HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 ' 2- -1 I Permit Number:
ouliming rermil Hppucavon
Pionning and Development Services
Building and Code .Regulation Division
23oo Virginia Avenue, Fort Pierce F, 34982
Phone: (772) 402-1553 Fax: (772) 462-=578 Commercial Residential
PEKMI I APPLICA I ION FOR: To Select from dropbox, click arrow at the end of line
pRONOSEL) IMYROVEMEN 1 LUCAIION:
Address: �j
Legal Description:
Property Tax ID ? d q z 6 - b 6 q -®a0D - 000 , 7 Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
UE I AILEL) UESCRIP I ION OF WORK:
Block No.
1/�E� JZ�r G/ale /0 OVT / K
CONSTRUCTION INFORMATION:
LwrTior to oe oerrorhied under
fO/ HVAC Gas Tank
Electric Plumbing
Total Sq. Ft of Constructir
thispermit=check all tftat apply:
F]Gas Piping 1-1 _Shutters FWindow,5/Doors
Sprinklers El Generator L Roof Roof pitch
Cost of Construction: $ /27 6-0 '-
OWNER/LESSEE:
Sq. Ft. of First Floor:_
Utilities: 11— Sewer F]Septic
Name, La 47 169na "',a-' ►.o - D/J caw
AddreF /V ,i &VU)
City: ?Sf"GGI� r State: -L-
Zip Code: 3 9 Qµ Fax:
Phone No. 17A-380- 7$06
E-Mail:
Fill in fee simple Title Holder on next page( if different
from the Owner listed above)
CONTRACTOR:
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Building Height
SUPPLEMEN IALC:ONS I RUC IION -'LIEN LAVA iNFURMAI IUiV:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
! Zip: Phone: t
1
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 permitx.-ill authorize the permit holder to build the subject structure
which is in conflict with any applicable }come O,.,rers Association rules, bt. lav: s or ana covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and revie.f 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 wank
in accordance vAth the approved plans, the Florida Building Codes and St- Lude County Amendments.
The folloriing building permit applications are exemptfrorl undergoing a full concurrency review: room additions,
accessory structures, stt4mming pools, fences, va'Is, signs, screen rooms and accessoR, uses to another nor, -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 lobsite
before the first inspection- If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of OE1ner/*.essee;'Contracior as Agertfor O�.,ner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF I. _- G` , +
COUNTY OF _
The forgoing instrument was acknowledged efore me
i
The forgoing instrument was acknowledged before n;e
this �7 day of 2o/ 7 bt i
i
i
this �7 day of Zo by
(Name of person acknc:dedging ) ((Name
of person acknowefedging )
(Signature of Notary Public- Stag : , _ _- , is I (
(Signature of Notary Public- State of . {.onr;- ,
Personally Known OR Produced Identification I
Personally Known OR Produced Identification
Type of Identification Produced i
Type of Identification Produced
Y I
`g CHRISTINEBENQMHirnission
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Commission No - q y
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of EXPIRES: Apr➢ 4, M21
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REVIEWS
FRONT ZONING SUPERVISOR i PLANS ' VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW
REVIRIV
REVIEW
DATE
COMPLETE
INITIALS
NOTICE OF COMMENCEMENT
Permit No.
State of Florida, County of St. Lucie
Property Tax ID No. ,Na 6 & �l 0000 COO 7
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 4,z t3aavd, �7�a �'oo�� � Ca -bQ
dl f rrz% .26 Trmm"u,
.D Itl ar /39�
General description of improvements✓��
Owner/lessee r 4 6,2 I/nner
Address �lvi,! S �BG�Pi1�I Q lTGuu
Interest in property: Rrylr�v
Fee Simple Title holder (if other than owner)
Address
O °
° 6
Contractor C/✓S��N^ /�+t� .5��`"S �1�+==
Phone # -77) -33 -22'
~
Address f 0 �5 11 VI SA G1`'`-n
Fax # 77�- 33 5, l�61 $�
= N o
P o�
Surety
Phone #
x m
Address
Fax #
W 20
Amount of Bond
VZNQ-0
o 0 0 0
Lender
Phone #
Y z
Address
Fax #
u;
w ° Cr
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as f
OaJXW
- v, U- ° X
by Section 713.13 (a) 7., Florida Statues:
Name la, 3ioKa- jIif�A Inc-
Phone# 772 026 1506.
Address /`% .S JW rkd 6/iu4 Re /00, ,T aAtti fi- dVyf %
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 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
COMMENCMENT.
i)
er/Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature
Signatory's Title/Office
State of Florida, County of C' t v 1 -- G �9
Acknowledged before me this r , day of 20 / f , by All 1 CL /Z- -rDV i ,
who ' ersonally own to me or who has produced Y "'J as identification.
?" 1';� ✓lS
Siig ture of No y Type or Print Name of Notary �°`�r•O"�, (S s�
Title: Notary ublic Commission Number G6 06Q /Ij �Mm,
COIVM SSIOh1#00060H5
EXPIRES; May5, 2V1
Ov FtBonded Thu
k4w Notary SeMces