HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 101040 SCANNED Permit Number:
BY
}.-.0 _ = 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
PERMIT APPLICATION FOR: To Select from dropbox, click here
Address: l l A +" l-eG#-Q0o C[ Wrle-
Legal Dbscription: J)y%AtooOd f anOr -Sec .6 Q he,- 6A 1 — (V .400 fV—) L01? .68R - tW? )
Property Tax 1D #: � • ^ba0 • =rz • 17 -) o'� Lot No; 7
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
r
HVAC Tank
❑Gas Piping
Shutters
Q Windows/{Doors
_Gas
_
Electric 0 Plumbing
Sprinklers
E] Generator
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ L a5bbn
S Ft. of First Floor: _
UtilitiestiSewer 0Septic
Name L—A%10,e_ LMAXZ
Address: MODE od Lane -
City: �ayjwlett2 Stater
Zip Code:92. Fax:
Phone No. �33.1- S18 a ' '1ci�Tl
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Building Height:
Compan . C of ur $ i
Address dl A P_"e_.
,City: br -y�1EfC>e• State:
Zip Code: 3q%7- Fax:
Phone No. 17'1- 4tQ5-tloalo
E-Mail: I�Qn•E e�xrri>>ts 9 h04W41 l ZoM
State or County License: _ 't
...........
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
SURR�EMEI�ITAIONSTRUN LI11EiM 4NRQ11/IAIOV k
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
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 rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with.your dome 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 wncurrency 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.
. 10
Sig ature of Owner/ Agent/ Lessee Sig ureof Cor)tractor/License Holder
STATE OF FLORIDA C� ' STATE OF FLORIDA c
COUNTY OF J(,I11 lT �UClb I COUNTY OF
The;f ing instr e t was acknowledt:before me
tf day of OPX' 20W by
(Name of person
The for o- - - nst rrt was atknowledged-before me
this W day of y'J2+� 20Wby
Amued —F I
of person acknowledging
(Signature of Nota ubiic- State of Florida } (Signature of Notary ublic- State of Florida }
Personally Known OR Produced
Type of Identification Produced 14
Commission No. Aca
Revised 07/15/2014
Personally Known OR Produced
Type of Identification Produced -
Commission No. `'ro 7.se2ri Q CV _
��llll/I!ftoo,,11111\��
-
REVIEWS.
FRONT
ZONING
ISOR
PLANS
VEGETATION
SEA_TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ADVANTAGE A/C OF THE TREASURE COAST
601 SOUTH MARKET AVENUE
PHONE (772) 465-1606
FAX (772) 465-4945
FACSRVKE TRANSNIlTTAL SHEET
TO: 3w l dt n a FROM: (fit l�l�
P�- `�� �—� • trJ"7� DATE:
COMPANY: TOTALNO.OF PAGES
1NCI.UDING COVEA `�
i l.0 l
PHONE NUMBER: SENDER'S REFERENCE
NU:i1M MM
Re: YOUR9E+ENCE:NUMSER:
lml�=Npl on
upL c An .
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4000613 OR BOOK r - PAGE 1719, Recorded 10/03/2014 at 34 AM
Doc Tax: $1085.00
This instrument was prepared by:
Ari Miller, Esq.
Choice Legal Group, P.A.
(954)453-0365
P.O. Box 9908, Ft Lauderdale, FL 33310-0908
File Number. 47351-41
Revised 10/06/93
SPECIP.L J;;D
made kept6knber 30, 200 , by and be a NATION M
P BO 65004 , D LAS, TX 75265-0043 a
Vling uant o I the s of a United Stat s, hereinaft called (
Rose M. George L. joint tena of survivo 0
Drive, Sebastopol, CA, 95472 hereinafter called Grantee.
WITNESSETH, that the said Grantor, for and in consideration of the sum of Ten Dollars in hand paid by Grantee and
other valuable considerations, the receipt whereof Is acknowledged, hereby grants, bargains, and sells to the said
Grantee, forever, the following described land in the County of St. Lucie, State of Florida, to -wit:
Lot 7, DRIFTWOOD MANOR - SECTION ONE, according to the Plat thereof, recorded in Plat Book 18
Page(s) 6 of the Public Records of St. Lucie County, Florida.
The property is commonly known as 1102 Fleetwood Lane, Fort Pierce, FL 34982
TO HAVE AND TO HOLD the above -described property with appurtenances, unto the said Grantee, and their assigns,
forever, su n anrrestricfi rd, zoning an 'ons
author ti ,and matters an a rld revea ,AND SAID RANTOR OES hevrarra the a to said land and wilt fen
la I cla s of any pe wh my, throug or , der the Id raptIN ITN SS WHEREOF the andERAL NAT ON MOR G ATIC
ha cau ed these presents to beame by i and rsigned officers and ICs
S tomb r 30.2014.
and
Hill
OR BOOK 3677 PAGE 1720
r'REV
Signed, sealed and delivered FEDERAL NATIONAL MORTGAGE ASSOCIATION AIK1A FANNIE MAE
In the presence of:
STATE OF FLORIDA)) ss.
