HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST
r B��E COMPLETED FOR APPLICATION TO BE ACCEPTED % Y,
Date: / / Permit Number: C%V
Building Permit Application MAY 2 3 2017
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: Other ,"�?r �_E_ v N 0
PROPOSED IMPROVEMENT LOCATION:
Address: 5077 Tree top Trail
Legal Description: see attached
Property Tax ID #: 1418-213-10010-000-3
Site Plan Name: J : \ A1\
Project Name: _� V�, r n
Setbacks Front 12 0 / Back:
Li
DETAILED DESCRIPTION OF WORK:
Building a pole barn 24 x 72.
Right Side:./ Left Side: f% L
rYl rTtCtL JZT-D '
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under
�HVAC Gas Tank
this permit— check
❑Gas Piping
all apply:
_ Shutters
❑ indows/Doors
Electric ❑_ Plumbing
�S
nklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 1728
S . Ft. of First Floor:
Cost of Construction: $ 8,000.00
Utilities:
Sewer
El
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jill M shirin
Name: Jared Modine
Company: Cole Construction
Address: 5077 Tree Top Trail
City: Ft. Pierce State: FL
Address: 497 S. Brocksmith Rd.
Zip Code: 34951 Fax:
City: Ft. Pierce State: FL
Phone No. 772-332-0709
Zip Code: 34945 Fax:
E-Mail: pippilina@aol.com
Phone No. 772-519-0558
Fill in fee simple Title Holder on next page ( if different
E-Mail: coleconstruction@hotmail.com
from the Owner listed above)
State or County License: CGC1520537 LL 7
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/EIj INEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
,
Name: 4 v
Address:
City:
Zip: 3 PhAon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Name: _
Address:
State: L City:
>-9 $S Zip:
x Not Applicable
State:
Phone:
BONDING COMPANY: Y Not Applicable
Name: _
Address:
City:_
Zip: _
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 wokk or recording vour Notice of Commencement. /1,
of Owner/Lgss*/'Contractor as Agent for Owner
STATE OF Fl
COUNTY OF
The forgoing instrument was acknowledged before me
thhQ L day of 4 20 LLby
Holder
STATEVV FLORIDA
COUNTYOF, SA Lw t f
The forgoing instrument was acknowledged before me
thisc� day of ( 20 11 by
1 :S; 11 o7il;(; n \n(-eA M0Ao %-ae
(Name of person acknowledging) (Name of person acknowledging )
(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 Prodlgcgd_,. _:,,r, „�r.� Type of Identification ProdVo....
Notary Public tale of Florida ypy Nola
Commission No. sti D Pal) Commission No.r f mate of Florida
• Crist Pa
y N a My Commissar FF 193030 �P My Commission FF
+� Exoires 01126/2019 or a Exo1m. n,, ._. 193030
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEVY
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK THE CIRCUIT COURT — SAINT E COUNTY
FILE # 4316482 OR B00�004 PAGE 2957, Recorded 06/ /2017 03:10:23 PM
NOTICE OF COMMENCEMENT
Permit No. _ / 1_ 0 5, - 0 5o y Tax Folio
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 street address if available): —077 71«
l 39 S/D S y �N�% d/,t%W i ./N/Z �S�r �t�y1'��✓NEG'�1,1/iy�sr Y/,f -20-0010-oe0-2
General description of improvement: G l IJ Ct I fl
W
Owner information or Less information if the Lessee contracted for the improvement: Q
Name {i. /, n rn e
Cie
Address __. O7 /r ee /A/9 1,c,' rn O j
Interest In property: owriA
Name and address of fee simple titleholder (if different from Owner listed above): IO
U
►—
Contractor s Name: Z;= cc W
Contractor Address: Ifii 7 _S m '17 _ PhoneNumber: 7/7 .5-i9 05 F O OZ I+ O a l
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Surety (If applicable, a copy of the payment bond is attached): Amount of bond: $ 'L W 0 0 Q
Name and address: Phone number: O _ Q Z'O
F J y W
Lender Name: Phone Number: h H sk O co
address:
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section
J13.13(1) (a)7., Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself, Owner designates of to receive a copy of the
Lienors Notice as provided in Section 713,13(1) (b), Florida Statutes.
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 1 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 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. IFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge and belief.
(Signature of r orr�Lessffeee,, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
W 1'UX'� _
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this day of M A e , 20ll ,
By `\ 1 t, �)� C, , A as OLOr1 P r for C7 L�Jn c' r
Name of Person Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
QdQ,t rr m
(Signatureof Notary Public -State of Florid 1nq�ry p nuc Siare a Florida
(Print, Type, or Stamp Commissioned Name fy t e401r D Paac nal
�j My corn n aslon FF 193030
q �dF Expires 0112512019
Personally known o produced Identification
Type of Identification produced