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Home My WebLink AboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE CO PLETED FOR APPLICATION TO BE ACCEPTED Date: t. SCANNED Permit Num6r: BY 4,2J, `" """ 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 PERMIT APPLICATION FOR: Renovation Residential X Legal Description:C�cp^ -,C Q)Geo-n Lr"-C'rr d ilon(Anp1ucw� Cie Property Tax ID #: -a)-;) - OC)b�--I - G O Ci'—I Lot No. Site Plan Name: c ( Block No. Project Name: S 2c Setbacks Front Back: Right Side: Left Side: DETAILED:DESGRIPTICN.OF WORKi �'c�iJ fie. f 1�(NI�r 0 'CONSTRUCT.ION INFORMATION: Additional worK to De performed under tispermit-c ec a appy: EIHV/ []Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric IJ Plumbing ESprinklers Generator Roof Total Sq. Ft of Construction:: S Ft. of First Floor: Cost of Construction:$ G.5(3p Utilities:T]Sewer ElSeptic Building Height: -0-•WNER/LESSEE.°?, ame • Justin C. Thlery Island Kitchen and Bath ddr ddress: 40 SE Charleston Dr. ity. S ip Cod e;j ,� t L S Ci1ty: Port St Lucie State: FL hone No LA - lD I a Zip Code: 34952 Fax: Phone No. (772) 678-8219 (,"j Z ��j�l— l��g -Mail: a- I I in fee simple Title Holder on next page ( if different E-Mail: jthieryikb@gmail.com State or County License: CBC1259508 from the Owner listed above) If value of construction is SzSuu or more, a KCLVttV[u IVUULC uI wunuc -y- -- SUPPLEMENTAL.GONSTRUGTI'0N'LIEN LAWINFORMATION: „ .. DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: Name: x Not Applicable Address: Address: City: Zip: Phone: State: City: State: _ Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: x Not Applicable BONDING COMPANY: Name: sure Tee Insurance company _Not Applicable Address: 1330 Past Oak Blvd Address: City: Houston Zip:77osa Phone: City: Zip: 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 recordin our Notice of Commencement. STATE OF FLORIDA 1 OAfE OF FLORIDA COUNTY OF ST• --1C!e COUNTY OF S j. L uNie The forgoing instr ent was acknowledged before me this LCday of 20/S�by (Name of person (Sig tur of NoPublicc-ate of Florida ) Persona Known L/ OR Produced Identification Type of Identification Produced Av%3z*l State of FIod Commission No. L E 7 "gal N9��ubE><Pires Ju117, 21 MY Oomm; inn # EE 77BB1 Bonded Revised07/15/2014 REVIEWS INITIALS The forgoing inst�ru ,�nt,was acknowledged before me this /day of — 1 20 Z/ S—by (Name i ure fNotary,Public- State of Florida) mall owny OR Produced Identification of Identification Produced mission NO.°i10 M gR T M. LEONARD Notary Public - State of Florida • '�, commission # EE 77881 Banded Through National Notary Assn. FRONT ZONING SUPERVISOR I PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW c-/WO Ucu-w 4*4'gU7 1ti = :Kddfll CONCEALED FASTENERS OR ATTACHMENTS ARE THE RESPONSIBILITY OF THE CONTRACTOR OFRimp Q �i al ,.S 3 ,l pZ kN ST. LIICIF co`?�(v 7 R.EVIEµ�ED F0 Ty B�lWG D"10N RE VIE1K'ED BYR C �'LIANCE DATE PLANS AN PERMIT OA A'O INSPECTION WILL L BE KEPT ON JOB BE MADE. THESE PL AND SU REQUIDc MAY, COMPLY I LL PROPOSED wo,,s NY CORRECTIONS INSPECTORS TH4T 3Y IN ORDER TO 'PLICABLE CoDrr. i JOSEPH E. SMITH, OF THE CIRCUIT COURT - SAI*'"' LUCIE COUNTY FILE # 4080936 03" IOK 3756 PAGE 2944, Recorded/15/2015 at 10:48 PEAMRNUMBER: IL:- c•r:,o.- b•.:1 ..:.:.....p, 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. I. