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Building Permit Application
do ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: June 15th , 2017 Permit Number:--706 — 0 t1MY �_A � RECEIVE® Building Permit Application JUN 2 2 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 X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 7912 S. Ocean Drive, Jensen Beach, FL 34957 Legal Description: Lot 4 Diamond Sands Plat 2 Property Tax ID#: 3527-501-0005-000-0 Lot No.4 Site Plan Name: Diamond Sands Block No. Project Name: Simmermacher Residence Setbacks Front 20 Back: 40 Right Side: 7•5 Left Side: 7.5 DETAILED DESCRIPTION OF WORK: NEW CONS TION OF A NGLE FAMILY RESIDE E;,.(ArFU L BATHROOMS,`(i� 112 BATHROOM , 3 BEDROOMS ITH 2 CAR GARAGE. CO NSTRUCTION INFORMATION: Additional work to be performedunder this permit—check a apply: ZHVAC LJ Gas Tank VGas Piping Shutters a Windows/Doors ❑✓1 Electric 0 Plumbing Sprinklers Generator W1 Roof 5-12 Roof pitch Total Sq. Ft of Construction: 8759 SF S Ft.of First Floor: 3933 SF Cost of Construction:$ 1,300,000 Utilities: Sewer O Septic Building Height: 32'-10" OWNER/LESSEE: CONTRACTOR: Name Louis Simmermacher Name: Mario Arbucci Address: 2200 S. Ocean Lane, Apt 2002 Company: Coastal Construction and Design, Inc. City: Fort Lauderdale State:FL Address: 1812 NW Old Oak Terr. Zip Code: 33316 Fax: City: Jensen Beach State:FL Phone No. 954 847-9553 Zip Code: 34957 Fax: E-Mail:Isimmermac@aol.com Phone No. 772 260-7514 Fill in fee simple Title Holder on next page(if different E-Mail: marbucci@comcast.net from the Owner listed above) State or County License: CRC013539 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION ' T S DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY. X Not Applicable Name; -4JqMF_6 BL?61 60_1-r P- Name: Address: 1550 i,V,�►fyDAgtu6 4vE, Address: City: FpA PA%v i3cf?etf State: FL City: State: Zip: `330:;-9 Phone: 16� q-,r6- �703 Zip: Phone: FEE SIMPLE TITLE HOLDER: X 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. , o Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Co ractor/License Holder N W ti0 e STATE OF FLORIDA STATE OF FLORIDA COUNTY OF q)rowciCCA COUNTY OF tillF 2zm` aI The forgoing instrument was acknowledged before me The forgoing instr ent was acknowledged befo` 60, y v� I.0:W Z this t5� day of r 201-1 by__ thiday of 20 LL by ¢ �JW QYW a 1 rn z r c t m (Name of person acknowledging) (Name of person acknowledging) jj (Signature of Notary Public-State of Florida) (Signature of N a Public-State of Florida) HeAer Lewis Personally Known u {nfi�t gn Personally Known OR Produced Identification Type of Identification Pr c,Se Type of Identification Produced Commission No. FF C ` C F'F949503 Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS JOSEPH E. SMITH, CLERK O HE CIRCUIT COURT — SAINT LUM COUNTY FILE # 4322042 OR BOOK 4VTO PAGE 2729, Recorded 06/2017 02:36:13 PM NOTICE OF CONLMENCEMENT PEP;;,z1;-,1i,J' ;. Permit No. Property Tax ID No. 3527-501-0005-000-0 r m State of Florida,County of St.Lucie The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordance wit Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement. Q Z y U- tr Legal Description of property and address if available Lot 4 Diamond Sands Plat 2 =O Ujj 7912 S.Ocean Drive,Jensen Beach, FL 34957 p C+ General description of improvements Construction of a Single Family Residence Louis Simmermacher U- tJ'" ., Ownerllessec O � Address 2200 S.Ocean Lane,Apt 2002,Fort Lauderdale FL 33316 O W O T t] Interest in property: Owner 0-6—W C O Fee Simple Title holder(if other than owner) — ai Address .win =o=c p m Q Contractor Coastal Construction and Design,Inc. Phone# 772 260-7514 Address 850 NW Federal Hwy,Suite 461,Stuart,FL 34994 Fax# 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 Coastal Construction and Design,Inc. Phone# 772 260-7514 Address 850 NW Federal Hwy,Suite 461.Stuart,FL 34994 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(I)(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 Cli.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 13EFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMEAT7', r Owner/Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Signature Signatory's Title/Office State of Florida,County of gro-,00a A Acknowledged before me this 161" ,day of ; ram_20 I-1 ;by Loy,s %-.mmer�nac4,e4' who is personally known to me or who has produced XZWk QC-S as identification. 4— NeaAy*e Lewis Signature of Notary Type or Print Name of Notary (Seal) . Hb�Mllat-tNNlis Title:Notary Public Commission Number FF 9ilUO3 p6l+il� till: Ai111�}.a ae1W�e+� FF q4 46,0 3 t PLANNING &DEVELOPMENT SERVICES DEPARTMENT o Building&Code Regulations Division rr�7 -`�'( 2300 VIRGINIA AVENUE Il' (� FORT PIERCE,FL 34982-5652 L �v` " r s (772)462-1553 FILLED LAND AFFIDAVIT I,the undersigned, am the owner of the following described property, 3;527- 5--bl-pDo-57-cep©-o Lo"T -zl 1>lAlnew1�5 (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 N (Pease Print) Property Owner Signature Date STATE OF FLORIDA,COUNTY OF Qj rn�Gcd ACKNOWLEDGED BEFORE ME THIS ��J DAY OF 2U 1-I BY La�i�s S�rr�merrnccher WHO 1S PERSONALLY KNOWN TO ME�_)OR WHO HAS PRODUCED F\o�'.d�. w�.tQt S `�QQ1>S� AS IDENTIFICATION. - 1-f-ec�khef l�w�S S—IG14ATaE OF NOTARY PUBLIC TYPE OR PRINT NOTARY q-VCkA0 o02) COMMISSION NUMBER Head&4lay& NOTARY PUBLIC STATE OF FLORIDA Comm#FF949603 SLCPDSD Revised 04/11/2011 ', Expires 1/11/2020