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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)