HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I Permit Number:
911r" 1i f
Q 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: L'e V CCCr-
PROPOSED IMPROVEMENT LOCATION:
Address:�hq nn
Property Tax ID #: �' —c Lot No.
Site Plan Name: Ln ri• 10 t 1 Block No.
Project Name:
a larri
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 Roof Z Pitch
Total Sq. Ft of Construction: '___. Sq. Ft. of First Floor: ou(
Cost of Construction: $ Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:,
Name
Name:
Company:
Addres
City: V'a
Zip Code: Z,
Phone No
,r1
+Fax.
State.
Address:
go nAo
City: Stater
ZipCode: zsFax:
Phone No. E-
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County Licens
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: _X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: _
Address:
City:
Zip:
Phone:
Applicable I BONDING COMPANY:
Name: _
Address:
City: _
Zip: —
Phone:
Not Applicable
UVVIvtK/ LUN I KAC:I UK AFFIUVIT: 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 attornev hefnre rnmmPnrina ,A1r rlr nr rcrr,rrlina „r,l lr nir,+,,.- „-F r,,
- --------------•• ---... ,.. ..-..... ..,..16 va..l .�Vala.�. VI v.V 111111G'1 Il.0 I I lc"Ls
Signature of Contractor - or - Owner Builder as applicable
STATE OF FLORIDA
� LUC I V
COUNTY OF
SworQ (or affirmed) and subscribed before me of
`'�
Physical Presence or Online Notarization
this c`-day of 20 21 by
Name of person making statement.
Personally Known OR Produced Identification
Typ ific ion roduced
(Signatur tary Public- State of Florida)
Commission No. (Seat)
----�
KATHERINE HAVENS
=°s rP��� W COMMISSION #HH1 993*
EXPIRES: DEC 04, 2025
Bonded through 1st State Insurance
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
PV
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4957383 OR BOOK 4726 PAGE 2738, Recorded 11/27/2021 12:21:41 PM
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 3410-503-0306-000/7
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 419 Banana Lane, Fort Pierce, FL 34982, located in St. Lucie County, Florida, Lot 6 Block K,
Palm Grove Subdivision, according to the plat thereof as recorded in Plat Book 31, Page 4, Public Records of Saint Lucie County, Florida. Property Tax iD#: 3410-503-0306-000/7,
General description of improvements Remove existing roof and gutters, install new roof and new seamless
Owner/lessee William A. Gartland / Nina Hufford
Address 233 Wensiey Lane, East Islip, NY 11730
Interest in property: Owner
Fee Simple Title holder (if other than owner)
Address
Contractor Rhino Roof & General Construction
Address 865 S King HWY Fort Pierce FL 34945
Surety N/A
Phone # 772-446-1139
Fax #
Phone # N/A
Address N/A Fax # N/A
Amount of Bond N/A
Lender N/A Phone # N/A
Address N/A Fax # NIA
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 Audrey L. Faw, Esq. Phone # 561-899-0122
Address 515 N. Flagier Drive, Suite 400, West PalmBeach, FL 33401 Fax # 561-899-0123
In addition to himself, owner designates William J. Gartland of
19 Banana Lane, Fort Pierce, FL 34982 Phone # 516-445-9860 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.
or Lessee's Authorized Officer/Director/Partner/Manager/ Signature
WTK Gartland or
N c Si atory'sTitle/Office
State of Rofitle, County of
Acknowledged before me this 7_ Z, , day of 2011
( , by r �1 • ,Z1l. Z
who is Cr l ! y perso k�nJ/o/, to me or who has produced 1 ; t erl�e as identification.
12Aiz n—n)MiIyl or)
tgnaiure f Notary Type or Print Name of Notary ELIZA'" P.ILlNS0N
Notary PuL:;i — , f:.,P of E ;-w'York
NO u1 6
Title: Notary Public Commission Number Q I ( ()(, ( 74'1gip Quariic i in <_ , t'c,unty�Z�
Commission Expires Oct. 1, 20 .a