HomeMy WebLinkAboutPERMIT = R WILSONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. LCICIE �-
L
Permit Number: a 0 « - ()C
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Roof Repair
Address: 7005 Paso Robles Blvd
Property Tax ID #: 1301-611-0106-000-6
Site Plan Name:
Project Name:
Remove and replace 510 sq ft of shingles at the rear of roof only
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $4000.00
Residential X
Lot No.
Block No.
—Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Sprinklers _ Generator )e Roof Pitch
Name Rakeva Wilson
Address:7005 Paso Robles Blvd
City: Fort Pierce State:
Zip Code: 32951 Fax:
Phone No.
E-Mail:
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Rene Reyes
Company: My Flrorida Roofing Contractor
Address:1140 17th place
City: Vero Beach State: FI
Zip Code: 32960 Fax:
Phone No772-453-7219
E-Mail cs@myflroofingcontractor.com
State or County License CCC1 326546
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.
*T_'Ii__4_0C1 �� Q 6 P - u4y'5
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: 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 ancovenants 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 attorney before commencing work or recording your Notice of Commencement.
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Sig of Owner/ Le—ssee/contr ctor as Agent for Owner
I
Signatue of Contractor/Licente Holder
STATE OF FLO--4- a'RIDA VC-3-1 "�' z-)
COUNTY 0 F-�
STATE OF COUNTY OFFLORIDAr-
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Svkwn to (or affirmed) and subscribed before me of
Svyen to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
I Physical Presence or Online Notarization
this _ day of 2020 by
this a day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known � OR Produced Identification
Personally Known )C! OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florid q
(Signature of Notary Public- State of "o da
Commission No. (Seal)
Commission No.C' (Seal)
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DATE
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23
DATE
COMPLETED
iev.5/6/20
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4791688 OR BOOK 4521 PAGE 2737, Recorded 12/10/2020 01:41:38 PM
NOTICE OF COMMENCEMENT
Permit No. ��� ' (�a`�C� Property Tax ID No. 1301.611-0106.000.6
State of Florida, County of St. Lucie -
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 LAKEWOOD PARK -UNIT 9-BLK 105 OT 28 (MAP 13t01N) (OR 3624-196)
General description of improvements OntMbakside afhOR, replaft sNroes.kvsW^a•s+a% replaw dro.ase. moace sou+.eujaa ftm,
Owner/lessee Rakevah Wilson
Address 7005 PaSo Robles Blvd., Fort Pierce, FL 34951
Interest in property: 100%
Fee Simple Title holder (if other than owner) _
Address
Contractor My Florida Roofing Contractor LLC
Address 1140171h Place. Veto Beach, FL 32M
Phone# 772-453-7219
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 maybe served as provided
by Section 713.13 (a) 7„ Florida Statues:
Name —St Lucie County BOCC Phone # 772-462-im
Address 437 N 7th Street, Fort Pierce. FL 34950 Fax # 772.462-2855
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.713. I3, F.S.. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
CO11Ai£NCERI ENT MUST BE RECORDED AND POSTED ON TH E JOB SITE BEFORE THE FIRST INSPECTIO\. IF YOU INTEND TOOBTAM
FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCIN WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT. ✓
Owa r Ow 's or Les 's Autho Bker/Director/Partoer/tinoagM Sigaatnrr
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Ownek
Stuatoryh TittetOfftce
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State of Florida, County of 3t. Rb
Acknowledged before me this , day of Do-fter 20 20 , by Rakevah Wdson
lie na! r who has produced as identifi
���NO jNi1E t�VI/I
Connie McIver �� G,... dt+C��i,4
gnature of NoraNoraFy Type or Print Name of Notary (SA •1
Title: Notary Public Commission Number 974297
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