HomeMy WebLinkAboutBUILDING PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number,
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) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: Oai g .� d S%- A ``- G 'l .� z
Property Tax I D #: 7 6 S--- 0 l `'l �' �� Lot No.
Site Plan Name: L t'; Vi'' &�� el",-5 4,5 lc 1-e� t S' ���IC L� "? Block No.
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:
_Mechanical _ Gas Tank —Gas Piping —Shutters Windows/Doors _ Pond
_ Electric —Plumbing Sprinklers _ Generator woof r "'� Pitch
Total Sq_ Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ /�j: c;t-6y-) utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 11�4
Name: v00rrJ /°term
Address: e o f- C-
Company:
City: T4r�f- --: > ��'� State:
Zip Code: Fax:
Phone No. 3-3
Address: f_3 Scam- ��L�
+A -
City: 'z-tc�W'-
Zip Code: �� 1/�i �2 _ Fax:
Phone No ? —
State: ( L
E-Mail: i � p1-&! lit _ , f��
Fill in fee simple Title Holder on next page J if different
from the Owner listed above)
E-Mail
State or County License C
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
is required.
is required.
SUPPLEMENTAL CONSTRUCTION,MEN LAW INFORMATION:
DESIGNER/ENGINEER: of Applicable I MORTGAGE COMPANY: of Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
Name:_
Address:
City:
Zip:
Phone:
Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
State:
Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
l 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.
Inconsideration 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 lenler or anxitCo—rn'ev before commencing work or recording,ou -1 otice of Commencement.
as Agent for Owner
STATE OF FLORIDA
COUNTY OF Z- %c
Sworn to (or affirmed) and subscribed before me of
_,,,"Physical Presence or� Online Notarization
this day of S CP 2020 by
Name of person making statement.
/License Holder
STATE OF FLORIDA
COUNTY OF
Swop to (or affirmed) and subscribed before me of
✓ to
Presence or Online Notarization
this day of 2020 by
(�o cvv t!, V1tl�[
Name of person making statement. �stil I I rf f�
Personally Known OR Produced Identification " Personally Known OR Protific`a'ti'at[�
Type of identification Type of identification;OTA.9
Produced Pt bn•,r U se- Produced ��
MyCOMM. I xpires
..
(Signature of Notary Public- rida) Ef)GARA.ESPiNQSA (Signature of Notary Public- Sta* of NorWQ.)GG 47679
<VOi3+jr PlJCley-ji3t?:7t r:oriQa /y� ram. j►•. •'
Commission No. 6 :Seal mmis5ior.= 3G 120547 Om mission No.� CA 6 �� �� L (}<
cr' HiyCOmm.Erflit25JuId.2021 / •�n''��••••• (' \�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE fIViANGROVE
COUNTER I REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE #! 4763209 OR BOOK 4486 PAGE 2965, Recorded 10/07/2020 10:27:27 AM
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ED No.
The Undersigned hereby gives notice that *rnprovement mill be made to certain real property, and in accordauce With
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Aescription of property and address if available 9 Q '2 i{S &i± - a ,n- P� ��- �- • yi d
General description of improvements _--I-
f�xvroerninvt I J A-sa1 < 1 .0 V S ---tz
Address
I;
Interest in property: 4:1'n&4J^17ci�
Fee Simple 'Title holder (if other than oivue3r)
Address
Contractor t cr Phone#
Address #E
c
Surety Phone #
Address Fax ##
Amount of Band
Lenderz TI- Phone #�
Address
Fax #
Persons within the State of Florida designated by (honer upon whom notices or other documents may be served as provided
by Sectioo 713.13 (a) 7., Florida Stages:
Namme Phone 4
Address
In addition to himself,, owner designates
Phone t#
Fax #
Fax #
Of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Fxpiration date of notice of
CgMmkencement is one year from the date of recording unless 3 different date is specified. WARNING TO OWNER-.
ANY PAYNlanS MADE BY THE OWNBiiAFi',ER TBE EXPERATION OF THE NUME OF COTAVVIENCEMENT ARE CONSIDERED 264PROT-E t
PAYMENr3 UNDER CIi713.13, F'S_, AND CAN RE Surf It' YOUR PAYlN-- TWICE FOR WWROV$NIENTS TO YOUR PROPERTY- A NOTICE OF
Coh �TCT 1i1u+ITAt[JST�RRECCRD APIDIOS'FIDOTTTT 30BS1iEB£FOBxI £k[ILS'1IIASPECt3OPi. ]FYOIJINTENDTOUWrAR�
F1NANCA40, CONSULT WITH YOUR LENDER OR AN A 7RNEY BEFr0/ CiNO WORK OR RECORDi�]G YOUR N07iCE OF
Coj%, ;t•ECMENT_ //
ow re, or is or s Authorized OfiicerlDirector/Partaer/Maoegert Suture
St�lcetory's Ti�ie/0i1"irc
State of Florida, County of $j_77
%uric
Acinnow before me this �" clay of ^b r 20 Z o , by .4rr} V,.w, /. 5 j
wh is Wally 111aovvu to me or who has produced �� �: L; ... s. as idenlifccation
cr�6aa A, E 67#1- !;W ..........RA.ESPp4SA
Signature of tart' Type or Print Name of Notary t,,, �kc_Styeo Florit�
"Title- Notary public Commission Number
-6/'?fl6Z;O,-9
Com�n'sDfl� ,
t�yGerm_Exfl!!es lit A.?A71
1Dl:RF.RI'C};RTp']'TIIATTfl65 POPflfEx'f ISi7RrE•1NU CORRFrr COPY OFMY OF}ICIAL REGIRR DR ,•�"'•••., Digitallp sig ned b The Honora351e Joseph E. Smith
DOCL`MlT7 AtD7!lIRT1iD BY L11Y To RE RECORDED OR FILT1IXNDACn1AI.LI' RECORUf:D OR FILM i\ Bate: 2020.10.07 � :38:26 -04:00
�uautFlceornlisr.lee]ecai�ncltRlm'niRculcurrcovxr. - Reason: Electronically Certified Copy
z,,,su>n:.�a sr,uY}rn,cRRen+rnDcscsREoL1ReDRYU+YI'• Location: 201 South Indian River Dr, Fort Pierce, FL 34450
Kitt liTiPk+3Ti.rraCCLIRA.CU?vSERI'10EtiESEKnF1'-OrF1CL+I�RECURDS7Ol:1LiR17ET71L5 OUCl'11E�"C r�..��