HomeMy WebLinkAboutApplicationAll APPLICABLE i FO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
&19
NO,
f1IL ° & _ 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) 452-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: _5,2_3q Alitl,. �, "W . �- ." r" zYmCf
Property Tax ID #: Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
Block No.
_Mechanical — Gas Tank —Gas Piping , Shutters Windows/Doors __,_ Pond
lectric _ Plumbing ,Sprinklers _Generator _ AZA Pitch
Total Sq. Ft of Construction: -3 -3-7--q 5q. Ft. of First Floor: A! A
Cost of Construction: $ 1 1 6 00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name � -ez
Name: ; -
Address: 3L.3V f`;4F'
Company: lyleKS ftrr S. �
Address: 5–+
City: State:rz_
Zip Code: _ Fax:
City: btu ov t S/tate- /C4L
Phone No. 772- Z47 d Z5-;`
Zip Code:- 7'M 7 Fax:
E -Mail:
Phone No 772–
'fill in fee simple Title Holder on next page (if different
E -Mail G
from the Owner listed above)
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 is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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.
5t. 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
with lender or an attornev before commencine work or recording your Notice of Commencement.
Kev. 5/6/15
Signatu a of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to for affirmed) and subscribed before me of
Phxsical Presence or Online Notarization
'
Physical Presence or Online Notarization
this day of iP oLcn aeA' 2020 by
this _ day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produc p L Lta i1 LCW\
Produced
(Signof (iota
(Signature of Notary Public- State of Florida j
JENWER 0. LEWIS
Co fission No.
:M _ 111104
Commission No. (Seal)
-
y June 9E,
'•..���
emdeen,�uroyir�r.a�ur�as�ots
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/6/15
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4740.35 OR BOOK 4459 PAGE 895, Recorded 08/11/2020 09:08:11 AM
Permit No.
State of Florida County of 5t. Lucie
NOTICE OF COMMENCEMENT
Tax Fvlfo No. 4436-510-0022-000-7
The undersigned herebygives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes,
the following Warmation is provided in this Notice of Commencement,
Legal Description of Property: (and street address if available);
EDP WAT 2244- 2�
General description ofimpravement: INTERIOR REMODEL
Owner information or Lessee information if the Lessee contracted for the improvement:
Name
Address _3239 M Pedffietef , FL 3.4990-491_
frterest in property:
Name and address of fee simple titleholder (if different from owner listed above):
Contractor'
Contractor
Surety (if applicable, a copy of the payment bond Is attached): Amount of bond;S
Name and address: N/A Phone number:
Lender Name: N/A Phone Number;
Lender's address:
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section
7T3.13j1j {a)7., Florida Statutes:
Name: N/A Phone Number:
Address:
In addition to himself or herself, Owner designates N/A of
Lienor's Notice as provided in Section 713.11(1) (b), Florida Statutes
Phone number of person or entity designated by awner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may net be before the completion of construction and final payment to the
contractor, but will be 1 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 COMMENCEMENTARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 733.13, FLORIDA STATVrE5, AND CAN RESULT 1N YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SPIE 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.
Under penalty of perjury, I declare that I have read the foregoing noti c mencement and that the facts stated therein are true to the best of
my knowledge aAd belief. c --r
of Owner or Lessee, or Owner's or Lessee',41-uthoriaed
OWNERS
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this day of , 2(W
DAVEmOwU
CornniWffl # GGf1Mq
ExprreaMaya. X29
(ended7I0T1eyFainIap 1iIQ1UMW7Al6
BYE as fit.+.? $ for
Name o rson Type of authority(e.g. officer, trustee) Party on behalf of whom instrument was executed
Personally knownor produced Identification
(Signature of Notary Public - State of Florida} ffffff "''''""""""
(Print, Type, or Stamp Commissioned Name of Notary Publicl Type of Identification produced