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HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMA fED FOR APPLICATION TO BE ACCEPTED , Date: �J����'—f SCANNED' Permit Number: BY St. Lucie Building Permit Application S iti Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ( Chi X Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: 6545 N US 1 , Fort Pierce, FL (Club House) Legal Description: 6 34 THAT Part of S 300' of SW 1/4 of NE 1/4 and SE 1/4 of NE LYG btwn US1 and l Property Tax ID #: 140613300020002 Lot No. Site Plan Name: Cypress Bay Mobile Home Park Block No. Project Name: Cypress Bay Setbacks Front 10 Back: 10 Right Side: 10 Left Side: 10 DETAILED DESCRIPTION OF WORK: Interior renovation: Building walls in existing club house to provide office space and living space an on -site manager. (See attached plans) CONSTRUCTION INFORMATION: Add itionalwork to be nerformed under this permit — cneck all apply: ZHVAC Gas Tank Gas Piping _ Shutters Windows/Doors Electric 0 Plumbing ESprinklers ElGenerator 0 Roof Total Sq. Ft of Construction: 1080, Cost of Construction: $ 6,000 S . Ft. of First Floor: 1080 Utilities: Sewer Septic Building Height: 8 E OWNERAESSEE: CONTRACTOR: „ Name P&G managementName Robert JosephWalser Address: 10562 Wasatch v Company: Monterey ons ruc ion LLG City: Sandy State: Address: Monterey Kd _ Zip Code: 84092 Fax: - 455 City: StuartState Phone No. Zip Code: 34994 Fax: - 86-0= E-Mail: krgmgm gmai .com Phone No. - Fill in fee simple Title Holder on next page (if different E-Mail: reS aw gmai .com from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTIL:LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Paul Welch MORTGAGE COMPANY: _ Not Applicable Name: Addre s I more Address: City: State: FL City: State: Zip: 34984 Phone: - - Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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 recording your Notice of Commencement. Row J bs gnature of OvAerl Agent/ Lessee Signature of Contractor/License Holder r STATE OF FLO!tT4— STATE OF FLORID COUNTY OF l,�.G�� COUNTY OF k,&, m The forgoing instrument was acknowledged before me this -,97 day of ,0 L �� 20 14 by The forgoing instrument was acknowledged before me this �tday of 0'/�e&_ . 20_14 by C� 1Q (Name of person ackno ledging) JOS_ i1j, (Name of person acknowledging) l (Signature of N t ry Public- State of Florida III (Signature c f Notary Public- State of Florida) Personally Kno _: ?' ' = 0&���� ° uhoat Type of Identif1 l�duce n 1 Bonded Thru Notary Public Underwriters Commission IN Sea' ``-� •Jc, _Z) Personally Known OR Produced Identification Type of Identification Produced Ai�L tlil �f2�o7�G(of . Commission / (Seal ��� pV P ��. DANA OWEN rLe,6� Notary Public - State. n Revised 07/15/2014 3 My Comm. Expires Oct 5. 2018 Commission # FF 165749 Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE C� COMPLETE INITIALS JOSEPH E. SMITH, CLERK ^F"°HE CIRCUIT COURT - SAINT LUCIE COUN-T" FILE # 4045684 OR BOO17 11 PAGE 2931, Recorded 03/04/2015 a :56 PM J g4 NOTICE OF COMN ENCEM ENT 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 j 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAR FOLIO NUMBER: f jj�l -13 -4yo?-6tv 2 Ij SUBDIVLSION BLOCK TRACT LOT BLDG UNff /i_ rid f/ouS !t 2. GENERAL DESCRIPTION OF I,PROWMENT: Cetayet-awN n CLV(3 Opole -to OFR -3 EAN, 3.OWNER INFORMATION: a. Name W r� b.Address I056-_ ;SQ 6K9EEC1fQaEE: kD&O Rkr- AtPftPrFi n stirproperty—Qg 1 d. Name and address of fee simple titleholder (if other than owner) (a5y S N D l e 5 - i t W Y 1—pia 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: MO N 2 CON UC o 10 2-00 5 /V f 3 4q 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: P41A 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: eq lei e4T, iVALse(­ I'R 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, ADDFFSSYID IqZONEN ER: 3y4ytQ. �4tIh6Ffer ?aZ5 oKeetl4of� P.D, I 8. In addition to Tor hetse wner esrgnatesthe fo owing to receive a copy of the lienor's Notice as provided in Section 713.13 (]xb), Florida Statutes. NAME, ADDRESS AND PHONE NUMBER: iReOliT- Pi e(tiC' (D 5G'z S-W R SATctt- A D SA6d_(.1T>T�{ $fiof�a 9. Expiration date of notice of t (the expiration date is I year from the date of recording unless a different date is specified) .4oi1" x"' Srgoatrue of Owner or j Prime Name rand Provide Signatory's Title/OIDee� Owner's Authorized OIDeeDWirector/Patiner/Manager StateofFlorida� County of The forepping mstnSment was acknowledged before me this day of / `' G/, 202_j'. By 'as O Lc l A.