HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/11117 Permit Number:
.a `
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart' Pierce FL 34982 IV Residential
Phone: (772) 462-1553 Fax: (772) 462-1575 Commercial_Y_
PERMIT APPLICATION FOR: Alteration
PROPOSED IMPROVEMENT LOCATION:
Address: 1321 Lancewood Terrace, Palm City, FL 34990
Legal Description: Harbour Ridge - Plat 9 - Lancewood village Unit 11 or 3990-101
Property Tax 1 #: 4426-804-0021-000-1
Site Plan Name: Reffitt Residence
Project Name: Reffitt Residence
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Right Side: Left Side:
CONSTRUCTION INFORMATION:
Additional workto e e orme ura er t is permGt- c ec a appy:
❑H"JAC f Gas Tank Gas Piping _Shutters
Electric ®Plumbing Sprinklers Generator
Total Sq. Ft of Construction: SQ, Ft. of First Floor:
Cost of Construction: $ Utilities Sewer El Septic
OWNER/LESSEE:
CONTRACTOR::
Name donna & Ronald Reffitt
Name:
Company-..
Terrace
Address: 1321 Lancewood
Address: To -8ox
State: FL
City: Palm City
City: 80�e�n'
Zip Code: 34990 Fax:
Zip Code: p
Phone No.
Phone No.
Phone
E -Mail:
E -Mail: (OQ
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License:
if value of construction is $2500 or more, a RECORDED Notice of
Commencement is required.
Windows/Doors
Roof Roof pitch
Building Height:
rc�rn
SSC.
State: rf9
Fax: T?- � l ` C.R
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION*
DESIGNER/ENGINEER:_ Not Applicable MORTGAGE COMPANY:
Name: Name:
Address: Address:
City: State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable 'BONDING COMPANY:
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced prior to the issuance of a permit.
X Not Applicable
State:
X Not Applicable
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
strructurin e. Pleasle consult with any your Home Owners Associrs at on and reociation view bylaws ur deed or any restrict that
which may or y obit such
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
commend ..work or recordingour No of Commencement.
Sigfpatuf e of Owne
STATE OF FLO
COUNTY OF—
Owner
Theoing instrument was acknowledge before me
thisdayof�ULVby
n acknowledgi
(Signature of Notary Public-l�Ta t i ansa
Personally Known ' OR Productr°f
Type of Identification Produced
Commission No. (Sea
Revised 0701512014
REVIEWS FRONTI ZONING SUPERVISOR
COUNTER , REVIEW REVIEW
COMPLE
INITIALS
Holder
STATE OF FLORIDA't�
COUNTY OF
The forgoing instrulnent wai acknowledge eore me
this Zt day of I� 20 �i by
�SO'►1� t►I��Ca�+r'w,
{N o rson acknowledging )
ignature of Not ry Public- State Florida)
1Z OR Produced Ide t
Personally Known
Type of identification Produced
1NEP�O^� ►;aa
SiaU62 0
uuh021
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Commission No. ,• y �umi fi,t IB, 7ks
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E*016$ BO ratY Assn
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OF
PLANS
VEGETATION
SEATURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 4426-804-0021-000-1
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 address if available 1321 Lancewood Terrace, Palm City, FL 34990
Harbour Ridge Plat 8 Lancewood Village Unit 11 (3990-101)
General description of improvements Interior Alteration of Single Family Residential Home
owner/lessee Ronaid & Donna Reffitt
Address 1321 Lancewood Terrace, Palm City, FL 34991
Interest in property:
Fee Simple Title holder (if other than owner)
Address
Contractor Phone #
Address Fax #
Surety. Phone #
Address Fax #
Amount of Bond
Lender Phone #
Address Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Phane #
Name
Address Fax #
In addition to himself, owner designates of
Phone # Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNNING TO OWNER:
ANY PAYMENTS MADE BY TIIE OWNER AFTER THE EXPIRATION OF TME NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER 01713.I3, F.S., AND CARS RESULT IN YOUR PAYING TWICE FOR I-MPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMF NT MUST BE RECORDED AND POSTED ON THF JOB SITE BEFORE THF FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITI'I YOUR LENDER OR AN ATTORNEY.-BEFGR COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMIUIENCiwIEN"1'-
i�
or Owner's or
Signatory's TitlelOPlice
Signature
State of Florida, County of (% p
Aeknowledg ci before the finis - . __ ,day ofc' 20 by
w�hL 's natty knorvn_to me ho has produced ` as identification.
Signature of Notary Type or Print Name y r�l#'rf�g9g218 (Seal)
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mi $ton q -
3 _ QW,
Title: Nota Public Commission Number 'sg�1� sc1o9F�ei'nlnwo