HomeMy WebLinkAboutBuilding permit page 2CONSTRUCTION LIEN 1AW 1
DESIGNER/ENGINEER: _ Not Applicable
Name: J. Scott Baruch & Associates, Inc.
Address: 178 Beacon Lane
City: Jupiter ! State: Florida
Zip: Phonese1a6aa224
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Al
Name:
Address:
City: State:,!
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 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 RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Licen er
STATE OF FLORIDA 0 �
STATE OF FLORIDA
COUNTY OF fi �tte,L
COUNTY OFsaarLucie —
The forgoing instrw ent was acknowledged before me
The forgoing instrument was acknowledged before me
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this9A0 day of, _ 20.16 by
this 2 t day of . 20 ;eby
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known --V—/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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REVIEW
REVIEW
REVIEW
DATE
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DATE
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All APPLICABLE INFO MUST E
Date: December 4, 2019
FOR APPLICATION TO BE ACCEPTED
Permit Number: 7 (3"O
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROP,OSEDi'IWIPROVEM`ENT"LOCATION.
Address: 855 SE Corto Terrace, Port St. Lucie, Florida 34984
Property Tax ID #: 3419-550-0060-000-3
Site Plan Name: River Park Unit 7
Project Name:
DETAILED DESCRIPTION.OF WORK:
Conversion of Existing Carport to Enciosed Garage
CONSTRUCTION INFORMATION:
Lot No. 9
Block No. 66
Additional work to be performed under this permit— check all that apply: �/�
—Mechanical _Gas Tank _Gas Piping _Shutters `i� Windows/Doors
W Electric _.Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 256
Cost of Construction: $ 5,500.00
Sq. Ft. of First Floor: 1135
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE;; ;
'.GONTRACTOR:
Name Keysmer Moonsammy
Name: Charles D. Kerns
Address: 855 SE Corto Terrace
Company: Kerns Construction & Property Management Corp.
Address: 540 NW University Boulevard, Suite 204 ,
City: Port St. Lucie State: _
Zip Code: 34984 Fax:
Phone No. 772528-2441 i
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: 772-209-770077
Phone No 772-985-5015
E-Mail: keysmer@bellsouth.het
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail kems02@aft.net
State or County License 27133
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.