COUNTY OF BROWARD))
I herby certify that on this day before me, an officer duly authorized in the state and County aforesaid to take acknowledgements, personally
appeared DAWN LEONARD as Authorized Signatory for Choice Legal Group, PA, as Attomey-in-Fact for FEDERAL NATIONAL
MORTGAGE ASSOCIATION AWA FANNIE MAE to me known and known to be the person described in and who executed the foregoing
instrument as Authorized Signatory for the corporation named therein and severally owledged before me they executed the same as such
officers in the same and on behalf of said corporation. %%/) e-
Witness in ial al in the county dfitMe ! t aforesaid; tfr ' r
L
N lic, Florida D
M Co fission Expires:
(S )
X. = MY C MIS ION EE03
'+ n,,• EXPIRE ctober2 014
(E071ahdeNolaryaerviw.—
r
JOSEPH E. SMITH, CLERK OF 'THE CIRCUIT COURT — SAINT LUCIE COUNTY
.� FILE # 4011505 OR BOOK 3 PAGE 861, Recorded 11/06/2014 at 02 t, ' ?M
ecn+R REMRDING REri1RN'L2 ■ ■
PERMIT NUMBER: ■ ■
Sc&lyI0- MOD 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.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER
2. GENERAL DESCRIPTION OF IMPROVEM KN'r, F�
3. OWNER INFORMATION: 1 a. NameDEb��S.—Ll;��s "��p
b. Address I IM RfA-1d=d In �OC=t" e►ttd R � c. interest in propcny-011d&] �
d. Name and address of fee simple titleholder (if oche[ than owaeq
4. CONTRACTORS NAME, ADDRESS ANPXHONE NUMBER: �101iln�f d ndt�ttin[��o; � tr�twrC
Wj S i Menk for -1�a•, EL, ` (98A C-nL> f!(o5•Ibbin
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the Stale of Florida desi grated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE "IBER:
S. In addition to himself or herself, Owner designates the fallowing 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 of commencement (the expiration date is 1 year from the date of recording unless a different dale is
specified) .—.20— _
Print Name and Provide Signatory's TitlgVf1Rb aSVWES -••;0,
Signature of Owner or ` W �!;Oi g018 Sd
Owner's Authorized Ofllcer/DlrecturlPatiner/Manager =z:�� / f:
a •o d off,
StaleofFTorida t;�''•i`
Counryof 5m Loki P— � zryr/� •�°'
The foregoing instrument was acknowledged before the this day of �»� P� 'tit 11
�
gy r.� c,. �Q.�n 5 , as
(Name of person) (Type of authority ... e.g. Owner, officer, trustee, attorney in fact)
For
' (Name of party on behalf of whom instrument was executed) Personally Knno _ Or r produced the following type of ID:
l,5
—9 P'r�9,,Z,,i -
(Printed Name of Notary Public) (Signature of Not b1(c)
Under penalties of perjury. I declare that f have read the foregoing and that the facts in it are true to the best of my knowledge and
belief (section 92525. Florida Statutes).
Sigoahrre(s) of owners) or Owner's)' Authorized Officer/Dlrcctor/Parhter/Manager who signed above:
By:
W..4E3+44107(R—lmrt
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS 1S A
TRUE AND ORRECT COPY OF THE
ORIGINA M TN ERK
By: s
rV I A. �6k2014
Date:
Nov ®, 6 2014
SOS P E. SitiITid, CLERK OF T4�E CIRCUIT COURT
AFTER RECORDING -RETURN TO: SAINT LUCIE COUNTY
FILE # 4011505 11/06/2014 at 02'
OR BOOK 3688 PAGE 861 - 861 Doc Type: NC
RECORDING: $10.00
PERMIT NUMBER:
SLO
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. �[,, �y�n /}
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: - Qt��`�' rM ! - �^' •�
2. GENERAL DESCRIPTION OF
3. OWNER INFORMATION:
d. Name and address of fee simple titleholder (if other than owner)_
4. CONTRACTOR'S NAME, ADDRESS ANqLJZHONE NUMBER:
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
UNIT
c. interest in property
(Kos -
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served 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 of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) , ,2Q
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 713.13 FLORIDA STATUTES AND CAN RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SFFE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
��\S,ti`•`•ttl 11 I tlfl//��, A .
Signature of Owner or Print Name and Provide Signatory's Title`*jExP�RFS '•, bpi
J5�0�,2018 :dp
Owner's Authorized Officer/Director/Partner/Manager Z W ; m
a 0
Zn 4 ��^ 3iJV•!Wy
State of Florida Z • ; oi5' . c-
:� �" �° ° �
County of Ldci �i, • . eso'9:•"�G�ti�
The foregoing instrument was acknowledged before me this en 7# day of amd e- �� • ••v0�,��\
Jl .
By �Pn �ot�Q ,OarFJJ S , as
(Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
For
(Name of party on behalf of whom instrument was executed) Personally `Known_ or produced the -following type of ID:
l�L 0,52c) 311 Z7o203U
(Printed Name of Notary Public) (�ib"g anattur�ofNot�bfic�)
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above:
By:
Rev. 08/3=007(Rewrding)