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HomeMy WebLinkAboutBUILDING PERMIT All APPLICABLE INFO MUUBE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: rf� Building Permit Application Planning and Development Services Building and Code Regulation Division {�o�p��` Ct 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential ✓ PERMIT APPLICATION FOR: I eAJD Address: :70ji. Lmes*, r-Wcz�p-c- Legal Description: PIe Property Tax ID#: 3 Z S7—' 406 © !0-- Lot No. _ Sfte Plan Name: ''t� 1`aGUA1AQ (�IIIQSL 1 /L(�Q� Block No. � Project Name: I�A.P\adk` ' Setbacks Front Back: Right Side: Left Side: a ` 'I'L Ski do jIAjLL Sam A(laitional work to be perrormed under mis permit—cMecK all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Electric _Plumbing _Sprinklers _Generator V Roof 3k Vu% kZ Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$-Sa000 Utilities: _Sewer _Septic Building Height:1Q 1 Name Name: res5:Add37D Company` city. �G$1 State: Address: Zip Code: 3yASZ, Fax: City: LJ641 CW4 State Phone No. Zip( Fax?7Z—�3S-03Y� E-Mail: Phone No 2, Fill in fee simple Title Holder on next page(If different E-Mail. U.Sb from the Owner listed above) State or CoLknty license S-7 3 ff value of construction Is 2500 or more,a RECORDED Notice of Commencement is reQuirea. DESIGNER/ENGINEER: of Applicable MORTGAGE COMPANY: of 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 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 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 commencingwork or recordingour Notice of Commencement. SignatZlrtTof Owner/Lessee/Agent Signature of Co ctor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5 , i vi U..iti COUNTY OF The forgoing instr ent was acknowledged before me The forgoing instr ent was acknowledge before me this?,,- day aft ri c,� 20J by this211 day of arm o^( 201 k by (Name of person acknowledging) IN of person acknowledging) Signature of N ry Public- t�, ida ) JAIME ORTIZ (Signa N ary Public-State of Flon a) \ `� Notary Public-State o' - — -- - Personally Known �I oil 1!ld*ftv*Pires Jun Personally Known OR P cl Q tificationJAIME ORTI Type of Identification A,' Commissio� t 1, Type of identification +;• Notary PuTr�sTan "'•Of�` '` BatlEG Though National No:,fl! _ My Comm.EzpireS Ju Produced produced ar,; Commission a FF i i tr-1 b ; \ ) 1 n�Through National Commission No— 1 (Seal) Commission N 4 g' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4384230 OR BOOK 4079 PAGE 1832, Recorded 12/26/2017 02 : 26 :06 PM NOTICE OF COMMENCEMENT Permit No. Property Tax ID No.34Z5--2C6-Q667-OW-5— state or 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 a d addre If available �c.Q� C� f General descript'oB of improvements OwDer/lessee Address Interest in property: Fee Simple Title holder(if other than owner) I Address Contractor Phone# 777-- . S.SZ—(SfJ� Address ax# Surety. #a�Phone N 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: Name Phone# 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. WARNING TO OWNER: KW PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS TINDER CH.713.13,F.S..AND CAN RESULT IN YOUR PAYING TWICE FOR DAPRO VEMEN.TS TO YOUR PROPERTY. A NOTICE OF COMMENCLMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR-ILNDER OR AN ATTORNEY BEFORE COMMENCINI G WORK OR RECORDING YOUR NOTICE OF COMMF.NCMENT. rCIfU9s OW6A30/ Z416 i'strP�� WAYNH LARSEN X � e.vf W, / ' ash-L'�c�Gr.• ti I `= MY OOMMIBBIOfI#PF477 arr/Lenee,or Owoer'a or L<ssee'a Atha ed Ofl{cer/Dlrenor/Partner/Manager/Slanalare GXPIREII Jun$04.7020 t+ariioiu,es IbCaaW straw aaa SNanatory's THIVCMce State of Florida,County of ve e v Acknowledged before me this ,day of 20 L7,by o Is personally own to me or who has produced as Identification. '7 LUCIE COUNTY �L\I-uL-4 �SP,A� ie Tr)r,ERTIFY TF#4T I}{IS IS A n u e o Notary Type or t Name of N'otaryTRUE AND CORRECT OF THE f / y—eRIGINAL . Title:Notary Public Commission Number T/e'l[7 rJOSEPH E. MITH, CLERK eu, Oa my Cie k Date: