HomeMy WebLinkAboutBuilding Permit App - Pietrus All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 Z02-2 Permit Number:
-: ,
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: dG
PROPOSED IMPROVEMENT LOCATION:
Address: —1 u
Property Tax ID#: Lot No,
Site Plan Name: Id,Sjf ) (17'7 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
1
n
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 Pitch
--7
Total Sq. Ft of Construction: 01 Sq. Ft.of First Floor:_ -701
Cost of Construction:$ Utilities: —Sewer —Septic Building Height: 2
OWNER/LESSEE: CONTRACTOR:
NamE I r 7 Name: u kjm J.S
Address; Z-7 Q n 140L JA Company: ` COfin d CcDshu
City; State:j2., Addres 5 .S
Zip Code: Fax: ,^
City: 1, State:
Phone No. E- Zip Code:c3 Fax:
Mail: cLnPhone No 2-
Fitt in fee simple Title Hot de next page(if different E-Mail ]✓ `, )� f (�.
from the Owner listed above) State or County License —
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: _XNot 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 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Contractor-or-Owner Builder as applicable
STATE OF FLORIDA �� 1��L�
COUNTY OF L.
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this 2-day of 20by
11 1-S 11 1 my- ,
Name of person making statement.
Personally Known OR Produced Identification
Type of Id nt" icatio oduced
i natur of e f Flori
"XX NB KATHERINE HAVENS
Commission No. (Seat) _? ` MY COMMISSION#HH199309
EXPIRES:DEC 04,2025
Bonded through 1st State Insurance
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 # 5001270 OR BOOK 4781 PAGE 1866, Recorded 03/01/2022 04 :18:21 PM
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No, 1425-701-0167-450-7
State of Florida,County of St Lucie
The Undersigned hereby give 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
CORAL COVE BEACH-SECTION ONE-BLK 7 S 16.66 FT OF N 36.40 FT OF LOT 9 AND E 10 FT OF VAC ALLEY ADd ON W(APT 2703-8)(OR 3627-2794)
General description of improi ements Re Roof
Owner/lessee Christopher Pi trusiewicz
Address 2703 N HIGHWAY AIA B Fort Pierce FL 34949
Interest in property: Ower
Fee Simple Title holder(if other than owner)
Address
Contractor Rhino Roof& eneral Construction Phone# 772-446-1139
Address 865 S King HWY Fort Pierce FL 34945 Fax#
Surety Phone#
Address Fax#
Amount of Bond
Lender Phone#
Address Fax#
Persons within the State of Fl rida designated by Owner upon whom notices or other documents maybe served as provided
by Section 713.13(a)7.,Florida Statues:
Name Phone#
Address Fax#
In addition to himself,owner lesignates of
Phone# Fax#
to receive a copy of the Lieno '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 WNER 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 YO LJR LENDER OR AN ATTORNEY BEFORE COMMENC WORK OR RECORDING YOUR NOTICE OF
COMMENCMENT.
t
O ne essee or wner's or Lessee's Authorized Ofticer/Director/Pa er/Manager!Signature
s)L�o
Signatory's Title/Office
State of Florida,County of 54-L-U c.:`C,
AcknFed before me this t L} ,day of ��20 3� ,by r 6+0
who inally known to me or who has produced as identification.
Signature of Notary Type or,Print Name of Notary (Seal)
Title:Nate Wis n Number h' ('J9�d-"j�-iL
�'"""''4; Cacrr+er+P M Q ".2.
y, MY 0w2j1 025