-', ' Lam' (Name of (Type of authority...e.g. Owner, officer, trustee, attorney in fact) For ?,�KM of §kptom instrument was executed) Personally Known or produced the following type of ID: MyCO&SSION i FF079793 * EXPIRES: DownlV 29, 2017 �'?erw�� Aa4eihufWOaf Nob75rnkn /� (Printed Name of Notary Public) (Sig�natureoor iT tary ) I 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). Sigmd—(s) of Owner(s) or Owner(s)' Authorized OIIicer/Director/Partaer/Manager who signed above: By: 5e-i?� By Re¢O83020017(P dW lr//JE 47- eLer of 771�_t 2.0/ ;n 6;Awv lei le, -,Wive F.er Prime STATE OF FLORIDA ST, LUCIE COUNTY THIS IS J4 CERTIFY THAT THIS IS A TRUE ANP ORRECT COPY OF ORIGIN a © IT By: - - - DOW%4.20156 ®lurk Date, MAR MAR 0 4;,206 PERMIT# ISSUE DATE 20TA-2- -; PLANNENG & DEVELOPMENT` SERVICES :. Building & Code Compliance Division BUILDING PERMIT IOu (Company Name/Individual Name) ;�IriCT Ak, Sub -contractor for (Type of Trade) (Primary Contracto For the project located at �� 9Y !�--/z/o us )- Gf lit A & 4 Sc (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 prajeet,-I-villtmnediately-advise-the-Building-and-ZZoning-Department of -St .Luc-ie C-eunt-y y-filinga Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) SCq N BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) St 40/0 yNFo NOTARIZED SIGNATURES ARE REQUIRED Business Name: S AA ITS/ -Sy:7 F- M Add:, ss: r�� i y s % AL I;i i,tIA Yz s T City/State/Zip: Phone: / email: __TL%it��i /. S I�% SUS -T)v- , ti A�u AGA4TRE SPRINT NAME DATE STATE OF FLORIDA, COUNTY OF < �'� • \ kX(� K-9 THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS �� DAY OF --�Z�L�S(� , 20 BY _c'—U no-C WHO IS PERSONALLY KNOWN N) A OR HAS AODUCED -�koZAJa T�M;�r' D(2912� AS IDENTIFICATION. N (STAMP) SIG ATUkE OF NOTARY PUBLIC PWNT NAME OF NOTARY PUBLIC SLCPDS: 12/16/2013 ,`�SPRypV9 JACQUELYN GIANNOTTI RECEIVED r Notary Public State of Florida • : r My Comm. Expires Aug 14, 2016 p, `a:= Commission # EE 223090 MAR 0 2 2015 ������• Bonded Through National Notary Assn. PERMITTIfeiCx St. Lucie County, ; L PERMIT# // jD � 3 ,Y- ISSUE DATE /e) - a ,7 _ / z PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division - - - BUILDING PERMIT MINOR SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: C �� �/ �` )7o`O , State of Florida Certification Number (Irappiicable): S have agreed to be the d ompany Name/Individual Name) d�(� G Sub -contractor for AOn/%�/2ei C�'NS T'.2v e- %/ ci (Type of Trade) (Primary Contractor) G/_C- For the project located at 6 efZ CSS G S , V roject Street Addr s or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned projec , Twill- immedi`atcely advrfe-tire-Building-and-Zoning-Department of St LLucie-CountTby-filing-a. Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS l2UAI. MER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: —I t �INjj6 Z LC, Ad&,ss: rpo7 3 s cu /3-did ✓ v r At/e- City/State/Zip: !` % Gu G l SZ Phone: t � Y'7femail: d--93 -/S AT PRIIVT NAME DATE STATE OF FLORIDA, COUNTY OF LUGS THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF ,,, 20A BY -I--r V f h UA 4e WHO IS PERSONALLY KNOWN OR HAS PRODUCED`17rj ✓er`s I Ce r- r,7P-- AS IDENTIFICATION. • , �7/ • ` SIGNATURE OF N TARY ' ` ; o� Y a�;'•, RIKKI ALLISON BARRON ° PUSL C PRINTNAME OF NOTARY PUBLIC o Notary Public - State of Florida SLCPDS: 12/16/2013 R ����■ ® My Comm. Expires Jul 5, 2016 Commission # EE 214463 D MAR 0 2 2015 PERMITTING St. Lucie County, FL