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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Per. -+.t Number: pate: Er� Y� a-?bFi J �icenina crd Develoomert 5e^'/Ces ouiiding cr.o Code Reauiotlon Division 2300 Virgilio Avenue, For, Pierce F' 34*98.2 Phone: 1772) 1!62-1553 Fax: (772) A52-1578 PERMIT APPLICATION FOR: Address: Legal Description: Building Permit Application Commercial Residential Proper -Ly Tax ID Site Plan Name: Project Name- Ri r Sloe: Left Side. Setbacks =rent Back: g 't - Loi NO.�— Block No. -- tuna Wor;-to-EF-pertormed undertnlspermri -u'M�l ^�••�•-��-•- ✓`vindcws/Doors Mecha^.ica7 _Gas Tank _Cas Piping _ Shutters — Dbtmbi"'g Sprinklers _ GeneratOr ^AC F_ieCtric _ _ Sa Ct -irST'ioor. :J __— -c-al Sq. _* o' Construction _ Utilities: 9939.60 Sewer _Septic Building weight: Cos of Construction: 5 - Name Address ills, i Cit`J: State: Zip Code: �:.�__ Fax: n� 1 phone No.�i�� -o ?:� Fill in fee simple Title Holder on nett page (if different from the Owner listed above) Namek- - Companv: r .=emrse .7- txeucr4-Cc ix.'��.- Address: i IDb %� }}a �a 3es� City. Sate. Pip Code 3Z -7 =ax: 32 1- -,77gZ3 4 Phone No. 7% 337-'V`17C c -'i`-Fail: �:.[-::5.`+;a 4u%1 fi 0.1 �" =•�' _J^" stat; or Coorty License ---- if value of construction is 2500 or more, a RECORDED Notice of Commencement is reouired. DESIGNER ENGINEER: N0 Pic Icabie ;MORTGAGE COMPANY: _Not Apphc-ble Name: Name: Address: 1 Address. ! City: State: City: State: Zip: Phone: Zip: _ Phene: FEE SIMPLE TIRE HOLDER: — Not Applicable BONDING COMPANY: _Not Applicable Name: Name: _ Address: _ Address. City City, 7_ip Phone: Zip Phone ce,riiry that no work or Installation aas commenced onor to the isscance of a pemut. St. woe Courts makes no representation that s granting a r_rmi: will horize th ee . 'ooid e! o build he sub <�structure- sthucture. Please consult wtny hPyPour Home Ownerbla Home OwnAssoc at or, and eview your or or any restrictions which. may aPn ry hat may res-Lric, 6r T,bfcJrh in consideration of the granting of -.his requested Permit. I do hereby ag e iha, ! wil! I, all re<p C2�arm the work in accordance with the approved ?fans, the Florida Building Codes and St. I! cid County-.mendments. he following building permit applications are exemot from undergoing a uii cord rency review: roo-� additions. accessory structures, swimming poo s, fences, walls, signs; screen rooms and acce=ssory uses to I,ther no^ esider iai 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 en the ;obsite before the first inspection. If you intend t obtain financing, consult with lerder or an attorney before commepn in work or r rdi Yo 'Notice of Commenceme`. _ Signature of Owner/ Lessee" Agen- S,gn�wre o: Gn : a .or, _ice..�e olo_ STATE OF FLlff STATE OF FLO�jIDA COUNTY OF C C�ICa cd COUNTY CF I' f'\IO 1-d ine'o(going ins" nc a ackno ee 1��(;e:o--e me The -o omg :es- (- 'e� k�ov+ladgec �e'ore this oay 2G`b-,- this day ofL I U 2� by S l.tliS IN f 59n a d ) a. rs - g 1 I i nz r of o .e of Fledda r n ?reduced Iden:ificaL:On rs r:a w " F-odac?d identifica t.en T if Pr eC rI _ .atron ed Comma_ loll", eTBfl00NE SZl GETI 7;'. ^ N ," "r.�... (;ROCKS ;ZGETI F My COMMISSION pFF244655 i MYCCM"I:! NOFF244655 r -EPIr'S-vvr.�z'-`�, X849 T+ -. n 5 1019 I � pf BonJed Thi -Notary Pu616.11ndenvnters F f "?o donZjlt fJ7t r o :z,w„ly, Revised Oi; 15/2014 REVIEWS FRONT ZZONINIG SUPERVISOR PLANS VECE A -ION SEA TURTLE MANGROVE COUNTER REVIEW : REVIEW REVIEW REVIEW REVIEW ! REVIEW DATE C.OM?LETS . ! INITIAL . ,------- or Lessee,'or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Title/Office) The foregoing instrument was acknowledged before me this day of014fJOV_r 20l -IF, �.✓` wi- Notary Pubtic State of Flonda 't Ashley M Antonelli p r- , My Comm m.n GG 152970 3 ft Exp res lOil 812021 By r an, ar 1p S as b ( I>I � Q"Y for \ Name of Person V (T/pe of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed ray �\ U), I N-\1N-\&tk Sj �`- Personally known or produced Identification—. (Signature of N tary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced NOTICE OF COMMENCEMENT Permit No. Tax Folio No�.�0�—� 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 Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. y} �OT Legal Description ofPm�«�r (and street addr_es�s if�va�ilab�) lc�Qbte r Ireo Naso ll)I g�� inr�� (�t� /�� General description of improvement: li'\�'i-(1 I I I i Ili' i"lil i 4C1� Q' a .I� � 1 `L0 LJSn Owner infpUnation or information H the Lessee contracted for the improvement: Name 1 i g ^��, Address t"� �`+,-a--� 1.11C Interest in property: A.� 1 Kl z Name and address of fee simple titleholder (if different from Owner listed above): p z contractor's Name" MMFYI %Dr;Cf OFY`YfilaiCl dbGThPGts10n�ml ryiC�� rc Contractor Address: I i (1 VAI �1iY1�7C� Phone Number: ('J1I-XP'JQ`(D In I U w Surety (if applicable, a py of the payment bond is attached): Amount of bond: $ FN o o N Name and address: Phone number: w N m Pi Lender Name: Ni)p< Phone Number: = oao Lenders address: a �+ Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Secti NIYnPt'J ' U 713.13(1) [4)7,Florida Statutes: w . O Z Name: col VkPhone Number: a w � O Address:� a W in addition to himself or herself, Owner designates of to receive a copy of the Lienors Notice as provided in Section 713.1 1)(b),F19fidaStatutes. Phone number of person or entity designated by owner: 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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR I MPROVEMENTS 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 penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowlediim and belief. 7 or Lessee,'or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Title/Office) The foregoing instrument was acknowledged before me this day of014fJOV_r 20l -IF, �.✓` wi- Notary Pubtic State of Flonda 't Ashley M Antonelli p r- , My Comm m.n GG 152970 3 ft Exp res lOil 812021 By r an, ar 1p S as b ( I>I � Q"Y for \ Name of Person V (T/pe of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed ray �\ U), I N-\1N-\&tk Sj �`- Personally known or produced Identification—. (Signature of N tary Public - State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced � O N W 0 0i W W W W 0 � Nq � NN Nw yN NW NN y U O W N Nw p j O V b m N W N O N + W f0 it lops 0 2 Z lzlzlzlzlzl Z C O O 0 Z 2 2 M cn \\ , � 0 >f0 \ \ \ „ . . O v !_ \\ \ Z Z Er NI 0�y / 00 \ ,� \ \\ � :. { ! . ' = \\ \ : ( 9 its/ ��\� / 21 0» E<*� t % a � _.0- 2 \ �-