HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
o l�l APR - 6 2021
Building Permit Application Permitting p rtment
Planning and Development Services Sc. LL . Unty
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:reoof
PROPQSED IMPROVEMENT LOCATfON
Address: 810 brad ley st
Property Tax ID#: 3402-606-0219-200-3 Lot No.64&65
Site Plan Name: Block No. 26
Project Name: reroof
DETAILED DESCRIPTION'OF WORK "
remove shingles and replace with 5v metal roof
New Electrical Meter Second Electrical Meter
CONSTRUCTION.INFOR.MATION ,
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas TAnk _Gas Piping _Shutters Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _Roof L4 kZ-Pitch
Total Sq. Ft of Construction: J Sq. Ft. of First Floor: 2�00
Cost of Construction: $ ��`off• Utilities: _Sewer _Septic Building Height:
v �
QWNER/LESSEE CONTRACTOR
Namegoose development fund Ilc Name:harold otto
Address:18978 point dr Company:otto built lic
City: tequesta State:_ Address:4335 sw honey terr
Zip Code: 33469 Fax: City: Palm city State..fl
Phone No. Zip Code: 34990 Fax:
E-Mail: Phone No 772-201-1908
Fill in fee simple Title Holder on next page(if different E-Mailharold@ottobuiltllc.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.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
MICHELLE'R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4841206 OR BOOK 4583 PAGE 470, Recorded 04/01/2021 09:23:21 AM
RECEIVED
APR - 6 ?Q21
NOTICE OF COMMENCEMENT Permitti.gp�"rmcr,�
St. Lucie•^-cl.l,l"
PcrroltNo Property Tax1D-No. 3402-606-0219-200-3.
State ofFiorida,County:of.SG Lucie
The Uiideisigned.:►iere.by gives noticeithatimprovementwiilbe madeto certain real property,and in'accordance with
Chapter:713,11orida.Statotes,the following:information;isprovidedln.this:Notice.oi Commencement
Legnl:Description.of:p"ropertyand_address.ifavailable
indian riverestunit_05 bik 26 vv 100'•.Df lots:64 and 65.
General description of;improvements reroof
O}9uer/lessee goose.development fund.:lic"
Address" 18978 point.rd tequestaif 33469
Interestin property:
Fee Sim0 Title holder(if,other than owner)
:Address:
:Contractor harold''Ott° Phone#: 772-201=1908
Address.4335 sw honey tetr:`patiii city:fl 34990 Fas:#
Surety Phone#'
Address
Fax'#.
Amount of-Bond
Lender
Phone;#
Address.. Fax.9.
Personswid"theStateofFloridadesignatedbyOwnerpponwhomnotimsor.other documents maybeser-id,as: rovided
hy_.Seetioii 71113;(a)-7S,.FloridaSiatues:
P hone.#
Address: Fax.#
n:addidouto himself,:owner:designates of
Phone:#. Fax#
to receive a copy,of theLienor's Notice as.provided in Section 71113.(1):(b),Florida Statutes.Expiration:date of.noticcof
commencement:is one year;froin the date of recording unless a:different date ts'O<f..c WARNING-TO OWNER:
ANY PAYNSNT.S MADE BY THE OWNER.AFCER TW EXPiRATTWOF THE NOTTCE OF.COMMENCEtili}T ARE".G61\91DERED WPROPER
PAYMENTS'-UNDER.C.. I. F.S:,ANLf CAN RESULT IN YOUR PAYING.TNICEFOR 11vfPROVF.h1ENLS TO:YOUR-PROPERTY:A NOTICE:pp
COMhiENCEIMNTMUST BE RECORDED ANDPOSTED:ON"THE JOB SITE BEFORETTtE 1:IRST InSPSCJ'IOh.aFYOU:INTEND"TO OBTAIN
FINANCING,CONSULT:WITH YOUR LENDER-OR.AN ATTO E•Y BEFORE COMMENCING WORK OR RECORDING.YOUR NOTICE.GF.
COMMEYCd7ENr, .
" ner/1:rssee,or Qtvoersor Less �sA thorized Oflieer/DlreM6rlPurniedh7nuogerl5i°nature
i
11:
A!guatory.'..s.li le/O ce: "
State ofFlorlda;County of ,1�l�• `L;n
Acknoiv ed a ore to°�liis �' day of ra 20 �by
rphp is erso no-,v>�o me:or who has produced as idea cation:
SignWthre of Notary.; -' Ty0e or:Pnnt Name.of Notory (Sc il)
Title;Notary Public Commission Number
- r
1 Nota ry PubLo S.. t.of Florida
Harold Otto
' MY Oamrtaation GG 277553:
_ q w Expoes e8127/2022
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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lerlder or an attorney before commencing work or recording our Notice of Commencement.
o Owner Contractdrhs Agent for Owner Sig on actor i'cerise Holder
STATE OF FLORIDA l STATE OF FLORID
COUNTY OF / ✓ COUNTY OF
Sworn to r'affirmed)and subscribed before me of Swor or affirmed and subscribed before me of
ysical Presence or Online Notarization h cal Pr or _ Online N tarization
this day of� e 202/by this y of 202� by
Nam of person maki statement. a e of person making statement.
P onally n OR Produced Identification Personally Known (/ OR Produced Identification
Ty entification __ Type of Identification
Produced Produced
(Signatur tary P -State of Florida) ignature of Notary Public-State of Florida
Notary Publiqq or Florida "'v'a�•.• KRISTINE PATRICIA MURPHY
Commission No. rold Ottd�ea� Commissio �c: ylic=State of Fl
My Comrrassion GG 217553 aI Commission k GG 969759
�► Expires 06/27/2022 My Comm.Expires Mar 22,2024
Bonded throug i National Notary Assn.
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