HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 /06/2020
Permit Number:
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° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:AIVarado Property Services, LLC
PROPOSED IMPROVEMENT LOCATION:
Address: 7401 Lakeland Blvd. Ft. Pierce, FL 34951
Property Tax ID #: 1301-606-0272-0004
Site Plan Name:
Project Name: Alvarado 2010-1650155-09
DETAILED DESCRIPTION OF WORK:
Re -Roof, shingle to shingle, low slope base and cap
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.16
Block No. 69
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof 3:12, 1:12 Pitch
Total Sq. Ft of Construction: 3200
Cost of Construction: $ 14,650.00
Sq. Ft. of First Floor: 3200
Utilities: —Sewer _Septic Building Height: 12ft
OWNER/LESSEE:
CONTRACTOR:
NameBemadine Russakis
Name:Dovonna Roberts
Address:7401 Lakeland Blvd.
Company:lst Class Roofing, INC.
City: Ft. Pierce State: _
Zip Code:34951 Fax:
Phone No.7863500 669
Address:1815 Thornhill Rd. Suite 601
City: Auburndale State: FL
Zip Code: 33823 Fax: 863-634-6031
Phone N0863-324-4043
E-Mail:dimitri@alvaradopropertyservices.com
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail Istclassroofinginc@gmail.com
State or County License CCC1327267
n vajue of construction is eouu or mare, a rmcvnUtU Notice of commencement Is required.
If value of HAVC is S7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: a Not Applicable
Name:
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 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 lender or an atteineyAefore commencina work or recordin our Notice of -Commencement.
k ma!"A—t
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Signatu a of Owner/ Lesse Contractor as Agent or Owner
Sign ure of Contractor/Licen er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF POLK
COUNTY OFPOtK
Savor o (or affirmed) and subscribed before me of
j Physical Presence or Online Notarization
this �l day of N b oe mY . 2020 by
Sworn to (or affirmed) and subscribed before me of
--OPhysical Presence or Online Notarization
this jU day of Novernbex 2020 by
DOVONNA ROBERTS
DOVONNAROSERTS
Name of person making statement.
Name of person making statement.
Personally Known _LI/ OR Produced Identification
Type of Identification
Personally Known —V/" OR Produced Identification
Type of Identification
Produced
Produced
' Fl�a� ublic-State of Florida
Commission N GG 268914
ignature of Notary Pubronded
Commtss(on No. . My &@I xpires Oct 17, 2022Commission
through National Notary Am
(Signs ure of Notary
ryPubliC CHEN ANN REEVES
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_Not Public - State of Florida
No. C)on A GG 268914
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" Bonded through National Notary Assn.
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Electronically Certified Official Record
DOCUMENT INFORMATION
Agency Name:
Clerk of the Circuit Court:
Date Issued:
Unique Reference Number:
Instrument Number:
Requesting Party Code:
Requesting Party Reference:
CERTIFICATION
Clerk of the Circuit Court, St. Lucie County, Florida
The Honorable Joseph E. Smith
11 /3/2020 4:00:20 PM
BAA-DAAB-BCBBB-EH HEHDD-EIG EJ-B
4774733
3001
4AB6B8BF-64D1-CC44-0315-9FCD0C2F8CAC-SF
Pursuant to Sections 90.955(1) and 90.902(1), Florida Statutes, and Federal Rules of Evidence
901(a), 901(b)(7), and 902(1), the attached document is electronically certified by The Honorable
Joseph E. Smith, St. Lucie County Clerk of the Circuit Court, to be a true and correct copy of an
official record or document authorized by law to be recorded or filed and actually recorded or filed
in the office of the St. Lucie Clerk of the Circuit Court. The document may have redactions as
required by law.
HOW TO VERIFY THIS DOCUMENT
This document contains a Unique Reference Number for identification purposes and a tamper -
evident seal to indicate if the document has been tampered with. To view the tamper -evident seal
and verify the certifier's digital signature, open this document with Adobe Reader software. You
can also verify this document by scanning the QR code or visiting
https //Verify .I rk rtify comNerifylmacee .
