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HomeMy WebLinkAboutBuilding Permit• All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -1`S1 � \ Permit Number: -A Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: $d 4Sp Address: F_ Rt=C:EIVED Building Permit Application JUL 01 219 ST. LuSie County, Permitting Commercial Residential_ Property Tax ID#:? 3�) ��O(� -CS©Z�-C l�'"C! Site Plan Name: Project Name: _ Lot No. Block No. Additional work to be performed under this permit - check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: 301T Cost of Construction: $ Generator X Roof Pitch Sq. Ft. of First Floor: Utilities: _ Sewer _ Septic Building Height: L Name r Address: >7� City: Statet-L Zip Code:-, Fax: Phone No.-77?—`� 2 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company:: i lk f'c�V �� ��1_ 1/P943-0 Address: City: State: Zip Code�� �q' �� Fax:"7"ZZ _L% 6 -ZL Phone No 7 E-Mail i State or County License 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. • TRUC 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 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 WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y UR NOTICE OF COMMENCEMENT." Uga, 41 � 6Far Sighrifure of 0 ner Lessee/Contractor as Agent for Owner Sign ure of Co tractor/License Holder STATE OF FLORIDA I COUNTY OF S -�r- LJL �t STATE OF FLORIDA COUNTY OF s-�- - N-,.� �_%Q The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 'V day of J 20AI by this X day of 731)1y 20A by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced I— fl >_ Produced �— L (Signature of Notary P lic- State of Florida) (Signature of Nota P {6ldrri� Commission No.�{tb�a•d—tr�j (Se NEN mmis t10 'k)�3 NAM #GG .� x REVIEWS FRONT �` a f NG ��t +5'�P`) PLANS � ION SEA TURTLE MANGROVE COUNTERt, .:€V1� IEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19 • NOTICE OF COMMENCEMENT Permit No. Tax Folio No.� State of Florida County of St. Lucie R.ECEIVFD The undersigned hereby gives notice that improvement will be made to certain real property, and in accordanceowith Cha pteT 71 3,�Flgri�la�Statutes 'he following information is provided in this Notice of Commencement. J la b j i% ST. OiO4� C nijmty, permitting Legal Description of Property: (and street address if available): _ - yz�4'3�S�tS� General description of improvement: (2ay o o r X Owner inforn tion or Lessee information if the Lessee contracted for the improvement: Name ✓ d D �/� !1 l /C� C 4' n r' Address & y 0 ! /4-✓ FQr f Interest in property: O t-v Al v Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: Contractor Address: i ¢ rc P t- /- -F t/ -I—t Phone Number: Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number: tender Name:_ ender's address: Number: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sei 713.13(1)(a)7., Florida Statutes: Name: Phone Number: Address: In addition to himself or herself, Owner designates of benor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number of person or entity designated by owner: to receive a copy Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final paymer contractor, but will be 1 year from the date of recording unless a different date is specified) XO-nvi� n�rnZCA 0O4t?v r oxncm w GZi N u m (n > oc:X o6)ZC) rn j r N U A O X N A n N O O 2 m o D C) n A c z 0 o c WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CON IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE f IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE 1 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK RECORDING YOUR NOTICE OF COMMENCEMENT. ;Jnder 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 any knowledge and belief. (Signature o wner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager (Signatorys Title/Office) N �T foregoin r ment was acknowledged before me this day of� U�� 20 B (� � (�C' W as �lJ ifor N me f Pe n Type of authority (e.g.officer,trustee) Party on behalf of whom instrument was executied At"II Personally known_or produced Identification i nature of N t Public - State bf Flor' a) �4. Ila¢grypublic state e Fbfida (Print, Type, o p ommissro ed Na �t� q( (Y p is State Femandal Type of Identification roduced E Commission 21 158362 ^ _a, Exares 1013G 20211�a' l 0 •