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBERNSb"d -'S6] -605`1 OD0 -1 2. GENERAL DESCRIPTION OF h. Address 1--"v I c. interest N property jA2r1P d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: •^1°s" "nay, aaxosB cwnes:an o,. vans swM, PLNeSr.lmlmaaam 5.SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: s°^r.m".w.z. w, too wn o.x aoa,xwua., no,opo 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon whom notices or other document may be served As provided by Scottie. 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 Llenor's Notice es provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration data of notice ofcummencement (the expiration date is I year from the date of recording unless a different date is specified) _, 20_� Print Name and Provide Signatory's TTHNOITsce Owner's Authorized ORIcedDireclon(I minedManagcr Slate of Florida Canty of St. Luria The foregoing instrument was acknowledged before me this day of By , as Owner (Name of person) (Type of authority... c.g. Owner, officer, trustee, amenity in fact) For Owner (Name ofparty on behalfofwhom instrument was executed) Personally Known_ orpmeluced the following type oflD: MARGAflET M. LEONARO IA. t-J� Me.� ;p,,11„ a`S Notary Public Stale of Florida tint ame, of Notary Public) y(S"amoregoing e officiary Public) , -= My Comm. Expires Jul 17. 2015 - %�st Coryrymissi�n / EE 77851 Under penalties perjury, I declare that I havand that the facts in it ere e'1q, ,,, , B6�dM RP84�Y,W(&6nYflfbBry Assn. belie!(uction 92.5.525, Florida Statutes). Signatore(O of Owner(.) or/TO�wnejr((..)' Aulhodaed OIRceNDirectodPariner/Monager who signed above: B Ra nousrxva a --V y . _, A PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Island Kitchen and Bath Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the (Company/Individual Name) project located at `'I �)bD (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# I 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): ER13014993 GWP Electric (Company Name/Individual Electrical (Type of Trade) have agreed to be the Sub-contractorfor Island Kitchen and Bath (Primary Contractor) For the project located at �D U d ^ U (-) t� i (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 SIGNA Business Name: ARE REQUIRED Address: 282 Kestor Drive City/State/Zip: Port St., Lucie, FL 34957 Phone: 72-485-2001 email: gwpelectric@aft.net Guerry Parfait A10NATURE PRINT NAME DATE STATE OF FLORIDA, COUNTY OF St. Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS _DAY OF 20�� BY Guerry Parfait WHO IS PERSONALLY KNOWN X OR HAS AS IDENTIFICATION. A CI ( r q A (STAMP) RE OF NOTARY PUBLIC PRINT ME OF NOTARY PUBLIC O8/06/2014 p101.0, ,, MARGARET M. LEONARD A. ; N Notary Public - State of Florida '• . . •i? My Comm. Expires Jul 17. 2015 'r®•pA.` Commission # EE 77881 '^°......... Bonded Through National Notary Assn. 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): CFC033824 Pipe Connection have agreed to be the (Company Name/Individual Name) Plumbing Sub-contractorfor Island Kitchen and Bath (Primary Contractor) (Type of Trade) For the project located at Street Address or Property Tax ID #) - Gc)O J--7 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 REQUIRED Business Name: Address: City/State/Zip: Phone: 2501'SE Baer St Port St. Lucie, FL 34953 (772) 260-5958 email: eiln.nnedi.,@I.h..wm; Iaeme on66QAmail. am 0 - SICNATUR Lee Marion PRINT NAME DATE STATE OF FLORIDA, COUNTY OF St. Lucie THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS �_ DAY OF 20 /S� BY Lee Marion WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. (STAMP) q, tAP _ ccIV.U.� SIGN'E OF NOTARY PUBLIC PRIN AME OF NOTARY PUBLIC SLCPDS: /06/2014 o MARGARET M L ,,yh„��q,, Notary Public - U My Comm. Expir5�?: ''%......" Commission Bonded Through NA. M__