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HomeMy WebLinkAboutBuilding Permit r ALL APPLICABLE INFO MUST BE COMPLETED F R APPLICATION TO BE ACCEPTED Date: 5 a•3 Permit Number: • uCigD Y932017 ing 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: S�• ,� a1 PROPOSED IMPROVEMENT LOCATION: Address: --�_ L M Legal Description:a.UcV C> U Roes Property Tax ID#: 3cl u 2 -b 9 -D?2 y -Onn-Q Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: [RETAILED DESCRIPTION OF WORK: 1�e - Q� Lra �- CONSTRUCTION INFORMATION: itiona wor to be performed under this permit-check all that apply: _ HVAC _Gas Tank —Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Ir Cost of Construction:$ /�, Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name c Cm l e- w Name: , 2 Address: \ Company: City:lJr :P State:_ Address: 3 Zip Code: Fax: _ City: '� t5� tVu e State: L Phone No. Zip Code: Fax: E-Mail: Phone No. 5(pl> ��2 - � 2 2 Fill in fee simple Title Holder on next page( if different E-Mail: from the Owner listed above) State or County License: t 6_j©N-4-. If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. AL CONSTRUCTION LIEN LAW INFORMATION: Not Applicable SUPPLEMENTNot Applicable MORTGAGE COMPANY' DESIGNER/ENGINEER: — Name: Address: State: Name: City: Address: State:__ ZIp. Phone: City: �-- Applicable Phone: _Not ZIp. Not Applicable BONDING COMPANY: FEE SIMPLE TITL 11 E HOLDER: _ Name: Address: Name: City: Address: Zip: phone: �--- City: phone: Zip: permit.prior to the issuance of a p prohibit such I certify that no work or installation has commenced p p restrict or is ranting a permit will authorize or and covenants t Leo m which hy h build emay1applyruc structure representation that n our deed for any restrictions St.Lucie County makes no rep erform the work which is in conflict with any applicable home Ow�ers Association sand review y structure.Please consult with y of this requested permit, I do hereby agree that I will,in all respects,p Inconsideration of the granting fans,the Florida Building Codes and St.Lucie County Amendments. roved p oin a full concurrency review:room additions, in accordance with the app applications are exempt from undergoing uses to another non-residential use The following building permit app our paying twice for pools,fences,walls,signs,screen rooms and accessory result in y P Y posted on the jobsite accessory structures,swimming p before Notice of Commencement mu t bWi h lender or an attorney WARNING TO OWNER:Your failure t oRecord a Notice of Commencement m WARN our property. A N cons improvements to your If you intend to obtain financing, before the first insp / commencin ork or recordin our Notice of Commencement. l_ s O Sin ure f Conte trac r License Holder ner Lessee..Contractor as Agent for Owner g signature o STATE OF FLORIDA - Q STATE OF FLORID `v� COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me ' y 20 �by The forgoing instrument was acknowledged me thisR2 day of this Z�_day of �Lt (Name of person acknowledging) (Name of person acknowledging) u (Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known__OR Produced Identification Type of Identification Produced �� Type of Identification Produced I) LA L�ep�USCO Commi .-,.--FiDCIIE17�COZ VELAS Commission No. N GGOWM :•; '= MY COMMISSION A fiGom" '•' my COMMIS810N EXPIRES NowmDsr 28,2M Revised 07/1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGE11 COUNTER REVIEW REVIEW REVIEW REVIb N S4 TOR DATE � 11 COMPLETE INITIALS ►('I IP • JOSEPH E.SMITH,SAINT LUCIE COUNTY CLERK OF T*CUIT COURT AFTER RECORDING-RETURN TO: FILE# 4304713 05/03/2017 01:19:20 PM OR BOOK 3992 PAGE 205-205 Doc Type:NC RECORDING: $10.00 PERMIT NUMBER: NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property,and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1.DESCRIPTION OF PROPERTY(Legal description and street address)TAX FOLIO NUMBER: 3402-608-0345-000-9 SUBDMSION Indian river Estates BLOCK 49 TRACT LOT 43 BLDG UNIT 07 2.GENERAL DESCRIPTION OF IMPROVEMENT' Replace windows and install accord on shutterg replace exterlar Poore,brace gable ends,flash metal roof 3.OWNER INFORMATION: a.Name Michele McLean vie cp b.Address 5307 Palm Drive,Fort Pierce,FL,34982 c.interest in property 100% d.Name and address of fee simple titleholder(if other than owner) 4.CONTRACTOR'S NAME,ADDRESS AND PHONE NUMBER: Gentile Corp,3160 Turtle Cove,west Palm Beach,FL.33411(954)520.0548 5.SURETY'S NAME,ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6.LENDER'S NAME,ADDRESS AND PHONE NUMBER: 7.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,ADDRESS AND PHONE NUMBER: ST.LUCIE COUNTY BOCC,2300 VIRGINIA AVE.,FORT PIERCE,FL 34982 772-462-1400 8.In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: NAME,ADDRESS AND PHONE NUMBER: ST.LUCIE HOUSING DIVISION,437 N.7TH ST.,FT.PIERCE,FL 34950 772-462-1777 9.Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specified) ,20 f1 WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I 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 OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATIA14EY BEFOREEOMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. n ff G.l— Michele McLean Si a wn r or Print Name and Provide Signatory's Title/Office Owner's Authorized er/Director/Partner/Manager State of Florida County of Saint Lucie Yt- The foregoing instrument was acknowledged before me this day of April 2017 By Michele McLean as Owner (Name of person) (Type of authority...e.g.Owner,officer,trustee,attorney in fact) For Michele McLean (Name of party on behalf of whom instrument was executed) Personally Known X CONNIE MCIYER Notary Public-State of Florida Commission M FF980096 Connie McIver ';y My Comm.Expires Jul 29,2020 (Printed Name of Notary Public) (I(Signatu of otary Public) ° Bonded through National Notary Assn Under penalties of perjury,I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief(section 92.525,Florida Statutes). Signature(s)of Owner(s)or Owner(s)'Authorized Officer/Director/Partner/Manager who signed above: ABy: By Rev. (Record'g)