HomeMy WebLinkAbout5309 Seagrape Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - 3 -
Permit dumber:
o
84W I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
23W Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax 1D #: Lot No._S�Q
Site Plan Name:
Project Name:
Block No. •A
I DETAILED DESCRIPTION OF WORK: I
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
Mechanical
_ Electric
Gas Tank
Plumbing
Gas Piping
— Sprinklers
Total Sq. Ft of Construction: _J�6Q
Cost of Construction: $ .1 B:RQ Q (2_
_ Shutters
Generator
Sq. Ft. of First Floor:
Windows/Doors
�Itoof
Pond
Pitch
Utilities: —Sewer —Septic Building Height: _ I;
OWNERILESSEE:
CONTRACTOR:
Name
Name: ', * n
Address:
Company;
City: Fa H Pie cc r- .... State: -..
Address: Ma n -a
Zip Code:39 Fax:
._
City: Vern f1ccLcm State:
Phone No. -^
Zip Code: —72 96 2,Fax:
E-Mail:
Phone No 772-- 6 �J 7 rn Z 19_5' -
Fill in fee simple Title Holder on next page (if different
E-Mail '
from the Owner listed above)
State or County License__ i*Cc
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.
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.
1 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict a prohibit such
structure. Please consult with your Homeowners 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 attornev before commenrinLy wnrk or rprorrlinP ►►ni,r Nntirp of Cnrnmpnrip mpnt
Signature of Owner/ Lessee/Contractor as Agent r Qf w
STATE OF FLORIDA , i
r
COUNTY OF V'_
Sworn to (or affirmed) and subscribed before me of
ysical Presence or Online Notarization
this M day of Sepkm wr 20 A I by
orillovLcu_,gL
Name of person making
statement.
Personally Known ?C OR Produced Identification
Type o Identification Pr aced
�Lal
(Signature of Notary State of Florida)
+tPublic-
Commission No. I+h 9W (Seal)
,•........
r''x '•_Notary
DANIELLA DIM1NiCH
Pub -State of Florida
=� *=
Commission N HH 99607
s,� r
My Commission Expires
'ern i�`
r B 2025
REVIEWS
FRONT
ZONING
SUPERVISOR
VEGETATION
SEA TURTLE
MANGROVE
PLANS
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
IICV _qGV/L1
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4920201 OR BOOK 4680 PAGE 1921, Recorded 09/08/2021 01:20:56 PM
permit No.
State of Florida, County of St. Lucie
NQTI(,E OF COMMENCFMENT
Property Tax ID No. 3402-608-0022-000-9
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
INDIAN RIVER ESTATES -UNIT 07- BLK 25 LOT 50 (MAP 34/02S) (OR 1512-2236)
General description of improvements
❑wnerflessee Home Flub LLC
Address 5a09 Seagrape Dr Fort Pierce, FL 349U
Interest in property:
.Fee Simple Title holder (if other than owner)
Address
Contractor Ridgeline Roofing
phone # 772-W-0745
Address 640 41h Place #101 Vero Beach FI 32962
Fax #
Su rety
Phone #
Address
Fax #
Amount of Bond
Lender
Phone #
Address
Fax #
Persons within tale State of Florida designated by Owner upon whom
notices or other docu ments may be served as provided
by Section 713.13 (a) 7., Florida Statues:
Name I
Phone # 5ri1573 3�- P-;P- f
Address L10 2 - SCL I _ � S ,e- 41- P& IY
�_ Fax it
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. WARN IlNG TO OW1NER:
ANY PAYMENT'S MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDER D IMPROPER
PAYMENTS UNDER CI1.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ONTINE JOB SITR BFFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMF.NT.
Oxuer)Lessee.or Owner's or Lesme'- Anthariixryd OMeeribirreturlPsrMerfflanrgerl Signalurc
Sigestory'OrkliTice
State of Florida, County of afta —_ II
Acknowledged before me this day of T 20 -2L, by - Le-[ , t $, e.r` L ,
who is Pr onally known to me or who has produced _ _ njsmC 1�,t I e o c' 2—_ as identification.
Signature of iNo ry Typee or Print Nauld f Notary (Seal]
Title: Notary Public Commission Number Ui� `'i'''�� KELLY RENEE WRIGHT
Notary Public -Slate nT Florida
x' E Commission N HH 103104
NAY Commksion Fxpiras
""�"' March 10. 2D25
A
N
■ Bend
28
QuickMeasure
Roof Reports in Under an Hour
■ Ease ■ Hip ■ Rake
201 87 39
Flash Step
Lengths
Drip
240
■ Ridge
8 Lengths in feet
Prepared For: Ridgeline Roofing LLC m 6309 Seagrape Dr, Fort Pierce, FL 34982