HomeMy WebLinkAboutPermit packet 1All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
1 - J i J
s
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 5107 Ft Pierce Blvd
Property Tax lD #: 1301-603-0103-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Commercial Residential X
Lot No. 16
Block No. 20E
St Lucie County Hurricane Loss Mitigation Program. Install 2 impact rated windows and replace 2 impact rated outswing doors
Product Approval 2 doors 7640.1
Product Approval 2 windows 5419.1
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _Windows/Qoors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1352
Cost of Construction: $ 5,634.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Alan and Lourdes Luna
Name: Ignacio F Lizama
Address: 5107 Ft. Pierce Blvd
Company: Construction Management of Florida, Inc
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-332-1897
Address: 2655 49th Street Suite 1
City: Vero Beach State: FI
Zip Code: 32967 Fax:
Phone No 772-770-2120
E-Mail: lourdesluna1989@gmail.com
Fill in fee simple Title Bolder on next page ( if different
from the Owner listed above)
E-Mail adel@cmfloridainc.com
State or County License GCGO57311
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
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 inoicarea.
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
wrru vnI in I rmnro Ab AN ATrnDPJFY RrtFORE RECORDING YOUR NOTICFa" COMMEIKEMENT."
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9ractorl ricense
Signatur of Owner/ Lessee/Contractor as Agent for Owner
Signature of C4 Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF indian River
COUNTY YIOF Indian River
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 31 day of March 20_ by
this 31 day of March 20_ by
.A / �� ,L�r
n a c, _ F L r c�
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
C
(Signature of Notary Public- Fhul�
16ri M IssrfliJ GG9238$2
PAN I OK
(Signature of No::FMOmyc 2Commission
No.�-C' 9d3 �Ud"EXP ctober 17,2023
Commission No
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
COUNTY
F L 0 R F D A
Building &Cod.e Comp ace mybion
BuMDING:PIER 1T
SUR-CONTRACTOR AGRZMENT
Liberty Impact vAildms and Doors have amed to be
(Company NaMcftdividual Name)
the Window andDowInstaW Subrconftctor fvr Construction Mana"ent of Fly,. lhq;
(Type of TM&) Csontractar)
For'the pro600 located at 5107 Ft Pierce Blvd, Fort Pierce,'F iida 34951
(Project'Street Address or PmpmV TWc ID.#.)
It is undemond that, if there is any change of status; regarding our Par4cipabon with the awe MmAdmd.
PrIPJaect, the Huilftg and Cade Reg
ulation Division of St. I:ucxe County will be advised p
Ming of a ChWQf auh. tutor notice.
C��l�'i�kt SIG1Vk'I'LTftE, (Qnaiiiirr�
Ignacio F LiT.anne
TUNA E
comwf RTi GATIbN'3�TtJMBER
Ststc otFkwW.Cbmty of Indian fter
The Tar a +rmstwabtfore rae this: 31 fty a.
Marche Ignacio F Lizania
who 1s persoomfly.komm Z11 6as produced .a
10
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f (amie Pastor
rlsed .i ] A W.016
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ne fpregoft instrument was ftftd before.our O&RL&Yaf
all"ech
who toP"VWA y Imowim—or'hes.pnwuee#
mid lion.
ST ' , Pnhtic
Ua z o Ariat Name of Notary Pabhe
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Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1301-603-0103-000-0
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 THE EAST 80 FEET OF LOT 16, BLOCK 20, LAKEWOOD PARK UNIT THREE,
ACCORDING TO THE PLAT THEREOF, AS RECORDED 1N PLAT 6O0K 10, AT PAGE 63, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA
General description of improvements
flwnarllacenP Alan Luna and Loudes Luna
Address
5107 Fort Pierce Blvd, Fort Pierce, FL 34951
Interest in property: 100%
Fee Simple Title holder (if other than owner)
Address
Contractor Construction Management of Florida, Inc.
Phone # 772`770-2120
Address 2655 49th Street, Vero Beach, FL 32967
Fax #
Surety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone #
Address
Fax #
Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name St. Lucie County BOCC
Phone # 772-462-1777
Address 2300 Virginia Ave., Fort Pierce, FL 34982
Fax # 772-462-2855
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. f1
�ck
OwnerlLessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager! Signature
Owner
Signatory's TitlelOfffee
State of Florida, County of S. Lucie
Acknowledged before me this , day of March 20 20 , by Lourdes Luna
w is personally known to in or ho has produced LL as identification
Signature of Notary Type or Print Name of `N}otary (Seal)
Title: Notary Public Commission Number l/t/ ,.��������a CONNIE MCiVE]Florida
ojPµY Notary Public - State oCommission # FF9My Comm. Expires Jul ,,,,, Bonded through National N