HomeMy WebLinkAboutBuilding Permit ALL APPLICAB E INFO PAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `7 Permit Number: ��
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED a,IPRQVEMENT LOCATION
Address: Wol/ cSPG&C E MVE f�'6& 10/&W E W O-
Legal Description: .11UD1 Wjelll6k 6SMr2C__S-UAJ17'Q7 &Z95-L 87-1& / i ff19
�0Al 6-nn'7&--/YOy) t�
Property Tax ID �3 T0o? -&10-o��v o-wo+ Lot No. /
P Y 77
Site Plan Name: Block No. Ovul'_
Project Name: �L
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIFTiON QF W{JRK
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CONSTRUCTtC7N INFORII[ATION `
Additional work to be nertormed under th is permit-c ec a app y:
11HVAC Gas Tank Gas Piping Shutters a Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers 1:1 Generator 12 Roof S i Roof pitch
Total Sq. Ft of Construction: /�pp, 7 S . Ft.of First Floor:
Cost of Construction:$ I�,�O�6 0 Utilities:]Sewer Septic Building Height:
QUUNER/LESSEE } � CONTRACI"OR 3
Name DA-VI Dpn Tn Name: n�,,
Address:lP/O 4 SMU65 DIP-1 Uer Company: 1A1ft ADfIoV*
City: FoAr /&wg State: L Address: �/J Q1 ��c�d /V
Zip Code: �• Fax: City: �D4TST�C/E State: FL
Phone No.7� -33�- / Zip Code:,?V9r,?- Fax:
E-Mail: Phone No,77-�3 S- SSZ
Fill in fee simple Title Holder on next page(if different E-Mail: k1 QM011e _ / fD rL . C
from the Owner listed above) State or County License: e��. ,�/(o
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
5UPF�LEtVI�NTALC�t7�N5�`RUCTION LIEN�LAUV��N�O'�R�1ViA�TI }� �� ����� � �� g � �� �
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:
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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded 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 Commencem
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/tIcEejeAcilder
STATE OF FLCOUNTY OFORIDA � L"�� COUNTY OFSTATE OF ORI sr DAC/6
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiolk-day of TUI-Y 20 L%y thiscW day of J-1I1-1/ 20 _tJ by
1 MID PhAeOl-r �A+p ffti ci"
(Name of person acknowl edgin 90Ll L_iLP�_
(Name of person acknowledgin
(Signature of Notary blic-State of Florida) (Signatilre of Notary Pub is State of Florida)
Personally Known OR Pr duced Identification ,,L. Personally Known J` OR Produced Identification
Type of Identification Produced &30-I(ot-rp,?a.2V JQ Type of Identification Produced
Commission No. I (Seal) Commission No.FF-q, (33 t (Seal)
erStskleNntarv +PO.- Notari Public State of Fiorida
Kimla J Simone Kimia J Simone
Revised 07/15/2014 � �+` My Commission FF 981331 My Commission FF 981331
or wo Expires 05/18/2020 4 wok Expires 05118/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE n
COMPLETE a
INITIALS
JOSEPH E. SMITH, CLEPOPF THE CIRCUIT COURT - SAIN4WCIE COUNTY
FILE # 4334214 OR B4023 PAGE 2469, Recorded 0 26/2017 12:00:12 PM
NOTICE OF COMMENCEMENT
To be completed when construction value exceeds$2,500.00
PERMIT# TAX FOLIO# 3402-610-0440-000-2
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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 Sta
the following information is provided in this Notice of Commencement. m
LEGAL DESCRIPTION INDIAN RIVER ESTATES-UNIT 09-BLK 95 LOT 1 MAP 34/12S OR 576-1800
6 W4 SPRUCE DRIVE FORT PIERCE FL 34982
GENERAL DESCRIPTION OF IMPROVEMENT: METAL RE-ROOF < -
OWNER INFORMATION OR LESSEE INFORMATION IF,THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
rn O W c
J,
Name: DAVE PARROTT LOAN A PARROT- Phone: 772/ 2-4730 �- N
Address: 6104 SPRUCE DRIVE FORT PIERCE FL 34982 ~
Interest in property: OWNER 04
Name and address of fee simple titleholder(if different from Owner listed above): e N U
t]Z�� W
CONTRACTOR'S NAME:CARDINAL RQ FING&SIDING CO.INC Phone No:772/335-9550 Z a
Address:1601 SE SOUTH NIEMEYER CIRCLE PORT ST LUCIE FL 34952 - U U o
N
�WOD
SURETY COMPANY(if applicable,a copy of the payment bond is attached): O U N _
Name and address: u' — m
Phone No.: Bond Amount: Q — tx p
LENDER'S NAME: Phone No.:
Address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
Name: Phone No.:
Address:
In addition to himself or herself,owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statues.
Phone number of person or entity designated by Owner:
Expiration date of Notice of Commencement:
(the expiration date may not be before the completion of construction and final payment to the contractor,but will be I 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 IMeROPER PAYMENTS UNDER CHAPTER 713 PART 1 SECTION 713.13.FLORIDA STATUTES AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,
WNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT,
Under pe of der u�l deelpelt�a read the foregoing And that the facts stated are true to the best of my knowledge and belief.
Signature of Owner or Lesseee,,��o�_r''Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact
Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of �L 20 //7
By: v� as �wn�r for
Name of perso Type of authority(e.g.office,trustee) Party on behalf of whom instrument was executed
J... �,f A. L low 5r" Personally Known or pra c d identification
Notary's Signatu aIli Type of Identification Produced
(Print,Type,or Stamp Commissioned Name of Notary)
TABLM131dg_ForrnslNew ApplicationsTormANotice Of Commencement.Doex rp�*"4 Notary PubftSUft of FWJU Rev.9115/11
10mia J Sim"
MY CommiW-FF 981331
rrxpires DWI8*020