HomeMy WebLinkAboutbuilding permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y-7i7" IQ) Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: SUuV e- J?ejo
PROPOSED INPROVEMENT LOCATION:
Address:3k0 y ^ 1 �\ 0 D�4
Legal Description: ,;\ Cl� 3 - uJ�\Qv O(�ILuS blK- k-m
Property TaxlD#: ZAOS-701-Ot0-? -pJn4^k Lot No. q+ to
Site Plan Name: Block No. Lk3
Project Name:
Setbacks Front Back: Right Side: Left Side:
LED DESCRIPTION OF WOR
.1 rtiona Pworkto beperorme Wunerispermit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: (00 Sq. Ft.of First Floor:
Y ,ice•+�nA�.M, :. 1 .Y'
Cost of Construction: $ 7,/Ja6 �Gb Utilities —Sewer _Septic 16firdinglHeight: 1 tp I
Name i2,c \
Address: O2; A-LMOVcd Company
city: State Address:
Zip Code:-0.lo Fax: City: State���
Phone No. 77 - ZV?D -'6L t7 Fax:770-3?
E-Mail: Phone No
Fill in fee simple Title Holder on next page( if different E- ail U.1 of
from the Owner listed above) < Sta r Co my License 3
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: �Not 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-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
cornmencing work or recording our Notice of Commencement.
Si atu�e of Owner/Lessee/Contractor as Agent for Owner Signor ure of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA� ( 1
COUNTY OF �,�,(,P _ COUNTY OF S1 LIa L��
The f r oing instrugient vilas acknowled a efore me Th r oing instru ent w s acknowledge efore me
t is day of // ,.20y thi day of 20�y
�Jv
Name of per on making statement. Name person aking statement. , /
Personally Known OR Produced Identification V Personally Known OR Produced Identification V
Type of Identifi5o*on of Identificatio
P uced 1�2._N Ign—
ced
ue
ANNEMARIE SINGER '', ANNEMANIESINGER
Slate of Florio Notary Public-State of Fla �^
g ure o N ry A . mrr#GG a ure of Not ry ic- a cinrosalon
Comm.Expires Mx 22.2021 `I o My Comm.Expires Mai 22, +
Commission Nd/t Commission No V r��}
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
JOSEPH E. SMITE, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4428534 OR BOOK 4124 PAGE 2593, Recorded 04/26/2018 10 :58 :11 AM
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No.
State of Florida,County of St.Lucie
The Uodersllinned hereby gives notice that Improvement will be made to certain real property,and In accordance with
Chapter 713,Florida Statutea,the following Information is provided in Ay.
Notice of�Coommencerneent.
Le a1 Descrtp n of operty►nd address if available 3�U Q7 Ay.� —}•. (Zlrl
�- �lAd�oA C, �\V_ 1 not- IQ
General description of improvements_ Vu.&' Mtk lip. V\t .
Otrner/lenee `!1 ( �-r
Address 3L{
Interest in property: �
Fee Simple Title holder(If other than owner) AAA
Address
Contractor 'hyo�ne k 7TZj-3�S- !S6
Address I j I
Surety / Phone
Address Fax#
Amount of Bond
Lender Pbone#
Address Fax#
Persons within the State of Florida designated by Owner upon whom notices Or other documents may be served as provided
be Section 713.13(a)7.,Florida Statues: ALA
}�
? sme l;l A Phone#
Address Fax#
In addition to hlmself,owner dtalgnstes I7C- 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
comratencemeat is one year from the date of recording unless a different date Is specifled. WARNING TO OWNER:
A:�V PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER 01713.13,F.S.AND CAN RESULT IN'YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF
CommYNCEaIlINT MUST BE RECORDED AND POSTED ON THE JOB BITE BEFORE THE FIRST INSPECITON.IF YOU INTEND TO OBTAIN
I �ANCTNG, CONSULT WrM YOUR TENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
CUMMFNCMENT.
aer/lAum or Owner't or Lesus'i Aothortud lDlrator/PumerMtnaty/6itaatar<
D(IAAI r
Sla¢awrri Tttie/Omee
S:te of Florida,County ofsf
� "
A;7owledged before me this day of �k'l 20 [v •by
1' is personally known to we or who has produced u id flcation.
�� , ��"� �
I.�ta fNd E OF FLORID;- Tjpe or nt Name of Notary (Seal)
ST. LUCIE COUNTY
Title:�IS TO CERTIWAnisida"A�pher U-1 .+'•'iy WAYNE LAR3EN
AND CORRECT COPY OF THE y My COMMISSION a FFflayg73
ORIGINAL . o 'F,i' ,: EXPIRES Jung 03,2020
JOSEPH E. SMIT . CLERK
By:
(Dap(Dapr�sl-J•--1� •ri
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