HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMV,
� D FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
�V. LUICM
Building Permit Application
Planning and Development Services oadl
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address:
Property Tax ID ;
Site Plan Name:
Project Name: _Sh"Ma U1
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
L,
Lot No. ,izi
Block No.
(Affidavit required)
_ Gas Piping _ Shutters _ Windows/Doors _ Pond
Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Name R1yih i-t'1-\Ime:2 Sh frrYiia n
Address:1156tAfW441 Gl
City: Ft. 8QWce, Stater
Zip Code: `5L-g4q Fax:
Phone No. 9q2--y(P8' g304
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: 0-hri'!5 ymsC) n
Company: \Y160y) Rlye,lr bpc'w�: LA-C
Address: 4,31 Ayo e-ado Ave,
City: Se,00 h6 n State: FL -
Zip Code:Fax:
Phone No(ggr .) 413-133q
E-Mail�1 YtlOcJ45 & 6( rwi p
State or County LicenseCE ,, hn 1 lalo�
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 COIN' STR,UCTION
LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: VILM A
_
Name: W k
Address:_ 6?JJ5" _ Iif'r'Rd
Address:
City: e?LD AO-4 State: L
City: State:
Zip: 32%o Phone �`� j 5Og'
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name: 0 1 A
Name: N I A
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 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.
igna ure of Owner/ Lessee/Contractor as Agent for Owner
STA E OF FLORIDA
COUNTY OF `�: o,,�►y�z
Sworn to (or affirmed) and subscribed before me of �PrseRcOnline Notarization
this day of , 20,& by
cJMj
L"t�v E7 1���M w
Name of person making statement.
Personally Known OR Produced Identification
Type of IAenca 'onduced
(Sig re of flotary Public- State of Florida )
Commission No.
.5141ORy a {,?:• CHRISPINSON
17
;= Commission A 60 326924
g ��Frr Explros Juno 29, 2023
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 5/20/21
NOTICE OF COMMENCEMENT
TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00 OR
WHEN HEATING OR AIR CONDITIONING REPAIR OR REPLACEMENT EXCEEDS $7,S00.00
Permit #: Tax Folio #: 1414-701-0127-000-2
State of Florida, County of Indian River, 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.
1. Legal description of the property (and complete street address if available):
Lot E, Block 14, Queens Cove Unit 1 133 Commonwealth Ct., Ft. Pierce, FL 34949
2. General description of improvement:
Seawall
3. Owner information or 0Lessee information (if the Lessee contracted for the improvement):
a. Name: _Alvin & Glynis Sherman
b. Address: 133 Commonwealth Ct., Ft. Pierce FL 34949
(street address) (complete city name) (state) (zip code)
C. Interest in property: fee simple
d. Name & complete address of fee simple titleholder (if different from Owner listed above):
4. Contractor:
a. Name: INDIAN RIVER DOCKS, LLC
b. Address: 481 AVOCADO AVE. SEBASTIAN FL 32958
(street address) (complete city name) (state)
C. Phone number: (772) 473-1337 ) (zip code)
5. Surety Company (if applicable, a copy of the payment bond is attached):
a. Name & complete street address: N/A
b. Phone number: Bond amount:
6. Lender/Mortgage Company:
a. Name & complete street address: N/A
b. Lender's phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes:
a. Name & complete street address: N/A
b. Phone number: Fax number:
8. In addition to himself or herself,
a. Owner designates N/A of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number:
9. Expiration date of notice of Commencement:
(the expiration date will be 1 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 CHAPTER 713, PART I, SECTION 713.13
FLORIDA STATUTES, 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 FIRS_ NSPE IO ,CIF Y5 dOTEND79BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
YIr
(Signotur of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager) (Signatory's Title/Office)
The foregoing instrument was acknowledged before me this, day of—AleiLP0 ' 20 21
By: (printed name of person signing above) _ ejy '
As: ®l Aamrx For
(type of authority, e.g. officer, trustee, attorney in fact) (name of party on behalf of whom instrument was executed)
V.rsona"gwn pif) QProduced Identification Type of Identification Produced
/ Fl�&Im
CHRISPINSON
Commission # GG 326924
Expires Juno 29,2023
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