HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED s
Date: Permit Number: �J
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
i?RDi?OS"ED IMPROVEMENT LOCATION ..
._
Address: 5363 Montego Cir.
Legal Description: Ocean Resorts Cooperative Site 355 (Unrec Copy of Stock Transfer of 2/7/95 In File) (OR 3382-1400)
Property Tax ID#: 1410-502-0355-000-*6 Lot No.
Site Plan Name: Block No.
Project Name: Whyte- 10354863
Setbacks Front Back: Right Side: Left Side:
m� x7777777777,7777 r' t �, _ �,z rr' ys ,
DETA1LED DESCRIPTION OF 4
install 9 accordion shutters
C0�15TRiJ CTI C31V 1 N F OR M'ATl Obi f E ;.
Additional work toe e orme under this permit—check a appy:
HVAC E] Gas TankGas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 4733.00 Utilities:n Sewer O Septic Building Height:
Cll1lNERLfSSE Y ` � C RAC7'O
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d..,.
Name Joanne Whyte Name: Raquel Swanner
Address:5363 Montego Cir. Company: The Home Depot
City: Ft Pierce State:FL Address: 6500 NW 12TH Ave. Suite 110
Zip Code: 34949 Fax: City: Fort Lauderdale State:FL
Phone No. Zip Code: 33309 Fax:
E-Mail: Phone No. (754)224-2010
Fill-in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CGC1514813
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
51JP�LEMENTAL CONSTRUCTION LIEN�LAW INFORMATIONr' y '` v �.
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 thepermit 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 con currency-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
co Mmeff-cing work or recorAng yWr Notice of Commencement.
Signatur f r nt/ essee Signa f Co ractor/License Holder
STA;F,FLORIDA STATE OF FLORIDA
CO TY OF COUNTY OF
The forgoing instrument was acknowledged before The forgoing instrument-was acknowledged before me
me this day of 20 17 by this day of 20_17 by
1 '
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. on No. �, ,
o��;YP�e• TIMOTHY R.O'MA LEY :o-ParPbPi'•- TIMOTHY R.O'MALLEY
�z
a EXPIRES:August 7,20219 0° EXPIRES:August 7,2021
Revised 07/15/2014 %' c '�':P, F` Bonded Thru Notary Public underwriters
p`F�°•d Bonded Thru Notary Public Underwriters ��•
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
1D 35���3
JOSEPH E . SMITHr CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE -# 4353249 OR BOOK 4045 PAGE 146, Recorded 09/26/201703:52 : 03 PM
Prepared By:The Nome Depot
674&Milltary7rall
Deerfleld Beam FL 33442
ITO IC/ DLOA)CF,OF r_QNX&N(;&ME!NT
Property Identification No, /1116 -502 -0355-000
THE UNDERSIG�NED hereby gives wtice that improvements will be made to certain real property,and in accordance with Section
713-13 Ofthe,Florida Statutes,the fbtlowipg information is provided in the NOTICE 017 COMMENCEMENT-
Oct 9.rtor (g2py-&f4viL 5-'1 35S(W7rc( 6j9y 6(
1. l3csPription of property(legal descr?' t1off..) Wl7jqs jrl�Iej (01Z 5-z-1Lir>0)
a) Street Address:_ 55 to (nVnjz:f 0 (1 I'm
2. Geriml description of improvements. Vorm YdAm)5
I Owner Information
a) Name and addrcss-.J0aV1rl4'- Wy[e_ 6563 /77014�•5 to
b) Name and address of fee simple titleholder(if other than owner) 56t yrs
c) InIcrvstinproperty— 6Wm ftr
4, Contractor Information
a.) Name and address: The Home Depot: 6743..Winery lfe( DemfAdBaw,%Ma 33442
b) Telephone Nc.: 954-379-'500 Fax No,(Opt,)
5. Surety Information
EL) -Name and address: NIA
b) Amount of Bond:
c) Telephone NO.: Pax No,(Opt)
6. Lender
a) Narno and address: mA
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address; R/A
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy ofthe Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes:
a) Name and address: ?41&
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Coramenoemerit(the expiruticin date is one year from the date of recording un less a di i-ft-�Iitdt.Is
specified):
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE E)MIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDEREDIMPROFER PAYMENTS UNDER CHATTER 713,PARTA,SECTION 713.13,
FLORIDA STATUTES AAD CAN RESULT IN YOUR PAYING TWICE FOR 1PROVENIENT'S 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 YOUR LENDER OR AN ATTORNEY 3BEFORE,
COMMENCING WORK OR RECORDING YOU NOTICE OF C MENCEMENT.
M.TR OF PLO DA
COUNW ov. .3.
Signacur Owner wr Dwocr's Autliodztd
PriniNmme
The 1"ort-going instrument was acknowledged before me this1.day of �)_o-1? by r-f
'i r -
as L90 ktype ofauthority,-..p.of5cer,trume,attorney in Aot)for
(name o rparty on behalf of whqpri)gym erit was executed)-
Pmona[ly Known OR Produced l&-ritifiontion V Notery sigriftharn.
N
Type of ro
cation Pduced_l,� I-e IR__ Name(pint)_ t`/Tr.-s�- lett
Ytrification pursuant to Se-.tion 92.525,Florida Statutes.Under pan i0s of ury"declare that i have read the fn�ead that the faota stated
in it Lrr true to the best of my knowledge and belief,
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