person
(Signature of
Personally K"n =OR I
Type of identification Produced
Commission No.
Revised 07/15/2014
to of Floe'
R0
'rod e��ftatn, ..
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
Sealy
rr ,
The far Ding instrument was acknowledged before me
this day of 20 by
(Name
wag��d�ufU ruoi�c- �,zate or FiorGaa 1
Personally Known OR PSg411Ii"dl?p,�
Type of Identification ProduceJZ\,,A.�°°° '
Commission No,
(Seal) t
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
SEA TURTLE MANGROVE
I
REVIEW REVIEW