HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services MAY I ? 201;'
Building and Code Regulation Division PERAITriilG
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 IMPROVEMENT LOCATION:
Address: 10616 Pine Cone Dr
Legal Description: Pine Hollow-unit one lot 5(1.01ac)(or 1348-436)
Property Tax ID#: 2321-801-0005-000-6 Lot No.5
Site Plan Name: Block No.
Project Name: reroof
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove shingles and replace with 5v metal
CONSTRUCTION INFORMATION:
Additional work to e Derformed under this permit—check a apply:
CJHVAC0 Gas Tank Gas Piping Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers Generator R1 Roof 2 Roof pitch
Total Sq. Ft of Construction: 4700 S . Ft.of First Floor:
Cost of Construction:$ 18k UtiIities:cn Sewer❑Se tic Building Height: 22
— P g g
OWNER/LESSEE: CONTRACTOR:
Name Charles Norburn Name: Harold Otto
Address:10616 Pine Cone Ln Company: Otto Built LLC
City: Fort Pierce State:FI Address: 8931 sw Avocado In
Zip Code: 34945 Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 772-600-7028
E-Mail: Phone No. 772-201-1908
Fill in fee simple Title Holder on next page(if different E-Mail: Harold@ottobuilbic.com
from the Owner listed above) State or County License: ccc 1327359
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 Commencement.
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StgfiaturLK&f Owner Les /Contractor as Agent for Owner Signktfre of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF Z t" Lvc%e_
The f eing instrum nt was acknowledged,before me The forgoing instrument was acknowledged before me
this day of 20 L-,-,6y this , ay of YO 20 0 by
' i tlea _ c�i 60
(Name of person acknowledging) (Name of person acknowledging)
(Signaturo No Public-State of Florida) (Signature of Notary Public-State of Florida )
s n OR Produced Identification P onally Known' OR Produced Identification
Type of Identification Produced Type of Identification Produced
G ll� "' ,,
—17 -' 1 ° '"�`�e (SeNIOSTINE MURPHY
Commission No. Commission No. ;° ,•.
:•�• HAROO W.OTTO ;, 8 Notary Public-State of Florida
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E+° Notary Public•State of Florida - Commissio
5 .•=My Comm.Expires Jun 27,201e ark,,••'` My Comm.Expire:Mar 22,2020
Revised 07/15/2 Commission N FF 11 7770
A n -P'ltgo*National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
D to 40
4 GI\' If t ,!rH
7 241?
MAY 1 NOTICE OF COMMENCEMENT
PERMITTING
Permit No. St. Lucie County, FL 2321-801-0005-000-6
Property Tax ID No.
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 pine hollow-unit one lot 5 10616 pine cone In ft pierce fl 34945
JOSEPH E.SMITH,CLERK OF THE CIRCUIT COURT
General description of improvements reroof SAINT LUCIE COUNTY
FILE# 4309638 05/17/2017 0221:12 PM
Owner/lessee Charles Norburn OR BOOK 3997 PAGE 1313-1313 Doc Type:NC
RECORDING: $10.00
Address 10616 pine cone In Ft pierce fl 34945
Interest in property:
Fee Simple Title holder(if other than owner)
Address
Contractor Harold Otto Phone# 772-201-1908
Address 8931 sw avocado In Stuart fl 34997 Fax# 772-600-7028
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 may be served as provided
by Section 713.13(a)7.,Florida Statues:
Name Phone#
Address Fax#
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.713.13 F.S. 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, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
/—?K�
OWner/Lessee,or Owner's or
Lessee's Authorized Officer/Director/Partner/Manager/Signature
Signatory's Title/Office
State of Florida,County of L�4)1,6
Acknowl before a this ,day of 20�,by �G/mac�� 1 S 90/ 60 —/7
who i By who has produced as identification.
ignatiVre of Notary Type/or Print/Name of Notary (Seal)
HAROLD W.OTTO
Title: Notary Public Commission Number I :'��"�e••.,
Notary Public-State of Florid&
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trey Comm.Expires Jun 2J.201!
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