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HomeMy WebLinkAboutBuilding Permit Application All•APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: W'''' RECEIVED Building Permit Application JUN Q"71018 Permitting Departnt Planning and Development Services St. Lucie Coun tN Building and Code Regulation Division :2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential a 'PERMIT APPLICATION FOR: PROPOSED (N`PR01%EIVI}ENTLOCATIOIU ?',a .re Address: f�r Legal Description: eb ss 1) �7 Property Tax ID#: 9/0 012 C/ ' �vh /. Lot No. 38 4 LK Site Plan Name: Block No.e— P�roject Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION�OF WORD• s b � W I .r>.r i .. ,. ;.d.>„z. '= ..,�,.. .°-,U. x _ _:.A-v.,.r. `* ',.x vn"... �.. ,._..,_ - s,fir .zk, ..e,-..• s._re.'� „h a .r i § ” tr b a^ f 6E e r ORM i ,. s• w t o �CONSTR�UCTI"}N INFORMAT .�..� .. _ s_ , . �.. �.. � : .. _.w_ .s. .., " itional work to be performed under this permit–check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: Sq. Ft.of First Floor: I Cost of Construction:$ A 1(2:7 Utilities: —Sewer _Septic Building Height: I a OINK E R/LESSEE� � d CONTRACTOR rg Name 74® Name: Address: Company: td {City: 1� ,� _ ' , State& Address: %TA1 S � i Zip Code: Fax: q City: State: Phone No. 9;72" Zip Code: i"v Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. � � U _tk-'MEN7f�L UI STS �CT[ON L1 N W (N tiRMATtON � W, , 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 c.ommencing work or recording our Notice of Commencement. �.,�eZ-,S" Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder (STATE OF FLORIDA STATE OF FLORIDA !COUNTY OF COUNTY OF The forgoing'instru ent was acknowledged before me The fp�rgoing instru nt was acknowledged before me this�day of 20A by this' 1 day of 20 by a !(Name of person acknowledging) (Name"of person acknowledging) I i I (Slignefurd of Notary Public-State 0171oricla) (Signature of Notary Public-S to of Florida) (Personally Known OR Produced Identification Personally Known OR Produced Identification ;Type of Identification _ Type of Identification as CProduced L=aSAN�AINGRAM Produced LASHAHNAINGRAM 01 Florida 1\pR UBS State �_� 4 Notary Public-State of Flo id Not",u Public pec 20,2018, E J� P Commission No. �»�)Expires 49 Commission No. _. . m.Expires Dec 20,:0' mac" SW My u mission#FF 1772 Assn 1 Commission#,t FF 17724) I d; Corn Nat�wnal Rotary ;. ''�Fo;;;°`%� Bonded throuqh National Notary r� ••�jf .fF\. en � WF`•-�:f _ :.-c^:f,:_�'�=-r;."^--_'�...-..--._-,- :�:.-._^t, - REVIEWS FROM ', t SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW !DATE RECEIVED DATE COMPLETED Rev.7/2014 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4444298 OR BOOK 4141 PAGE 2155, Recorded 06/07/2018 11:06:25 AM 6W Elf EC15§IpA ST, LUCIE COUNTY THIS IS U CERTIFY THAT TH , I$ 'A TRUE' CORRECT COP OF THE y AFTER RECORDING-RETURN TO: : OR TUIN y n SE E SMITH LERK U ,, B PERMIT NUMOF,R: Depl�. Date: NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property,and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. L.DESCRIPTION OF PROPERTY(Legal description and street address)TAX FOLIO NUMBER:3./6.2-6/0—D3 ��bOJ.J SUBDIVISIONffJC,6F— OCK �S C� TRACT LOT BLDG UNIT !3�' 2.GENERAL DESCRIPTION OF IMPROVEMENT:1.04 e-e 06�doe-y1¢S� 3.OWNER INFORMATION: a amey- /6t � azza- b.Address n �.�PAtiA Pa' ' C.interest in property d,Name and address of fee simple titleholder(if other than owner) 4.CONTRACTOR'S NA E,AD RESS AND PHO E N ER: t v =r f3 5.SURETY'S NAME,ADDRESS AND PHONE NUMBER AN15 BOND AMOU T: :67t r 6.LENDER'S NAME,ADDRESS AND PHONE NUMBER:f � 6 /LI t/VARP- 4 7.Persons within the State of Florida designated by Owner upon whom notices or other doc(i n •m y be served as provided by Section 713.13(1)(a)7.,Florida Statutes: NAME,ADDRESS AND PHONE NUMBER: G�iPJl— 8.In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in Section (IFlorida Statutes: NAM NAME,ADDRESS AND PHONE NUMBER.-OX&L /�,J-P �•�I eZ— 7(�����(J 9.Expiration date of notice of commencement(the expiration date is I year from the date of recording unless a different date is specified) 20 i 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._MMIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO XOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE]OB SITE BEFORE THE FIRST INSPECI-ION, IF YOU INTEND TO QBTAIN FINANCrNG,CONS[1LT WITH YOUR LENDER OR AN&TrQZNEJ,4WE COMMENCING WORK OR RECORDING YOUR NOTICF,OF COMMENCEM Signature o[Own or Print Name and Provide Signatory's Title/Office /11 wner Authorized Officer/Director/Partner/Manager State of Florida County of—n __u\i The foregoing instrument was acknowledged before me this_i ■ day of��t,��{ 20 1 By R©k3ffx-k- �rec�-,rc-mac. ,. owtne(N (Name of person) Cfype of authority...e.g.Owner,officer,trustee,attorney in fact) For (Name ol party on behalfof whom instrument was executed) Personally Known_or produced the following type of ID: NICOLE ORTADO _ NOTARY PUBLIC STATE OF FLORIDA (��CA L'e of arCl0�0 Lam. �.EeL1�.y (Printed Name of Notary Public) (Signature of Notary Public) Ctxnm#FF180038 Expires 12/1/2018 Under penalties of perjury,I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief(section 92525,Florida Statutes). Signature(s)of Owner(s)o wner(s Authorized Officer/Director/Partner/Manager who signed above: I B By Rev,UXl3lYtUV7(Rocordingl