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HomeMy WebLinkAboutSUBMITTED PAPERS.1, ALL APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED , ��q S Date: S I —LS Permit Number: SCANNED i� � ` �' "� � BY�e� © at. Lucie County �p Building Permit Application\a"� 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 PERMIT APPLICATION FOR: Renovation PROPOSEQ IMPROVEMENT LOCATION: - Address: O Legal Description: 12 �� Property Tax ID #: 3 `���'�! mn" — c>o V — Lot No. Site Plan Name: Y"\"V -eSe'vl Block No. Project Name: e t e Setbacks Front Back: Right Side: Left Side: _LL DETAICED DESCRIPTION OF WORK: ACloMona wor to e e orme un ert ispermit—c ec a appy: ❑HVAC —]Gas Piping Shutters ❑ Windows/Doors Gas Tank _ ❑Electric ❑SprinklersGeneratorRoof _Plumbing Total Sq. Ft of Construction: S Ft. of First Floor: $ Yi �� Utilities:tSewer 11 Septic Building Height: Cost of Construction: SSEE: CONTRACTOR: t�����Name: Justin C. Thiery h GS �`V—rram Company: Island Kitchen and Bath rss-n �7^,,, P&l Statei, Address: 2340 SE Charleston Dr. �6� Port St Lucie State: FL �� Fax: City:`Jt t -�2J — Zip Code: 34952 Fax: -Mail Phone No. (772) 678-8219 Fill in fee simple Title Holder on next page ( if different E-Mail: jthieryikb@gmail.com CBC1259508 from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. L r SUPPLEM'ENTALCONSTRU;CTIONIEN ", INFORMATION:'` DESIGNER/ENGINEER: _ NotiApplicablHeMORTGAGE COMPANY: xNot Applicable Name: ame: Address: ddress: City: tate:ity: State: Zip: Phone: ip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Sure Tec Insurance Company Address: Address: 1330Post oak amd City: City: Houston Zip: Phone: Zip: 77066 Phone: 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 7Signatdre of Owner/ STATE OF FLORID b� , ®, STATE OF FLORIDI COUNTY OF /1� H, COUNTY OF U� l A The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me this I Z,day of �5 1 20 Eby this L day of rn �' 20 _L_S by (Name of person acknowledging) I (Name of person acknowledging ) (Signature f-P of Public -State of Florida ) Per n own OR Produced Identification Ty of ,denmtification Produced Commission No. Revised 07/15/2014 t re of alic- State of Floridally Inown OR Pro uced Identification, Type of Identification Produced t'c e • - MICHAELRAAZ Commission No. e COMMISSION IMF EXPIRES: July 28, 2019 FF REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA LE MANGROVE NTER COUNTER REVIEW R RE REVIEW EVIE REVIEW DATE COMPLETE INITIALS PERMIT # I 15o� , o2m J I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): Pipe Connection (Company Name/Individual Plumbing (Type of Trade) For the project located at CFC033824 have agreed to be the Sub -contractor for Island Kitchen and Bath (Primary Contractor) or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDY (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED Business Name: Address: City/State/Zip: F ES ARE REEQQUIRED '250 S Baer St Port St. Lucie, FL 34953 Phone: (772) 260-5956 email *SA_T_ E Lee Marion PRINT NAME S A E OF FLORIDA, COUNTY OF St. Lucie I DA 31av THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS n DAY OF 20_ j BY Lee Marion WHO IS PERSONALL WN X OR HAS PRODUCED IDENTIFICATION. M; cA 4 r\ R A u L (STAMP) PRINT NAME OF NOTARY PUBLIC my inumisso lPM2�140 r �(F1pES:�Vry�t� P` BondeOttN9ud9 lED FASTENERS OR ATTACHMENTS �NCEA OFTHE "RETHERESPONS1B1� CONTRACTQRQF T�COR➢ //saS� 02I 3 ST. LUCK COUNTY BUILDING DMSION REVIEWED FOR COWLIANCE. n REVIENVED BY Zip 5i DATE Ti(, z0/� PLANS AND PERMIT MUST BE KEPT ON JOB ORNO INSPECTION WILL BE MADE. tx�, r, THESE PLANS AND ALL PROPOSED WORK :. ARE SUBJECT MANY CORRECTIONS i REQUIRED BY FIELD INSPECTORS THAT. UT, MAY BE NECESSARY IN ORDER TO..:.i COMPLYWITH ALL APPLICABLE CODES: .� .mow Stivcuti• �� 6. ��s� L� 4L4 s n JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNT' FILE If 4101417 OR BOOK,'—`"r PAGE 2422, Recorded 08/13/2015 al, 129 PM —ORIAN�RMRN M r I malff Numpot NOTICE OF COMMENCEMENT J The undersigned hereby given notice that improvement will be made to certain seal property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of rommeacement. 1. DESCRIPTION OF PROPERTY (Legal description �d� and street address) TAX FOLIO NUMBER�22o�A-6p(,—si SUBDMSION at nr. I.— ...... 2. GENERAL DESCRIPTION OF IMPROVEMENT: Z2Ek Ve.�— e!4 d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER:.wewzu:,y,zsxm se caw.sw, a. Pwtst taro., ft ssosz,(m) sraezw 5.SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: s..r.oa.�,om co. mmsrouo.s aia.s�nn r+r.00a 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon wham notices or other documents may be rerved as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER; 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice ofcommencement (the expiration data is I year from the date of recording unless a different date is specified) ,_,20_ Signaftn a of Owntr or ( Print Neme and Provide Signatory's TiRdOffite Owner's Authorized OffieedDirector/Partner/Manager Ststeof Flarida County of Sir Lucia �s 1 C The.I 'mR ins ruarrant_was acknowledged before me Nis 13 day of /-1 tiL „sS'F' 20.�. By_ OC'17� , r l'Sle � as Owner (Name of person) (Type of authority... e.g. Owner, officer, trustee, aRomey in fact) ForOwTer (Name of party on behalf o(whom instrument was executed) Personally Known_orproducedlhefollowinglypeoflD:x +P',+' MM AELR1112 M:(�an et I�4AZ �%�" • tkTWWR9RI1FFkNIlO DIPRES:420. F010 (Printed Name of Notary Public) (Signature ary Public) 0 Aa?� IonMMu6zytlgvlry5uty Under penalties of perjury, I declare that I have read 1 ongoing and that the facts in it are true to the best of my knowledge and belief (section 92325, Florida Statutes). 9lgmaturc(s) of Ownee(s) or Owner(s)' Authorized Of cnr/DlreclodPartner/117anager who signed above: /s�s�d_ ByrlW Rn. aasgaMx m.e:,gs STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF HE OR] ; NAJOSE E. S TI, CL ByDep �tyclerk > Date: AEI!+ 1 imri a PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY Island Kitchen and Bath will be using the following sub -contractors for the (Company/Individual Name) project located at �� �tl L (� �40 6__) — — W 0— (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical Plumbing Pipe Connection CFC033824 HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014