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HomeMy WebLinkAboutBuidling permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Coo N-r Y ` F L 0f� d a A - Permit Number: Building Permit Application Planning and Development Services Building and Fade Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone- (772) 462-1.553 Fax: (772) 462-1578 Commercial Residential YES PERMIT APPLICATION FOR- Gas tank PROPOSED IMPROVEMENT LOCATION: Address: 7682 WEXFORD WAY PORT ST LUCIE, FL 34986 Legal description-. RESERVE PLANTATION-PHASIE 1 LOT 17 (OR 3639-670; 3671-1655) Property Tax ID #: 3321-801-0017w000-6 _ Lot No. 17 - - ,.-- Site Plan Name: — Block No. Project Name: ,JOSEPH FLOOD Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 4CL0 CONSTRUCTION INF RMATION: ❑HVAC Gas Tank ElectriC Plumbing C1 -b .11=r 11111— LHeLK all Ingli apply: aas Piping _ Shutters Sprinklers Generator ElWindows/Doors C3 Roof T��taE Sq. Ft of construction: �T S . Ft, of First Floor: Cost of Construction; $ Utilities: _ - Sewer OSeptic Building Height. OWNER/LESSEE: Name JOSEPH FLOOD Address: 7682 WEXFORD WAY City: PORT ST LUCIE State: FL. Zip Code: 34986 Fax: Phone No. 772-448-8578 E-Mail: jlpflo@comcast,net Fill in fee simple Title Holder on next page (if different from the Owner listed above CONTRACTOR: Name: knw,4 Company; Addres ,1 city:IJ 91r _ State:�5. Zip Code: L Fax: _ Phone No. `'1 I c E=Mall.-Ibick 1 , State or Co- tv License: GVi If value of construction is $2500 or mere, a RE- CORD-E Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIENLAW INFORMATION' DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: � Not Applicable Name:.--- - Name. - Address: Address: - _.-- _-- -. -_ -__ cityu State. City: Mate: Zip: Phone; Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: _ city. _...— � Phone. ip Ip - one --,.._- -- , I certify that no work or installation has commenced prior to the issuance of a permit. 5t Lucie.County makes no representation that is granting a permit will authorize the �3ermit holder to build the subject structure which Is in conflict with any applicable Home Owners Association rules; bylaws or antl d5venants that may restrict: or prohibit such structure. Please consult with your Horne Owners Association and review your deed for any restrictions which may apply. In Consideration of the granting of this requested perrn l i�o Hereby �ig�€��t 1 will, in ai resp sue, pgrfarrn the work in accordance with the approved plans, the Florida Building Codes and St. Lucie county Amendments. The foliewirtg building permit applications are exempt: from undergoing a full concurrertey reVi6W room additions, accessary 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 jobsite before the first inspection: If you intend to obtain financing, consult with lender or an attorney before commencing work or recordine your Notice of Cornmencemer Signature o W Lesseeggent STATE C}I:FLORID STATE OF CIE COUNTY 0 Aim COUNTY OF The forgoing- instru ent was acknowledged before me The forgoing instrument was acknowledged before rye thisay of 20,?P_-ley this 151 day of ; 20 D b by (Name of person ack ow}edging } (Name of person acknowledge g) _ -- (Signature of (Votary Public- tate of Florida) (Signature of Notary P lic- State of Florida ? Personally Known OR Produced Identification 0 a L Personally Known OR Produced identification Type of identification Produced .t 4-An -. q'Vf) —d-A Type of Identificati Produced �� �,3 Pkt Notary Public State of Ftori Commission No. _ ea commissi feat ew Nota Publi Stateof Florida Bye Charlene Lane y� _ ; sue My Commission GG 173954 r �j �}► Expires 04/26/2072 � � Expires 04I2612022 - - - - - Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS NOTICE OF COMMENCEMENT Permit No. Sta€e of Florida +aunty of St. Lucie Tax Folio No. 332_I=80I=0017=0&6 The undersigned here 8 by gives notice that improvement will be rheas to certain real pr®perTy, and in accordance with Chapter 713, Fldnda Statutes, the following infdrmal ion is provided in this Notice of Corr mencenrtent. Legal Description of Propertyr, (and street address if ava€lab_ le):- - - - - —U ANTATI� T- - -655) Ganeral description of Owner inforisistiori or Lessee inforrneflon if the Lasses carl"C15ed for the intpravatrtenf: Name - Address interest In property. - - Name and address of fee simple titleholder (if deferent from Owner listed above): Contractor's Name, Contractor Address: Number: Surety (if applicable, a COPY of the payment band is attached): Amount of bond. $ Name and address: Phone number: Lender Nara: _ phone Number: Landers address: _ - ^^T— persons within the State of Florida designated 4 0WrWr upon wtom rotim or ether doairiwi is may be served as provideed by Section 713.13(1) (a)7., Florida Statutes: Name:.---- - - .--. Phone Number',. Address: in addition to himself or herself, Owner designates of to receive a copy of the L'ienor's Notice as provided in Section 713.13(3) (b), Florida Statues. Phone number of person Or entitY designated by owner: Expiration date of notice of commencement- (the expiration date may not be before the oompletion of construction and final payment to the contractor, but will be I year from the date of recording unless a different date is specified) WARNING TO OWNER' ANY PAYMENTS MADE by TIC€ OWNER AFTERTHE EXPIRATION OF THE NOTia OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER 04APTER 733, PART I, SECTION 7tg.f:3, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICE FOR €MRRf]VENIENT.S TO YOUR PR©PERTY. A NOTO Of: OOMMENCMENT MUST BE R€caRDED AND POSTED ON THE #i8 SIT€ BEFORE THE FiRST :t+iSPECTION. IF You INTI_ND TO OlrrAlN FINANCING, CONSULT NTH YOUR LENDER OR AN ATTORNEY KFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Under penalty of pedury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief: (Signature of Owner or Lessee, o<OWner's or Lessee s A rued Officee/Dirgctor/Partner/Manager i�VrR r `'�-— (Signatory's rittl€/Office ! 11 0 The foregoing instrument was acknowledged before me this /�daq of 2Q_W gY �\,I� cw- `a-L• # E") y as h1�� fo , - - - - -- - Name of Person Type of authority (e.g. officer, trustee) Party on'behalf of whom instrument was executed (Signature of Notary public = State of Florida) (Print, Type, or Stamp - [ -_- - r Notary Putl0r- State of Florida Charlene Lane i MY Commission GG 173454 Exp+res 04/26/2022 Personally knower_ or produced Identification �• ��L Type of identification produced - 4qo