HomeMy WebLinkAboutBuilding Permit Application and NOCPERMIT #:
STATE OF FLORIDA
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE # 4426567 04/20/2018 12:19:55 PM
OR BOOK 4122 PAGE 2787 - 2787 Doc Type: NC
RECORDING: $10.00
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds $2,500.00
TAX FOLIO # 3424-701-0049-000-8
COUNTY OF 'u'Ef LU C1,6
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 STREET ADDRESS, IF AVAILABLE):
7859 White Ibis Ln,EAGLE'S RETREAT AT SAVANNA CLUB (PB 42-24) BLK 56 LOT 2 (OR 1887-723)
GENERAL DESCRIPTION OF IMPROVEMENT: REROOF
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: Bruce Dominick or Camille Dominick
Address: 7859 White Ibis Ln, Port St. Lucie, FL 34952-3191
Interest in property: RESIDENCE
Name and address of fee simple title holder (If different from Owner listed above):
CONTRACTOR'S NAME: MARZO ROOFING, INC. Phone No.: (772) 871-2489
Address: 861 A- SW LAKEHURST DRIVE ,PORT SAINT LUCIE FL. 34983
SURETY COMPANY (If applicable, a copy of the payment bond is attached):
Name and address:
Phone No.: Bond amount:
LENDER'S NAME: Phone No.:
Address:
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13
(1) (a) 7, Florida Statutes:
Name:—
Address:
ame:_Address:
In addition to himself or herself, owner designates
receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statues.
Phone number of person or entity designated by Owner:
Phone No.:
Expiration date of Notice of Commencement:
(the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 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 CHAPTER 713 PART I SECTION 713.13 FLORIDA STATUTES 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 LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under p�lty of perjury, I dec!Are that have read the foregoing and that the facts in it are true to the best of my knowledge and belief.
of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-tact
Signatory's Title/Office
The foregoing instrument was acknowledged before me this _day of �Y � 1, 20—R_
Bybf,_IA Q- Join 1 in I G (L- as t` W � for
Na f person Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
Notary's Signature
(Print, Type, or Stamp Commissioned Name of Notary)
Personally known m or produced identification ❑
Type of identification p���
ri.,...
tLISA MARIE MONTELEONENotary public -State of Florida; / Commission # GG 190497
T:\13LD\Bldg_Fonns\New.Applications\Fonns\Notice Of Commencement. Docx My Comm. Expires Feb 27, 2022 Rev. 9/15/11
Bonded through National Notary Assn.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 x
PERMIT APPLICATION FOR: Roof
^5 t , S 'h 4 .�. :' ✓a3� 5;
PROFS{EDS) ;p \/ i x�0 ,1,.411 X k�
� R I,�I,EN�T IOGAI�J�ON
Address: 7859 White Ibis Lane, Port St Lucie FL 34952
Legal Description: 7859 White Ibis LN, Eagle's Retreat at Savanna Club(PB 42-24) BLK 56 LOT 2 (OR 1887-723)
Property Tax ID #: 3424-701-0049-000-8
Site Plan Name:
Project Name: Bruce Dominick
Setbacks Front Back:
Right Side
Remove Existing Shingle
Install Soprema Resisto Underlayment FL2569-R14
Install Lomanco Ridge Vent FL2847-R9
Install IKO Cambridge Shinqles FL7006-R10
wo
HVAC I �I Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 7550.00
unaer tnis permit — ci
❑Gas Piping
U Sprinklers
Left Side:
3/12 Pitch
MFR HOME
allapply:
M_ Shutters
F]Generator
S Ft. of First Floor: _
Utilities:[]Sewer Septic
Lot No. 2
Block No. 56
QWindows/Doors
Roof 3/12 Roof pitch
Building Height: 13
W, .ar'ixs 1'�y .ur'tt_-t. mr'v.. %'-f �^,�rx 1.+,Y,il."v,^.:m�
?" ) ,Y Y s 3 ; 3 ... Win. Y �"41.L: ¢, p xw'x'" ,. ,. e s Lt vF
OWNERI185M a
.tea
i a k �,'s
CC3 A 1OR r�31 M ;rt s
Name Bruce Dominick
Name: Joshua Schroeder
Address: 7859 White Ibis Lane
Company: Marzo Roofing Inc
City: Pt St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-464-3778
Address: 861 A -SW Lakehurst Drive
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-465-8829
Phone No. 772-871-2489
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: marzoroofinginc@gmail.com
State or County License: CCC -1331207
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTR1J: i ION: L.I�N LAW I1 F0 11ftAi`ION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
ure. conflict
lease consult with your Home Owners Association and review your deed for any restrictions s which aor
aprohibit such
In consideration of the granting of this requested permit, I do hereby agree that I will, in all resp ts, perform the work
in accordance with the approved,gh'ra s, the Flo ri uilding Codes and St. Lucie County Ame me ts. �'"l
The following building per
accessory structures, s Mn
WARNING TO NER:
improveme s to your 1
before th irst inspect'
comm cin work o E
iE•wrature of Owner/Lessee/
appli ation re exem t from undergoing a full
ng p ols, ences, wall , signs, screen rooms and
fo r fa lure to Re ord a Notice of Commen
r perty. of a of Commencement m
n. If you int o obtain financing, co
:ordinR vo r Notic of Commenceme .
ontractor as Agent for Owner 1 signature
STATE OF FLOQ� L�tc'. /
COUNTY OF
Thefo oing instru nt was acknowledged before me
this I day ofC. y
room addi
cesso uses to pother non yan
Iai use
nt may r ult in yo pwice for
e recor d and p stee jobsite
It with I der or an actoefore
Holder
STATE OF FLORIDA
COLINTY OF c
The forgoing instrument was acknowledged pefore me
this day of , 20 by
(Name of person acknowledging) (Name of person acknowledging)
Viature of Notary Public- State of Florida)
Personally Known 4'" OR Produced Identification
,Tvpe of Ide if' a 'o P o c d
re of Notary Pub K- State of Florida )
Personally Known 10, OR Produced Identification
Type of Identification Produced.,��,�
pt'. , LISA MARIE MONTELEONE
&e4r Public - State of Florida
Commission No. ; ; ( Commission # GG 190497
?� �� •' My Comm. Expires Feb 27, 2021
Revised 07/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
DATE
COMPLETE
INITIALS
.�;:•;;.;• �••• LISA MARIEMONTELI
missi0 Qµr'r = NoaryP�lir-Sta4eGlf
.,�-•? Commission # Cn4s 45'i
r
SUPERVIS
REVIEWOR I REVIEW I VREVI WON I SEREV EWLE I M EVIEWVE