HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application t1t, t i �Ivi
Planning and Development Services Qar'laDala
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578 Commercial Residential
1 PERMIT TYPE:
Tp
r PROPOSED IMPROVEMENT LOCATION.-
Address: FSo4�_ 5A-,A CLA.ZA �L y-D r i Qt eecc
Property Tax ID #: (301 (o(D 00 gnu 0 Lot No.
Site Plan Name: 1 ��acwLE Block No. 3 __
Project Name: -
E',DETAILED DESCRIPTION OF WORK:
L.av t7e�us v w�'N i ,d,a. T> tJr✓'�v '� t�tC.N TCOl.�k(_ s LtLll[�l.s'�
CONSTRUCTION INFORMAT ON. _
Additional work to be performed under this permit-check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _ Plumbing _Sprinklers _Generator ZK Roof
IZ Pitch
Total Sq. Ft of Construction: 3?CC Sq. Ft. of First Floor:
Cost of Construction: $ fic��• °o Utilities: —Sewer _Septic Building Height: tt 5_ mc,
CIAt�VEtjLESSEE: O }ITRACR:
Name A-,z> Giturt�.-+ Sfi.� n S Name: Si Ey�►J C�ftS"�oN�L�
Address: VScx A ( r,t-C,-;,_ pLi✓D Company:
City: (=1 State: FL_ Address: 321 L Ot
Zip Code: 3tAq 9- 1 Fax: City: Fz�i- P(c'YlGE Stater=1
� Phone No. 77'4 $$Z 11'tV I Zip Code: 3'-6 FSZ
Fax:
E-Mail: Phone No 7'?Z - 9 L(a g, ':A
Fill in fee simple Title Holder on next page if different E Mail t� Win►Es,�Gwr•
from the Owner listed above) State or County License
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION � 5
' i
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB E B THE FIRST INSPECTION. IF YOU INTEND TO AIN FINANCING, CONSULT
WITH YOU END Oin
ATTORNEY BEFORE RECORDING YOUR NOT
jSignature of Own essee/Contrac or as Agent for Owner Signature of Contractor/License Holder
IJ STATE OF FLORIPAf STATE OF FLORID
COUNTY OFe L".14e COUNTY OF If-
The __
The f r oing instrument was acknowledged before me The f going instrument was acknowledge before me
this Z day of 20 by thi�day of , 20Wby
Name of person making statement. Name of person making statement,
Personally Known OR Produced Identification ' Personally Known OR Produced Identification
Type of Identifica T e of Identificatio
Produced Produced_ ��
( ig ature o Notary Public-S of Florida ) ,,,,,,,, (Si nature o Notary Public- ate of Florida )
Commission No. (Seal) Commission No. (Se �,•�
N n:2
3®
REVIEWS FRONT ZONING l AIM PLANS VEGETATION SEA TURTLE „� o D
COUNTER REVIEW / REVIEW REVIEW REVIEW ff VE
DATE m3.3aw <wsQW
RECEIVED {, ft m -R G)
DATE
COMPLETED mC) 50ii
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A
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4863211 OR BOOK 4610 PAGE 163, Recorded 05/13/2021 02 : 29 : 06 PM
F
r
l- NOTICE OF COMMENCEMENT
O
T— Perndt No, Tax Folio No. )30(_(o to .FY»-9`3 2cr2 n
State of Florida. County of St-lade -
�tvt, The undersigned hereby gives notice that improvem,twiil be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
^`v •• _. the following Information Is provided In this Notice of commencement
-
Legal Description of Property:(and street address if available):
7- La E a 124r rsr FLr u ri zF --7? LK,T-�
1 4ssor s vrnA C�$".� ic-c P
WGeneral description oflmprovemerEt To 6c�vE�ovF. TZ c (Zo�fr awl-Ttnaw�_cfSi+wE��S�
V Owner information or Lessee Information if the lessee contracted for the improvement:
U Name R iLTH urz c rr 'crc ,.E f--&, e S
Address _fLSos -- L-Vp T' jr,E¢tz F't-3`-i�`.Sl
7- Interestin property=_th�rvEly
n Name and address of fee simple titleholder(if different from Owner fisted above):
V
1
M contractors Name: 0,orsxc%, c_
LM1J Contractor Addrew, trier r=1-17,1Lz;e4cE Phone Number
U Surety(11'appltrable,a copy of the payment bond Is attached):Amount of bond:5
Name and address. Phone number: _
�1'� Lender Name: phone Number
V Lender's address:
WPersons wlUdn the State of Florida designated by Ownerupon whom noEfaes cr other documents maybe served as provided bySectian
1 713.13(111a)7.,Florida Statutes
M Name: Phone Number_ - .
LiJM Addrew..
co in addition to himself or herself.Owner designates - of to receive a copy of the
Uenor's Notice as provided In Section 713.13(1)(b),Florida Statutes.
(U� Phone number of person or entity designated by owner:
i Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final payment to the
Ucontractor,but will be 1 year from the date of recording unless a different date is speclRed)
H WARNING TO OWNER:ANY PAYMENTS MADE BYTHE OWNER AFtERTHE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
' IMPROPER PAYMENTS UNDER CKAPTER 713.PART I,SECTION 71313,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
U IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMTd1Tr MUST BE RECORDED AND POSTED ON THE)OD STFE BEFORE THE FIRST
INSPECTION,IF YOU INTEND TO OBTAIN FINANCING,CONSULT WTM YOUR LENDER OR AN ATTORNEY BEFORE coMmmoNG WORK OR
ryt RECORDING YOUR NOTICE OF COMMENCEMENT_ _
UUnder penalty of per)uiY,1 declare that I have read=f0mgonotice'f mm neement and that the facts stated therein are true to the best of
'^ my knowledge and beltef
v y� i /l ``� P
Q
W (Signature of Owner r ,or O e s or Lessees fWthocized O(ttcer/Oirector/Partner/Manager 3o• �p��•••
_ (Slgnatory's Title/OHice) 2^.y aN OS3iBt y .�
M ids�:�a B •��S
LJJ
Q The foregohrg Instrument was acknowledged beforr me thlr��day of , 2D� p� U0e!r"•'�p
U e,r `*. f - —
x BY � as �0'T 0._v-v � for /(f)'Tilto¢_•a.�b
me of P n Type of autho (c_it-officer trustee) Party on beiulf of whom instrument was execuded
- � PersorDily ilrEawn�or produced ldent3fimtlon .,
(SIgnature of No ry Public-State of Florida)
MM tMM,Type, r Stamp Commissioned Name of Notary Public) Type of identification produced
W1' _
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Di itall si red b The Honorable Michelle R. Miller
DOCUMENT
trFYTHATTHI LA.TDIERNT ISATREE AND ILEDAN FCUrYLIN OF RECFKIAL OR REC
OR g yy
DOCUMEN'TAF'7HORV.EDR\'LAW TO BE RECORDED OR FILED ANDACTUALI.Y RECORDED OR FILED IN Date: 2021 0 13 1 30:53 -0900
THE OFFICE OF THE ST,LUCIE COUNTY CLERK OF THE CIRCUIT COURT. Reason: Electronically Certified Copy
THISDOCUMENTMAYHAS'E REPA(TIONSASRF.QUIFEORYI.AW' T.11! filly• ?nl Gnl,th TnHi. Pi—, fir. Fnrt Pipr . FT. '�4g5/1