HomeMy WebLinkAboutSuarez Permit App & NOCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION
TO BE ACCEPTED
Date:
Permit Number:
r
-- - 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 Commercial Residential
PERMIT TYPE:
^PROPOSED
IMPROVEMENT LOCATION:
Address. 4
Property Tax ID #: �T- 66 /0 6106 000 ' r�
Lot No.
Site Plan Name:
Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
It
p
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check
all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Shutters Windows/Doors
Electric _ Plumbing — Sprinklers
_ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ O2� Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name d cc, C n
Name: Ray Reinhard
Company: HBS, Inc.
Address: Q
City: rte' State:
Address:722 3rd Place
Zip Code: Fax:.
Phone No. %oZ' rl� '
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-778-3514
E-Mail: rat isywvcZ kwgosd Coro
Phone No772-567-7461
E-Mailtammyc@hbsglass.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License SCC131151281
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC 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:
Zip: Phone
City: State:
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 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 RECORDING YOUR NOTICE MENT."
ig ature of Owner/ Lessee/Contractor as Agent for Owner
Si re o trac r/License Holder
STATE OF FLORIDA n
STATE OF FLORIDA
COUNTY OF �%hC�lGtlill(Cl��'
COUNTY0FIndianRiver
The fo oing instrum was acknowlecig d efore me
this y day of CL 20M by
The for ing instru ent was acknowledged efore me
this day of 0 by
0A `� r��,
ent.
Name of person m:7:0R
Name of pers n making stat ent.
Personally Knownroduced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
`(c
Signature of Notary b i - a)
(Signature of Not y Pu lic- to of F o i a )
„,�� No Public State of Florida
Co '5P"' °T,a 1 ' iogli�h eal)
My Commission GG 908987
01123/2022
perry public State of Florida
«sh (Seal)
Co 137j!EXpifes
My Commi�GG 906987Expires
0112312022
REVIEWS
FRONT
ZONING
SUPERVISOR
PL S
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
1—ev-.2/7/19
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4973722 OR BOOK 4748 PAGE 1307, Recorded 12/30/2021 03:33*17 PM
Permit No.
State of Florida, County of St. Lucie
NOTICE M COMIYM uElym
Property Tax 1D No. 1411,
/ ` 64)k(W 6 ' ado " IL
The Undersigned hei eby gives notice that impz ovement will be made to cex'tain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Descziptaon of property and address if available Q(`�Gdj &),A
Genex•al
Owner/l,
Address
Interest
Fee Simple Title holder (if other than owner)
Address
Contractor HBS, Inc.
Address 722 3rd Place 8
Surety
Address
Amount of Bond
Lender
Address
Phone # 772-567-7461
Fax # 772-778-3514
Phone #
Fax #
Phone #
Fax #
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
In addition to himself, owner designates
Fax #
Fax #
to receive a copy of the Lieuor's Notice as provided iu 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 P OSTED ON THE SOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ARNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
or Owner's a• Lessee's Authorized Officer/Directox'/Pai•tner/Manager/ Signature
Signatory's Title/Office
State of Florida, County of `vlf/ ` ,, '
Acl o-w edged before me this day of C@ 20 by
w o is rsonally lmown to who Is produced as identification.
of
Title: Notazy Public
Type or Print
Commissiazi Number