HomeMy WebLinkAboutSchongut 1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
PlannBuilding
and Code
Lion Dices +`
8uildin and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: . I
Address:
Legal Description:
Property Tax ID#: 1 `� `i� Lot No.
Site Plan Name: "ZL'uaiiwAks `TG Block No.
Project Name: SG1/L haA
II
Setbacks Front Back: Right Side: Left Side:
L i
Additional worktobepertormed under this perms -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric ,Plumbing _Sprinklers _Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ gyo Utilities: —Sewer _Septic Building Height: �Q
Al
Name Name: Q
Address: Company:
City: 01- v L 2� State_ Address: �Ol
Zip Code: 3AC(SSZi Fax: City:J State:,
Phone No. 77z-. 7-4n—D L pq Zip Code: 34 Fax:77Z-:3%->
E-Mail: Phone No 77
Fill In fee simple Title Holder on next page(If different E-Mail eo�C-'k.
from the Owner listed above) State or Co my License 47
if value of construction is 2500 or more,a RECORDED Notice of commencement is Apquired.
T -
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 Counter 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
commencing work or recording our Notice of Commencement.
Signabde of Owner/Lessee/Agent Signatu a of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYO Lu F tLsee COUNTY OF Lam.
The going instr.�Lment was acknowledgigefore me The forgoing in ment was acknowledgAd before me
this�ay of 201ky this2 of 20 jF�y�y
w
(Name of perso cknowledging) (Name of perso acknowledging)
ignature of of@ry Public-State of Florida) (Si ure of N p Public-St l o Florida )
Persona n\� OR Produced Identification Personally Known \I OR Produced Identification
Type of Identification a of Identification JpiME ORTIZ
Produced _ — — JAIMEORTIZ Produced °> !
^„ „, �.:�, ublic-State of Florida t
o Notary Public -State of Flora? `_ 1 3 My ComgF r,�Ues Jun 1,201 n
Commission No.�•6 1 \ 1%. ga�jy Comm.Expires Jun ,QOramission No._T'o 4r 4 ComrtnkkYY 66HH1)x FF t 11485
�' Commission# FF 11 49: % 9;•;;d'O Oohed Through Nationa)NIXary A..
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 # 4388807 OR BOOK 4085 PAGE 681 , Recorded 01/09/2018 01 : 45:43 PM
NOTICE OF COMMENCEMENT tltl .,
Permit No. Property Tax ID No.31{z-s--"o 11 d«D
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
Chaplet 713,Florida Statutes,the following Information b provided in this Notice of Commencement.
Legal Descriptlon of property and address Ifavailable
General description of improvements
I
. Address el*` .�d.i (1 --j
Interest in property:
Fee Simple Title holder lit other than owner)
Address
Contractor O Phone# 77z��3s'-{S63
Address f({�
Surety
AWL
Fax# �/L'� S d3t•lzs
Phone#
Address Fax#
Amount of Bond , ,t
Lender Phone
Address Fax#
Penons within the State of Florida designated by O,wger upon whom notices or other documents may be served as provided
by Section 713.13(a)7.,Florida Starnes: /LJ' _
Name I _ Phone#
Address Fax#
In addltlo¢to himself,owner designates of
Phone# Fax#
to receive a ropy 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 spedfled. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER M713 t3.F.S.,AND CAN RESULT IN YOUR PAYING TWK'E FOR IMPROVEMENTS TO YOUR P0.0PERTY. A NOTICE OF
COM.ME.NCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN
PDiANCINO, CONSULT WITH_YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT. �)t�rPf.�l(IAMs'LL �7D1�
or( .■er', ■ o ar/Direct■rA'armerlMaaxgerl Slrp■,are ;
Qai .
sian■cor�,TItle70mce
State of Florida,County of ILIA r rlhe
Acknowledged before me this day of 20 by,g„
w Ls personally known to me or who has produced ^'iJi[ as Id ti0cation. }
SliCalure of Notary Type a riot Name of Notary (Seal)
STATE OF FLORIDA 1�0� WAYNE LARSEN
Title: Notary Public ST. LUCK '�try1�, �'O '
THIS IS TO C VI _ COMMISSIONaFFaB{a)3
TRUE AND CORRECT COPY Of THE ' rPI�$ h M Pt 2D
} pt A6-0f63
ORIGINAL
JOSEPH E. SMITH.CLERK
By. Dan IY Clark ^�
Date: