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HomeMy WebLinkAboutBuilding Permit Application` All ApPUCABBINFO MUST 8E'CO Date: -,,FED ~-� Permit Number: e Building Permit Application Planning and Development Services Building and Code Regulation Division CO[Or02[Ci3i Residential 23OOVirginia Avenue, Fort Pierce B3498 Phone: (77I)462-1553 Fax: (772) 462'1578 � � ° Property Tax |D#: Lot No. Site Plan Name: Block No. Project Name: New Electrical Meter Second Electrical Mete ° (Affidavit required) ' Additional work tubeperformed underthispennit—checkaUthatapply: —Mechanical — GasTank —Gas Piping — Shutters —Windows/Doors Pond __Electric __Plumbing __Sprinklers __Generator ____Roof Phzh Total Sq. FtofConstruction: Cost ofConstruction: $ Sq. Ft. o[First Floor: Utilities: __Sewer —Septic Building Height: ` an Name I Avid H City Stat; Fill in fee simple Title Holder on next page if different E-Mail Nr-N�C�.Co6s Y-701 I ro State or County License 61 C CY C Q 'I R I from the Owner listed above) 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. m - n 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 auth'ori-ze the p'er'mit li'older'to build the subject structure is in applicable Home Owners Association rules, bylaws or and covenants that may restrict'or prohibit such which conflict with any 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,inspectiori.df you intend to obtain financing, consult with lender or an attorney before commencing work or recordin our Notice of Commencement. jSignate ofOwner/ L ssee/Contractor as Agent for Owner OF FLORI A S� Lu- c, -Q- COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this gleclay of Oeto b'r 12091 by 7)6b, 7-Yo,_C© bs - - Name of person making statement. Personally Known X OR Produced Identification Type of Identification Produced (Signature of Notar ublic- State of Florida Commission No. G� 9 d v eod(Seal) ow*�P�4 Notary' Public State ofFlbrida' .' Casey Binkley " a My Commission GG 906886 , Expires 08/22/2023 p REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 5 20 21 NOTICE OF COMMENCEMENT Permit No. State of Florida, County of St. Lucie Property Tax ID No. i301'!v�l 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. of property and General description of improvements Owner/lessee 1 %O Y/ Ct if available wag ��9�e - Lo.K,2 oova Fo..r t �n,+ 9 - sal 163 Address 11PUIA ..aUe- 1-_.A.)_AC. Q.. (� Interest in property: J f e .QQ 1_+ Q w 11 L Fee Simple Title holder (if other than owner) Address oZ 573 -% Contractor �d�� ►� �er�'6 h S ,on strLA C t i o n Phone # % 72 - Address 9 7G ( Oi ec-.4e r Ave . 4 FOr4 Fax # �77� - � C, c% • 9q Surety Address "Amount of Bond Lender Address MICHELLE R. MILLER. CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY FILE # 494078810/2012021 12:26:35 PM OR BOOK 4706 PAGE 2005 - 2005 Doc Type: NC RECORDING: $10.00 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 In addition to himself, owner designates Phone # Fax # Fax # of 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. -I _ / or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature my) e(' State of Florida, County of S - L u C', e- 1� Acknowledged before me this 201" , day of Ctob-f 20 .a ) , by Hia n9 n 7.q who is personally known to me or who has produced r1Ve; S Li- Ce'1j,Q as identification. 2 SZe.,_ Cy e V C:�', A ICI e Signature of otary Type or Print"Name of Notat (Seal) Title: Notary Public Commission Number �� 9 G D a ;aa►I'� °W Notary Public State of Florida Casey Binkley e� My Commission GG 906880 +>j,o�� Expires 08/22/2023 IV --Clerk of Court - (772)462-6928 201 South Indian River Dr St Lucie Ave eve_ n nqe Ave Clerk of Court 201 S Indian River Dr I _ See inset below or Z I___ Virginia Ave 91 Rd y 1 C P o P�en�e N n9e p,�e pta pve p��an�c N N � N y o o (n (�7 a � ; 7