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HomeMy WebLinkAboutSUBMITTED PAPERSi ALL APPLICABLE INFO UST BE COMPLETEDI FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: fi BY o i St. Lucie County Building Permit Application 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 PROPOSED IMPROVEMENT LOCATION: Address:' `© S I c-i �!- l n Legal Description: I ,�� t l�i G� I i 1 y)( Y OYI i�1 k\ /�� l�Y- - 2cu Property Tax ID #: l`1�CJ2- wo- — (DUI O ^t OG -LA Lot No. Site Plan Name: Block No. Project Name:l .y1 Setbacks Front Back: Right Side: Left Side: '.DETAILED DESCRIPTION OF WORK: " ee Dltc car h 5 "CONSTRUCTION jNFORMATION:":� itiona wor to e errormea un ert ispermit-check all apply: 0HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors Electric N Plumbing []Sprinklers ❑ Generator EIRoof Total Sq. Ft of Construction: Cost of Construction: $ S Ft. of First Floor: _ Utilities: Sewer 0 Septic Building Height: OWNER%LESSEE`. X CONTRACTOR ,`- Y Nam nGV Name: Justin C. Thiery AddresRE5� Dr- 2-0--p Company: Island Kitchen and Bath OS Cit : 2L hCC P 1/� State: FL Y �C� e Zip Code:!iUIQS-I Fax: Phone No. 2C) I — 2.6fli -- qg Address: 2340 BE Charleston Dr City: Port St. Lucie State: FL Zip Code: 34952 Fax: Phone No. (772) 678-8219 E-Mail:Yl —r Fill in fee simple Title Holder on next page (if different from the Owner listed above) thie ikb mail.com E-Mail: 1 ry @9 State or County License: CBC1259508 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: x Not Applicable Address: Address: City: Zip: Phone: State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: x Not Applicable BONDING COMPANY: Name: sure Teo Insurance Company _Not Applicable Address: Address: 1330 Post oak Blvd City: City: Houston Zip: Phone: Zip: nosy 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 commencing work or recording your Notice of Commencement. / of STATE OF FLORIDA STATE OF FLORIDA COUNTY OFST. COUNTY OFst.Luda The forging instr�t was acknowledged before me this L day of 2015 by 1 person (Sign 'tu of Notary Public -State of Florida I Person Known OR Produced Identification Type of Identificatio well CC Commission No. MARGARET M. LEONARD NolariSab1k - Slate of Florida ^•= _•' My Comm. Expires Jul 17. 2015 Commission # EE 77881 %9f.... Bonded Through National Notary Assn. Revised 07/15/2 The forgoing instr�Tent was acknowledged before me this J5�:day of 20yl' by (Name of person acknowjecgia ( lgn tur of Notary PZttatof Florida I Persona nown OR Produced Identification Type of Identification Produced Commission No. L� MARGAItE1V. LEONARD `.gip t� U9 •. ;'a°,/%�•° Notary Public - State of Florida Commission # EE 77881 Bonded Through National Notary Assn. REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS 11 PERMIT # 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): ER13014993 GWP Electric have agreed to be the (Company Name/Individual Name) Electrical (Type of Trade) Suh-cnntractor for Island Kitchen and Bath (Primary Contractor) For the project located at Islandia 11 - 9500 S. Ocean Dr #205 Jensen Beach, FL 34957 (Project Street Address 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: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED Business Name: Address: City/State/Zip: Phone: AUAT 'URES ARE REQUIRED 282 SW Kestor Drive Port St. Lucie, FL 34952 772-485-2001 STATE OF FLORIDA, COUNTY OF email: gwpelectric@att.net Guerry Parfait PRINT NAME St. Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 7— DAY BY Guerry Parfait TE 201�6 WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. (STAMP) I N URE OF NOTARY PUBLIC RINT N ME OF NOTARY PUBLIC SL DS:08/06/2014 MARGARET M. LEONARD Notary Public - Slate of Florida N �o` My Comm. Expires Jul 17, 2015 Commission # EE 77881 Bonded Through National Notary Assn, V1.)VU.). luckou-) lit' (/tilaf d4Jb ONCEAIED FASTENERS OR Ai 1t.: ARE THE RESPONSIBILIT`r 0', T r CONTRACTOR OF RECORC C7UeSf V!'rt � �� i i � O , \ J-�oxeS \ �506-oZ�js ST. LUCIP, CQUN7y BUILDU REVIEWED FOR Cyhi REVIEWED BY OR WILL BE MDE, JOl; THESE PLANS AND ALL PROPOSED WORK AND SUBJECT TO ANY CORRECTIONS REQUIRED BY FIELD INSPECTORS THAT MAY BE NECESSARY IN ORDER TO COMPLY WITH ALL APPLICABLE CODES. ni 1�LSnai ^ C..,ir� vr...7 —.. • ". Ar l'on ✓ref A „�//- W411 •. 1�CtS}ems �iGn.�� I JOSEPH E. SMITH, CTL'DK OF THE CIRCUIT COURT - SAITT'1',.T.UCIE COUNTY FILE # 4080935 OR' DK 3756 PAGE 2943, Recorded '15/2015 at 10:48 AFTER RECORDING RETTMN TO' r- MMR MIMPER' "11:. •..,..1 :n.:.,.1 :.� .....,:I:ii:.l:.:,. NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and In accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. OF PROPERTY (Legal description and street address) OF 3. OWNER INFORMATION: -000-t'[ Is. Addrea>�SSB S (3(�1 TT� '�al1 V 1�p �, i�44.4> Siji. interest in pmpeny A�j� % d. Name and address of fee simple titleboldcr (if other than owner) 4. CONTRAOPOR'S NAME, ADDRESS AND PHONE NUMBER: J ura TNew. xaan se Clumedee 01. Pat M tatle. Et. aassa. VM m8e219 5.SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: su.Teom,omo M.nsewnoxseem Rnomneo,oao 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the Stme of Florida dcsignated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (I)(a) 7., Florida Statutes: NAME, ADDRESS AM PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Licnor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration data is I year from the date of recording unless a different date is specified) 20_. Print Name and Provide Slgnstory's TiDdODlc , State of Florida County of St. Lucia The foregoing Instrument was acknowledged before me this / day of 4;11 � . 20 /5 By , as Owner I (Name of person) (Type of authority... e.g. Owner, officer. trustee, attorney in fact) For Owner (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of lD:_ MARGARET M. LEONARD Notary Public•gtataol Florida 'My Comm. Expires Jul A, 2015 (Printed ld ofNotmy Public) (inatu eofNotary uB ' %9 R Commission i EE 77B81 Under penalties of perjury, I declare that 1 he belief (section 92.525, Florida Statutes). SlgrmNrHys) of Owners) or Owner(s)' Avthorlud OOIcer/DirenodPertner/Manager who signed above: /1r2.[/Yh f _ � B a a®ea Y STATE OF FLORIDA �THLtU$GIfS T0O00CENRTTYI ��T TfT" T Date 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 C5,2;k -hG (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 GWP Electric ER13014993 Plumbing Pipe Connection CFC033824 HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: Revised 07/29/2014 PERMIT# 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 Name) Plumbing (Type of Trade) CFC033824 have agreed to be the Sub -contractor for Island Kitchen and Bath (Primary Contractor) For the project located at ISlandia 11, 9500 S. Ocean Drive #206 Jensen Beach, FL 34957 (Project Street Address 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: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE Business Name: Address: City/State/Zip: Phone: (772)260-5958 r SIGNATORY 2501 SE Baer St Port St. Lucie, FL 34953 pipecannedongyahoo.com; leemerlanee®Bmall.com email: Lee Marion PRINT NAME STATE OF FLORIDA COUNTY OF St. Lucie DATE e THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1-'S—DAY OF 20�- BY Lee Marion WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. (STAMP) G` it SIG TURF F N ARY PUBLIC PRIM AME OF NOTARY PUBLIC „ MARGARET M. LEONARD Thar 'in'• SLC S: 08/06/2014 Notary Public -State of Florida '� - My Comm. Expires Jul 17. 2015 Commission # EE 77501 F oFP: •• Bonded Through Nalia