HomeMy WebLinkAboutCiprianoPermitApp&NOCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
V/
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: WeC977 D+c*E C,SarT Port f .L"Z�,_ FL- 3 qq a
Property Tax ID #: 341 0032 `DDD' 3 Lot No. (to /
Site Plan Name: Block No. I
Project Name:
f DETAILEO DESCRIPTION OF WORK: �
P4,pyyc. �,SUha�lt Sk:nah; �R.�Ir�.c>✓ Lr�i�(n?uvrt ��
New Electrical Meter Second Electrical Meter
CON`STRO' CTION INFORMATION;
Additional work to be performed under this permit —check all that apply:
—Mechanical _ Gas Tank _ Gas Piping — Shutters ! Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator V Roof Pitch
Tetal Sq. Ft of Construction: 37.70 S& Sq. Ft. of First Floor: _
Cost of Construction: $ 9 4 13 ra 7% Utilities: _Sewer —Septic
Building Height:
iOW N ER/LESSEE:
CONTRACTOR:
Name J06wh g('8
Address: iQ�D 87 ��b�s'yr-•Ter�
n�
City: l'V(1+ S+. utic.;41 State: Fl-
Zip Code: 3g5j.? Fax:
Phone No. 571 -074' O!%3(o
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: %J • U
Company:
Address:3;^YO141hiAus-
City: Port S}.wo;C' Stater
Zip Code: 3L(R5';)Fax:
Phone No .239-3w'Tant/
E-Mail at A0. Xo
State or County License 13319,19
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.
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Planning & Development Services Department"
S"
Building &Regulations Division
Product Review Affidavit
Building Permit #
owners Name oSeQh Ospr; t ram[) Applicant: {�a.1r�Mer{ZOD%t1�caY 5 1h
Product
Opening Design
Pressures
Product Rated
Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
Method of Attachment
Windows
Mullions
Fixed Glass
Block Glass
Skylights
Sliding Glass Doors
Swing Type Doors
French Doors
Garage Doors
Hurricane Protection
Roof Ventilation
�,
ass�o.a
ar
-.
w-�►snus
.Roofing Material
-1Q�KV
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�Z. 18.3 S-R
v�{ �1-NaitS Tno, � 3
Revised 07/22/2014
I have reviewed the above components or cladding and I have approved their use in this structure. These products provide adequate resistance to the
wind loads and forces specified by current code provisions.
Name: Signature: seal
Design Prof: Cert. No. Date-
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE UUUNTI
FILE # 4807553 OR BOOK 4541 PAGE 2428, Recorded 01/22/2021 08:48:53 AM
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 3`4L!5-- -70rO-0Q3;t 00V —3
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
Qtrga tnag �
,�pIg-E' QtkC j 1.A 1fol 0 aris � COR 3a7b-l3cll� 3otDU-357�
General description of improvements �+ R
Owner/lessee 305wh .� C. rb
Address (P(Al Por-t Sf . (.A-ez t ,P I— 3 yQ S--A,
Interest in property: o n e-
Fee Simple Title holder (if other than owner)
Address LL''
Contractor L MfM*,f Revs-fsria�-Ror. XnC. Phone# 235 - 30D'gaQ H
Address 3pl0 i tits A.t,. P,*,rf sf • t,"; t— rl— 3 q9s;;i Fax #
Surety
Address
Amount of Bond
Lender
Address
Phone #
Fax #
Phone #
Fax #
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name Phone #
Address
In addition to himself, owner designates
Phone #
Fax #
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.713.13, F.S., AND CAN RESULT N 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
Owner/Less or Ow is or essee's AulEorized Officer/DirectorlPartiier/Manager/ Signature
Signatory's Title/Office
State of Florida, County of Si . (.t e u e-
Acknowledged before me this day of —"IA" _ 20 A;LL, by 10s1h��l pr►a wy ,
who's personally known to me or who has produced as identification.
2(sor�ol �Jd �iGr)
Signature o Notary Type or Print Name of Notary Seal)
inn Deimeeico
Title: Notary Public Commission Number Cl-em 1 (Sl 3' $410tvi
NOTARY PUBLIC
STATE OF FLORIDA
Comm#GG165136
Expires 12/4/2021