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HomeMy WebLinkAboutSams Construction-NotarizedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 09-07-2020 Permit Number: Building Permit Application Planning and Deveiopment.5ervices Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITAPPLICATIO"" FOR: PROPOSED IMPROVEMENT LOCATION: /Address: 123 wueen Ann Court, Fort Pierce FI. 34949 Property Tax ID ti: 1 41 4701 02020002 Lot N©. Site Plan Name: Bloch No. 20 Project Name. Valentine Boat Lift DETAILED DESCRIPTION OF WORK: Install 24,000 Lbs bout lift _ New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit–check ail that appiy: _Mechanical Gas Tank —Gas Piping i Shutters _ Windows/Doors Pond Electric _Plumbing _Sprinklers Total Sq. Ft of Construction - Cost of Construction: $ $20,000 OWNER/LESSEE: Generator _ Roof Pitch Sq. Ft. of First Floor: 11ti1itiCS: _ SScv.,cr _ .haptic Building Height: Name J se_rh Vaticnn'4a Address: M L' QU�e c.n �^^ �' City: &u tk*s" -Y-s l4,n State: TIL Zip Code: Fax: Phone Ng. 0 L 35 �s E -Mail: VOL I[Awn- GClM Fill in fee simple Title Holder on next Page (if different from the Owner listed above) CONTRACTOR: Narpe. Cebrone Atkins Company: Samson Marine Construction LLC Address: 402 Lunula Dr City: Sebastian State: FL Zip Code: 32958 Fax: Phone No 772-713-7303 E -,mail Inquiries@ samsonmarineconstruction.co State or County License CGC1517960 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, Address: City: State: Zip: Phone 11-te 5IMPLE TITLE BOLDER: Name: Address: City: ❑p. Phone: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Address: Uty: State: DID: Phone: BONDING COMPANY: Name; Address: City: Zip; Phone: _Not Applicable 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 w+th 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 Commencementmay result In paying twice for improvements to your property, A Notice of Commencement must in 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 apattorney before commencing work or recording our Notice of Commencement. Owner/ Lessee/Contractor as Agent for Owner Srgna `ure of Contra ctor/L1cens He older STATE OF FLORIDA STATE OF FLORIDA 1 COUNTY OF 0sGt0la COUNTY OFnl+� Sworn to (or affirmed) and subscribed before me of 1/ Physical Prese ce or Online Notarization this day of C er 2020 by Joe en Name of person making statement. Personally Known OR Produced Identification Type of Identificatlo kwrrn to (or affirmed) and subscribed before me of Physical Presence or Onlire Notarization t is 7l day of 2020 by Name of person making statement Personally Known OR Produced Identific Type of Identification Produced ;signature Miry Public- State nature of Notar Public- S7, of Florida) �0 i DWIGHT E. MAYRi D m Commission No. �e1�D COMMdSSION GG Ib l r' ~ i mission Nod z " ��� 21.2 2� {Seal)] ��'�� EXl'1R1=5 February rva iv N � W C REVIEWS FRONT ZONING SUPERVISOR ; PLANS VEGETATION SEA TURTLE MANGIrOVIS COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ++ RECEIVED I COMPLETED Permit No. State of Florida, County of St. Lucie NO'T'ICE OF COMMENCEMENT Property Tax ID No. 1`41 V 7 Q � Q La ?Z 60 Z 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 Lot "J" Block "20" Unit 1° Queens Cove Sub General description of improvements goat lift and dockage Ownertlessee Joseph Valentine Address 123 Queen Ann Court Hutchinson Island Florida 34949 Interest in property: Owner Fee Simple Title holder (if other than owner) Address Contractor Phone # Address Fax # Surety Phone # Address Fax # Amount of Bond Lender phone # Address Fax # Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (a) 7., Florida Statues: Name Phone # Address 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.7k3.13, 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 COMMENCING, WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. ,r'\ or Owner's or Lessee's Authorized orncer!Director/ParineriManage)9 Signature Signatory'i litle)Olfice State of Florida, County of © e a, Acknowledged before me this %va. , day of 20 U, by Joe �t�.�+�Ttne is n known to me or who has produced as identification. Signature tory Type or Pr t Name of Not ry (D ©"19 Y^ DWIGHT 0MM ss MAYNARD Title: Notary Public Commission Number �� MY COMNSiSSI©I3 GG961079 %eoF F EXPIu-S: February 23, 2024