HomeMy WebLinkAboutbashant app and noc All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
9 r.
9 F, c; a n o - �� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2.300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: /G✓
PropertyTax ID#i: � oz —�/— �/ �Ot�a _ Lot No.
Site Plan Name: AGl h1257 7 Z g!!5 S /54t/.00 Block No.
Project Name: 89syiarw� i�C19 J L _ -
DETAILED DESCRIPTION OF WORK:
d _ti
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft,of First Floor:
Cost of Construction:$ Utilities: _Sewer _Septic Building Height-
OWNER/LESSEE: CONTRACTOR:
Name d Lt/ I S1' &-6 Name:
Address:. 14,1 ►L/J!�7T6g�S 1.54 NA9 Company:7 22 e
City: L/-A V c / State: gG Address 6 Sf X2 d fyG /
Zip Code: 2V I,, 7 Fax- City �.q-,t State:
Phone No. 0 5 Zip Code: 3v-,ff Y Fax:
E-Mail: � G / hone No-77 z) z7.v -30 z
Fill in fee simple Title Holder on next page(if different E-Mail / 7Z LEX14XC6,
from the Owner listed above) State or County License 7D(2 7 7
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 INFL)KMAIIUN:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: /-,Y—Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable ONDING COMPANY: Not Applicable
Name: 5 J AF_ ) Name:
Address: "T ddress:
City: N City:
Zip: 7 Phone: _ �y�_,� 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 permitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or an 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 fender or an attorney b fare commencing work or recordink your Notice of Commencement.
Signature ofOwner/Lessee/Contractor as Agent for Owner Signature of Contractor/Li nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Ar) COUNTY OF , T,�✓
Sw,gm to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
hysical Presence or Online Notarization r�Physical Presence or Online Notarization
this�Q day of s- 2020 by this /3"day of�rvek r k�2020 by
Arc
Name of person making statement Name of person making statement.
Personally Known 0R Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pro d Produced Lc
(Sig ature of ary(.lgui is-Stag iso" (Slgnature of Not
`r°•=' ¢ Kot-r}?uotic tate of Florida .••�u�4r';+ �- AUNRT t,CORSO
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Commission No. *° 7 Lim.^„issior ,�r� �}817 ;
T,ExPA4 4,2023 Commission No. :*: :+- Atli
acr�ecthroLgh National NotaryAssn. ?+} IIRRF.8�at29,2M
''w"R!;.• •Bonded Ilru NoErtr 1�61ic IIttQMrriyr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
JOANDRA L JOHNSON
Notary Public-State of Florida
er s�,,:` My Comm,Expires Jan 24,2023
Bonded through National Notary Assn. +!i! &BEUM.CORSO
:.:A-]
.8 MY COMMISSION 0 HH 036M
p`7 EXPRES:August26,2024
rM1y'Baled ltrnt Hotery Pubk lhtd�a lm
NOTICE OF COMMENCEMENT
�/
Permit No. Property Tax ID No.? L 3y�"���7--Q c3 S
State of Florida,County of St.Lucie
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 -
XAMAS . :�., ,r Co.� �T,�a.J // C 6 �.4�►A lI� ��4�`� SN�rz.e
General description of improvements /A/ T� T
'le 1,417—
Owner/lessee v
Address /V T,4Ei,S
Interest in property: -- _�'Z!d�4�Q
Fee Simple Title holder(if other than owner) gra!56L4j g wA5A14.✓T rQ V S,7—
Address
r Contractor r.t %f S! Phone 7 F-ZO-56,
Address .Q 6(r-e &d:a%19' 10 Sfrzr91-AL• Fax#
Surety Phone#_
Address Fax# A a)I r'n00 7(fV rcrrlil/
Amount of Bond__. ��.t7 JOSEPH E.SMITH,CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
Lender FILE# 47SM1604f1af202O1148:01AM
OR BOOK 4478 PAGE 1224-1224 Doc Type-NC
Address 1 RECORDING $1000
Persons within the State of Florida designated by Owner upon whom ii
by Section 713.13(a)7.,Florida Stalin : c1
Name GcJ M5 Phone# .7 2J
Address_,Z64� N.6TTL,!k_S- 164,,9 A:�- Fax#
In addition to himself,owner designates of
Phone# Fax#
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of notice of
commencement is one 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 COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13,F.S.,AND CAN 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 COMMENCWG VIORK OR RECORDING YOUR NOTICE OF
MMMENCMENT.
X IiLJ� ��rSl��
Owner/Lemme,or Owner's or Lessee's Aul4oraed OlBcer,NiredodPartner/Manager/Signature
04We•,e—
SipataryIs 71de/0![ice
State of Florida,County of (y)-gy(h 1-)
Acknowledged before me this�12 ,day of�u 20 �U,by
is personally known to who has produced as identification.
gnature of Notary Type or Print Name of Notary
.ti p►y JOANIAA L JOHN50N
Notary Public-State of Florida
Title:Notary Public Commission Number ; Q; Commission 1 GG 2868+.7
?vr my Comm.Expires Jan 24, 2023
Bonded through Nation+Notary Assn