HomeMy WebLinkAboutNotice of Commencement I "
ALLAPPLICABLEJNF MUST B COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: f Permit Number: 1)02r
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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 X
PERMIT APPLICATION FOR: Roof
PROP.OSED IMP,ROVEME'NT.LOGATIO,N: T
ddress:
698 Nettles Blvd. Jensen Beach, FL 34957
Legal Description: Nettles Island Inc.A CONDO-SECTION II PARCEL698 AND PRO-RATA SHARE IN COMMON ELEMENTS
(OR 3259-890;3608-713)
4502-501-0884-000-1
PropertyTax ID#: Lot No.
Site Plan Name: Block No.
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Project Name:
(Setbacks Front Back: Right Side: Left Side:
ETAILED DESCRIPTION=OF WORK:
Remove existing shingle roof and install a new metal roof
CONSTRUCTION INF®RIVIATION:
t ona work to be performed under this permit—check all apply:
11HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 988 S . Ft.of First Floor: 988
Cost of Construction:$ 8450 Utilities Sewer E]Septic Building Height: 8'
OWNER/LESSEE: CONTRACTOR:
Name Ronald&Deborah Randolph Name: Jamie Cisco
Address:698 Nettles Blvd Company: Sunshine Roofing, LLC
City: Jensen Beach State:_ Address: PO Box 1083
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No.740-503-7365 Zip Code: 34991 Fax:
E-Mail:deb673@gmail.com Phone No. 772-260-8195
Fill in fee simple Title Holder on next page(if different E-Mail: sunshineroofingllc@gmail.com
from the Owner listed above) State or County License: CCC1327796
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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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:
FIEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
Ii 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
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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 t ' st ins ction. I ou intend to obtain financing, consult with lender or an attorney before
comm cin wor r recoVdinR vour Notice of Commencement.
i nature of Owner/Agen(/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY0F(Y1ga-1i0 COUNTYOF ftr+1 ")
The figs oing instru{nent was ace knowledged before me The forgoing instrumenttwas acknowledged before me
this day of S )� J 20 14 by this a day of A ttm e-r .20—L-7 by
YICs
a (fin ctU 1 1r1 Jamie Cisco
(Name of person acknowledging) (Name of person acknowledging)
(Signatur of Notary ub'c-Stale of Flori a) (Signat re of Na ot ubliTate of lorida)
Personally Known OR Produced Identification X Personally Known X R Produced Identification
Type of Identification Produc a of Identification Pr kluc
c ` °oe� Notary u c Stele of Fbrida
re °�i� Notary Public State of Florida =Qy . Marilyn u el
Commission No. PF+4960 : (S i►yn Kluegel C mmission No. c Q My Co FF230179
by ,p� My Commission FF 230179 tea;c� Expires 06/26/2019
'�orc�e` Expires06/2812019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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JOSEPH E. SMITH, CLERK THE CIRCUIT COURT — SAINT E COUNTY
FILE # 4353670 OR B00045 PAGE 1468, Recorded 09/W/2017 02:07:50 PM
STATE OF FLORIDA
ST.LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
AFM NTO. TRUE ANO CORRECT PY OF THE
f � H E.9111 E
i OR GIN Q -
I Mad—
PPRMrr NUMBER: 1 ;u 4�+,Gn�info
C L L U
RC
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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: 4502-501-0811"00-1
SUBDIVISION Nettes BLOCK TRACT LOT BLDG UNIT
Netles Island Inc.,A CONDOSECGTION II PARCEL 698 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR3259-890;3608-713)
2.GENERAL DESCRIPTION OF IMPROVEMENT: Remove elsting shingle roof and Install new metal roof
3.OWNER INFORMATION: a.Name Ronald&Deborah Randolph
b.Address 698 Nettles Blvd Jensen Beach,FL 34957 c.interest in property Owner
d.Name and address of fee simple titleholder(if other than owner)
4.CONTRACTOR'S NAME,ADDRESS AND PHONE NUMBER: SunsNne Roofing,LLC 772-260.8195 PO Box 1083 Palm City,FL 34991
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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:
} 8.In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
i 713.13(l)(b),Florida Statutes:
NAME,ADDRESS AND PHONE NUMBER:
9.Expiration date of notice of commencement(the expiration date is I year from the date of recording unless a different date is
specified) ,20
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THR EXPIRATION OF THE NOTICE OF COMM N PMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPIBR 713 PART I SECTION 713,113,FLORIDA STATUTES.AND CAN RESIn T
IN OUR PAYING TWICER P RFCogpEp AND
POSTED OR THLf JOB SrVA BEPORP POSST INSPECnON.1F YOU INTEND TOOBTAIN-FINANCING,CONSULT W
RECORDINGK OR O
; �4 6-1
Si cure of Owner or Print Name and Provide Signatory's Title/Office
Owner's Authorized Officer/Director/Partner/Manager
State of Florida
County of MaRh
The regoing instrunjent was acknowledged before me this eQi day of sa4cmbQr ,20 V17 .
as Owner
(Name of person) (Type of authority...e.g.Owner,officer,trustee,attorney in fact)
For
(Name of party on behalf of whom instrument was executed) Personally Known_or produced the following type of ID:
9) , blic) ,u W
(Printed Name of Notary P (Signal of Notart Public)
Notary Public State of RoAOa
Under penalties of perjury,I declare that I have read the foregoing and that theIr
tot WIjMsK 1��e1 knowledge d
belief(section 92.525,Florida Statutes). jT MY COMMINsion FF 23017ga ExOn 08128=19of Owner )or ner(s)'Authorized Officer/Direc anger w e sign a ve:
By:4 S' BY
ik.,Oer=0070t.�div)
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