HomeMy WebLinkAboutBuilding Permit ApplicationAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Develapment Services
Building and Code Regulatian Division
2300 Virginia Avenue, Fort Pierce FL i4982.
Phone: (7721 462-Ls53 Fax: (7721 462-t57 8 Commercial _ Residential X
Address:
PropertyTax lDil:
Site Plan Name:
Lot No. 3Z
Block No. 4n
Project Name: CetC
CONSTRUCTION IN FO RMAT|ON :
Additional work to be performed under this permit - check all that apply:
_Mechanical
_ Electric
_ Gas Tank .
_ Plumbing
_ Gas Piping
. Sorinklers
Shutters Windows,/Doors
Generator Roof Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Constructio ",5 1750.@ Utilities: _ Sewer _ Septic Building Height:
lf value of construction is $2500 or morer a RECORDED Notice of Commencement is required.
lf value of HVAC is 57,500 or more, a RECORDED Notice of Commencement is required.
PERMIT TYPE:
PRO POSED I M PROVEM EI{T LOCATION :
DETAILED DESCRIPTION OF WORK:
OWNERILESSEE:CONTRACTOR:
Phone rvo. 1?2' Y'78 . 0831
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 4rl0 Mrttn e.ll gE
city: &,\m &g , Fl state: FL
Zip Code:Z4rffi rax: 3Zt- 3tZ- 4797
Phone ruo 32t - 11f1 ' 9qrq
E-Mail
State or County t-icense 3Ocl85
Name $r\vtn lnte Name: Tnsharn );velu
City:State: F\
Zip code: 3QQS3 - r.*,
company: flrotessianot G.*de frm-c
SUPPLTMEhITAL CONSTRUCTION LIEN LAW INFORMATIGN:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City:State:
zip:Phone
MORTGAGE COMPANY: __ Not Applicable
Name:
Address:
City:State:
zip:Phone
FEE SIMPLE TITIE HOLDER: Not Applicable
Name:
Address:
City:
zip:Phone:
BONDING COMPANY: __Not Applicable
Name:
Address
City
zip:Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicared,
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 subiect structurewhich ts in contlict with any applicable Home Owners Assoclation rules, bvlaws or and covenants that mav restrict 6r prohibit suchstructure. Please consult with your Home Owners Association and review'your deed foi any iestriCtions Whiih miy adply - ---
ln 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 OWIIIER: YOUR FAILURE TO RECORD A ITIOTICE OF COMMEIUCEMEI{T MAY RESULT IN YOUR PAYIITIG
TWICE FOR IIIIPROVEMET{TS TO YOUR PROPERTY. A ITIOTICE OF COiIiIETTICEMENT MUST BE RECORDED AND
POSTED ON THE JOB S|TE BEFORE THE FIRST TNSPECTEil. tF YOU il{TEilD TO OBTAil\t FtilAIUCtIUG, CONSULT
WITH YOUR LEITIDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEIIICEiIEIUT.,,
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
coUNTY or Sf ^luciC
The forgoing instrument was acknowledged before me
this { aav ot DecembAr , zo 76 bv j:rrr\,,..,i:,v,},
Name of person making statement.
Personally Known OR Produced ldent
(Signature
STATE OF FLORIDA
COUNTY OF BTP-U^'A
The forgoing instrument was acknowledged before me
this { dayot Decenbef .zajr| by
Name of person making state
,
Personally Known Y .On Produced ldentifica
Tvoe of ldentification
Proaucea ilh
ry Public- State of Florida )
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SEA TURTLE
REVIEW
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. CERTIFICATE 0F SURVEY oa0Ei r0. 4555
I IIEREIY CENTIfY IHTI
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FLIT SIfiOIIil MNEOil I3 A IRUE T'ID COIiICT REPiESEilITIIOII Of A SUf,YI? OF THE
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! runrllEi GERTIFY IHAT lutg SUAyEr ]IEEI3 IHE nliltrur rECrfitCrL sTlilolfios fot t fiD SuRvEyl[o lt| IfiEEIAIE 0F fLOilDA(Cll PIEi 2lllH-a FLonlEA ltlilXt3li I|YE CODEIFOn rXE IYPE Of SUfivEy sHoxil rEr8or.
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FTNST CITIZETIS PEDER.AL SAVIHGS & LOATI ASSOC.
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iTOSEPH E. SMITH,
FrLE # 478956L
CLERK OF THE
oR BOOK 4519
CIRCUIT COURT - SAINT LUCIE COUNTY
PAGE 385, Recorded 12/07/2O2O L2t27223 iu
NOTICE OF COMMENCHMANT
Permit No.PropertyTarlllt'lo.3l@
Stare of Fbrida, County of St Lucie
The Underuigntd hereby gives notice that improvemcnt will be mede lo certein real property, ilrd in stcordane with
Chapter 713, Florida Statutel, the following informetion is pnovirlcd in this Notite of Commencement.
f-egal Dercription of property aad addrrrs if avaihble Rirer B.rtt llnritl Alkqn J.a.r.{l frnlo.+{./rrs*
Gcneral description of impnovementr
ow ne r/ lc*see ,1't! il.-{A:l0,
eoores l3t{ f) Daltrnp :[y*. Fyr S* Jrl+4 F] 3tl{Es,
lnteregt' in prropcrty:olr)ne/
Fee Simple Title holder (if othcr &an owner)N/A
Addrc$s
Contractor Phone#
loo'cm tlh lharfinRd SE,Ialrrr Ba(, Fl 3l4O{ Far#
su'ety N/{Pbone# N/A
Addrrw N/A srx* NlA
Arnount of Eond tUlA
I*nder N/r{Phane# AliA
Address NIi tax# illA
Peruons wlthin thcState of Florida designated b-t ()wnerupon whom notices orotlcrrhcuments mey be mrreil as pruvided
by Sectiou 713.13 (a) 7., Florida Ststum:
xrme rJlA
Addrtss hl/r{NIA
In addition to nimsetr, owner de*ignattr NIA
f't/A- . . Phone# Far+ d/[ -.- -. -,
tor€ceileacop_'*ofthcLienor'sNoticearprovidedinScctionTlJ.l3(l)(b),FhridaStatut€$ Expiratinndateofnotice0f
rommercern€nt is one year from the rlate of rtcording unle*s a differcilt date is specified. WARNIIT{G TO OtilNERl
ANY PAllrli\Ts I'IADE B)"I-HI] ()i&\ER --TFTER THr. IXPIRd'nON of lll]. \(rtlc!: (]F ('o\Il\1f]rCE],r].NT,{RE C()fsll)t;l{lrl) L\{PROPLR
CO]\I]I!IiNC:D,:\II,I'T MUST BE Rfifi}FDED,{ID POSTED OIi TI'IE JOB SI'TE BE}'ORE THE FIRST IIi:SPHITION. III }'OI : iN'I]JND TO OBTAN
FI}iANChiG, CONSI]LT WITIi \'Ol,:R !,,1iNDER ()R ",T}i A'I-K)RNF.Y BSFORIi C(I\,TMINCNG lVORii OR RECI}RDING Y01IR }iOTIC$ OFc'orrr.rrixcrrsxr. I rl *-r--T f+-f I i [r-.a-*-g;i* "|".r^/f .J L- "
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Phonc #
Fax #
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Type 6r Print Name of Notary
ac identifrcalion
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