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HomeMy WebLinkAboutSUBMITTED PAPERSI�t� 1�81 oy Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION WElectrical ❑ Plumbing ❑ HVAC ❑ Fence 'SC'AN lEC, ❑ Shed ❑ Demolition ❑ Gas ❑ Siding 13t° Lc400 Count Seepage 2 for instructions and additional paperwork required for specialty permits 1 1. Location/Site Address: 4 SO "? 5 Tndtct u ICI o er Dc iv -t-- 2. Parcel ID Number: a y 3 b e 3 a. I— O Ob 4— O 00 —1 Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: N Ir.2r_It-,Ao- toova-fi (iP+ / LlaK+S u-g 4. Owners Information 5. Contractors Information Name: 450") Soupi Tjybr&a D0uE LP FLReg/Cert#: Address: I S (ate hb "'Z- 5 County Cert#: City: Zip: State: Business Name: trc el Zw("'1 Ec'k3W"llV— ppU 1(0q 4�C1!►.we wu etaxM e- Go Phone: Phone: �4 �'-1 I �ax• -)11-421-q 1 (q y 6. Value of Construction: $ q osz a) OWNER'S AFFIDAVIT: I certify that all of the information c compliance with all applicable laws and zoning. C0lAU� �PAAroJ \1 VIC____— PRNT OWNER OR CONTRACTOR NAME r /n� SIGNATURE OF OWNER OR CONTRACTOR L STATE OF FLORIDA, COUNTY OF S . V Q A_ A-1 /1(,,� ' . ACKNOWLEDGED BEFORE ME THIS _ DAY OF 201 BY �I�I� J� A IU WHO IS RSONALLY K TO ME WHO HAS PRODUCED ;, ISTINE CRAVEIM AS I EN AT10N. "•- MY,COMMISSION # EE859431 0ra rr orj§pS December 19, 2016 a� s SI AT E OF NOTARY TYPE OR MINT NAME OF NOTARY �a071'398 015� FIO�8N01°�'0Dm COMMISSION NUMBER �C NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 JOSEPH E. SMITH, -'-RK OF THE CIRCUIT CQURT - S& ' LUCIE COUNTY FILE # 3931205_ .:C, NOOK 3609L PAGE 1623', Recorder_ _ 1/_ 0.5/2014 at 11 :17 Permit No. State of Florida County of St. Lucie NOTICE OF COMMENCEMENT Tax Folio The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement. L�I Description of Property: (and street address if available):4SV-1 S 11Midn_W1Vt1- iJL 3540 Rt9 Ak 3�E We E Kl�)�F'tC QP 7/vC 1✓1 c nc wl /' GeV O% T(YV11 AL(i �)R(.S�(Ff TN rl q MAC Z(GOV.114 TC W short lndV.%Vr�lt IMF IL r W,Var -, - � OF PuB (a4W &1 General description of Improvement: (ac 3Stl 1403) Owner Information or Lessee Information if the Lesse contracted for the Improvement: Name SO , titr L Address _ f S Interest in property: -�Cipd IF Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: V• P alfs C cns Da-u Contractor Address: S_i1l il MlvCai� s R�lp3 F�(t r�r L PhoneNumber•"7i7 f� d` Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number: Lender Name: Phone Number: Lenders address: 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: Phone Number: Address: In addition to himself or herself, Owner designates Uenors Notice as provided in Section 713_13(1) (b), Florida Statutes. Phone number of person or entity designated by owner: to receive a copy of the Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date. is specified) 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 SITE BEFORE THE FIRST j INSPECTION. IFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR 1 RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of p ju 1 decla have read the foregoing notice of commencement and that the facts stated therein are true to the best f my kno3e I (Signature'stowner or Lessee, or Owners or Lessee's Authorized Officer/Director/Partner/Manager M fan414w _ F/wIf-R (Signatory's Title/Office) The foregoing instrument was acknowledged before me this �Y d y of C, 201ZL By s,�0i_e t�.�,p�i¢,n-%ry as for Name of Pe n -- Type of authority (e.g. officer, trustee) Party on behalf of whom Instrument was executed er nally known— or produced Identification (Signature of Notary Public - State of Florida) TAfIE (Print, Type, or Stamp Commissioned Name o N ') � '�' ISHIAM. SEARS Typ ofldentffication produced n.. 3, NeWg.Polft -State of Florida (� MyZomm. Exglra Oct 10, 2017 oL� Can ZG� Commission 1101061953 i STATE OF FLORIDA Date (av(aKo uort- �"S` G �T' { 1 az S a-Pott R9c 6-0--C (lv3P) Zv IooP- MR--r>� �l f' cc S7 0ka� pZ ^ r x Poc w' (4) (DDA•- p' 3re Sub (�r�iL-•z__ i UP � �2 Doc (.e 7i G-tw t,rc-t U-3-e O J-(w ,( LIDO P,?e i rPOC 4 y iv _ p L-r f-,T- m©ems T aptv -�r 1,11DI - D f 1) � ST. LUCIE CdUNTY BU`i' DLNG DIVISION REV4IEWED FOR CON E REVIEW BI DATE PLANS I9 P W''MT MUST BE IiEPT ON JOB OR NO nSFECTION WILL BE NUDE. u4 c-k crn- pvle- lroP� CFrc cu, h,= ia) '�� kt� vv�o{vcs a30'�((,_`�Ar 3312� �aj Gem«�C its c ov:-(� 63 @ �8ow = gun P��2 -----� ►v..o,-�-s (a �o �, ��-� Sic f3 Ppr"jr,-z — 6F91z c-esc o e ta. s8 - v<Lo f ?c /,S- 3, i s? 0 '� �T (�..