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Home My WebLink AboutMECHANICAL/HVAC RESIDENTIAL- REPLACEMENT SYSTEM NOV-06-2017 MON 04; 10 PM CENTRAL SCHEDULING FAX No. 3212686138 P, 002 ALL APyPL fCA� LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED w Date:11 V� Permit Number: J it l—ffiq 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 •` •.vIf: .L R EARN ' .S� "LTC, � �.A'� `:. Address: Q e.t Ce 151 - Le i Description; f C u • h' G Property Tax iD#: �� 7(�L.��t�7 Lot No. Site Plan Name: Block No, Project Name: _ Setbacks Front Back: Right Side: Left Side: ,I MIS I I •�.�� G1�e Ll.tn� Additional work to be erti is perms -c ec a11 app y: HVAC Gas Tank Gas Piping _Shutters Windows/Doors Electric 1_I Plumbing ❑Sprinklers El Generator Roof Roof pitch Total Sq. Ft of Construction: 5 Ft,of First Floor: Cost of Construction:$io!15&- Utilities:It Sewer 0—Septic Building Height: K 10 11��'11 Cf, 1111 •T , Name Name: e rlit Addres : M ( 0 Company: City: ll�r State: Addr s: �nSe 'a,JJJJL Zip Code: IP//Fax: City: S/ 1Lucie- State: - Phone No. D-go 010 Zip Code: � Fax: Z- -73 1)CIO E-Mail: Phone No. ✓ Fill In-fee simple Title Molder on next page{if different E-Mail: from the Owner listed above) State or County L cense: ( y5cl If value of construction is$2500 or more,a RECORDED Notice of commencement Is required. NOV-06-2011 MON 04 10 PM CENTRAL SCHEDULING FAX No. 3212686138 P• 003 NET't4 4:. fill,5 'r: •, d?>s1a' 11 ! Iv ,'�n,..pgN4 I: �, r ♦ �,. „ r � :bl. �}�(((( •'4 '� '�m.np .y F!!,Iti K;r4" r ,h•> r.. .a + ! �. ;',`s:,. ��!,r; G �;'.t +1 'rfa�f 2,•ri `lr� 1�"• 'r{• i,.dc ,)?.5; ,Y!l, .nr 'J' "2.k�d' h ' ?�l�.G 4 r r j, _ :.� n �,.. 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: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto clothe 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 thepermit holder to build the subject strupture 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 pnd 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. Signa urof wner/Lessee/Contractor as Agent for Owner Signature o ntractor/License Holder STATE FLORIDA STATE OF FLORIDA J COUNTY OF _ - _ l�l�t l a COUNTY OF i )I . . Cj e— The r ping instru ent was acknowiedged before me The f rgoing instr m t as acknowledg d before me this day of 20 by this day of vi 20by Name of per"making statement Name of p!Z making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced_ .1 — . N* (Signature of Notary Public-S .Flor' (Signature of Notary Public-St a fi, Iorida) r '��tlherine Konger ;Y' Y".•. Catherine Konger r� . SC ni�FF17237z ;: Commission N L� ;� � ,28,2018 Commission No. ;Expires:OCT Expires: 28,2018 '.; pp `p•' DONDHO THRU •• � BONbfib THRU ++un•` 1Srpl.OMDANOTARY,LLC "'till ` 1STrLORIDANOTAR Lim REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/x.7 NOV-06-2017 MON 04 11 PM CENTRAL SCHEDULING FAX No. 3212686138 P• 004 JOSEPH E. SMITH[ CLERK OR THE, CIRCUIT COURT. — SAINT LUCIE COUNTY FILE # 4367795 OR BOOK 4061 PAGE 1749, Recorded 11/06/2017 02:59:49 PM 1 I NOTICE OF-COMMENCEMENT Permit No,. TAx Folio No,, State Of Piorlda codnty of St.lude The undeisrgned fiery givesxUre that improv2mertt will be gwde•to certoln real property,and in accordance with-chapter 713,5iorltla Stbtutes, the fafiowJng IrlforrrlatlDn 1s provided In this Nonce of Comtrencament. seri tion of ro L rl :M street a dr e If w ! p t� ' Gineral descrtptltin of impro4ament• J pwnarihf rJnatfolt or ee Infortnt}t 1f the.{t'ssea contracted for Lrtl Improvement: •�r Name 11z w ri, Wr Address . ref y a inteitst Ili p[bporty: If _ z U Naineand.addressofiee•srmpletitieholder(If dlfferhnt from owner listed abeye): z m� U V C Cantraetorrs Nama: !?t. dp z- L. txi CL CantracYdr.Addresd, t PhoneNumho'n a=IN a T- 0 tel 0 C) Surety(If•applicalile,a copy Of the payment bond is attached);Ampunt u W p d O Narne'apd addres% Phone rtumbe, " ¢Z z ti LV rir(D leM#erfdQme:_ _PhaheNumber: •Lende�8•eddress: _ _�",�„ __ _ _ in vi r�O m Petsafis within the Stateot!Florrda designated by owlier upon wbnm noticed or other documents may be served.as provided bySaitlotr 7I3;13(1)lal7c,Florwe Statutes: blame:_._...._.__ Phony NOrnbef: Address;, _ in additlori.to hlraself or herself;Owner desigmtpf _ of „ to recelve a copy of the Llehor's notice as provided in Section 713.19 1)(bj;norlda 5tawtas. Phone number•of person or entity deslgnamd by Owner Explratlon date fof notice of commencemant: (the egplration date may riot be before the completion of constructldn:and final Payrrlent to the contraetur,bul-WHI be]ye#1rom the date of tcootding unless a diffemal;date is specSHcdj WARNING Tp OWIYER:ANY RAl MENNTS MAGE 8Y TitE:OWNER AFTEti THE1XPIAATlt1A1 OF THE NOTICE OF COMM$NCEMEH7 ARE COW PEREO IMPROPER PAYMENTS UNDER(MAPTER 713,PART I;5ECnON 713.13,FLORiOA STATUTM AND CAN RESUL71N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY,A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTSO ON THE 1013 slit WORE THE.RRSV INSPE( MdN..WYOUiNTENDTOOBTAINFINANCING,CONSULTWITHYOURLENDM4RAliATTORNEY0EFORE:COMMENCINGWORKOR. RECOROWG YAUR N)TiCEOF COMMENCEMENT. Undor pahalty of perjury,I,dectare that i have reed the foregoing notice ot,colflmencement and$9t the facts stated ther+elmare true to the best of my knowledge and bellef. (5Ign#Vjf of OWn9tot tea"",,or Owners or lestala's Authorized Off icer/biractor/Partner/Manager •` Y �" Cat%erihQKiouff %CoMmisstanfiFR17237$ s aplres:0a R8,2018 (Slgnatt)Ws Titielomce) ` 'oy aonaen YkSRtr �` 15TE-ORIDANOTARY,I,U The foregoing Instrument wos.acI;nowledged before me thls5_day dtwmkorl 00 8ji, as fof �I _ MzPa oj 'type of authority(e,g.offlcer,trUstee) Party o bah f of whol Instrument-was executted Personally known produced identtticatlpn� [sl rule of tart Public•State of Florida) (Print;TYOe, mp commisslonGd Narfhe of Notary Pnbl10 Type of Identification pradvc*t ' 1