HomeMy WebLinkAboutBUILDING PERMIT APPLICATION AND NOCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/18/2022 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Peggy Hayes
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 S QC AH DR APT 2013Jensen Reach FL 34957
Property Tax ID #: 450261000160001 Lot No.
Site Plan Name: The Princess of Hutchinson Island Unit 206 Block No.
Project Name: Peggy Hayes
DETAILED DESCRIPTION OF WORK:
Remove and replace windows and doors with PGT
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 V Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 1,350 Sq. Ft. of First Floor:
Cost of Construction: $ 27,874.00 Utilities: —Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peggy Hayes
Name: Joe Delvecchio
Address: 9650 s Ocean Dr apt 206
Company: Monterey Glass
City: Jensen Beach State: fI
Zip Code: 34957 Fax:
Phone No. 772-229-6121 E-
Address: 851 se Monterey Rd
City: Stuart State: FL
Zip Code: 34994 Fax: 772-283-1919
Phone No 772-521-4250
Mail: cliff.fischer@yahoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail cliff.fischer@yahoo.com
State or County License 25686
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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 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 before commencine work or recordine vour Notice of Commencement.
�v
70entractor - or -Owner Builder as applicable
ORIDA
COUNTY OF Florida
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 19 day of January .2o20 by
Name of person making statement.
'`0gyllNllIJ11111�
y.1LLINGS
Pers Ily Known X OR Produced Iden�n•
Typ f Identification roduced •'�P asp' ;����
�:w
F • Z
Signature of Notary Public -State of Florid owo26316
0 .:
i9 ' d�e
HH02fi316 D
Commission No. (Seal] 1 P�Oded t
.'• °ublic Una% CS
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
efevv 10/12/21
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 4502-610-0016-000-1
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, the following information is provided in this Notice of Commencement.
Legal Description of property and address if available
THE PRINCESS OF HUTCHINSON ISLAND UNIT 206 (OR 903-2362: 1037-275: 3382-1753)
General description of improvements
OwnerAessee Peggy W Hayes
Address 9650 S Ocean Dr Apt 206 Jensen Beach, FL 34957-2357
Interest in property: Owner
Fee Simple Title holder (if other than owner)
Address
Contractor Monterey Glass Specialists Phone # 772-521-4250
Address 851 se Monterey Rd., Stuart, FI 34994 Fax # 772-283-1919
Surety Phone #
Address Fax #
Amount of Bond
Lender
Address MICHELLE R. MILLER, CLERK of THE CIRCUIT COURT
SAINT LUCIF COUNTY
FILE # 4978806 01111I2022 02:18:10 PM
Persons within the State of Florida desig OR BOOK 4754 PAGE 2989 - 2989 Doc Type: NC ;rved as provided
by Section 713.13 (a) 7., Florida Statues RECORDING: $10.00
Name
Address
In addition to himself, owner designates of
Phone # 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.
OwnerdL r Owner's or L ssee's Authorized Onicer/DirectorlPartnerlManager/ Signature
Owner
Signatory's Title/Office
State lorida, County of l 441;"/yN
Ackn ledge before me this V, day of 26 4L, by Pe�S1'
i4 WYCAV11111111111y
who s perso Ily nown to me or who has produced ��
����'�y /�
•`
AGO GV Sit Fto� • PA Z
Sig at re of Notary Typc or Prmt Name of Notary'
* •' (cal} ��. +
Title: Notary Public Commission Number �Tdf13 (
= oJ1& ;•
a ', a
yA°47ed tM", rses�• Q��
Orr �' • b�.a Under .
�� \k
////'Z/ISTATE \\\\`
1I ON1