HomeMy WebLinkAboutrapini permit and nocAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
O
�_X"`� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: 1
Address: �� �t �� C ''(' C '1 ! L 4��j �Y�i i e f ,
Property Tax ID #: `1 a • (P C) \ - N-IT ' Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
_t v1-A'e�_"�' _Cf 1�A1
New Electrical Meter Second Electrical Meter 1'
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that a ly:
_Mechanical _ Gas Tank _ Gas Piping _Shut rs _ Windows/Doors _ Pond
Electric Plumbing _Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of Ir
st Floor:
s:
Cost of Construction: $ Utilitie_ Se _ Septic Building Height:
OWNER/LESSEE:
CONTR
CTOR:
Name vr\
Name:
`C
Address: 2L(D OW\'D{ s�t� �3��
City: 'SP!f1St6� tC ,.. State:tL-
Zip Code: Fax:
Phone No.
E-Mail:leCY
Compan
Address:
City:
Zip Code���,
Phone N
State:'
Fax:
3/3�� ti
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail 0�L CO
State or County License
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 1115 required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAT
ON:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: — Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: ,
Address:
City:
city:
Zip: Phone:
Zip:
I Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtai;ti a permit to do the work and installation as indicated.
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 goncurrency 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 p rty. A Notice of Commencement must be recorded in the public records of St.
Lucie County and poS d th jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an a orn bef re commencing work or recordipaour Notice of Co mencement.
Signature of Owne as Agent for Owner
Signature f Contractor/Lic se Holder
STATE OF FLORIDA jj
STATE OF FLORIDA
COUNTY OF %� IA__
COUNTYOFi��lriL&—L6—
Sworn to (or affirmed) and subscribed before me of
AL Physical Presence or Online Notarization
this i1 day of c u1 2020 by
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this dayof c 1`7 2020 by
�2'k
C 7 41
-<p �� & 0 (�
Name of person making statement.
Name of p rson making statement.
Personally Known OR Produce I n ifi a 'o
P s n 1 Known `C OR Pro
to
2
, 2
Type of Identification CHR15TIN
Produced '� .' NotaryPubitc-SalF
commission
? +fi ` h.y Comm. Expir
yb)VWe o I ntification _ C6,9STiNEYOW
2/- =:: NC'd".'��'ri�-S;aaof
1810 h �' Ca^ •ss cn u �,G 3�
Apr 2 , 2 2 I �_ � �f; ` "_ � l'y Exo r?s Apr 2
al N ar As :^
(Si nature of Notary Public- S ate of Flo B TH FITTER
TTARNER
No. (s 1426391
gam. r of Notary P ic- State o F on
$ TT ARNER
Commission N6391Commission
270 ZpARKWAY
2701 VISTA PARKWAY
SUITE A3
WEST PALM EACH, FL 33411
REVIEWS
FRONT
WEST PALM
Jfft$g.CHR
BEACH, FL 33411
s§6r fft�R31
1 PLANS
VEGETATION
CONTACT:
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
7
e v.
NOTICE OF COMMENCjEMENT
Permit No.
State of Florida, County of St. Lucie
Property Tax ID No. 4502-601-0017-000-0
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 ISLANDIA I CONDOMINIUM UNIT 303 (OR 4062-1400)
General description of improvements INSTALLING A NEW MOEN PdSITEMP MIXING VALVE
Owner/lessee DUANE RAPINI
Address 9550 S OCEAN DR, UNIT 303 JENSEN BEACH, FL 34957
Interest in property:
Fee Simple Title holder (if other than owner)
Address
Contractor BATH FITTER SOITH FL LLC.
Phone # 561-333-3101
Address 2701 VISTA PKWY, A3, WEST PALM BEACH, FL 33411
Fax # 561-689-2815
Surety
Phone #
;U o „ W C-
Address
Fax #
MMF 0
o °o - ( a
Amount of Bond
.Ai C
z A 0 m
Lender
Phone #
*� , W " 3
m
Address
Fax #
C, g0 c
g N N - m
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as t
o
by Section 713.13 (a) 7., Florida Statues:
N
Name
Phone #
it m
Address
Fax #
r�s
In addition to himself, owner designates
� c
n 0
Phone #
Fax #
y
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWr
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOI4llIMPROVEMENTS TO YOUR PROPERTY. A N
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFO E THE FIRST INSPECTION. IF YOU INTEND 7 —
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTQ EY 13EFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
or Lessee's Authorized
Signatory's Title/Office
State of Florida, County of 2a. e- l
Acknowledged before me this _ 01*`- _, day of Ck` — 2 I tLC , by
who ZZ
personally known to me r who has produced
/Z ' ��11
Signature o Notary Type or Print Name i f Notary
Title: Notary Public Commission Number G1( �,)Dcl
Signature
identification.
(Seal)
CuA.STI+.E YOW
Notary P;.bI;C - Su:� of Florida
t yx
Cor^^ :s� o^ GC, "r7Q24
~`Eors� m
ti',y C--r-.=ra''es Apr 28 2022
\a:vc,�ai Aatary Assn_