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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll DateAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE Permit Number: � � � cz �`n L-(�U Ql� i V E, IF.T Building Permit Application Planning and Development Services / Building and Code Regulation Division Commercial Residential %\ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: Ile _ RqD� PROPOSED IMPROVEMENT LOCATION: Address: ' qo,S „einIje J_ FOrl p,Pr TLL 39Ty�L Property Tax ID #: 4 .75 - 6o 1 - n S 7,2 o n - 4 Lot No.� l D Site Plan Name: C, h �Q Block No. (_ Project Name: DETAILED DESCRIPTION OF WORK: gew.oy,p_ y�_A '�vC II IUz-w New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: 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 K- Roof Pitch Total Sq. Ft of Construction: 3300 Sq. Ft. of First Floor: Cost of Construction: $ 13 , oo Utilities: —Sewer —Septic Building Height: / S/of l OWNER/LESSEE: CONTRACTOR: Name S!nq c64x A Cie mble Name: A6r�o-n Company: I4300C,,54 LLC Address: .� 20S A 4;, vi ue L City: Co r � � ,y), C e State: _fzL, Zip Code: 3L( q4 Fax: Phone No. E- Address: 21 AI SF M 'i a�tvyh fA City: �1(4 S� Zip Code: .fit !'�f 5 Fax: PhoneNo E-Mail �.c� s; a�. S u n� `, �I�o©� State: ✓� , C 9� Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) State or County License C c C 13 3 1 V� 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 Name: Address: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: BONDING COMPANY: Not Applicable Name: Address: 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or 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 attorney before commencing work or recordin>; vour Notice of Commencement. a ure of Contractor - or - Owner Builder as applicable STATE OF FLORIDA COUNTY OF -5fI L. i.,,;-c Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 2 day of 202�by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced i (Signature of Notary Publi tat of Florida) Commission No. (Seal) HEATHER BURFORD AYP�, State of Florida -Notary Public = Commission # GG 163217 off; My Commission Expires rAhruary 06 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev lU/12/21 Permit No. State of Florida, County of St. Lucie NOTICE OF COMMENCEMENT Property Tax ID No. 24 05 - 6DI - 05 72 - 0 00 - ' 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. Description of property and address if available 3 ' 1 q Q eta. e. Lt P el L e - c.t 1(s,l�r nri C�nr�S �(f i ''z) L �f�Cf G.w� (D �f I ) General description of improvements nk-rrK V V C" Owner/lessee 5 L, ,0 VIOL rN l�"D► V1n Address q n 5 A %i eo u Z I_ Lor l V, e{ re r L 3 LA C I-} Z Interest in property: CQj J 1n(2_Y' Fee Simple Title holder (if other than owner) Address Contractor 1 asPhone # Address 91 g / S (. ;� �nw v� f,j 'b f� S1 L roc, e C 3 V 9V Fax # Surety MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY Address FILE * 495%61 12/02/2021 11:36:41 AM OR BOOK 4729 PAGE 2882 - 2882 Doc Type: NC Amount of Bond RECORDING: $10.00 Lender Address 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: Name Phone # 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 EXPIRATION 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. A / Owner/Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature Signatory's Title/Office State of Florida, County of e S h e rm Q ►1 C G IYl U I e, Acknowledged before me this f , dayof �c1 20 , by w is personall to me or who has produced L t_ as identification. On a i LsiowaAe-- slolia moopry Type or Pint Name jQ of Notary (Seal) Title: Notary Public Commission Number G C 339 i U ,. � •., MAGALI BUSTAMANTE .; Commission # GG 339487 �+��o:` Expires May 28, 2023 Bonded Thru Troy Fain Insurance 800 388.7019