HomeMy WebLinkAboutLucas 5413 SeagrapeA;' APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Perm t N ;n7c':
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ra? ems.. -�• _ . �.
pp;nerr-.'ice's
�;:rding cro C�Ge F.ecul�tipr• (7ivfsipn
2:�00 ✓irginic Ave.-lue, For= P%erce FL 3498.2
462-1553 pax: '772? - 15'i8
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PERMIT APPLICATION FOR:
I :_eoa: Descript�cn.
cpe 'Y Tax 11
-
Budding Permit Application
COmmi ercial
p,� . i NomeSITCL Le
Back: -Ft Side:
=rent _____----
tRight Side:
5�cb�ck5 _------
rme under
Gas Tark
iect'?c,
--heck a
Gas Piping
Sq, =r �,-' ronSLrucrtor;: --
n57"-.1c`icn: S
Sprinkier5
apply:
Shut;prs
Gellerater
Residential _-� --
so. ct. O' `-:rs' foor:
Utilities: Sewer _ Sepvc
Lot No. —I( f 3
Block No.
1111 in-dows/DM's
rtco-
Building Height:__-
�l Name' .5 [i-u`�r,n.- t
iOm¢anv: -( 5sc. o L�
a es. �,L Address: i 10�-�Mana:a
t 1�
I. 7i: Noce 34q�s?� max: rax:
,I l ?ip Code: 3Z 2?
o-- 7 f W i✓
!j Phorz No.
different '..�i;ati:
l� ciil ir. fee simple T itle Holier on next page if
Or : ountti ! icse'. J
I, 'rorr. -he Owner listed above, V-----�—
ifii �f value or construction is 2500 or more, z RECORDED +notice of Commencement is required.
NERJENGINEER: — Not APP
'Name'
Address
C'y: _
Phone:
State
ie MORTGAGE COMPANY
f Name:
1 Address: _
City:
Zip: Phone
_ NOt App!icab!e
FEE SIMPLE TTTLE HOLDER: Not .Applicabie BONDING COMPANY: Not Applicable
Name:
Name: —
Addressi
`;i... City:
_ Z' Phon='
'p
?!;!ti T~c:.n% wCrK or :r!$iallai!O:^...125 ,orn.menceti prior to The ssuz.-"i:e C� c' vernl:L.
Sr: _uc:e. Countymakes n0 repre5entc[ion that is granting a permit wiii authorize :he perm; holder to build ice 5bie? stru Una
'wnicri !: cbnfict with any aoplicabic !"tome OLvners Association rules, by!a'-5 or and Cov'enarlis that may re_t ic- or prohibit �_CF
$trUL'LU rC'. Please consult with vOUr home Owners Association and. revi®w your deed For any restrictions wlhich may 2apf��.
ested ermit, i do t:ereb ee that! wil!• in all respects, perform the work
•n Consiue•at!or o� the granting o� this reg4; y ag.
aiccordance with he approved pians. the Florida Building Codes and St. Lucie Coun-y Arnendments.
'he fOliowing building aermit aFPiiczcions are e'xernpt frorn undergoin3 a Fuji concurrency revise ;V oom sdditions:
accessory 57r: �u'es, swig!ruing ?oois, fences, walls! signs. screen rooms ano accessory uses to the. non-res!dentia: use
WARNING TO OWNER. Your failure to Record a Notice of Commencement may result in your paying twice for
mprover^enis to your property. R !Notice of C:ommen.cement must be recorded and posted 1 on the;obsiie
be` r2 the f -ct inspecticr,. !f ycu intend to obtain financing, consult with !er:dar or ar, a to. ey before
co�encing work okreccrding vour !Notice of Cemme^ce er t-
s
L $naiure o; Confra�:c icensa olds
j;gnaLjre ::r pwner; t.essee, Agen-
i STATE OF FL COUNTY STATE OF FLO
COUNTY OF COUNTY OF
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/A t1f 1,„ fIll J#e 4/21Y
Si_ r,' w ary Public• tare !Sig -azure ;vo.a
= ions = Ciprid2 •
-a.-5ona''y Known OR Prcduceb Identification Person:aE,y Known 0 e Produced iden`i`icat!en
_
-•,:ne ;= .p= ifc<::o:^ Prooucee : ype of Identification ?•reduced
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t'Ay by Notary Public State of Floridz
;4 •-Ah-ARt9ftefl� ---
_
: a e F1or
Ashley M Antonelli
My Commission G G 152970
_
_' •� 5e;i Q ,r ! ::`_ V i f L My Commission GG 152970
COW w Expires 1.0/18/2021
oa�o�' Expires lone/zn21
p_ �Vd_ ?RONT SON?NrG SUPERVISCR PLANS VEGETAT!'iN
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COUNTER REVIEW REVIEW REVIEW
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NOTICE OF COMMENCEMENT
Permit No. Tax Folio No
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 Stntirtas
the following information is provided in this Notice of Commencement. m O -n Ln
Legal Qescn — I of Property: (and street address if available): 5 t z
Z V Cr �S (f� Yis o�_!v E/k�L V �
General description of improvement: li k�l U 1I �1 K_l. . .
owner information or lessee information if the Lessee contracted for the improvement:
Name li
Address
Interest in property:
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name:
Contractor Address:.
Phone Number:
Surety (if applicable, a py of the payment bond is attached): Amount of bond: $
Phone number:
Name and address: %k
Lender Name: I'l Phone Number: --
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sectio..
id
713.13(1) a)7., Flora Statutes: Phone Number:
Name: —
Address:
to receive a copy of the
In addition to himself or herself, Owner designates
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
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
!MPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, 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. IFYOU INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
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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 knowledge and belief.
r r
[(Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signaton/s Title/Office)
The foregoing instrument was acknowledged before me this day of , 20��
BY tan as ✓I l% / for
`Name of Person y o authority (e.g, officer, trustee) Party on behalf of whom instrument was executed
a
Personally knov�__ or produced Identification
(Signature of N ary Public tate o Florida) tification produced ---
(Print, Type, o tamp Commissioned Name of Notary P
=oar ky� Notary Public State of Florida
. Ashley M Antonelli
My Commission GG 152970
1' ">Of n9,P Expires 1011812021