HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/15/20 Permit Number:
O
° 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:
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ddress: 501 Barb Ann Lane, Port St. Lucie, FL 34952
Property Tax ID tt: 3426-664-0136-D00-9 Lot No. 140
Site Plan Name: Block No.
Project Name: Starkie
DETAILED DESCRIPTION OF WORK:
Install new double wide mobile home, hook to water & sewer
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
x Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
A Electric A Plumbing
Total Sq. Ft of Construction: 1484
Cost of Construction: $ 7500
_Sprinklers _Generator _Roof Pitch
Sq. Ft. of First Floor: 1484
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name La Buona Vita Co-op Inc
Name: Michael Earnest
Address: 8601 S Federal Hwy
Company: Infinity Renovators LLC
City: Port St. Lucie State: _
Zip Code: 34952 Fax:
Phone No.772-879-4300
Address:4215 SE 1loth Street
City: Belleview State: FL
Zip Code: 34420 Fax: N/A
Phone No352-572-0466
E-Mail: labuonavita@oomcast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail infinityrenovators.11e@gmail.com
State or County License IH11121539
D va ue or construction is Zbou or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: . Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:_
City: State:
Zip: Phone
_
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 m 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 our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
Sighature of Co� or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF Msron
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence orOnline Notarization
x Physical Presence or_Online Notarization
this _day of 2020 by
this rs day of o—ee, 2020 by
Mkneeisarren
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Idendfication
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Prod ced
(Signature of Notary Public- State of Florida)
a ure of tary Public toygyy, OU1° "'
LKCYANN LUSCIER
Commission No. (Seal)
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Commission No. HH` A Ex"101202I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
* Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ict with any applicable Home Owners Association rules, bylaws or anticovenants 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 lender or an attornev before commencing work or recording your Notice of Commencement.
CSignature
of Owner/ ee/Contractor as Agent for Owner
Sig ature of Con or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
,
COUNTY OF A4d l OA
COUNTY OF Neon
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this dayof=nee�.2928 by
this+ day of DKWW 2020 by
m_Lriwlr,aAvst"
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification _
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Pr duced
Produced
ignalure o1yotary Publ - to IoSYdAr�euW¢5uie avlum.
aure of Lary Public Iott��pqyyypp euc Oro n,
INAyCCV9tAqNn�N LUSCIER
Commission No. �% E4pba%'Oe/toaD2s maw
s` M yC1rANN LUSCIER
ommission No. ""M7% 1 Ex�gy�iauoia �195
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. o/o/cu