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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' 1 1 0�, Permit Number: ��drA�4d 91To dMM O ° Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-15S3 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Tj k_ 12,e—%Loco i—, PROPOSED IMPROVEMENT LOCATION: Address: _// /00 taOCiS of Ch�� ILL 3�l��lo Property Tax ID #: 332- -�3 — 1)0 /V — Site Plan Name: Project Name: TQQ-r,(;2 r-n a o h 4 fD&0W—, DETAILED DESCRIPTION OF WORK: f New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: 60 S6) R Sq. Ft. of First Floor: RECEIVED 'IJN © 7 2021 lermIttin 9X epartment St. cie County Lot No. 0 Block No. Win ows/Doors _ Pond _ Roof Ob Z Pitch Cost of Construction: $ Y Y / 9v/3 Utilities: _ Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name 17li�Ilit: RCESC-Mt'Ili Ili Name: Address: I d o LoN b 5 CNr, cmse City:— .rzT- T C'-C State: F(— Zip Code: _� l( �( Lo Fax: Phone No. -71 —"i 3 — S 2- 3 `{ / Lo Company: CG rcl lr� o0 rlr Address (h0 l S S'• lirl %�i% 2!� City: L State: Ft — Zip Code: 3Y'qS 2 Fax: 335— �S Phone No 335-- qS.V E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail 7 • b)h State or County License Cc C 0 3 2 571) It 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. 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. Itmie County and P1131ted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an tt rno) before commencing work or recw4nR vour Notice of Commencement. Signatyfoof Owner/ /-7 as Agent for Owner I Signatur—d of Contractor/Licefn.0 Hol STATE OF FLORIDA v STATE OF FLORIPA COUNTY OF fin, -K r�A✓ I COUNTY OF S (/Vl_C, f Swto (or affirmed) and subscribed before me of 7Physical Presence or Online Notarization this --2/ day of 2020 by 202i A_'1/7 ' 5,6 MA Name of person making statement. Personally Known V OR Produced Identification Type of Identification Produ ed Sworpto (or affirmed) and subscribed before me of ✓ Ph al Presence or _ Online Notarization this l ay of fl/- 2024 by s' 410 n Name of person making stAiment. Personally Known V/OR Produced Identification Type of Identification (Signature of Notary Public- St Wgolary Publicv State of Florid ignature of Notary Publi 6 •for ��A: Commission # GG 350 t t t JEN IFER DAVIS Commission No. ��� 1 gbh mm. Expires Jun 30, 20 3 My�SION#GG953418 ( � mmission No. o`, EXPIRES: February 29, 2024 ,'rFOF f1.QP: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 579TfU-- NOTICE OF COMMENCEMENT To be completed when construction value exceeds $2,500.00 RECEIVED JUN 01 2021 PERMIT # STATE OF FLORIDA TAX FOLIO # 3321-803-0014-000-1 pem ittm COUNTY OF: ST. LUCIE 9 Department St. Lucie County The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS, IF AVAILABLE): RESERVE PLANTATION PHASE IIA LOT 8 (MAP 33/28N) _ 11100 LANDS END CHASE PORT ST. LUCIE. FL GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF OWNER INFORMATION OR LESSEE INFORMATION IF, THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name: DIANE M ROESEMANN Phone: 772-528-3415 Address: 11100 LANDS END CHASE PORT ST. LUCIE. FL 34986 Interest in property: OWNER Name and address of fee simple titleholder (if different from Owner listed above): CONTRACTOR'S NAME: CARDINAL ROOFING Phone No: 772-335-9550 Address: 1601 SE SOUTH NIEMEYER CIRCLE PORT ST. LUCIE. FL 34952 SURETY COMPANY (if applicable, a copy of the payment bond is attached): Name and address: Phone No.: LENDER'S NAME: Address: Bond A MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY FILE # 4871668 06/01/2021 10:18:11 AM OR BOOK 4620 PAGE 1148 -1148 Doc Type: NC RECORDING: $10.00 Persons within the State of Florida designated by Owner upon whom notices or otner aocuments may ne servea as proviaea ny Nection 713.13 (1) (a) 7., Florida Statutes: Name: In addition to himself or herself, owner designates Phone No.: to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statues. Phone number of person or entity designated by Owner: of Expiration date of Notice of Commencement: (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 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 CHAPTER 713 PART 1 SECTION 713.13. FLORIDA STATUTES 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 BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF of perjury, I deilaye that1I have read t regomg And that the facts stated are true to the best of my knowledge and belief. or Lessee, or CyWne f s or Llessee's Authorized Officer/Director/Partner/Manager/Attorney-in-fact Signatory's Title/Offhce The foregoing instrument was acknowledged before me this c� / day of / / 20 Z/ gy.�/ / /,if N� �0�.5W k/✓�t/ as C)a%/lAE /Q for LQiK-eJ Name of nn n� '' Type of authority (e.g. office, trustee) Party gn behalf of whom instrument was executed w Personally Known �// or produced identification No 's Signature Type of Identification Produced (Print, Type, or Stamp Commissioned Name of Notary) ►�� ° $ SUZANNE MARIE AMORUSO Notary Public - State of Florida T:\BLD\Bldg_Forms\New Applications\Forms\Notice Of Commencement.Docx®� Rev. 9/15/11 �',: Commission p GG 350111 °FA My Comm. Expires Jun 30, 2023