HomeMy WebLinkAboutnew.permit.6902All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��� " 3 e' Permit Number:
- J _
•
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 TYPE:{J r
PROPOSED IMPROVEMENT LOCATION:
Address:. a(yf�n t . ` f( r( . CLA IS -
Property Tax ID #: O �3 g) �Ll O. G r' Lot No.��
Site Plan Name: Blo k No.
Project Name: ci- - 0- cc: F
DETAILED DESCRIPTION OF WORK:
1 %CJ�
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _
Gas Tank
_ Gas Piping _ Shutters
_ Window
_ Electric _
Plumbing
_ Sprinklers _ Generator
Roof 1C
�� C1?"'
�X
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ L_�
C�
Utilities: —Sewer —Septic
Building Heig
oors
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name ke e%nevN s3 z,. ar'
Address: l9 4Q\ LQ�'a. /10 and
City: . 1't Q r c e State: _L.
Zip Code: 3Lt5 '� I Fax:
Phone No. 7 ((P -
E-Mail: 4
Name: o. f r E' 5
Company: L e.J '- 5 0Q_(J r
Address: . <<_li RAW
City: cur\
pc�
tate:_LL-
Zip Code: 4_7\i Fax:
Phone No (., k-A 0 (C) -( C a
E-Mail iC
State or County License
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
5M.,
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: _ N it Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: tat
Zip: Phon
Address:
City: 1i I
Zip:
State:
FEE SIMPLE TITLE HOLDER: _ Not pplicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Poi
City: Z
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 sub ect structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict c r 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 Owner/ Lessee/Contra or as Agent for Owner
Sigi of Contractor/license o er
STATE OF FLORIDA,,Z �G
STATE OF FLORIDA
COUNTY OF is
COUNTY OF C' +�
The form�ing instru t was acknowledged before me
��
The forgoing instrument was acknowledged before
me
this W%y of 20 by
this �i"Tfay of 20' b
LKornne M
7 E4LIL �-C-L.) -T)
Name of person making statement.
Name of person making statement.
�OR
Personally Known OR Produced Identification
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
PuDtie
OfNotary Fbrid�
Ii
(Signature of Notary Publi"M3
(Signature of Notary t�tIif �
"a'a'
014
G 91
flCommissionNo.
a
Commission No.
na
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 # 4658386 OR BOOK 4365 PAGE 1664, Recorded 01/02/2020 02:15:05 PM
THIS INSTRU ENT PREPARED BY:
Name: Matt homson
Address: un u v butte 2
Lo ood FL 32779
NOTI E OF COMMENCEMENT
Permit Nttmbe .
Parcel ID N
..
Trte untoraig d tmreby Blues notloe that Improvemerrt Mn be rnede to certain reel property, and in aeeordanee wflh Chapter 713, F ride uN�a, the
following Info ion Is provided in this Notice of Commencement.
1. DESCRY OF P TY: (Legs, deacrlptio of the roperty and atroet ad if aveilabQI
o t i..kk. b k . }
t9 &^ 9,, t gum A f L L
2. GENIERAL MCRIPTION OF IMPROVEMENT:
re roof
3. OWNER ORMATtON OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name end ddress
i�eadt Pe�Y; owner
Fee Slmpl Tltle Holder (f other than owner listed above) Name
Address:
4� CONTW TOR. Name: Darrell Lewis (Lewis Roofing) Phone Number: 407.410-1800
Address: 237 N Hunt Club Blvd suite 202 Longwood, FL 32779
5. SURETY (I appkable, a Copy of the pownent bond is attached): Name: N/A
Addfess, Amount of Bond:
5. LENDER: Name: NIA Phone Number
Address:
T. Persons In ttte State of Frortda t>Bslgnatad by Owner upon whom nogce or other doctmeMs may be served as provl�d b Section
713.13(1)( )T Florida Statutes.
Name: A _ --_ — —_— Phone Number:
8. In addition Owner designates NSA of
to receive I Copy Of" Lienors Nona as provided in Sealon 713.13(1)(U), Florida Statutes. Phone number
9. Expiration Date of Notice of Commenoement ('The af*rston is 1 year from date of recording urdesa a different date is specified)
WARNINGR. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERE IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN ES LT IN YOUR
PAYING 7W E FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS D ON THE
JOB SITE B FORE THE FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER A ATTORNEY
BEFORE CO ENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
f-W IMA� CL7124
K
( brfaturs of Owner or I gesso. or 0AInses or Lasaas's (Pent N.....d 0-1d. 6larrtory. Trtl.lOae.)
gfknrllJirectoriaartrer/Manaper)
State of County of
The Inntinmem was acknowledged before me thisday of
11
by ` Q V� Who is personally known to
Name of parson msov aiabmorlt
who has proomiced identification ❑ type of Identification produced:
NMry Pull
Stara d Florida r,
Matt Thantse^ 91479e
kwcity Commission
EapirssWi 2023 Nmry