HomeMy WebLinkAboutSUBMITTED PAPERSt
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED hh I /,Y��
Date: 4/8/2015 Permit Number: V— V 1
SCANNED
'= = BY
• St. Lucie CountyRECEIVED
Building Permit Application '
Planning and Development Services APR 10 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION
Address:
Legal De:
Bamboo Dr. Ft. Pierce, FI. 34982
on: Indian River Estates -Unit 09-131k 87 Lot 6 (Map 34/12S) (OR 687-1860)
Property Tax ID #: 3402-610-0502-000-5
Site Plan Name: Bryan Smith
Project Name' I Bryan Smith
Lot No. 6
Block No. 87
Setbacks F ont Back: Right Side: Left Side:
'DETAILED DESCRIPTION OF WORK:
Remove existing built in soffits in Kitchen and Install new recessed lights. Relocate tub, move drain
and hot/cold as needed, add exhaust fan over toilet, add vapor ring light over tub.
CONSTRUCTION INFORMATION
Additional w rK to bfe err orme under
C�HVAC Gas Tank
this permit— check
❑Gas Piping
a
app y:
Shutters
Windows/Doors
_
Electric
Plumbing
[:]Sprinklers
CGenerator
Roof
Total Sq. Ft o IConstruction:
14,000
S . Ft. of First Floor:
F]Septic
Cost of Construction:I
$
Utilities. Sewer
Building Height:
OV1/NER/LESSEE ';
,.
CONTRACTOR:
Name Bryan Smith
Name: Richard N. Bartholomew
Address:6006 Bamboo Dr.
Company: See The Difference, Inc.
Address: 503 SE Nome Dr.
City: Fort Pierce State:FL
Zip Code: 34082 Fax:
City: Port St. Lucie State: FL
Phone No.772-349-0881
Zip Code: 34984 Fax: 772-777-4084
Phone No. 772-201-3513
E-Mail: sunberne@bellsouth.net
E-Mail:
Fill in fee sim6le
Title Holder on next page (if different
from the owner
listed above)
State or County License: 26293
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPP, -EM,,, NTAL C•ONSTR;UCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: I Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counl makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con ict 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 our Notice of Commencement.
_i - - s
_ Signature oI Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O St. Lucie COUNTY OFSt. Lucie
The forgoing'nstr ent was acknowledged before me The forgoing instrument was acknowledged before me
this � daylofHjOrj I 20 Eby this day of 20 by
Richard N. Barthd.o
ew
Richard N. Bartholomew
(Name of person
acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
(Signature of
Notary Public- State of Florida)
Personally Known
x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Produced
Type of Identification Produced
Commission
o. FF15600 ' I)BARBARA W
ion No. FF155600 v
:,o,•• -°�a BARBARA W
SOt
+ •£ MY COMMISSION #
t
My COMMISSION-1556C
ES
�'''?'` ';•� EXPIRES August 2
, 201
Revised 07/15/2014
(407) 398.0153 FloridallotB Servlce.com
(407) 398.0183 FloridallotaryServic
om
REVIEWS
i
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E.ISMITH, CLERK nF THE CIRCUIT COURT — SAINT.,T--" E COUNTY
FILE # 4065936 OR BC' 3742 PAGE 382, Recordod 05/( W15 at 10:12 AM
AFCER RECORDING-RFEIMN TO,
PERMIT NUMBER: L
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. DESCRIi'1'ION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 3402-610-0502-000-5
SUBDIVISION`P'—`- BLOCK 87 TRACT LOT 6 BLDG UNIT 09
2. GENERAL DESCRIPTION OF IMPROVEMENT: Remove existing built In soffits, New recessed lighting, Bath remodel
3. OWN IEIR INFORMATION: a. NatneBryan Smith
b. Address6000 Bamboo Dr. Fort Pierce, R. 34982 c. interest in property
d. Name and address of fee simple titleholder (if other than owner)
4. COiRACTOR'S NAME, ADDRESS AND PHONE NUMBER: See The Difference, Inc. 503 SE Nome Dr PSL, F134984
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
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
713.13i (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is
specified) 20
[ENDFR'OR AN ATTORNEY B COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Z
L , =4L
Bryan Smith
= o
Signatm 4 of Owner or
Print Name and Provide Signatory's Title/OMee
icc
I
Owner's Authorized Officer/Director/Partner/Manager
'
W
State of Florida
L3 P-� cc
UA
County of St. Lucie
v
The foregoing
instrument was acknowledged before me this
;;++��
30 day of Apni 2015CO
o
ByBryaj
Smith
as Owner
' —e
Se Lu
(Name of person)
B an Smith
(Type of autbority...e.g. Owner, officer, trustee, attorney in fact)=c
For►Y
(Name of party on behalf of whom instrument was executed) Personally Known!( or produced the following type of M:
"V" BARBARA WATSON
Barbara Watson •i f MY COMMISSION #FF155ti00
(Printed Name of Notary Public) (Signature of Notary Public) ?a M1 EXPIRES August 28, 2018
.r
Under nalties of e'foregoing 4 7 atae
p p rJtuy, I declare that I have read the and that the facts in it are o
belief (section 92.525, Florida Statutes).
