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HomeMy WebLinkAboutBuilding Permit App NOC SLCAll APPLICABL INFO M ST BE COMPLEi'ED FOR APPLICATION TD BE ACCEPTED
Date: � 2 9 �
Permit Number:
� o ,,Ci.. D t�-- �.�--°
Building Permit Application
Planning and Development 5erukes
Building and Code Regulation t?ivision
2300 Virginia Avenue, Fort Pierce FL 3498Z
Phone: {772} 462-1553 Fax: {772} 46Z-1578
Commercial
Residential X
PERMIT APPLICATION FOR: Hurricane Shutters
PROPOSED IMPROVEMENT LOCATION:
Address: 4708 Buchanan Drive
PropertyTax ID #: 3402-60b-0082-000-8 Lot No. 17
Site Plan Name: Block No. 36
Project Name: Isom
DETAILED DESCRIPTION OF WORK:
install 9 Accordion Shutters
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATfON:
Additional work to be performed
under this permit —check all that apply:
_Mechanical � Gas Tank
_Gas Piping � Shutters __._Windows/Doors Pond
Electric � Plumbing
_Sprinklers _Generator _.-__ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 2,700.00
Utilities: � Sewer � Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard &Carol Isom
Name: John Zervopoulos
Address: 4708 Buchanan Drive
Company; Advanced Hurricane Protection
City: Fort Pierce
State:
Address: 4517 SE Commerce Ave
Zip Code: 34982 Fax:
_
City: Stuart State: FL
Phone No. 772-332-8999
Zip Code: 34997 Fax:
E-Mail: C1�71@aol.com
phone Na 772-220-'i200
Fill in fee simple Title Holder on next
page (if different
E-Mail John@AdvancedHurricane.net
from the Owner listed abovej
State or County License CBC�259339
IF ..,1. ..1 .. ..i_..
-- -_.__ _. __.._.... ..,...� �..,,., .,� .�,�, e, a ..�4.,nu«, i�uz�ce vi wmmencement is required.
If value of HAVC is $7,500 or more, a RECORC#ED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: � Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Narne:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE WOLDER: _Not Applicable
Name:
BONDING COMPANY: _Nat Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
A►Lil�[rnl �e�w��.. ,. ..�.....
zip: Phone:
vwv iv�n/ tL.V�Y 1 RHI. 1 LK HI^FIUV I I :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.
5t. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build fine subject structure
which is in contlict 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.
Inconsideration 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 fallowing 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 paying twice for
irr�provements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and pasted on the jobsite before the first inspection. ff you intend to obtain financing, consult
with lender or an attorne�ef�r�,commencin� wnrk nr rarnrrlina \lnlli' Nntiro of rnw�m sF,ro Pon c. r.�
�411\. 4..1111LI1L.
Sign a of er/ Lessee/Contractor as Agen#for Owner
Sign e of C tr tar/License Holder
S ORIDA
ST E FLORIDA
COUNTY OF M�rt��
COUNTY OF nna��n
Sworn to (or affirmed) and subscribed before me of
Sworn to {or affirmed} and subscribed before me of
x Physica! Presence or Online Notarization
x Physical Presence or Online Notarization
this 3rd day of June .� 2pZp by
this 3rd day of June , 202o by
John Zervopoulos
John Zervopoulos
Name of person making s#atement.
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—� � �
A
(Signature f Notary Public- State of Florida
(Slgnatu of Notary Public- St F a Ida
.►9'" ° Nota��C�p�ub If State of Florida
�l)mmlSSlon No. GG13339 0 � MeiiSb�`R1L�w41ifl
My Cammiss�on GG 133385
r y
Commission NO. GG133395 =°� � ��� PuD,;c State of Fforl
sa A EwOldt
., o
'fir 0� cxplres 0811012D21
�, �
yif
Ez Commisstan GG 13339
°��
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
M
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETE D
ev.
NOTICE OF COMMENCEMENT
Permit No. Tax F'alio Na. 3402-605-E3U$2-000-8
Slate of Florida County of St. Lucie
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 Oescri lion of Property: (and street address if available
Inelpian River Estates -Unit t14-BLK 36 �ot 'f7 (47�8 Buchanan Dr
General descYiptian of improvement: Instal) ACCOfdiOn Shutters
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
gwner information or Lessee information if the Lessee contracted far the improvement: FILE # 4722B68 06/25I2020 11:51:13 AM
Name Richard &lor Carol Isom OR BOOK 4436 PAGE 24at - 2401 Doc Type: NC
Address 47©8 Buchanan Driv__�, Ft.PierGe. FL 34982 RECORDING: $10.00
Interest in property: I`lOmB 01ii/ner5
Name and address of fee simple titieholder {if different from Owner listed above]
Contractors Name: Advanced Hurricane Protection
Contractor Address: 451% SE CommerceAytp,,,,Stuart 34997 ,_� Phone Number: 77'�220-9200
Surety {if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: __ Phone number:
Lender Name: _
Lender's address:
Number:
Persons within the State of Florida designated by gwner upon whom notices or other documents may be served as provided by Section
713.13(1j (a)7., Florida Statutes:
Name:
Address:
Phone Number:
In addition to himself or herself, Owner designates
Lienor's Notice as provided in Section 713.13(1J (h}, Florida Statutes.
Phone number of Berson or entity designated by owner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of cpnstructivn and final payment tv the
contractor, but will be 1 year from the date of recording uniess a different date is specified)
WARNING 70 OWNER: ANY PAYMENTS MRDE BY THE OWNER AFTER THE EXPIRATION DF THE NOTICE OF COMMENCE MENT ARE CONSIDi=REl7
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTIDN 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
I MPROVEMENTS TD YOUR PROPERTY. A NOTICE OF CgMMENCENIENT MUST BE RECORDED AND POSTED ON THE JOB 5fi'E BEFORE THE FIRST
INSPECTION. iFYOU INTENDTO OBTAIN fiNANCING, CONSULT WiTM YOUR LENDER DR AN ATTORNEY BEFORE COMMENCING WDRK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, l deciare that !have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my ke arld belief_ �
Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
Home Owner
(Signatory's Title/Office]
i� ���1
The foregoing instrument was acknowledged before me this day of� , Ziiu,{
By, ' _cha,� �. _� �p�i � as Home Owner for Adr►anced HLirricane Protection
Name of Person Type of authority (e.g. pfficer, trustee] Party on behalf of whom instrument was executed
�. �—s
(Signa re of Notary Pubiic -State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Pubiic}
Personall known or produced Identification
° is State of FEpnBa
Type of eyp I 1 - <n �ii tPe'i�`
e �ssa
a Icy Commission GG 133395
�ar�a� Expkres OSr1Q12021