HomeMy WebLinkAboutBuilding Permit App - Edgar All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater Z- ZZ
Permit Number:
caj( I�
r 'x Cal Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue,Fort Pierce FL 34982 Residential
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID#: 2T3
Lot No.
Site Plan Name:
,----
Project Name:
Block No.
DETAILED DESCRIPTION OF WORK:
l � i
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 _portid
_Electric _Plumbing _Sprinklers _Generator
0 �Roof 2=Pitch
Total Sq. Ft of Construction: � F
Sq. Ft. of First Floor: ��1 J(�
Cost of Construction:$ <l Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
Name
Name:
Address: v
City: y �� Company:
State:f Address: SnA
Zip Code: Fax: City:
Phone No. State:
E- Zip Code: Fax:
Mail: r Phone No
Fitt` ee si pie Title lder on next page(if different E-Mail voo 1' I l ie
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 LAIN 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: 4Not 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 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
COUNTY OF
Sworn to(or affirmed)and subscribed before me of (_Physical Presence or Online Notarization
this_ day of `� w2 by 7)/
Name of person making statement.
Personally Known OR Produced Identification
Type o i ifi atio Produced
Sig a lic-State Fi rida)
Commission No. (Sea(] , a KATHERINE HAVENS
MY COMMISSION#HH199309
EXPIRES:DEC 04,2025
Bonded through 1st State Insurance
LLAE
FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ED
10112/21
ICHELLE R. MILLER,R BOOK 77
OR47 PAGE 2337 , Recorded 02/24/2022 09:
O TIS2 AINT LUCIE COUNTY
F9:30 AM
FILE # 499829
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 3518-212-0004-000-8
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 18 36 41 FROM INT OF N SEC LI AND E R/W OF FEC RR RUN SELYALG RR R1W 404.60
FT FOR POB,TH CONT SELY ALG RR RAN 101.15 FT,TH RUNE TO RIV,TH NWLY MEANDERING RIV 1042 FT,TH RUN W TO POB(4)(OR34&964,965)T509 S Indian River Dr
General description of improvements COMPLETE RE-ROOF
Owner/lessee John&Sheila Edgar
Address 7609 S Indian River DR Fort Pierce,FL 34982
Interest in property: OWNERS
Fee Simple Title holder(if other than owner) N/A
Address
Contractor RHINO ROOFING&GENERAL CONSTRUCTION Phone# 772-446-1139
Address 865 S KINGS HWY, FORT PIERCE,FL 34945 Fax#
Surety N/A Phone#
Address Fax#
Amount of Bond
Lender NIA Phone#
Address Fax#
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(a)7.,Florida Statues:
Name Phone#
Address Fax#
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.
O er/Lessee,or Owner's or Less s Authorized Officer/Director/Partner/Managert Signature
Signatory's Title(Oft➢ce
State of Florida,County of SAINT LUCIE
Acknowledged before me this Z day of, 4tk, 20 cla,by Off» q,, o. ri ,
who i ersonally known to me or who has produced /�7y as Identification.
Signature of Notary Type or Print Name of Notary (Seal)
Title:Notary Public Commission Number i3;;-Z;
Ca Public Stets of Florid9
Carmms en M Quinones
my Commission HH 093217
ay�d� Expires 02/15/2025