Signature(s) of ne (s) or Owner(s)' Authorized Officer/Director/Partner/Manag who signed above:
By:
Rc".
cc
W
J
U
r � M
CONCEAUD RSVP;'
AR THE RESRO{
T
0
ST. LUCLE rot T' BUILDING DMSION
REVIEWED FOR CO E
REVIE%'E BV
DATE
PLANS AND ERIMIT MUST BE KEPT ON JOB
OR NO INSPECTION WILL BE MADE.
THESE PLANS AND ALL PROPOSED WORT(
6D SUBJECT TO ANY CORRECTIONS
REQUIRED BY FIELD INSPECTORS THAT
MAY DE NECESSARY IN ORDER TO
COMPLY WITH ALL APPLICAELE CODES.
« 92:6L %-£0-5W
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U309024RT
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AB36 1 4 2424
W3018 III W2736
All dimensions -size designations given are
subject to verification on job site and
adjustment to ft job conditions.
W361824
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114t--F1.J fo 'C'C'T-r
This is an original design and must not be Designed: 3/31/2015
released or Copied unless :Applicable fee Printed: 3/31/2015
has been paid or job order placed.
11hn1,ru nnvw M r,l w KAINAl" .�*— •s,"Av, r_e.,
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
See The Difference, Inc. will be using the following sub -contractors for the
(Company/Individual Name)
project located at 6000 Bamboo Dr. Indian River Shores, FI. 34982
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
Energized Electric LLC
29063
Plumbing
Genesis Plumbing Services, Inc.
29000
�HVAC/
Mechanical
lRoofing
Gas
OFFICE USE ONLY:
ISSUE DATE:
07/29/2014
1_-
M
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
7, j"' Banding &Code Compliance Division
; BUILDING PERMIT
SU&CONTRACTOR AGREEMENT
County Contractor Certification Number. 29000
of Florida Certification Number (iroppticabte):
:nesis Plumbing Services Inc. have agreed to be the
(Company Name/tndividual Name)
Plumbing Sub -contractor for See The Difference, Inc.
(Type of Trade) (Primary Contractor)
For a project located at 6000 Bamboo Dr. Indian River Shores, Fl. 34982
(Project Street Address or Property Tax ID #)
It isl understood that, if there is any change of status regarding our participation with the above mentioned
I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
of Sub -contractor notice. (Form: SLCCDV (Na 004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARI7XI)ISIGNATURES ARE, RI:Q I RED
$usiness Name: Gene 1lry�� S2n
Address: 1902 SE Bolton Ave.
city/,Statcl7_ip:
Port St. Lucie, EI.34952
772-353-5917
email: eermstspIumb1n2%orvkcs@Sm0eom
Tully 04/08/2015
rURE PRINT NAME
OF FLORIDA, COUNTY OF St. Lucie
DATE
THE HI FOREGOING INSTRUMENT WAS SIGNED BEFORE ME TS $ DAY OF April .20 15
BY i oseph Tully WHO iS PERSONALLY KNOWN x OR HAS
JCED AS IDENTIFICATION.
II b'wn Barbara Watson (STAMP)
TURE OF NOTARY PUBLIC PRINT NAME OF KOTARY PUBLIC
IS: 08/06i20I4 ar
"o�'•.�•BARBARA WATSON
_
'I MY COMMISSION #FF155600
!r;;,,,o<.• EXPIRES August 28, 2018
(407) 3ee•0153 Florldallotaryservlce.com
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SL_B-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number. 29063
State of Flo ida Certification Number (u'
Energized Electric LLC
have agreed to be the
(C i mpan_y Name/Individual ;Name)
Electric � Sub -contractor for See The Difference, Inc.
(T}�e of Trade) (Primary Contractor)
6000 Bamboo Dr. Indian River Shores, Fl. 34982
For the pr�ject located at
i
(Project Street Address or Property Tax 1D 4)
It is understood that, if there is any change of status regarding our participation with the above mentioned
I
project, I }n711 immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARI7EID SIGNATURES ARF RF UIRF.D
Business Name: MOM F�c&L. LIC
Address: 645 NW -Enterprise Dr. Suite 107
City/State/Zip: Port St. Lucie, Fi. 34986
Phone: / 772-8�66 email:
VW � e� _M; ar'4f.' ( F[92)0A_C1r1
SjgSIAL PRINT NAME r DATE
STA OF FL/RM,,COUNTY OF �T� (pit',
I THE FOREGOING INST ti �iE �� WAS 5IGN£D BEFORE ME THIS DAY OF40�I , ZQ
BY , WIIO IS PERSONALLY KNOWN OR HAS