HomeMy WebLinkAboutShutter Permit Application - 4806 TalbotAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: o'
FO:�. )�(- Permit Number:
COUNTY
F L O R I D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: S /� '' J
Y4rs'
Address:
Building Permit Application
Commercial Residential_
C�-
Property Tax ID #: J 3� - t)V1 - - c -'b- (' Lot No.
Site Plan Name: Block No.
Project Name: t'\\
DETAILED DESCRIPTION OF WORK:
FNSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping yShutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ IFIL A
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height: -L I -
Name C2
Address: LA 4,
CityXL ��C.,ce State
Zip Code:24;t Fax:
Phone
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:
Company:0r\C6<-V-\\-
Address: K
City: State's
Zip Code: 'IA9-7 a. Fax:
Phone Nom x 7(n3 -7SS',-)
E- M a i I 'C' -(YlQFSEC 1(7-) U (y -Y3\\ 0C-C-NXl
State or County License CCO_1o1(01(�4A 4
I� If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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.
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."
Rev. 2///19
Signature of Owner/ Lessee/Con ctor as Agent for Owner
Signature of Contractor/License Ileer
STATE OF FLORIDA
STATE OF FLORWA
COUNTY OF
COUNTY OF Mae
The forgoing instr ent was acknowledge befor
this day of 2� by
mei"' "•
m :a'!':
The f g instru ent was acknowledged before me
this day of 20� by
Name of person making statemen .
g 3 3
Name of person making statement.
3 3. c
Personally Known OR Produced Identific
i� s A
Personally Known R r e I f'
Type of Identification
9 a $
Type of Identification 4� p�,, caNDi C icOEDaM
Produced 1',(0- 22�s2'��
Z � N o
Produced . r Public • State of Florida
°
/�� l.a• commission q GG 226278
'.'tom Jun 13, 1022
N
1�17'Add$' My comm. Expires
AA I
N
Bonded through National Not assn.
ignature of N Public- State of Florida)
(Signature citAotary Public- State of Florida )
Commission No. r (Seal)
Commission Noir-4- _22q2�) 9 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///19
Permit No.
Tax ID No. ���i-� `:)C A -
-11z- NOTICE OF COMMENCEMENT
STATE OF LCC.1 � (- \
COUNTY OF 7)C ie
THE UNDERSIGNED hereby gives notice that improvement will
accordance with Chapter 713, Florida Statutes, the following
Commencement. 1
Description of orooertv (legal descrintion of the ,�
nrnnartn4 onnat
General description of improvement
Owner's interest in property
Name/address of Fee Simple Title holder (if other than owner)
_ Contractor name and address ffi SSL_
Phone Qk,, ri
Surety name and address
Phone # / Amoun
Lender (Name and Address) _
i Phone #
be made to certain real property, and in
information is provided in the Notice of
Fax # (o
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT
SAINT LUCIE COUNTY
FILE $t 4756886 09/22/2020 08:31:35 AM
OR BOOK 4479 PAGE 869 - 869 Doc Type: NC
RECORDING: $10.00
'2 cjq
IQtce) F1�
N (,V I �O-V,
Persons within the State of Florida designated by Owner uuu-umems may De -S& e -3J
as provided by Section 713.13 (1) (a) 7, Florida Statutes:
Name and Address
Phone # Fax # (optional)
In addition to himself, owner designates
to receive a copy of the Lienor's Notice as provided in
Section 713.13 (1) (b), Florida Statutes. Phone # _ / of person or entity designated
by owner.
Expiration date of Notice of Commencement (the expiration date is one year from the date of recording
unless a,different date is specified)
1(�// Z, ) /" 4 4c�� 4�9
Sig atur f Owner Type or Pit1t Name of Owner
TqE FOREGOING INSTMENT WAS ACKNOWLEDGED BEFORE THIS DAY OF
X = " 20 •.tel ` BY CCS - - WHO IS
PERSON LLYKNOWN TOME OR WHO HAS PRODUCED AS IDENTIFICATION.
IMA 1 U- I. f mot r? ,� Psom BOLES
SIGNATURE OF NOTARY NOTA 13 Pffift&Septembw14,2121
hof np? Bw d TIn eww wary &M"
WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION
713.13, FLORIDA STATUTES, 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
COMMENCEMENT.
C:\Users\Fa.ve Huffman\Desldop\FORMS for Bldg. Dept\Notice of Commencement Rev June 2011.doc