HomeMy WebLinkAboutBuilding Permit Application 1< q C
.7 1-C_
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: o7. Permit Number:
F U
K
F
'COUNTY
F ;L 0 P. I D A DEC 13 2019
Building Permit Applica ion
mitting Ciepartrn
Planning and Development Services
Building and Code Regulation Division St. Lucie County,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE: �h k �--tc -- z
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Dr#1208,Jensen Beach, FL 34957
Property Tax ID#: 4502-602-0112-000-9 Lot No.
Site Plan Name: Block No.
Project Name: James Midanek&Susan Rosenstock
DETAILED DESCRIPTION OF WORK'.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
'Y'
—Mechanical Gas Tank Gas Piping apply/
Windows/Doors
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name James M idanek&Susan R.osenstock Name:Edward J. Heritage
Address:9500 S Ocean Dr#1208 Company:Folding Shutter Corporation
City: Jensen Beach.. State: Addre s 1862.Dr Martin-Luther King Jr Blvd
Zip Code: 34957- x:N/A City West Palm,Beach ty.. State:FL.
Phone No.202-619-6869 Zip Code:,.33404 Fax: 561-640-8204
E-Mail:N/A Phone No 561-683-4811
Fill in fee simple Title Holder on next page if different E-Mail info@foldingshutters.com
from the Owner listed above) State or County License SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of 0 e Contractor as Agent for Owner Signature of Co a ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The forgoing instW{nent was acknowledgebefore me The forgoing instru nt was acknowledge before me
this J! day of_VAC 20.4 by this It day of 20 1!7 by
Edward J.Heritage Edward J.Heritage
Name of person making statement. Name of person making statement.
Personally Known xx OR Produced Identification Personally Known xx OR Produced Identification
Type of Identification Type of Identification
Pro Pro
(Signature of Notary Public-State quip arida Ipamela A.Evans (Signature of Notary Public-Stat f Flort�la A.Evans
NOTARY PUBLIC
NOTARY PUBLIC
Commission No.
Commission No. (oOATE OF FLORIDA o� �SI �FFLORIDA
2&2? s �=Comm#GG262789s2G�-� $9 ��Comm#GG262789
lExpires
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
JOSEPH E . SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4651838 OR BOOK 4357 PAGE 2263, Recorded 12/11/2019 04 :16:35 PM
Prepared by end Retum to:
Folding Shutter Corporation
1882 Or Malin Luther lamp Jr BNd
West Palm Bi sch,FL 33404 NOTICE OF COMMENCEMENT
00132018008 SLC
Permit No. Property Tax ED Na 4502-602-0_112-000-9 _
State of Florida,County of St.Lure
The Undenigned herby 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 lsfartlle II Condomwum Unit 128(OR 4238.8381,8500 S Ocean Dr 1208
General description of improvements Install Hurricane Shutters
OwnerAessee James Midanak 8 Susan Rosenstock
Address 9500 S Ocean Dr#1208 Jensen Beach..FL 34857
Interest in property: Owner —
Fee Simple Tide holder(If other than owner). —
Address
Contractor Folding Shutter COrlaoratlon _ _ Phone# 551-683-4811
Address 1862 Dr Martin Luther Kin Jr Blvd,West Palm Beach,FL 33404 Fax# 561-640-8204 _
Surety-_ _ - _ Phone#
Address - — — Fax#.-
AmountofBond
Leader --- _ - - _- Phone#.__ _— --
Address _ _ _ _ _- Fax#_—• —--
Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served asprovided
by Section 713.13(a)7.,Florida Statues:
Phoned. — -- --
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-t rpnt•date is specified. WARNING TO OWNER:
ANY PAYISOM MADE BY TRE OWNER AFTER THE E%PIRATIQ t' PE{Eii ....OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CIV L3.13,F.S.,AND CAN RESULT IN Y(IlyJl AY{I1(1 TWIt:E FO MPItOVEt4ENT8 TO YOUR PROPERTY.A NOTICE OF
COM MCEMENTMUSTBERECORDEDANDPOSTED'SNVTSEJOBSrrE6' MI(EFIRSTINSPECTION.IFYOUINTENDTOOBTAIN
FINANCING,coNsw WITH YOUR 1l,EAtDF.R OR ANeATPORNEY BEFORE V A9EN4*Q WORK OR RECORDING YOUR NOTKX OF
COMMENCMENT.
Qwner/l.e++es.o= v•,-' ntbarlmdOrfkedOhvloWParlaed.M&nWdSlowture
Btyutory's?lmelOffioe - -
State of Florida,County of A0 r
Acknowledged before me this -. __ : y of P[ 20 byQs .� ,
who wnalky wn to a or who has produced_ _ _-__.__ -__-__-as ideati6oWon.
Law
afore of Notary - - Type or Print Name of Notary ,a`i (8 'I M^`^ O N'AOLER
C
Title:notar-V Pj0blte• Commission Number. G G � _(�_ ?� _ "Cork' issb -State 3 33o t
,,� •�= Commission�GG 032330
My Comm.Expires Qct 10,2020y'
0(0* t Mgh Nations AWryAssn.''