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Home My WebLink AboutSUBMITTED PAPERSi All APPLICABLE INFO MUST BE COMK "D FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY — St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 462-1553 Fax: 462-1578 Commercial Residential Phone: (772) (772) PERMIT APPLICATION FOR: Address: IqD l (f^AoA ' Legal Description:4'et5 S/y 170, % (rP9 r%f LoT- Z 6FS%3X p( Z&U-7-/&7 q 3547 3q Property Tax ID #: L2-1 z-1 5M9 &62 Z OON 3 Lot No. 2 Site Plan Name: F-IoV oQ 06A$ e[ a Block No. Project Name: I Setbacks Front Back: Right Side: Left Side: '41 ,V ! r S�&r ter✓) L�i�in� G �i� 6" 57Oc404e0(-,;t1 1P5. �7t4sfQ6/ l/vrVu.. 1?1g2W7r`F&,�,e % n Additional work to be pertormed under this permit -c ec all that apply: —Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors _ Electric _ Plumbing- —Sprinklers _ Generator - Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: t ° �gD00' �0 W Cost of Construction: $ Utilities: _Sewer _Septic Building Height: -Name ,-• ' Name: Address: (gdJ..r,J&ader l�n"'� �� I — co mpany;";. Q9'%��c9Re/ a C i city:"J }�c'°c' State: �L p e j ro Address: Zip Code:, a .• ' ,. Tax: w z: r City:• _ �• . -�^ State: 94- Phone No. Zip Code: Fax: 1110 pie 7 E-Mail: Phone No.777- �10 Fill in fee simple Title Holder on next page (if different,, E-Mail: State or County License: from the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER:�.,/ Not Applicable Coo 4,°i?a MORTGAGE COMPANY: _ Not Applicable Name: Je Name: : � Addressv--ei•P v Address: City: State: _�io City: / State: . Zip: o Phone: N6D yl �/ Zip: Phone. FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: 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 bylaws rules, 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, iri all respeits, 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 our Notice of Commencement. Signature of Owner/ Agent/ Lesse6 Signature of Contractor/License Holder STATE OF FLORIDA _�%1 STATE OF FLORIDA COUNTY OF �T/ �/�G'Cr COUNTY OF ,The for ing instrul ent w 5 acknowledged Yefore me Ithis7dayof�20ZY by The for oing instru nt w acknowledged efore me this day of 20aby (Nam of person ac dgin (Name of person a ow e f g ) ure N ate of Florida) (Si u ota a ) Personally Known OR Produced Idgntificatio Personally Down OR Produced Identification Type of Identification Produced 1 e of td cation Produced Commission No- % �•a• LISA L HITE ,�o? Notary Public - NO ISrPBAIaIU$�eT .......... (Sea LISA L. WHITE '• : My Comm. ExDir s Dec 8, 2014 -s°, ; �: Notary Public - State of FI da 'N�"°� ' •E M Comm. Ez ires Dec 8 14 �• •� REVIEWS FRONT ZO Banded Through N lional Notary Assn. VEGETATION SER' l LLeond ommission # EE 480 dlfyyrAMROVEolar, ssn. COUNTER REVIEW REVI W REVIEW REVIEW DATE RECEIVED DATE d CT COMPLETED Rev. 7/2014 ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL.34982-5652 772462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: ;,_714( 90 z9j9DZ DDo 3 (Tax ID/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Property Owner NOTARY PUBLIC ME �( LISA L. WHITE a®B 4 Notary Public -State of Florida My Comm. Expires Dee 8, 2014 ac commission # EE 48013 Bonded Through National Notary Assn. JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4024255 OR BOOK 3701" ',.AGE 2438, Recorded 12/19/2014 at 08:r"�, d NOTICE OF COMMENCEMENT Pernik No. �!�/` Ly�90 T" FOUG No. 2 z / 4/,POO 4 2 - O d h StateofFlodda County of St Lude The undersigned hereby giros notice that Improvement will be made to certain real property, and In accordancewlth Chapter 713, Fbdda Stables, the following Information Is provided in this Notice of Commencement. Legal Oesal d of Pr (and addressifavegable): GeneraldesWptimofimprovanerl CQL,w 5-cj 1 Fenc-e Name Address from Ouse, fisted above). CmUVcbaes Name: ('t- 0&tu r e Surety (d applicable, a copy ofthe payment bond Is attached): Amount of bond: $ Nameardaddres: Phonenumber. tender Name: Phone Number: Lender'saddrass: Perms Within the Sbte of Florida designated byOwne upon whom notices or other documents may be served as provided bysection ✓LIA(1) (a)7., Florida Statute: Name: ._. .._try.. Phone Number: Address: Inadd!Umtohirnselforherelf,Ownerdesignates J.Pl of V'�ILW'el to recdvea copyofthe Li ones NoOm asprovided In Seaton 7a3.13(1) (b), Flodda Sta Phone number of person or entity designated by vvmer: Expiration date of notIw of commencemenk (the expiration date may not be before the completion of consbu Lion and final paymentto the contactor, but will be 1 year frown the date drecarding unless a different date Isspedfied) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EatfigABON OF THE NOTICE OF COMMENCEMENT ARE 0ON90ERM IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 711n, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POsrw ON TIRE HOB SITE BEFORE THE FIRST INSPECOON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENONG WORK OR RECORDING YOUR NOOCE OF COMMENCEMENT. Underpenahy of rjury, I declare that l have read theforegoing notice of commencement and thatthe facts stated therein are tmeto the best of my hnovd a bdief '- (Signature' of Owner or - oy Owefsor lessee's Authodaed Officer/Director/Partner/Manage (�JWNfit (Signator/s Title/Office) '7 The for" Imbumeniwas acknovAedged before me this day of g Type,or p�ppgdgdoredNam`gRdIONRN&blic) Notary Public -State at Florida •-£ My Co.. Erpirea Be. B, 2014 aT� Commission I EE 4DO13 to sstee) Pa whom imtmmemwas en:cuted eronally Pno _or roducedldendficstion_ c emiFlwtipn produced STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFYTHAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL. 14