HomeMy WebLinkAboutChurch Noterized app.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03 2412(22 _ Permit Number:
LucniLg
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Port Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: FL_ 34952
Property Tax ID #: 3419-565-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Ar C'1HANGF01 IT (3 -, 5 ton syste s 14 seer, 10kw_heater
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit —check all that apply:
X_Mechanical _ Gas Tank — Gas Piping _ Shutters _ Windows/Doors Pond
— Electric — Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 16600 Utilities. — Sewer _ Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name_EAMIl Y CHURCH DUANE RICHARDS
Name: MARK MIRANDA
_
Address: j 1,r, NF SC11 Ir]A t7g _
Company:
City: _ROR-T_.ST I I-ICIE „,_. State, �
Zip Code: 34952 Fax:
Phone No._570-S()1-.54.rr, E-
Address:
City: JENSEN REACHState: EL
Zip Code: 34957 Fax:
Phone No
_
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License_ STAB
„1 a.vll "b%, us, IJ L' VI 11ruIt!, c, nrL vtiucu nonce oT Lommencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
OESIGNE
Name: _
Address:
City:
Zip;
INEER: _ Not
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
UWNtK/ LUNTKAGTOK 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 jobsitg before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before.commencing wnrk nr rArordina „m Er Nntirn of rnmmpn�pr ^r,+
Signature C n actor- r -Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF M -h n
Sworn to or affirmed) and subscribed before me of Physical Presence or Online Notarization
this ay of 6161:2 L, 1 Zn ?-2-by K4etr-k, r'ulis�
Name of person making statement.
Personally Known OR Produced Ide tification
Type of Identification Produced 1-1—_ZA L.
(Signature of Notary Public- State of Florida)
Commission No. E (Seal) ,, CHARMAINE GRANT
Notary Public, State Florida
1
Commission# HH i63483
My Comm, expires Aug, 10, 2025
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DATE
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DATE
COMPLETED
NOTICE OF COMMENCEMENT
Permit No.
State of Florida, County of St. Lucie
Property Tax ® No. 3419-565-0001-00"
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
General description of improvements AC CHANGEOUT
Owner/lessee FAMILY CHURCH
Address 115 NE SOLIDA DR, PORT ST LUCIE
Interest in property:
Fee Simple Title holder (if other than owner)
Address
Contractor HIGHTOWER A/C LLC. Phone # 772-353-5174
Address tz a-v- ( Fax #
Surety Phone #
Address Fax #
Amount of Bond
Lender 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 MARK MIRANDA Phone # 772-486-3841
Address 145 S WARNER DR, JENSEN BEACH, FL, 34957 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 1NTFNh Tn 0nTA nv
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCMENT.
or
Signatory's Title/Office
OR RECORDING YOUR NOTICE OF
Authorized Officer/Di rector/Partner/Manager/ Signature
State of Florida, County of Mar^ r-�,
Acknowledged before me this ,day of 20 22.., by
who's or who has produced r t l__ as identification.
Sign tore of Notary Type or Print Name of Notary (Seal)
Title: Notary Public Commission Number %�"' u p} �� CHARMAINE GRANT
oar A�Au Notary Public, State of Florida
x " Commission# HH 163483
3W� My comet_ expires Aug. 10, 2025