HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
9V C,C,C UL1 4r�
QOD 9 WT ,
I r a@) c E L" t C .
Permit Number:
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
PERMIT APPLICATION FOR:
Commercial
Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: T -75-0 S. OL&A , )c je- 531 \W5pvl
Property Tax ID #: Lot No.
Site Plan Name: 'l s�p,a� tiu�as Lyn�e t�'+�n�uhn 10 LAW ( A-�'A- A044w( lock No.
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Pond
\' Electric L Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: t� _ Sq. Ft. of First Floor:
Cost of Construction: $ '�bl Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
Address:
Name: J
Company: i'�� LL
City: e c_t State: -FL
Zip Code: ?34* -i S 1 Fax:
Phone No.
/
Address: w,v
City: S State: �L
Zip Code: JL4ffi l�' Fax:
Phone No IW Sufi ?LL r
E-Mail: t r cv c
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail s tv 725� cw�%/• �o,,,,
State or unty License
11 VO UC vLVIIZALIULLI ] ib c.7vv or more, a KrwKuru notice or 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.
Lucie County 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.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF QJ0,✓+i n
Sworn to (or affirmed) and subscribed before me of V Physical Presence or Online Notarization
this day of �i t i 20� j by
t.,�.
n�
t�tctLL-&i a. bc rLh
Name of person making statement.
Personally Known OR Produced Identification y
Type of Identification Produced O rid t,
(Signature fbf Notary Public- State of Florida )
�ot�a ;?Ue��c MARY LEE MATTIS
Commission No.44 n't4 -nL<1 (Seal) * . * Commission # HH 089498
' 07 Expires March 6, 2025
�rCOF fLO� Banded Thru Budget Notary Services
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev
MICHELLE R_ MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4909116 OR BOOK 4666 PAGE 1384, Recorded 08/13/2021 02:15:24 PM
T - NOTICE OF COMAMNCEMENT
4"
Permit No. Property Tax ID No.
State of Florida, County of St. Lucie
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 address if available Island Dunes Condo A Unit 531 AKA Admiral Condominium
CL
1 General description of improvements Rehab kitche, baths, flooring, lighting
Ownerflessee DDj t---e to WSk� _� �.o.a i}� • cv�z rrr Leh(.
Address '21 Isn S. Or y�\:i- Szul
Interest in property: O w0ept—
Fee Simple Title holder (if other than owner)
jAddress
Contractor Jesse Murphy, Murphy Homes and Rentals Phone # 561-800-9585
Address 591 SIN Indian River Court Fax #
Surety Phone #
Address Fax #
Amount of Bond
Lender Phone #
�^- Address Fax #
1 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:
00 Name Phone #
y Address 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 (1) (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 F-XPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.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 BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
O\vner/Lessee, or Owner's or Lessee's Authorized Otricer/Director/Partner/Manager/ Signature
Signatory's TithdOIIi—
State of Florida, County of MLI.Y-Af'i
Acknowledged before me this -12q -f-h , day of 20c�- % by 0- .Aryl i? Cj-k-
who is personally/known to me or who has produce, Y7 Q - jrr'ft/y�2>r� r-, ra-c . as identification.
MARY LEE MATTIS
Signatul , of Notary Type or Print Name of Notary Commtss'Ibi'tRi 069498
l'( 0 g9 �l Expires March 6. 2026
Title: Notary Public Commission Number "oF F���T���el No ary S�nlc.s
I HEREBY CERTIFY THATTHIS DOCUMENT IS A TRUE AND CORRECT COPY OFAN OFFICIAL RECORD OR Digitally signed by The Honorable Michelle R. Miller
DOCUMENT AUTHORIZED BY LAW TO BE RECORDED OR FILED AND ACTUALLY RECORDED OR FILED IN Date: 2021.00.13 14:16:07 -04:00
THE OFFICE OFTHE ST. LUCIE COUNTY CLERK OFTHE CIRCUIT COURT. (a Reason: Electronically Certified Copy
THIS DOCUMENT MAY HAVE REDACTIONSAS REQUIRED BY LAW. T.CIrt-i nn- 2ni gn1ith Tnrii.n Ri irpr nr. Fnrt Pi Prrp. FT. '�4g5)n
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
004 5&k (- have agreed to be
(Company Nam/Individual Name)
the Sub -contractor for
(Type of Trade) (Primary Contract r
For the project located at �70 S. 0(gun b i:ut ►tAM• 1- ,-6j31 )('L4� t &xh
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR �%NATURE (Qualifier)
PRINT
COUNTY CERTIFICATION NUMBER
State of Florida, County of f."
The foregoing instrument was signed before me this _L�_ day of
a !' 20 7�I , by )tSU, 1 OCA
who is personally known Aas .tu
as identification. MY COMMISSION # KH 160258
EXPIR/A/ilaA -f edThru Sgubli3,2025
nder
'•'F��i�?' BondedThruN PublicUnderwrite
-�A !I got�s-�M �jao
Print Name o Notary Public
Revised 11/16/2016
�11 CONTRACTOR SIGNATURE (Qualifier)
V i
3 ��(Sr(e
COUNTY CERTIFICATION NUMBER
State of Florida, County of I VIUr�-
The foregoing instrument was signed before me this -Li— day of
20 21, by J e& jy.5 a:r L
who is personally known or
as i¢entification.,Drtiu _ t'W)c
RUTH ANN BATISTA MORALES
MY COMMISSION # HH 160258
EXPIRES: August 3, 2025
Bonded Thru NrRic Underwriters
STgnatdre 6f Notary Public
Print Name of Notary Public a
PERMIT #
COUNTY
F L 0 R I D A ••
the
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
_ 3pise-- �Wtw
(Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID #)
(Company Name/Individual ame)
Sub -contractor for
(Type of T de)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRA ,�SIIGGNATUR�(Qualjfiiicr)��
PRINT NAME
32N5''G
COUNTY CERTIFICATION NUMBER
State of Florida, County of_ 11
The foregoing instrument was signed before me this day of
I� 20 1, by St yVtuf'�p(g
who is personally known A or has produced a
as identification. iANN BATISTA MORALES
COMMISSION # HH 160258
EXPIRES: Augu?� 5
*Sgnature o otary Public ry Fub is unwderwtiters
1644t
Print Name f otary Public
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Cei
NAiYtE
% Vz q �-o `f S9�1�1
COUNTY CERTIFICATION NUMBER
State of Florida, County of o^
�3
The foregoing instrument was signed before me this day of
who is personally known _or has produced a (L �f�✓�i j„�s.et,
identification. :�iY► RUTHANN BATISTA MORA EL SEL S
I•; }, MY COMMISSION # HH 1602U
P EXPIRES: Au"25
nature of I otary Public _ NOWYPublic Underwriters
41, Ls4A
tNameofNoarvPnh e �(411S
THE ADMIRAL OWNER'S ASSOCIATION, INC.
8750 S. OCEAN DRIVE
JENSEN BEACH, FL 34957
(TEL) 772-229-3305 (FAX) 772-229-3716
EMAIL: Admiral8750@comcast.net
8/13/2021
To whom it may concern,
The renovation for Unit 531, Owner Claudia Domenech, has been approved by the association. If you
have any questions, please feel free to email or call the Admiral office.
Thank you.
Rebecca Deegan
Admiral Administrative Assistant
Scope of work-
1) Replace flooring throughout
2) Replace kitchen cabinets/counters
3) Remove soffit in Kitchen, fir out ceiling respecting locations of tension cables (x-ray completed)
4) Make pantry larger
5) Convert to Tankless HWH and move to hallway closet
6) Replace toilets and vanities in all bathrooms
i) Replace tub in master bath
S) Remove soffit in master hallway, fir ceiling to install LED lights. (x-ray completed)
9) Cap off supply/drain lines for wet bar
10) Change any existing ceiling lights to new LED trims
*No structural elements will be altered
*Tankless HWH meets load calculations for existing panel and power supply
*Any screw penetrations in the floor or ceiling will be only in space where X-ray has indicated
full clearance
*Proflex underlayment will be used for the floor, sample provided.
OE
V11111111-1 HOV311 MVl
AVM Ni-� a OVS
'ON] 'Q13311HOMV Al-LI&L 19 aVMFOS
VCHHOIJ 'UNI100 amn 'is- mw7m NosNlH3lnH
UHvv"M ya��Mwo g
I u
00
0 -0 ITS 01
r
o
-0 -oQ,
0
U
0 6 t
-0
CL
jj 2 o
-0 1. o
-c
-,>wu
1 0 cn
0
2,6-0,
(3) 7&
>
E �i
L y c (,U =
0 C7
E P
ILI E
In
-0 0--
0
m E
-c Iv E
0 >
a,
0)0
EE
c: -0 w 8 I'D
o X
0 a s
lull E o
>
= cl,
w 0
0
a CL
C: c 0
m a) aj
Q) oz LL.
2t; vj
0