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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - J71 j 1 r Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE: ReRao-F PROPOSED IMPROVEMENT LOCATION: Permit Number: Building Permit Application Commercial Residential X Address: _ _ `1/J J.—w 0a. ftel- f 1epeui kL 34W Z _ Property Tax ID #: 24/6 il' 6T 000 - �e Lot No. Site Plan Name: Tr� Block No. Project Name: s Thn beqoi-� I DETAILED DESCRIPTION OF WORK: 0 inch (ee,A&inTe I CONSTRUCTION INFORMATION: j Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: jo M Sq. Ft. of First Floor:_ Cost of Construction: $ J&4 �Yy Utilities: -Sewer —Septic Windows/Doors V Roof ' / Pitch Building Height: OWNERAESSEE: CONTRACTOR: Name � (l Name: lil' n�, 1 dim, -OS' Address: 9/5" execie )k. -4 Company: L Sfnrm / C-17fhu0jV20 City: ,-¢ P e f e a State: EL Zip Code:Fax: -' Phone No. 772 _ !V&Z -0'� 31 -4m Address: 4/06-D ,S US I- WV -I- City: ,Teale- State:i Zip Code: iS 1 �i� Fax: Phone No 71/0- 7c/_.3C%()C/ E -Mail D t—MjJf �L J -1 -ori" Cpm State or County License r� /< fqh`7 2N,37 �' E -Mail: i(1 /Ip{` r�' Gt io/ corY7 Fill in fee simple Title Holder on next page (if different from the Owner listed above) ",,,., - I---- O n«%JW%Wr„ MOLIce yr wmmencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAk CONSTRUCTION LIEN LAW INI`©11MATION: C DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: �yj� 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WffH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA -T� ii STATE OF FLORID COUNTY OF l I� /i., rd 0 e;W It COUNTY OF /a Bead- forg Theoing instrument was acknowledged before me The forgoing instrumegt was acknowledged before me this day P_, of � ,-,1 - 20by this day of ��y�g.�.- 204 by l 1iini 2 t 1 Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced r (Signature of Notaryublic- Sta re of Notary P lic- J0 Notary Public State of F orida Commission No.Ci% -� ' (yeaf}harles Kevin Pittm m sion No. t j,� _ to Public Siete of r; +' Commission S Kevin Pittma;! y y GG 30 9—r' y 41 pf Expires 02/19/2023 My Commission GG 3035 Expires 02/19/2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE , COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. �EAGLEVIEW lk, LENGTH DIAGRAM Tout Line Len9ft: Ridges = 54 ft Hips = 18618 Valk!y5 - 84 ft Rakpr, - 9 rt Eaves = 251 ft Premium Report Flashing - 0 ft Step flashrig = 0 ft Parapeu = 0 rt Note: This diagrilm cont&5 KCgm&-t r with r owrlded to the nearest ses nt Mule nuMber) mw 5.0 Feet, In ca. sewnent kdmils ler - -s ( hm been removed for readdbility. Flus signs preface some numbg" avW. con"lon when tai3ted, (.cg, +6 and +2L V XM "10 Oftw Yr... _ . . by fmmpw Pat" A4.i- , !OLW�, 9 4- mum 4 r. 4 94%s:,-: q, - h ;,-A %.SKSW BAMM, 11,541.dw -4 Ja .aw, YJA,.Iqm -j- W, : PAGE 4 bLObGLjA C114 Mlchelle Frank;lil . CFA - Saint Jude County Propeq Appramer - All rig his reserved. RrQperty l dintll9utiinn llrtsrirlwn'Ira,n� r.a�siasNl_MS W"p I[1:.tik�61y YA.."i wx O n eremp MM r-1, ltrrrcrL 11% K1 nrmm,d 1..a Ftat IPA IY a, F?.. 3A9n LROI Msaipdan wimT:r.rrrav imffrWI773slr•T OFA I IL i4 FFterS I 14 OFkwxs T-7 (0 14 Ac., IpK-11 W "J Cidnrrkt VmW n jwAg4 km S' LI c 31'4= ,hugWO MOaa: IM I;—PLI— 3D T1%dmc Vrlur. srtal:lio Tk%r. r+:rt ruts PRIG l: 41A' 7i+. r:uliKwn Qrkq DvA&arl TRIM rtx thim pmml: I]wakwd 1'[ M Pwall Hk s"m I Ammum A. Lir T" 41W Jwndwmw md I.twrt)g� TOWAMW FAMAM rl.AMAllraft 2.1m GME Skmftd Jiu11 Ludes( m nom' Lmd &a NUn4 Tb.s mlarnlabLoa is bc4irYs4 $.+ b; —=E m LK11 time h.a IL 15 su6jed kr-d%WCe_ wW i* ®a. %urrww d. QD-SrFnOA2039SWnLra.ria[A"FSoparl}App-Fmm,All nphu Io ++ . Irrrh#:'0PAMwh-U-tr.•nLjAkI rrLglrl% %hll�ktP$I+1i.9ssf}cn JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4538112 OR BOOK 4239 PAGE 2024, Recorded 03/05/2019 11:06:10 AM AFTER RECORDING - RL•TURN TO: PERMIT NUMBER: NOTICE OF COMMENCEMENT 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. l �rtt 1. DESCRIPTION OF PROPERTY (Legal description of the property & street address, if available) TAX FOLIO NO.; a��� '� �� T 6 — 6 SUBDIVISION Lth 0( o�u^1,104- 2. GENERAL DESCRIPTION OFIMPROVEMENT 4 _roof "- l o S N 7. OWNER INFORMATION ORrLESSEE EIINFORMATION IFTTHE LESSEE COON"FRA(C`FED FOR THE IMPROVEMENT: a: Meme ead address;" ��OVM. 1 P 1 )fJt^ - 6)1 S IJ4GIG V� Vt� I'i�''r P (Yet t PL 7 T.tam l � r b. lolcrest in propmr.. e. Name nod address orleesimple Dlleholder (ifdilrer ni from Outer listed above):.f a. a. COWRACTOR'SNA.ME: Storm Team Construction, Inc ConUador'saddress: b. Phone numDa: 4050 US HWY 1, Ste. 303, Jupiter, FL 33477 561-512.5891 _ 5. SURETY(ifapplicable. acepyofthepaynnol bond isatlacbod): a. Name and address: b. Pion numbs: 6. a. LENDER'SNAME: Lecdv'saddress: _b. Phone numbs:_ 7. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13 (1) (a) 7., Florida Statutes: a. Name and address: b. Phone numbers of doignatcd persons: 8. a. In addition to himself or herself, Owner designates of— to f_to receive a copy ofthe Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. b. Phonc number of person or chilly designated by Owner: 9. Fxpiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is specified): , 20_ e, gnature of Owner' Less o wner's or Lessee's Authorized OM er/DirectoriPa tner/Manager) State of Countyof���.JC_tc2 (Pant Some and erovide Signatory's 7Giei0filcc) The foregoing instrument was acknowledged before me Ws T day of h ' 20� 9 b�13Y� ills t as t�( rJ for �� \( (namof person) (type of authority,... e.g. officer, trustee, attorney in fact) e�--- e (name of party on behalf of wbom instrument was executed) (� Personally Known _ or Produced Identification of Identification Prod' S /1 m p Sde f C �\ilyIV Jason Mondry (Signature of tqota try Pubtl 5V 4MV"= (Print, yp or Stamp Commissioned Name of Notary Public) _9* � ElphsD:IIFAIVI �I�►as23, 2x0.23 Rev. 10.15-12 %, .�` sondid ThN A�1a/n MOary. '�aI utt ``