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Home My WebLink AboutMisc,. _� ,. .:1, - ,w_ _, %' _ � � _ - :� `�. �_ i _ 1 .� ` � �. �� _' � .r• 1 � r ��. - � � t` _. _ _ - . _ .��.. _ - f. �-_ ,�� t � - ��. � I '.. / -•1 __._ .�;' � � 4 v. _� • .. ' :l I . :� ._ .- -. _ � l ��, �' Martin County Building Department 900 SE Ruhnke Street ,� Stuart, FL 34994 Phone: (772)288-5916 Fax: (772)288-5911 BUILDING PERMIT APPLICATION ❑ Residential ❑Commercial II boxes highlighted in red MUST' be completed PERMIT APPLICATION FOR: Select froin the clop down list DETAILED DESCRIPTION OF WORK CONSTRUCTION INFORMATION Additional work to be done under this permit- check all that apply: O Air Conditioning ❑ Burglar Alarm ❑ Fill ❑ Gas Line ❑ Gas Tank ❑ Irrigation Sprinkler ❑ Land Clearing ❑ Low Voltage ❑ Electric 11 Plumbing ❑ Shutters ❑ Windows - Impact Resistant Glass Provide all that apply: Total Sq. Ft. for proposed structure under conditioned air: Total Sq. Ft. for proposed structure: Cost of Construction: $ Utilities: El Sewer ❑ Septic Tank Construction Type: IA_ IB IIA IIB_ IIIA_ IIIB IV VA V6 Bldg. Height Bldg. Sprinkler: 0 Yes:'. ❑ No ❑ Protected ❑ Unprotected PROPOSED IMPROVEMENT LOCATION Address: Property ID#: (Found on Tax Receipt or go to www.pa.martin.tl.us —put cursor on "Real Property'Search", click "Address"— follow directions) Subdivision Name: OWNER INFORMATION OR LESSEE INFORMATION (if the Lessee contracted for the. improvement): Name: S L(f ( / Phonelgc:2 -o�.(c7'l9 �p CE-? -A.) C5 A Maili_n_g,_Adddreess: d `• ��i'6�5�LQ City:? 115-P35� B �1 � FI State: �L Zip Code. Email Address: -<AA 17-01J7BU (1i �� rl rn Q• • Ld ax: Interest in property: OWN £.(Z (e.. Owne , essee, Tenant) Fill in name and address of fee simple title holder on the next page (if i ' orOwner listed above): CONTRACTOR'S INFORMATION: Name: Company: Mailing Address: City: State: Zip Code: Email Address: Phone: Fax: Martin County or State License No.: Contract Date: 10% Deposit Taken: ❑ Yes ❑ No Date Taken: Rev. 01-19 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION Designer/Architect/Engineer: ❑ Not Applicable Name Mailing Address City State Zip Phone Fee Simple Title Holder's Name: ❑ Not Applicable Name _ Mailing City Zip Phone Mortgage Company: Name Mailing Address Citv Zip Phone Bonding Company: Name Mailing Address State City Zip Phone ❑ Not Applicable State ❑ Not Applicable State Notice to Owner: There are some properties that may have deed restrictions recorded upon them. These restrictions may limit or prohibit the work applied for in your building permit. It may be to your advantage to check and see if your property is encumbered by any restrictions. Owner/Contractor Affidavit: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit. In consideration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Code 6th Edition (2017) and Martin County Amendments. Plan revisions on all structures exempted by code from architect/engineer design may be done by permit holder. 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 your lender or an attorney before commencing work or recording your Notice of Commencement. 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. S ignattkEof Owner/Agent/Lessee STATE OF FLORIDA 12,01-A�TY U F 5 t -,t Q-1 The foregoing instrument was acknowledged before me this day of, 20_ by � r it �. S N�C7 (Name of Person Acknowledging) (Signature of Notary Public — State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification FV-- I L> L-- (FBC 6th Edition 2017) Signature of Contractor/License Holder STATE OF FLORIDA O b u NTq o'' S --r. Lu C_l I -:::- The The foregoing instrument was acknowledged before me this day of , 20_ by (Name of Person Acknowledging) (Signature of Notary Public — State of Florida) (Print, Type, or Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification Type of Identification Produced ADA Accessibility Disclosure Statement - This document may be reproduced upon request in an alternative format by contacting the County ADA Coordinator (772) 320-3131, the County Administration Office (772) 288-5400, Florida Relay 711, or by completing our accessibility feedback form at www.martin.fl.us/accessibility-feedback Rev. 01-19 Permit Number: Folio/Parcel ID #: Prepared by: _ Return to: NOTICE OF COMMENCEMENT State of Florida, County of Martin 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. 1. Description of property (legal description of the property, and street address if available) 2. General description of improveument l Ll ✓� N tP !GO 0 n 1 E S , , � r..vwcn -�C Tn c17E {'I'I G�t4' �rn PA-�-T sl_.►��S — E�� 3. Owner information or Lessee information if the Lessee contracted for the improvement Name SUTTON RUTH Interest in Property OVVNi=K U-E-kNjZ-'e-hJ 164 Name and address of fee simple titleholder (if different from Owner listed above) Name 4. Contractor WINDOW & DOOR Telephone Number 312-443-8171 5. Surety (if applicable, a copy of the payment bond is attached) 6. Lender Telephone Number Amount of Bond $ Telephone Number. Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes. Name Telephone Number 9. Expiration date of notice of commencement (the expiration date will be 1 year trom the date of recording unless a different date is specified) AUGUST 31, 2041 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE qq��RD ND POSTED ON jQE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 4VIT14 YOU ND OR AN AZIORNEXBEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. or Lessee, or Owner's or Lessee's Authorized Officer/Director/Panner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this _ day of by mond name of person as for Type of authority, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was executed Signature of Notary Public— Stale of Florida Personally Known OR Produced ID Type of ID Produced < 3 �- 7 % --� — �- �LI�L Form content revised: 01123/14 type, or stamp commissioned name of Notary Public OA