"The web address shown above contains an embedded link to the verification page for this particular document.
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE k 4774733 OR BOOK 4501 PAGE 41, Recorded 11/02/2020 08:54:14 AM
r NbT10E OF COMMENCEMENT
O Permit No. I Property Tax ID No. 1301-606-0272-000-4
Mate of Florida, County of St. Lucie
The Undersigned hereby gives notice that �mproycn,ent will be made ta certain teal property. and in accordance with
0 Chapter 71.1, Florida Stalutm the rolinwlgg iwfwmafion is provided in this Notice ofCommencemeat.
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l.xy;al Description of property and address if availableEsc. I—. aalRss Lnv ro+E.RN.n w.a.es P.a naxw+
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General description improvements Rao
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O nerflessee Bernadine Russkis e
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Address 7401 Lakeland BWd Fort Pierce FIJ 34951
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Interest in property: Owner
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Fee Simple 1 itle polder (if other than own Ir)
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Address
Contractor 1 sl Glass Roofing, Inc. phone d 863-324-4043
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Address 1815 Them" Rd. Suite 601. Aubu4sle FL 33823 Fax 8
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Surely Phone B
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Amount of Bond
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Pennns within the State of Florida designould by Owner upon whom "tie" or other documents my be served as provided
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Section 713.13 (a) 7., Florida Statues•.
Name Atvarado Property Servkxs, Oknlm AI ado Phone# 788.350-038B
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Addran 1431 Howland BW Deltona FL 32 Fax a
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to addition to himself, owner designates of
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Nit as pTrp�t ided fo Seedon 713.13 (1) (b), Florida Statuto. Expiration date of notice of
to receive a copy of the LItSm 'IN it
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commencement Is one year from the date ofirrtording unlen a different date Is specified. \VARYING TO OWNER:
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ANY PAYMENTS MADE nY TIE OWNER Al'ThR E E EXPIRATION OF TIE NOTWE OF COsVEIE\CEMFNI' ARE CONSIDERED IMPROPER
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VAY%n!NI'S LI.NDER C U.T13. IK F.S.. ANDCAN REb LT IN YOUR PAYINOTWICEFOR IMPROVEMENTS TO YOUR PROPERTY. ANOTCE OF
CONIsiENCENIE.NTNIl151T BE RECORDED AND 3TEUO8'OIE2OBSITE BEFORETIIE FIRST INSPECTION. B YOU INTENDTO OBTAIN
I INANCING. CONSLLT "1111 YMic LENDER OR� d8 ATTORNEY BEFORE COMNIENCLNG WORK OR RECORDING YOUR NOTICE01'
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State or Florida, County of St. Lucia
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Acknowledged Deface me MD 2a day of o1w.r 20 29 , by Bernadine Russakis
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�-" Zs is Pennnally_known tome or who Ns p duced A-m _ rs identification.
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of Nalary Type Print Mom of Notary
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'tilt': {l'ntan' Public Comon"k, Number MY COMMISSION+G02M
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Ix Ru MI ,va rx r.sus uww.110 rI - s1.1In 1. R11IDD. w Digitallyy sigqned byp The 90Il0reble Joseph E. Smith
eN, I'll, ulxwusonl aaluolnxwolw ED" lsn scTnus REaERnraoRnae.s Date: 2020.11.03 15:00:22 -05:00
m1 ill! "TNE?T.111 1 W I LERN oEmE I I.,,, I ME NT
mm is Enaynws RSERmk"WNS.uRusIAEe el uN. Reason: Electronically Certified Copy
I EME.". l+rasaERuoasEnlrsurtxn iaalxEM.vrrora. ms.U.,nma DNS, or". Location: 201 South Indian River Dr, Fort Pierce, FL 34950