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HomeMy WebLinkAboutBUILDING PERMIT All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ��z7i'��j Permit Number: i Building Permit Application Planning and Development Services Building and Code Regulation Division `J' � 2300 Orginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential /S PERMIT APPLICATION FOR: Address: Z �7Z (' G V'� -'�rt S Legal Description: ! \ kkfla- C�� �j))Q -� S�,r. 1` 7 Property Tax ID#: �4 7S��OZ 1�/_S © -7" Q�- Lot No. Z Site Plan Name: ,nSaUQt(� t�CL C `il 2 1 Block No.T Project Name: 1v+r- eA Setbacks Front Back: Right Side: Left Side: Additional worKto be performed d under this permit-checkall thatapply: —Mechanical —Gas Tank —Gas Piping —Shutters —Windows/Doors —Electric —Plumbing —Sprinklers _Generator Roof D tI lZ Total Sq. Ft of Construction: kI 4y Sq. Ft. of First Floor: t �- I Cost of Construction:$_ �,40,00 gig Utilities: Sewer Septic Building Height: �i Name G 4jel Name: Ii Address: Z r a- Company W City: State: Address: Zip Code: Fax:�� City: ZA4 State:_ Phone No. 7 �-� j— �t fj�li Zip Code 3�tCt� Fax:771'-3�-z'l�ll E-Mail: Phone No 77 Fill In fee simple Title Holder on next page(if different E-MailA"CStw-la from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is re fired. DESIGNER/ENGINEER: of 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 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-resldentlal 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. Sign u e o Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA � I COUNTY OF S'I t �LC� COUNTY OF Srr LAJ The for otng instrument was acknowledged�efore me The forgoing instru ent was acknowledged efore me this,\ day of {p j\ �20�by this t \ day of 20 ICJ r!aaef-L) (Name of pallson acknowledging) (Na a of pers n acknowledging) D nature Notary Public-State of Florida) (Si ure of ta�ry Public-State of Florida) Personally Known OR Pr p_d1 gI IdentifidNAK ORTIZ Personally Known OR Produced Id_entifiratio Type of Identification Notary Public-State al R_ *rype of identification JAIME ORTIZ °: •? M Comm.Expires Jun t, 2 =` w�°`°.'; Produced - Y v 'Produced Notary Public-state ai wag commission # FF 111.1 _ : •; My Comm. Expires Jun —� °f �°° ,Boodetl Through National rrr... Commission No.�l 1 Q1.I�m 1411 Commission NO +r Eal�ommissian # FF 1 I . r�'�R'� gym.. �i,C uiing• Hooded Through Nation,.?v,: 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 # 4384229 OR BOOK 4079 PAGE 1831, Recorded 12/26/2017 02 :26 :06 PM NOTICE OF COMMENCEMENT Permit No. Property Tax IT)No.3y2.s-7eZ- 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 avallahle z47Z• � General descripil n of improvementsat Owner lessee Address �Z. l Q Interest in property: Fee Simple Title holder(if other than owner) Address Contractor �—' Phone# Address Fax# 77z 3.�5't� lZ Sureq• AM- Phone# Address Fax# Amount of Bond Lendcr 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: ANY PAYMENTS MADE BY THE OWNER AFTER T14E EXPIRATION OF THE NOTICE OF COMMENCEMEN"r ARE CONSR)ERFD IMPROPER PAYMENTS UNDER CH.713.13,F.S.,AND CAN RESULT IN YOUR PAYING TWICE FOR LMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TO OB SITE BEFORE TIDE FIRST INSPECTION, IFYOUTNTENDTOOBTAIN FINANCING, COXSLII'r WT[H YOUR LENDER OR AN ATTO � Y eEFOHE CO, AfENCING WORK OR RECORDING YOUR NOTICE OF COMMENCTIENT, 4 1 f13 1✓ILrDLfrl 4; . WAYNE LARSENMY COMMISSION a FF9N675 /Lena,or Owner's or Lessa'z Authorized Omcar/Director/PartnerAinager/SIgnture F. EXPIRES Duna OS,2040 6 r,, '-- pore rseasss ssmuw�va.ne..mn (.(/OW ++ '' '' S1Rn¢tary's Tide/Onia State of Florida,County of Wl y Ackno lodged before me this day of tt 20 b who Is c zonally Imo s to me or who has produced as identification. 1 � �•✓1'�. LUCIE C CERTIFY TF;1S IS TO CERTIFY THAT THIS IS A Sign re of Notffy Type or firint Name of Notaryi�,LIE AND CORRECT(EdRY OF THE -y ORIGINAL . o Title:Notary Public Commission Number 3OS_ EPH E. SITHL .� y. • u1r lark Date: ��I 1