Loading...
HomeMy WebLinkAboutBuilding PermitSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: -- •- ••�. f ..,�fr�cR: _ Not Applicable [Add 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." ZeK- k — 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 ?erM 45 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: f, e, e 4 P. a zz:; z� 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� —4 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.