HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACC TED
Date: (J LlJ Permit Number:
ICOUNTY
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:
PROPOSED IMPROVEMENT LOCATION
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Address: �!I'�rLQ Qcell
Property Tax ID #: 33a l , '1b L • WL4 "l.l.VLot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION_ FWORK:
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CONSTRUCTION WFORMATION n
Add iticynaI work to be performed under this permit — check all that appiy
_Mechanical _ Gas Tank —Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq.
Sq. Ft. of First Floor: _
Cost of Construction: $ A39 .C(7 Utilities: _ Seweri _Septic
—Windows/Doors
Roof Pitch
Building Height:
01NNERJtESSEE:
CONRAT{}R:
Name 04an, /Yjar 50rcr1
Name: Curtis Sammons
Address:
Company: Custom Air Systems, Inc.
_
City: (',-i- �Qc,e. State: fiL.
Zip Code: 34T�
Address: 1515 SE Village Green Drive
City: Port Saint Lucie State: FL
�Fax:
Phone No. �(l/ o —13 "' ��5
Zip Code: 34952 Fax: 772-335-1968
E-Mail:
Phone No 772-335-3232
Fill in fee simple Title Holder on next page ( if different
E-Mail custairsys@aol.com
State or County License CAC051810
i 1
from the Owner listed above)
If value of construction is $2500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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: Applicable
Name:
_Not
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
structure. Please consult with our . Y p b t such
y 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/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ZueZ_G.
COUNTY OF_ ;.' rn
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this !11 day of �m '� , 202% by
this 14, day of ,5cpkCMb-e Q_, 2020by
/11��'i T/� .J WMOn-5
LUgT/S S/�ir1lylC���
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
Produced
Produced
r�
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida
o{CRY rLe CHRIS7INE B EN
Commission No.(.tist S�S�Lb 2 P
* * MY COMMISSION # G
ISH // ion*,» us, CHRISTINE B
mission No. ary 05a .S�b *� � MYCOMMISSION#
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
rites
v PRODUCT 2t t THE WIZARD Of INK !772; aC?-"1$
- -- o 7'�� Cgs"
CUSTOM AIR SYSTEMS, INC -20 6-1
Air Conditioning - Appliance Repair
1 L T ^ 11 ,
JOB INVOICE
2039
" uIGISC kji dCi I L;T
Port St Lucie, FL 34652
(772) 335-32,32 571.1080
BILL TO
CUSTOMERS ORDER NO.
DATE DERED
ORDERTAKEN BY
DWEPROMISED ^ AM
. ❑ P.M.
AD
PHONE
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ME IC
ELPER
JOB NAME AND LOCAT. I N
[] OAY WORK
DESCRIPTION OF WORK ❑ CONTRACT
EXTRA
UANT. DESCRIPT ON OF M IAL USED •� ' PRICE AMOUNT
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3 .00
0
HOURS
LABOR
AMOUNT
TOTAL
MATERIALS
MECHANICS @
HELPERS @
TOTAL
LABOR
I hereby ac Wledge the satisfactory
com the above described Work. TOTAL LABOR
TAX
DATE COMPLETED
TOTAL
Prepared by and return to
Julie McLaughlin
K Title Company, LLC
8301 Holley Tree Trail
Port St. Lucie, FL 34986
File Number: PR20482
1 Ffl:ftli@Y CERTIFY THAT
THIS IS A Tf ut ico_ E ORIGINAL
(Space Above This Line For Recording Data)
Warranty Deed
This Warranty Deed made this 28th day of August, 2020, between Glenn Rains and Cyndi Rains,
husband and wife whose post office address is 8438 Belfry Place, Port St. Lucie, FL 34986, grantor, and
Ethan C. Soren and Mary C. Soren, husband and wife whose post office address is 8438 Belfry Place, Port
St. Lucie, FL 34986, grantee:
(Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal
representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO1100 DOLLARS ($10.00) and
other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby
acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the
following described land, situate, lying and being in the St. Lucie County, Florida, to -wit:
Lot 21, of POD 28 at the Reserve, according to the plat thereof as recorded in Plat Book 34,
Page(s) 29, of the Public Records of St. Lucie County, Florida; together with: a portion of Lot 22 of
the aforementioned POD 28 at The Reserve being furthermore described as follows: Beginning at
4"x4" concrete monument with disc labeled "PRM 3864" said point being the most Southern
common corner of Lots 21 and 22 thence run South 18 Degrees 03 Minutes 06 Seconds West, a
distance of 28.48 feet to a point thence run North 71 Degrees 56 Minutes 54 Seconds West 17.57
feet to the common line of Lots 21 and 22; thence run North 39 Degrees 42 Minutes 37 Seconds
East along said common line, a distance of 33.46 feet to the Point of Beginning.
Parcel Identification Number: 3327-701-0024-000-9
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining,
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;
that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully
warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever, and
that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2019.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written
Warranty Deed • Page I
Signed, sealed and delivered in our presence:
Wi` ��,.N� e;
Wi ness Name:
STATE OF FLORIDA
COUNTY OF ST. LUCIE
n Rain
Cynd Rains
The foregoing instrument was acknowledged before me by means of physical presence or ❑ online
notarization, this 28th day of August 2020, by Glenn Rains and Cyndi ins.
EtrVJULIE MCLAUGHLIN
Notary public • State of Florida ( at of No y Public - State of Florida)
Commission Y GG 341551
P`. ,; My Comm, Expires Jun 4, 2023 - Sondec through National Notary Assn. ✓U8-- MCLa�.tghftn
(Print, Type. or Stamp Commissioned Name of Notary
Public)
Personally Known_ OR Produced Identification ,
Type of Identification ProducedL1�1�Q/"
Warranty Deed - page 2