HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr —
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEF'"
Date:
Permit Number: O I IQ7Sb�
SCANNED
BY
St. Lucie County
Building Permit Application
0
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
PERMIT APPLICATION FOR:
Address:
Legal Description: I AV/oc WO 6Irc7yF\ JL%
Property Tax ID #:141 % O / " (D 0 cc
Site Plan Name: OWE
Project Name:
Setbacks Front Back: Right Side:
Left Side:
RECEIVED
JAN 3 9 2018
Permitting Department
St. Lucie County
✓-;Z Ug
Lot No.Lt 16.6
Block No.
_Mechanical _ Gas Tank _ Gas Piping _Shutters _ Windows/Doors -
_Electric Plumbing _Sprinklers _Generato <11 0of Pitch
Total Sq': Ft of Construction: A, i QOO Sq. F okr?r• loor
,7 kook .
-; .,: •" `..`,
Cost of6on3t�uction:;$ % f ��(o�.0Q Utilities: _Sewer- 1t7�,TSeptic `BuildingHeight: Id'
t r `-?,ill❑ ...
OWNf=R LE SSLE SS EE:
CONTRACTOR:
Name
Name:
Address:
Company:
13I
City: (FF. State'.z
Zip Code: 34 </SO Fax:
Phone o. .S sC7
Address:
City:
Zip Code:
Phone No
Fie FI _ 14, 47
E-Mail: A v�dom
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
C'CG 13Z9Z
e
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION ILIIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: P one:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: ti
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Pho e:
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 of the granting of this requested permit, I do hereby agree that I will, iri 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 attorhrey before
commencing work or recording vour Notice of Commencement. n
as Agent for Owner
STAT&F FLORID
�S,
COUNTY OF 33I
The forgoing instrument was acknowledged before me
this day of 20A by
M. Garwood
'(Signature of Notary Pub; . nu gf Ergiresa,1nuary 16, 2022
1 l'„ a' o Bonded Rini Aaron Notary
Personally Known V Oii Produced Identification
Type of Identifiion
Produced 60ioh-e—
Comm")ssi4rrflp"t�j� (seala
✓.twr , f T f V,
STATE OF FL
COUNTY OF.
The forgoing instrument was acknowledged before me r
this _. day of 20_Jbby
L/e,w M I
(Name of p son ackngwledging )
Al.
Garwood
(Signature of Notary Publir'
�Fl6iDN�) JagUaly
/ Bonded thro Aao16, 2D22
Personally Known V OR Produced IdentificatioRNetaN
Type of Identification
Produced�4�n�
Commission No.61&%1-6y7.7- (Seal)-
. v� i.:.
REVIEWS FRONT ZONING, SUPERVISOR PLANS VEGETATION SEATURTLE. ;,MANGROVE
COUNTER REVIEVI/ '` REVIEW REV REVIEW REVIEW REVIEW
DATE
RECEIVED .
JOSEPH E. SMITH, Cs-_.-x OF THE CIRCUIT COURT - S;�-7T LUCIE-COUNTY
FILE # 4395584 OF_ iOK 4091 PAGE 1927, Record,---�DI/29/2018 02.48.12 PM
Permit No.
State of Florida, County of St. Lucie
NOTICE OF COMMENCEMENT
Property Tax ID No. 1428-701-0007-00M.
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 3055 N US HWY 1 Fort Pierce, FL 34946
Legal Description
General description of improvements New Root TAYLOR SID BEG ON S LI OF TRACT 14A AT W R/W OF US 1, TH
RUN W ALG S LI OF LOT TO E R/W ON RIDGERAVEN RD. TH
Owner/lessee Florida District of the Wesleyan Church, INC NW'LY ALC SD R/W, 357.46 FT, TH E //TO S LOT L196.8 FT TO W
R/W US 1, TH SELY ALG SD Rf W 346.38 FT TO POB(OR 3445-1821)
Address 3807 Maryweather LN Wesley Chapel, FL 33544 (0,61 AC-26,370 SF)
Interest in property:
100%
Fee Simple Title bolder (if other than owner) WA
Address
Contractor Andros Roofing'Construction LLC Phone# 772-475-4915
Address 2706 Atlantic Ave, Fort Pierce FI, 34947
Surety _
Address
NIA
Amount of Bond
Lender NIA
Address
Fax#
wLL
Phone #Cz
r
Fax #
C W
co
Phone #
W o
Fax It
ICI HO
Persons within the State of Florida designated by Owner upon whom notices or other documents may be
by Section 713.13 (a) 7„ Florida Statues:
Name N/A _ Phone#
In addition to himself, owner
Phone #
Fax #
Fax #
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Floridn 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 UNDERCII.713.13,F.S.,AND CAN RESULT' IN YOURPAYING TWICE FOR IMPROVEMENTS-1.0 YOUR PROPERTY. ANOTICE OF
COMMENCEMENT• MUST BE RECORDED AND POSTED ON THE Jolt SITE BEFORE THE FIRST INSPECTION.. IF YOU ,INTE 'D TOODTAIN
-rtrt �!_...
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING -VOA ORRLCO�RDm�,-Y011R NOTICE. OF
- COMMENCMEN'I'.
State of Florida, County of Fa SC. o
Acknowledged before me this 2 `i , day of SN�ar* 20 �, by P�f,' (� K S S"tYe ,
who is persona n to me or who has produced as identification.
Signature of Notary Type or Print Name of Notary_ _ (Seat)
Title: Notary Public Commission Number f„-a,• `i.
Z ELIZABETH 0. PAFIAS
.S'.� ;.ro`^ ee Notary Public • State of Flodoa .,
• ,n, �', _ Commission # FF 215253My Comm. Expires mar 30, 2
i
Sordad hough Nalional Notary Assn.