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HomeMy WebLinkAboutPermit application and NOC 7801 Palomar St.ALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ILA) Z 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Site Plan Name:\ 1 L Block No. aC) Project Name: L)t? Cl' Vi 7 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: \wc2 e-Xke toc F(-eA\cyn covc rcmo\')e �A--�c'2ePlctce ehker�or door CONSTRUCTION INFORMATION: �HVAC � GasTank 11 Electric 1:1Plumbing GasPiping UShutters Windows/Doors Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ /!^J7 • 10� 5 Ft. of First Floor: _ Utilities:�Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name % Name: Address: 0001 fit" Company: City: State: Address: ?�y s E �.11 p e A)Av ��1�CJ?` Zip Code:. Fax: City: State: EL4� Phone No. —Il a & %7 9L 4) Zip Code: 3 Phone No. —7 Fax, -1 Li E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail: from the Owner listed above) State or County License: Cf!,� )Ia If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: %C Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: 7( Not Applicable BONDING COMPANY: KNot 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 Coon tyy 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 exemptfrom 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 commencingwork or recordin our Notice of Commencement. Signature of OwnO / Lessee/Contra tOF as Agent for Owner Signature of Con actor/License Holder. STATE OF FLOR/ D COUNTY OF Q� t \ STATE OF FLORID 1 COUNTY OF r[ { n The forgoing instrument as cknowledged efore me this da o Jl� ,20by\\ The f r oing instrument was acknowledge before me this�P`(j,�g�d��ayoflt�'(1+.�Q .20�Vby Yf�n� ko.,A:, � , d>t -evil I` CtrV,\VL Name of person making statement Personally Known �` OR Produced Identification Name of p making statement Personally Known � OR Produced Identification Type of Identification Type of Identification Produced Produced Wr °o� Notary Public State of Flodda Veronica C Arteaga ICEICEcommission GG 057227 SS 020 yr era Notary Public State of Florid �; Veronica C Arteaga • My commission GG 057227 (Signature of Notary Pu (Signature of Notary Public- St Commission No,C)57 (Seal) Commission No. StpJ� (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Permit No. Property Tax ID No. �NA QD aJ c)15 Mo 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. Legal Description of property and address if available General "^""" JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT Address Mot �cLrtil \Or SAINT LUCIE COUNTY FILE# 4447875 0611812018 08:25:47 AM OR BOOK 4145 PAGE 2910 - 2910 Doc Type: NC Interest in property: ©a-)rqp _ 1 RECORDING: $10.00 Fee Simple Title holder (if other than owner) Address /r� /'� 1 ContractorDo. _ \ ca `� nf-1 ( a. Phone # Q Addressln JA tc(A) (.II1�J.1S (Ow 3yGG7 Fax#_i� a'4"(1(Qom® Surety Phone # Address Fax # Amount of Bond Lender Phone# Address Fax # Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (a) 7., Florida Statues: Name Phone# Address Fax # In addition to himself, owner designates 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 commencement is one 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 CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TBE Jppp///ggg SITE BEFORE E FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOP't BEFORE CO CING WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. / / Ir n n or Opener's ar Lessee's Authorized Otficer/Oheeta•/Farmer/Manager/ Signx[are State of Florida, County of Tl� Acknowledged before me this �, day of \j � 20 �, by � O�i � � 1 \ t' S . who is personally known to me or who has produced `1 C •P s� ,S, ��(l I as identification. OFF Signature of Notary Type or Print Name of Notary (Seal) Title: Notary Public Commission Number at Fwy s Notary Publlo Stale of Florttla a'•� Veronica C Arteaga 057227 �4'or 0F Exp rea 12/2112 20