HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7i'ls`:TJ Permit Number:
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-- Building Permit Application
Planning and Development Services ` /
Building and Code Regulation Division-�IN,'.l
l `�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: Commercial
(772) 462-1553 Fax: (772) 462-1578 Residential
PERMIT APPLICATION FOR:�'C C
PROPOSE E ON:
1�
Address: 3 ZD OS� D(Ic� 3 S
r
Legal Description: '
Property Tax ID #:3 -7&9 Lot No.LL
Site Plan Name: i11� �LZ 9�L �?�s�rrA Block No.
Project Name: �r
Setbacks Front Back: Right Side: Left Side:
D _ ; ESCRIPTI044
&IMTRU.CT N JNEPR- ATION;
Addrtiona wor to a pe orme uncler this permit -cneck all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof I N IZ Pitch
Total Sq. Ft of Construction: IaOD Sq. Ft. of First Floor:
Cost of Construction: g 1
QB%i Utilities: -Sewer Building Height: l�
_Septic
A.
Name A0�>1� Name:
P y�'�
Address• I, WAC Com an v /'r A4.
City: s 6 I State: Address: Qr
Zip Code: :"Z' • Fax:CiiALI State:�
PhoneNo.46L4" q6Q 7i ZipCode.2 Ll Zs Fax 35S-4 Z�{
"Qt—
E-Mail: Phone No3'�3s�- ISb�
Fill in fee simple Title Holder on next page ( if different E-Mail -*CS( ksock) azk* - VA 4;Liz-
from the Owner listed above) State or County Liens
If value of construction is 2500 or more, a RECORDED Notice of Commencement is r4auired.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Applicable
Name:
Address:
City:
Zip: Phone:
)WNER/ CONTRACTOR AFFIDVIT:`Aoolication is herebv made to obtain a oer`mit to do the wnrie and Inctnuafinn me ind;�mfmA
I certify that no work or Installation has commenced prior to the issuance of a permit.
St. Lucie Counntyy makes no represgntation that is granting apefmit will authorile the permit bolder to build the subject structure
which js in . nflictyaith a0y applicable Home Ownprs Association yules, bylaws orend covenants jhat'roay restrict or pcohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration ol+the granting"of this requ9sted permit, Ido hereby agree that will, in alFrespe'cts, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
11
The following building permit applications are exempt from undergpingAa full concprre;icyrevieweroom additions,
accessolystructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another'nom-residential use
WARNING TO OWNER: Your failure to Record a Notice of"Commencemerlt`may result in your -paying twice for
improvements to your property. A Notice of Commencement must be recorded and positesf 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.
I 10
Signatu Owner/ Lessee/Contractor as Agent for Owner
- LL �
Signature of Contractor/License Holder -
STATE OF FLORIDA yy
STATE OF FLORI /
"�
COUNTY OF [_'t" UIGtQ_
COUNTY OF D V4;0
The f r ng ins ent was acknowledg efore me
thisdayof20%by
The f gin nt was acknowled before me
this dayaf by
r
Name of pe n mak_ing�atement.
Name of person kin statement:
Personally 'Known a� OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced..
Produced
Q
_ JAIME ORTIZ
i°
Y PuMk • state otflaraa
(5i o Not fbabflf Aft of Florda :
(Sign tary0 018
MY C"". fif�kr11,J10.1, 2018
_ .,=»t ' rmF 111405
Commission No. •' j i111�l5
f M.F
Commission No. YAW.
ben
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW ,
REVIEW R .
REVIEW
DATE
RECEIVED
DATE
COMPLETED
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4401979 OR BOOK 4098 PAGE 396, Recorded 02/15/2018 01:34:08 PM
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 31 &-b-6W "Tj
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 providedIn this 'No'ti-ce,,of Commencem`e'nt. L�,,
Legal Description of property and address if available? -120 W&0 aIPJ� � �T, s✓� ` tqz?—
C 1_ I/ w 1 . -L- ._l—
General description of Improvements
Address a*A
Interest in property: r
Fee Simple Title holder (if Giber than owner) ^>
Address < _
�.-y Y
Contractor 7-f) �O� p
Phone # ! !L "' m
,�s Jcm
Address l:l) #. Fax Wz, � U N
Surely Phone # = U
Address
Fax #
< Y } �+
d' W
Amount of Bond
===0 d
Lender s
Phone N
� U V � Q O
Address
Fax #
O V w < z'
I
ai
Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as pt6n
by Section 713.13 (a) 7., Florida Slimes:
O
Name"
Phone k
Address
Fas #
In addition to himself, owner designates
of
Phone N
Fax N
to receive a copy of the Llenor'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 THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN
FINANCING. CONSULT WITH YOUR LENQER OR
COMMENCMENT. r'V f V O t AsCr9k Z4
or
COMMENCING WORK OR RECORDING YOUR NOTICE OF
State of Florida, County of yr,a��`'' Qo �- �
Acknowledged before me this day of 1 20 % by 4641 I A
o Is personally known to me or who has produced 1 1 as identification.
-�ti V.Zr ikg — Lori
SI amre of Notary Type or RHat Name of Notaryy;•u,, iywVNE LA
tr RSEN
Tide: Notary Public Commission NumberMY COMMISSION a FFaasBr�
EXPIRES Jun, 0S, 2020