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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE)) INFO MUST BE COMM. Date: D FOR APPLICATION TO BE ACCEPTED / Permit Number: / r C;'j 2 RECEIVED Planning and Development Services NOV 1 3 Building Permit Applica ion 201$ Building grid Code Regulation Division PC'rmIttltl9 [fie 2300 Virginia Avenue, Fort Pierce FL 34982 pa rtirl C' n Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re ' i1Ue CO tyr FL PERMIT APPLICATION FOR: (>r Wc,.,rj- , roo ,q-_a.j - Address: ;`6 -z_r..,g s 3f 4 Legal Description: L_ - S1N IN t- prVCLC-y�7 1, Z�A6 `A (49 Sk-409 -C= SEA LQr^'f1 b(A Property Tax ID #: 1-k - ScA- Lot No. ;;L-\-6 Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 'i CLMett , CA-LJMlt-111v-\ CZOb'F D:;---X df-4 _Mechanical _ Gas Tank _ Gas Piping Shutters _ Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator %�. Roof Total Sq. Ft of Construction: '7 Ss-i Sq. Ft. of First Floor: Cost of Construction: $ 5Sa cam- c, Utilities: —Sewer —Septic Building Height: l o' Name CLo,.i ralA. Address: D©a:S 6'LF1y�N� 21� City: 1K()yAs^A zd © State: nA Zip Code: '-" Fax: N \ A Phone No. �f �� E-Mail: r4 \4 Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: - _=o -J rLrLA-�:4 Company: ( 5. �37" L Address: G%t Sw J�'* s�- City: State: V L-- Zip Code: 33cc4rPR Fax:c SLi- -) 6.- -aCelS Phone No 6ao�- E-Mail IsmA07-iA(Ar P Fp A N15 �Or FLA State or County License Cx--c_ o ID If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGN _ Not Applicable Name: QJS .F 5z,! c— Add ress: 33`00 State: r-4_, 'Zip'33o6ti Phone95y S.��o3 FEE Sl1MPLE4ITL'E'HOLDER: Not Applicable Name: t" -Address: City, i` Zip: = Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: VNot Applicable Name:_ Address: City: Zip: Phone: UWNtK/ LUNTKAGTUK AFFIOVIT: 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the.first inspection. If yoyjnten Pd to obtain financing, consult with len n attorney before commencing work or recor ' otce of Commencement. SiRnature=ofOwiie ent/Lessee/ o trao� Sig `- 25 tracto /License'Fiolde� om: STATE OF FLORIDA STATE OF FLORIDA COUNTY OF vlf-�W.0',n9 COUNTY OF VSrx-p y r9<-LQ The forgoing instrument was acknowledged before me The forgoing instrument was. acknowledged before me this 31 day of oc-Svcs erx , 20 1'fby this it day of cr_-r�pc3 f.-.3'L , 26NS by b N-r.► "'c... nr�y (LI'L�-�1 �C71� r\l F � M �l �LCZ Ate/ I (Name of person acknowledging) (Name of person acknowledging) I' (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known o . OR Produced Identification Personally Known_o4-� OR Produrgoi Identification Type of Identification Type of Identification �° : •'••8`'� ALAN MILLER Produced ALAN MILLER Produced * MY COMMISSION # FF 195499 * * MY COMMISSION # FF 195499 �,qr `O� ' EXPIRES: May 5, 2019 �Se� PIRES:May5,2019 Commission No.F'FigS�� FOFF`0� (SeaPJThrueudgetNotary SeNt;®6 Commission NoF�\�r5 L\�1 sgT P,O �and2dThruBudgetNotaryServices EOF F�° REVIEWS _ FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. _ NOTICE OF COMMENCEMENT W1 Permit No. State of Florida County of St. Lucie Tax Folio No.t" l�b�-S70l_pyDa.-oco-C) The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, irKLr I1 SljPrrlE \cd cor^W\oN ELi�1�►e=N�, the following information is provided in this Notice of Commencement.-'~r^rt .S r-5 -Ar D Legal Description of Property: (and street address if available): Co m >a,bo -6a� General description of improvement: o� RONCL1i, WX gE L-P�C �N Aga k'l%pC Owner information or Lessee information if the Lessee contracted for the improvement: Name <LorlPrl-- V\ V%C-VL►-\i•5ANrJ Address a-dGS f1A14 ) N S mg) � K A LA MEnj Interest in property: 0 L-i r\l NECIL Name and address of fee simple titleholder (if different from Owner listed above): nl 1 la Contractor's Name: is r'M 5 �� C_ Contracto�rAddress: Gam\ S\ r 95"4 .ST- Qbr1NeGNc1 94-11 rL�3o�'� Phone Number:gvo-, Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ T4 lA Name and address: �-4 �.A Phone number: _ Lender Name: Phone Number: Lender's address: A Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Si':.,: 713.13(1)(a)7., Florida Statutes: Name: CA I Phone Number: Address: I Al in addition to himself or herself, Owner designates t4 \ P� of Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number of person or entity designated by owner: rI lA to receive a cop, Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final paym contractor, but will be 1 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 CI IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWIG+ IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFOfi INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WOI RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and be."f. (Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager D W CA �1L (Signatory's Title/Office) The foregoing instrument was acknowledged before me this 3\ day of ate- , 20\� By (lc�h-441,q 0 . iM C-C^-L..W?0, r,4 as S Syr k Ey V-ISUS, for -CLory PI, L-9 tr'1- 'M —�E-LL4 A %.0 Name of Person Type o�,ynhority (e.g.officer,trustee) Party on behalf of whom instrument was executied �o : •••.,�% ALAN MILLER MY COMMISSION # FF 195499 VO Personally known�or produced Identification (Signature of Notary Public - State of Florida)qaEXPIRES: May 5,2019 TF Bonded Thru Budget Notary Services (Print, Type, or Stamp Commissioned Name of Notary Pu� 1 Type of Identification produced r =erk of Court - (772)462 v928 201 South Indian River Dr N E St Lucie BI d 14 s Juanita Ave apse r Z Avenue D Orange Ave Clerk of court 201 S Indian River Dr See inset below Delaware Ave cn c M � o- E � � m N � Virginia Ave = �a m y JC GJ li Edwar Rd Met, 6 a e P N e t,ae m °tang �\an.a Pve m � o d _ N N fQ U) 7 O (n O Citrus Ave