HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number
BUitdelng Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4.62-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click here
PROPOSED IN.PRO\/EMENT LOCATIOR{
Address: 2 3 I Mari vt� Zy= %- `fii eirce 4�
Legal Description:
Property Tax ID#: 1425`7 01— O 143—Oce 0 4 Lot No. 3 Q
Site Plan Name: Block No. `
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETA{LED DESCRIPTIONF WORK
3
2.2 L S `C 1L t1i C rO MQ1r o1n r) /\G�✓ CA- - Arg.4�N-CG �i l
CaNSTRUCTtON INFORMATION
Additional war to be Derrormea under tis permit—c ec all tm appy:
OHVAC LJ Gas Tank ❑Gas Piping _Shutters Windows/Doors
0 Electric Plumbing Sprinklers 12 Generator [ZRorof
Total Sq.Ft of Construction: 1 Z2_1 SCI. Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height:
OUVNER/LESSEE CONTRACTOR
Name 10 4Z gs'2 Name: Ito t
Address: 2,31 tAa'y'v`G DL Company- �c4>n in �tC.
City: - T-, odlre- State:t-L- Address: �(Oo u
Zip Code: 34 j,!� Fax: City: y�P?EA C 4 Stated
Phone No. Zip Code Z I Fax:
E-Mail: Phone No.Mz 63
Fill in fee simple Title Holder on next page(if different E-Mail: CY ! - (:O
from the Owner listed above) State or County License: t3
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
77
SUPPLEN(ENTAL CONSTRUCTiO,N LiEN LA1N (NFORMATIaN
DESIGNER/ENGINEER: `Not Applicable MORTGAGE COMPANY: i Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: iZNot Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDViT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
i
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.
Signature of Owner/Agent/Lessee Signage o antra tens er
i
STATE OF FLORIDA STATE OF FLORIDA ! V
COUNTY OF COUNTY OF J,n �arL
The forgoing instrument was acknowledged before me The forgoing instrume t was acknowledged before me
this day of ,20 by this�day of o cb-fr— 20by
(Name of person acknowledging) (Name of person arknowledgin
(Signature of Notary Public-State of Florida) (Signature of Notary Publi -State of FIo..rtdo l __
ISAAC St Z
��ORdRVPVPersonally Known OR Produced Identification Personally Known Produ , tiRQt����_St of Florida
Type of Identification Produced Type of Identification Produced` ➢' gJly_Gau UP'es y 18,2018
Q � ! `F Commission # 086006
Commission No. (Seal) Commission No. (1 � t} Bonded Through Nation Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE _T
COMPLETED
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4356391 OR BOOK 4048 PAGE 2945, Recorded 10/05/2017 10:36:42 AM
AFTER REODRDING-RETURN TO j
I
I ? cl
PERMIT NUMBER
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property,and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIPTION OF PROPERTY(231 Marina Dr,Ft.Pierce,FL34949) TAX FOLIO NUMBER:1425.701.0143-000-4
SUBDIVISION BLOCK TRACT LOT BLDG UNIT
CORAL COVE BEACH-SECTION ONE-BLK 5 LOT 30(OR 1069-1015;1931-1064)
2.GENERAL DESCRIPTION OF IMPROVEMENT:REROOF
3.OWNER INFORMATION:a.Name:-John R.Case
b.Address:231 Mallna Drive.Ft.Pierce.FL 34949
c.Interest inproperiy Owner
d.Name and address of fee simple titleholder(if other than owner)
4.CONTRACTOR'S NAME,ADDRESS AND PHONE NUMBER:Panda Contractors,Inc.1210 Oslo Road,Vero Beach,FL 32962
Ph: 772 778-6803 Fax: 866 711-0251
5.SURETY'S NAME,ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6.LENDER'S NAME,ADDRESS AND PHONE NUMBER:
7.Fawns within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(ixa)7.,Florida Statutes: G N;y
NAME,ADDRESS AND PHONE NUMBER: G
m
8.In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in Section Z Z y T
713.13(Ift Florida Statutes:
NAME,ADDRESS AND PHONE NUMBER: -4 C:)
o ro
�° Orn
9.Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is ®a !^ y
specified) 20 uA. ca n T
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEM d'e C a i
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1 SECTION 713.13,FLORIDA STATUTES,AND CAN RESUL v
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AN
POSTED ON THE]OB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR x C
LENDER OR AN ATTO EY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. =y
kk 64 S f r,.,D
lure of Owner or Print Name and Provide Signatory's Title/Office
Owner's Authorized Officer/Director/Partner/Manager
-
State of Florida
Countyof �L'lc.t 4-
The
The fo1reg{oing instrument was acknowledged before me this day of 0,— be —.20
By_k" V4' C GeS.'Z. as 4A)yS la
(Name of`person) (Type of authority...e.g.Owner,officer,trustee,attorney in fact)
For IeALq
(Name of party on behalf of whom instrument was exec ut ) P on Known-or produced the following type of]D: 'TL—D L
t Andres Baena
NOTARYPUBLIC
(Printed Name of Notary Public) ( gnatute o NotSTATE OF FLORIDAary Public} Corn*GG076567
Expires 3/2/2021
Under penalties ofpcdury,l declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
belief(section 92.525,Florida Statutes).
SLgusture(s)of 0
er(s)or Owner(s)'Authorized OlrrcerlDireetor/Partner/Manager who signed above:
By: By
aN.ornorsoorcrtl