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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� Date: 216/19 Permit Number: 1 q0a - 0 q10 -- _ SCANNED eWilli-- - - BY110 -- - Building Permit Application St. Lucie County Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPE:METAL REROOF - M0R HOME= PROPOSED INPROVEMENT LOCATION: Address: 10725 S OCEAN DR LOT #236 JENSEN BEACH, FL 34957 Property Tax ID #: 4511-501-0169-000-1 Site Plan Name: Project Name: Lot No.16 Block No. E I DETAILED DESCRIPTION OF WORK: I REMOVE EXISTING SHINGLE ROOF AND INSTALL A NEW METAL CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Electric _Plumbing _Sprinklers Total Sq. Ft of Construction: 1000 Cost of Construction: $ 7475 _ Generator Sq. Ft. of First Floor: Windows/Doors Roof 3/12 Pitch Utilities: _Sewer _Septic Building Height: 1 STORY OWNER/LESSEE: CONTRACTOR: Name DON ARNOLD Name: ANDREW GRIFFIS _ Address: SAME AS ABOVE Company., ALL AREA ROOFING & CONSTRUCTION City: State: _ Zip Code: Fax: Phone No.772-631-6765 Address:3921 S US HWY 1 City: FT PIERCE State: FL Zip Code: 34982 Fax: 772-464-6600 Phone No 772-464-6800 E-Mail: -Fill-in-fee-simple Title -Holder -on -next -page (if different-- from the Owner listed above) -E-MailfALTH@ALLAREAROOFINGFTP_.COM _ State or County License CCC1330649 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name:_ Address: _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: -City:-- - -- - - Zip: Phone _ -State: - City: - - Zip: Phone: - - State: - - FEE SIMPLE TITLEHOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 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 you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencemene / I Lj6e��)& 14: %igh'ature of Owner/ L7essBeg4ntrActorJ3s Agent for Owner _Lv�zi S' ature of ContractorlLicerlse Horder STATE OF FLORJIpA STATE OFF LORID/� COUNTY OF cQ - LtAC'lA , COUNTY OF The forgoing instrumentwas acknowledged before me The f going instrument was acknowledged before me this day of F 2011 by this day of F h4ugCL420 lye by nr Name of person making/statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced J of Notary Public -State of Florida (Signature ry ) c (Signature of Notary Public -State of Florida j 2e�fn� FAITFI,S'u790N roolk vv4' FAITH MASON Commission No. �(3W)vMISSION>1GG003939 Commission No. 1ha < MYCO RNkCGW3939 ur a< EXPIRES: June 20.202o mA EXPIRES: June 20,2020 9tF P` 9ond 9lF OP Banded TWU BUdgethlotarySeMUS REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW - REVIEW DATE --- — --- RECEIVED DATE COMPLETED ev. FILE # 4531978 OR BOOK 427 PAGE 2124, Recorded 02/31' 0019 10:27:40 AM Permit No. State of Florida County of St. Lucie NOTICE OF COMMENCEMENT Tax Folio No. yb 11- 5a 1= 0169 -C6O- ) The undersigned herebygives notice that improvementwill be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement General description of Improvement-- "Op Owner information or Lessee hl(ormaUon if the Lessee contracted for the improvement: Name (n01J A(` ,,,�,, Address 16725- S Ocyno Qr, Lo•G ,`J4tnS�Can n.rt,I interest in property: k,u n•`i Name and address of fee simple titleholder (if different from Owner fisted above): 4r Phone Surety (if applicable, a copy of the payment bond is attached): Amount of bond: S Name and address: Phone number. Lender Name: Lenders addr( Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1) (a)7., FloAda Statutes: Name: Phone Number. In addition to himself or herself, Owner designates of Uenols Notice as provided in Section 713.1311) (b), Florida Statutes. Phone number of person or entity designated by owner. to receive a copy of the Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 yearfrom 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 CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. AN0110E 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 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 knowle� belief, (Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager AM :;:;Ts IAn3oN t NY^.0?1A ^uIONY,GG003?39 r EXPIRES: June 20.20.0 The foregoing instrument was acknowledged before me this day of Q, 201" ((1 BY��tit I"•1 N101A1) as ©lfJtQ r for . ,h LI�V) S L fT Name of Person _D/'/I Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed ' , `aL, — Personally knownj�or Produced Identification_. (Signature of Notary Public -State of Florida) otiKrn° FAITH"ON (Print, Type, or Stamp Commissioned Name of Notary �SYp���,'gw, MYC0?QlSSI0NBGGo0303fyPeof Identification produced '4* �•r EXPIRES:Ju 20,2020 qua aordedTivi&9se1X ayaemma