HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V
o
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
&1k4'C W11 A�M__al
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: Reroof
PROPOSED IMPROVEMENT LOCATION:
Address: 259 NE Airoso Blvd, Port St. Lucie, FL 34983
Property Tax ID#: 3419-570-0093-000-5 Lot No.21
Site Plan Name: 259 NE Airoso Blvd Block No. 80
Project Name: 259 NE Airoso Blvd
DETAILED DESCRIPTION OF WORK:
Tear off existing roofing materials (Shingles), Renail decking to FBC 2020, Dry In roof with Tri-built Sand
underlayment, Install Asphalt Shingles and clean up roofing debris.
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 3/12 Pitch
Total Sq. Ft of Construction:___2,900 Sq. Ft. of First Floor:
Cost of Construction: $ 10,995 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Carmen I Ayuso Name: Arturo Reynoso
Address: 259 NE Airoso Blvd Company: Doing Roofing, Co.
City: Port St. Lucie State: FL Address: PO Box 881491
Zip Code: 34983 Fax: City: Port St. Lucie State: FL
Phone No. (561) 577-9800 E- Zip Code: 34988 Fax:
Mail: Gifthouserecovery01 P_g mail.com Phone No (772) 332-3767
Fill in fee simple Title Holder on next page (if different E-Mail doingroofingco@gmail.com
from the Owner listed above) State or County License CCC1332511
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.
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 au applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consul t 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 recording our Notice of Commencement.
Signature of Contractor-or-Owner Builder as applicable
STATE OF FLORID
COUNTY OF )Jc.,
Sworn to(or affirmed and subscribed before me ofys
Presence or Online Notarization
this day of 204 by
Name of person making statement.
Personally Known OR Produced entification
Type of Identification Produced
(Signature of Notary Public-Stat of Florida)
Commission No. (Seal) HEATHER BURFORD
4PpV PUBi�-
aP �-State of Florida-Notary Public
Commission # GG 183217
0,K My Commission Expires
February 06, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4968056 OR BOOK 4740 PAGE 1845 Recorded 12/16/2021 03 :35 :34 PM
NOTICE OF COMENCEMENT
4~ 3419-570-0093-000-5
Q Permit No. Tax Folio No.
T— 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,
0) the following Information Is provided In this Notice of Commencement
Legal Description of Property:(and street address if available):
M� RIVER PARK-UN IT 9-PART C B K RO OT 91 (MAP -14/21 S) (OR 2058-246629131-2f
W General description of Improvement:RerOOf
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Owner information or Lessee Information If the Lessee contracted for the Improvement:
WName
'ram AddressRar Ir - 9$3
v Interest in property__ a A/
WNye and address of fee simple titleholder(if different from Owner listed above):
lnI Contractor's Name:Doing ROOfind. C.O.
V Contractor Address:P_O BOX RR14gl Port St_ Lu ."t _ EL 34,C)R$ Phone Number.(8yi) RR743630
Surety(if applicable,a copy he payment bond is attached):Amount of bond:
Q Name and address: ( Phone number.
0 Lander Name %. Phone N tuber: '
Lender's address:
W nc�'n� GaC/T''' vLr ti 0,Z oZ
Persons within the State of Florida de'Xignated by Owner upon whom notices or other documents may be served as provided by Section
r 723.13(1 a)7.,`Florid3�tute
M Name: GOm C Phone Number- Q -b3) -3(' ) -6&3 e
WM Address: O-
In addition to himself or herself,Owner designates Al Akof to receive a copy of the
coLienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
UPhone number of person or entity designated by owner _ N
W Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
1 contractor,but will be 1 year from the date of recording unless a different date is specified) N/A
I� WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
Lim IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,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
U INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
UUnder penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge ajXd belle.
CD
Q \(Signature of Owner or Le as,or Ow s or Lessee's Authorized officer/Director/Partner/Manager
`7 W y10—�-
00 (Signatory's Title/Office)
00
STATE OF FL
CO-R- I ,
COUNTY OF � �LllyJ
UThe foregoing Instrument wa �ckR�u{ladged before me by means of O physical presence online notarIzatIo Is 13 day of ✓L
20`�,by CA9-M CJN `LV •t who is personally known to me or has produced identificatI
ROCIO PLAZA ESPIN
M State of Florida-Notary Pub lto
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Y Commission Expires 01/20/7825 TARY PU ,State FI rida
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IHEREBVCERTIFYTHATTHI DOCUMENT IS A TRUE AND CORRECT COPY OF AN OFFICIAL RECORD OR Am. Digitally SZ(+7�ned by The Honorable Michelle R. Miller
DOCUMENT AUTHORIZED BYLAW TO BE RECORDED OR FILED AND ACTUALLY RECORDED OR FILED IN Date• 20 2 1.1?.16 15:37•12 -0 5•0 0
THE OFFICE OF THE ST.LUCIE COUNTY CLERK OF THE CIRCUIT COURT. QW Rea SOP' EleCtrOnl Ca 11 Certified CO THIS DOCUMENT MAY HAVE REDACTIONS AS REQUIRED BY LAM'. y Copy
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