HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: / 3
Property Tax ID #:
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential
7 poi A r">DU - /
DETAILED DESCRIPTION OF WORK:
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3. rd.y l y 5Ct-� R /o K- W ffe-,i
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 0"nb
Address c� �S/ 3 /�o-� %� 1�
City: /�0p7 ST i -O cic_ State: rc
Zip Code: SciiSL Fax:
Phone No. ?,v 5o1 - 1'7 30
Name: 'c EE /9Lm:'ilw
Company: G'(,e4.v /PC. H A) iL S
Address:/S 7� k1, --M VErz CiCcC---
City: R')ct 1-0ciG State: FL --
Zip Code:�41rISSot Fax: 772- -3;35 --106i
Phone No 77-2 13) 206/
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail L'LQ�.v /'5 7� 0 Ak . Cc)-"
State or County License C.P CD S B 6 6<,)
if value of construction is $2500 or more, a RECORDED Notice of Commencement is requireo.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 thepermit 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign r Owner/ Lessee/Co tractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF S» Lode. CDopii"1
The forgoing instrument was acknowledged before me
this -3v day of A,O,eI L , 20_U by
Name of person making statement.
Personally Known . OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commi
REVI
DATE
RECEIVED
DATE
COMPLETED
State of Florida -Notary Publ
Sig r o Contractor/License Holder
STATE OF FLORIDA )
COUNTYOF 6-i LoclL Coni*
The forgoing instrument was acknowledged before me
this vc day of f0P/(_ 20jl by
Name of person making statement.
Personally Known LZOR Produced Identification
Type of Identification
Produced
Chia/�
(Signature of Notary Public- State of Florida )
SANDRLSH
Commission No. .�`�•P'�.
�; a of Flori a -No ary Publi
*= Commission N GG 197984
fission Expire +�i�i�r" A fil 11, 022
Zart l+tfb PERVISOR PLANS VEGE
EVIEW REVIEW REVIEW REVIEW REVIEW
AND the Orwntor hereby covenants. with said. Grantee that it is the lawful own, er of said real
property; that it has good right and lawful authority to transfi!r and assign a Leasehold Estate therein; that
it warrants the title to said Leasehold. Estate, subject to 1 -he terms and conditions thereof, and will defend
the same against the lawful clairns of all persons claiming by, through or under Grantor.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed in its name, by
its authorized agent, with the corporate seal affixed thereunto, the day and year set forth below.
Signed, Sealed and Delivered
In our presence:
STATE OF IMICHIGAN
COUNTY OF OAKLAND
SAVA.NLN,A LINKS, L.L.C., a Delaware limited liability
company
BY: ASSET INVESTORS OPERATING
PARTNERSHIP, L.P., a Delaware limited partnership, its
sole member
BY: SUN AIBP GP LLC, a Delaware limited liability
company, a Delaware limited liability company, its general
partner
BY: SUN COMMUNITIES OPERATING LIMITED
PA-RTINERST-UP, a Michigan limited. partnership, its sole
member
BY: SUN COMMUNITIES, INC. a Maryland
corporation, its general partner
BY:
David Haynes, VP of Sales and Services
[Corporate Seal]
The foregoing instrument was acknowledged before me thisC. L__ day of 2019 by David
Haynes, Vice President of SUN COMMUNITIES, INC., a Maryland corporation, as general partner of SUN
COMMUNITIES OPERATING LIMITED PARTNIERS.1-M-1, a TAichigan limited partnership, sole member of
SUN AIOP GP LLC, a Delaware hinited liability company, general partner of ASSET INVESTORS
OPERATING PAFIft'NERSHIP, L.P., a Delaware limited partnership, as sole member of SAVANNA LINKS,
L.L.C., a Delaware limited liability company, on behalf' of the corporation, who is personally known to me or
who has produced a drivers; license, as identification.
NOTARY PU3LI.g.—.1
,�GUR
FyPif2S -'Jar 9
p1ty Of
MANUEL A PA�QlNls'
igav'
m 14
y COMMISS10"I S
��'Com' �
acting ty
it) the Cou r
ACCEPTANCE
Grantee hereby accepts the foregoing Leasehold Estate Deed and agrees to be bound by the terms
and provisions set forth therein including, but not limited to, the beast and the Savanna Flub Property
Owners Documents, copies of which have been furnished to the undersigned.
Grantee hereby covenants with said Grantor that the Grantee satisfies the (Federal) Fair Housing
Amendments Act of 1988 (Pub.L. 100-4.30 approved September 13, 1988; 102 Stat. 1 f 19) with respect
to adult communities which provide housing for older persons of which one person occupying the
Leasehold Estate attained the age of fifty-five (55) years (the "Qualifying Occupant"). if any Grantee as
of the date hereto has not attained the age of fifty-five (55) years or is not the spouse of the Qualifying
Occupant or a non -spouse companion of the Qualifying Occupant whose residence is the Leasehold
Estate as of the date of the death of the Qualifying Occupant, then that Grantee shall be deemed a
subsequent Tenant and not an Original Tenant at the time the Qualifying Occupant and the spouse or
non -spouse companion of the Qualifying Occupant no longer occupy the Leasehold Estate. The
subsequent Tenant shall be liable for any additional rent imposed pursuant to Section 2.3 of the Lease.
WI ES: GRAI'TEE:
`/ .�---
,�� _(Seal)
Witness :_ _ _ ,� 111f rl -_ o Clar - Polcomb
_(Seal)
Witness Name: T2�-Linda Marie Holcomb
State of Florida
County of N4a#*in L
The foregoing instrument was acknowledged before me this _ ,r day of April,2 19 by Roy Clark Holcomb and
Lunda Marie Holcomb, who Ll are personally known or [Xl have, radtc ed a driver's licse as "1entification.
StabaotFipside ,..�' .�••L.,r 4'C_.� •�_�• _`____._�
[Notary Seal Notary Notary Public
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Printed Name:
My Commission Expires:
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