HomeMy WebLinkAboutBuilding PermitSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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ORTGAGE COMPANY:
Name: Not Applicable
Address: me:
City: ress:
State: Zip: Phone Y Phone: State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:
Name: — Not Applicable
Address: Name:
City: Address:
Zip: Phone: City:
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.
which is ne onflictawith any applicable (on Hothat
e Owners Association!rwill
esauthorize
by bylaws or anScovenants that build
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
YYOOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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na e o caner/ Lessee/Contractor as Agent for Owner sign of Co ractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF %✓7�i lit COUNTY OL /-f
The forgoing instrume t was ayknowledged before me The for oing instrume was a nowledged before me
this day of , 20— . this day of 20,20by
rvarne or arson making statement.�_��,
/ Name of pe on making statement.
Personally Known V OR Produced Identification Personally Known
Type of Identification YgsOR Produced Identification
Type of Identification
Commission No.
REVIEWS
Notary Public State of Ronde
Desiree t11�t�Grlgtosh
MYCOMM G 283399
Expires 12/11@022
(Signature of
Commission No.
FRONT VING PLANSCOUNTER R VI W SREVIEWOR REVIEW I TIONEGETA
Notary Public Staa of Florida
Desiree N;SOHitsh
My COMMISalpe GG 283399
Expires 12/1112022
SEA TURTLE I MANGROVE
REVIEW REVIEW
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45
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
COUNTY OF 1
Address:
The for oing instrument was acknowledged before me
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Type of Identification
Address:
Produced
City:
(Signal re o N
City:
'+tary Public State of Florida
Commission No iree N MCInI(5t{al)
Zip: Phone:
Commission GG 283399
V'Qf./�Eo.yp
Zip: Phone:
ires 12/11/2022
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 YnIIR UFNDFR nR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
zza
f, e, e 4 P. a zz:; z�
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Signatuer/ Lessee/Contractor as Agent for Owner
Signature of Co ntr or icense Holder
STATE OF FLORIV 1^
STATE OF FLORW a -
COUNTY OF V, � v-,.
V�GL
COUNTY OF 1
t was before me
The forgoing instrumE`n�
The for oing instrument was acknowledged before me
—acknowledged
_
this day of �, 20,)=efby
this day of U ✓\C , 20.a&y
-u.e ,.�.,. o �[.�pa t�-�
E �,2.2.� S-e�v✓
.s—Cs
Name of p on making/ss tement.
Name of perso akin atement.
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Ndf�tWbP'F
(Signal re o N
Notary Publics nt oh lodda
(,Omm155i0O NO. +Q Desiree N MG__0.5
283369
'+tary Public State of Florida
Commission No iree N MCInI(5t{al)
E,7 ommiss
Expires 1 211 112 02 2
Commission GG 283399
V'Qf./�Eo.yp
ires 12/11/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: (SAS
PROPOSED IMPROVEMENT LOCATION•
Address: 1584 NW SWEETBAY CIR
Property Tax ID #: 4426-803-0034-000-2
Site Plan Name: ARMSTRONG
Project Name: ARMSTRONG
DETAILED DESCRIPTION OF WORK:
tx I LRIOR LP GAS TANK AND LINES
CONSTRUCTION INFORMATION:
Permit Number:
Building Permit Application
Commercial Residential X
Additional work to be performed under this permit —check all that apply:
_Mechanical (Y Gas Tank KGas Piping _Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2000
_ Sprinklers Generator
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Lot No.
Block No.
Windows/Doors
- Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameElaine M Armstrong (TR)
Name: Cheyenne Ellison
Address: 1584 NW SWEETBAY CIR
Company: Elite Gas Contractors
City: Palm City State: _
Zip Cade: 34990 Fax: (772)220-1829
Phone No. (772)220-9678
Address: 2130 Poma Drive
City: Palm City State: FL
Zip Code: 34990 Fax: (772)220-1829
Phone No(772)220-9678
E-Mail:emcintosh@elitegasco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction Ic bsnn ,,..,,...e � nrrr,n ._.:_
E -Mail emcintosh@elitegasco.com
State or County License 18361
—
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.