HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 4000 N HIGHWAY A1A 1202 Fort Pierce, FL 34949
Property Tax ID #: 1423-503-0022-000-6
Site Plan Name:
Project Name:
Residential X
Lot No._
Block No.
I DETAILED DESCRIPTION OF WORK: I
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: $ Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert & Janet Wood
Name: Ray Reinhard
Address: 4000 N HIGHWAY A1A 1202
Company: HBS, Inc
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone No. 941-268-8900
Address: 722 3rd Place
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No 772-567-7461
E -Mail: janbob5449@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail 772-778-3514
State or County License SCC131151281
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
witlyi$nder or ,�n attorney before commencing work or recording your Notice of -Commencement.
Mev. S/b/ZU
Signature f wner/ Lessee C ntractor as Agent for Owner
Signaturecto /License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
S_��o (or affirmed) and subscribed before me of
S o to (or affirmed) and subscribed before me of
�'(( Ph sical Presen or Online Notarization
Physical Presen or O line Notarization
this gay of 2020 �y
this _ day of 2020 by
W6
Aaa I�UAI hV.
Name of p6son making statement.
Name of person maki g statemq t.'
Personally Known OR Produced Identification
Personally Known 1-1_�OR Produced Identification
Type of I entification
Type of I entification
Produce
Produce
L -n I � 1 _W4
(Signature of Not Publi tate of Florida )
(Signa ti a
"Or Pr"' otary Public ,, ate of Florida
Comm' sio. • Tarrnny C Eng lishSeal
w, 4. • , s ^ 90698
Commission No.. I1
ry Public S � Florida
Expires 01/23/2022
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a Tammy C English
, a Psion GG 306987
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Expires 01/23!2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
V E G
VE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Mev. S/b/ZU
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4737470 OR BOOK 4455 PAGE 2871, Recorded 08/04/2020 11:55:14 AM
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1423-503-0022-000-6
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 VISIONS UNIT 1202 AND COVERED GARAGE UNIT (OR 3549-1085)
General description of improvements Replace (1) Entry Door
0wnpr/Ipsspp Robert J Wood Janet Wood
Address 4000 N AIA Apt 1202 Fort Pierce, FL 34949
Interest in property: Owner
Fee Simple Title holder (if other than owner)
Address
Contractor HBS, Inc. Phone # 772-567-7461
Address 722 3rd Place Vero Beach, Fl. 32962
Fax # 772-778-3514
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 rs provided
by Section 713.13 (a) 7., Florida Statues:
Name
Phone #
Address
Fax #
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. r e /7 .11
Oit'ner/Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/A•fanager/Signature
Signatory's Title/Office
State of lorida, County of Indian River
Ackn. dg�ed ;befor-e.me_this day of 20,&, by
wt�6 is ersonally lmo` #0 pfe or w o has produced as identification.
Signature of No ty Type or Print ame o otary (Seal)
Title: Notary Public Commission Number �aLr % Notary Public slaty or Florida
. Put TaiN4
C r
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—kfil- M Commission GG 906907
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s o, f,,0 EXPlres 01!2312022