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HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLET FOR APPLICATION TO BE ACCEPTED Date:_I ,4 �1T- Permit Number: RECEI`y'_:D JUN 2 6 2017 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 dd PROPOSED IMPROVEMENT LOCATION: C p Address: .�� �So v'��f'�vGQ T_ra,' /s�� ( ' fC i° F� .3`(gS J Legal Description: Property Tax ID#: I `f l �/t mil ) C90I 00 bC) Lot No. Site Plan Name: ��o�enJ Block No. Project Name: Setbacks Front Back:.-, Right Side: 5(0 Left Side: DETAILED DESCRIPTION OF WORK: .St v i V.,tV% r ^J7 ?OIDI eelll� cf d c Dech CONSTRUCTION INFORMATION: Additional work to benerformed under this permit-check a apply: E1HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors 11 Electric ❑ Plumbing ❑Sprinklers 1:1 Generator El Roof Roof pitch Total Sq. Ft of Construction: 0 o O S Ft.of First Flow: Cost of Construction:$ .33 Utilities:cn Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name fir-.�_-'-�e�G, F P�✓ Name: Or f Address: S / fel,� Company: ` / City: of�- )' State:�/. Address: ���� /') Q!S Zip Code: Fax: City: Vere�G�, Stater Phone No. Zip Code: .32-2 Fax: 7?0-SS6 I E-Mail: Phone No. _77; 30(6—7 Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: CFG/y-S7/3-0 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. r' Signature of Owner/Lessee/Contractor as Agent for Owner Signatur Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA y- COUNTY OF COUNTY OF oe The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this r?-b day of ,7vh P 20/Zby this 06 day of��can ,20 by Cam' e r l (Name of person acknowledging) (Name of persona knowle"dging) (Signature of Notary Public- .tate 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 Identificati ro uced C B MILLS Commission No. 8 MILWeal)_ Commission No. Commissbn#FF(�g� Commission#FF 228 ml8sion l;�tplre�s My Commission Expires rAl Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS utivi UG JOSEPH E. SMITH, CLO OF THE CIRCUIT COURT — SAI40LUCIE COUNTY FILE # 4345665 OR BOOK 4036 PAGE 2339, Recorded'68/30/2017 01 :30 :18 PM NOTICE OF COMMENCEMENT x ': a Permit No. Property'Fax ID No. �OV l�'o z' �• State of Florida,County or St.Lucie w I The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordanch c Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. —O W CV a t= Legal Description of property and address if available Ik 3 7 y0 s 1 -or N_ / s oV I r ,� General description of improvements Sw w�-Y�-� rr a C �_�' a w � Owner/lessee n/N� w OCn o Address S 7.5 r,.� rce LL L.O Q Interest In property: ©WAICQ r ui 06 Fee Simple Title holder(if other than owner) to O m Q Address Contractor. D Phone# Address ` 1—S-d n, L13 I VefO 6 PAf C I'l. 3zg�� Fax# �7 e • g G) 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 THY FIRST INSPECTION.IP YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMF.NCMF.NT. Owner/Lessee,or Owner's or Lessee's Authorized Olrcer/D}rcetor/Partner/Manager!Signature Signatory's Title/Office State o6rso ,County of Acknobefore me this ,day of 20_,by who isly known to me or who has produced as identification. Signature f Nota Type or Print Name of Notary (Seal) Title:No Public Commission Number . ,y1., ,IAMESROUAN — 'r . s* MY COMMISSION#OG 008627 EXPIRES;Nowmber4,2020 laonded Ttvu Notary Public Uocferuri". _ —_ PLANNING & DEVELOPMENT SERVICES DEPARTMENT j - Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT RECEI�'r=D JUN 9 6 2017 I,the undersigned, am the owner o/f�the following described property, (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code,I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Property Owner Name(Please Print) Property Owner Signature Date STATE OF FLORIDA,COUNTY OFG� ACKNOWLEDGED BEFORE ME THIS DAY OF �(/✓� e- 20/, BY�,C r'n �/ P� WHO IS PERSONALLY KNOWN TO ME(c/)OR WHO HAS r PRODUCED AS IDENTIFICATION. SIGNATURE OF NOTARY P LIC TYPE OR PRINT NOTARY COMMlao MILLS 228285 s (SEAL) SLCPDSD Revised 04/11/2011