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Home My WebLink AboutSUBMITTED PAPERSALL APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: s—, SCANNED Permit Number: /T•y- D/C aY St. Lucie county RECEIVED Building Permit Application APR 10 2015 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (77I2) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Renovation PROPOSED IMPROVEMENT LOCATION: Address: 9550 S. Ocean Dr., 608, Jensen Beach, FL 34957 Legal Description: Islandia I Condominium Unit 608 Property Ta; Site Plan Na Project Narr Setbacks /X ID #: 4502-601-0052-000-7 Lot No. Block No. GONSTRU�CTION INFO•R 5 `=r ,TfON benertormed AdditionalWorkto under this permit —check all app y:� EIHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors ®Electric g"� Plumbing Sprinklers _ I Generator 1:1 Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ l� add Utilities:Sewer 1:1Septic Building Height: OWNER%L'ESSEE' CONTRACTOR:, Name Dave Bigler Name: Justin C. Thiery Address: 9550 S. Ocean Dr, Unit 608 Company: Island Kitchen and Bath City: Jensen) Beach State: FL Address: 2340 SE Charleston Dr Zip Code: 34957 Fax: City: Port St. Lucie State. FL Phone No. (772) 229-3558 Zip Code: 34952 Fax: Phone No. (772) 678-8219 E-Mail: Fill in fee simple Title Holder on next page ( if different E-Mail: jthieryikb@gmail.com from the Owner listed above) State or County License: CBC1259508 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 7 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: State: Zip: I Phone: FEE SIMPLE�TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone: x Not Applicable State: BONDING COMPANY: _Not Applicable Name: Sure Tec Insurance Company Address: 1330 Post Oak Blvd City: Houston Zip: 77056 Phone: I certify that nIo work or installation has commenced prior to the issuance of a permit. I 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 strui tures, 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. / of-E vner/ Agent/ Lessee I SidnatVc,"of Contrdctor/License Holder STATE OF FLORIDA COUNTY OF :�.�� The for oing instrument was acknowledged before me this Y day of Of H i , 20 9 by (Name of per ion acknowledging) a4�1� gk_&Y_� (Signature f Notary Public- State of Florida ) Personally Kn Iwn OR Produced Identification Type of Identii ication Produced Commission No. F IO�t�/s °�:.... 'gSea�) DAYPIAJ.RE(31S * * MY COMMISSION 0 FF 109457 EXPIRES; APO 2, 2018 Revised 07/15/2014 STATE OF FLORIDA COUNTY O F st. Lucie The for oing instrument was acknowledged before me this day of n po I 20-'by G i os+i n I end, -- (Name of person acknowledg g)� F . t 19 rn �x ( Ignatu ' of Notary P lic- State of Florida) m C. / 4 Personally Knowny OR Produced Identification N Type of Identification ProducedCO o Commission No.pr loqyST (Seal) I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE i COMPLETE INITIALS �� J • • PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY Island Kitchen and Bath will be using the following sub -contractors for the (Company/Individual Name) project located at 4502-601-0052-000-7 I (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 i Electrical Total Communication EC13004182 Plumbing Pipe Connection CFC033824 i HVAC/ Mechanical Roofing Gas I I I I OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: i Revised 07/29/2014 1 N PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT State ofFloridia Certification Number (If applicable): CFC033824 Pipe Connection have agreed to be the (Company Name/Individual Name) Plumbing Sub -contractor for Island Kitchen and Bath of Trade) For the project located at (Primary Contractor) (Project Street Address or Property Tax ID 9) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will 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) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: 2501 E Baer St City/State/zip Port St. Lucie, FL 34953 Phone: 1 (772) 260-5958 email: pipawnnaclion@yahoo.com; laemarion56@gmail.wm Lee Marion SIGNATURE PRINT NAME DATE STATE OF ISt. Lucie LORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF l��►'F i , 20 ) 'S BY Lee Marion WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. t►�r Pue�, DAYNA I REGIS ?�' o MYQSwyFF+npAa Dayna J. Regis * * ExpIRES;Ap:I: IGN URE OF NOT RY PUBLIC PRINT NAME OF NOTARY PUBLIC �'grfOFF��e go�dg��gptlgetkraly� I SLCPDS: 08/06/2014 i N I PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT :ertification Number: State of Florida Certification Number (if applicable): Total Communication EC13004182 have agreed to be the (Company Name/Individual Name) Electrical Sub -contractor for Island Kitchen and Bath (Type of Trade) (Primary Contractor) I For the project located at (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 project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) 1 BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) I NOTARIZED SIGNATURES ARE REQUIRED Business Name: l r)n .I (�i�%,�i/t1�%�r�� 6ck--� Address: City/State/Zip: I 3499 SW Thistlewood Ln Palm City, FL 34990 Phone: (561) 596-7304 i 9IGN,MRE i email: drgtce@gmail.com Dwight Gonzaloz PRINT NAME STATE OF FLORIDA, COUNTY OF St. Lucie THE FORE BY Dwig DATE INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF lgl,-Ij , 20 45 Gonzaloz 1121-� 2,&� S GNA RE OF NOTA Y PUBLIC SLCPDS: 08/06/2014 WHO IS PERSONALLY KNOWN X OR HAS AS IDENTIFICATION. Dayna J. Regis PRINT NAME OF NOTARY PUBLIC DAYNA J. REGIS MY COMMISSION t FF ; -)<; P ��bRp � @9flI@9`ti1ff19H9 bbtarySarrlces JOSEPH E. SMITH, CLERK0-THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4057551 OR 3734 PAGE 297, Recorded 04/10/2015:37 AM AFrER RECORDING•RMRN TO: --1 PERMIT NUMBER- L. !1,.. .p.,v e rn...ra v, ,,..,-dice n•f, NOTICE OF COMMENCEMENT 1 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: 4502-601-0052-000-7 SUBDIVISION BLOCK TRACT LOT BLDG 1 UNIT 608 Islandia I Condominium Unit 608 2. GENERAL DESCRIPTION OF IMPROVEMENT: Kitchen and Master Remodel 3.OWNER INFORMATION: a. Name Dave and Carolyn Bigler b. Address 9550 S. Ocean Dr., Unit 608, Jensen Beach, FL 34957 c. interest in property Owner d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Justin Th!ery, 2340 SE Chedesion Dr. Port S1 Lucie, FL 34852, (772) 678-8219 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: acre Tee Inaurence C.. 1330 Peal0A BYd, Rousmn, $10,000 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 713.13 (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) , 20_. A- reForZed or Owner's Officer/Director/Partner/Manager Print Name and Provide Signatory's Title/Office State of Florida County of St. Lucid �j y� �+— The foregoing instrument was acknowledged before me this 0 day of 171�i1� , 20 u By as Owner (Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For Owner (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID: DAYMAJ.REGIS Dayna J. Regis MY COMMISSION t FF 109157 EXPIRES: April 2, 2018 (Printed Name of Notary Public) (Slgnatur of Notary Public)ra?+um1�d+>`f SoMedThmBudgelNdaryServlces 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). A;�T: Owner(s)' Authorized Officer/Director/Pariner/Manager who signed above: By. By Rev. 1).. 01(Recordins) 61 STATE OF FLORIDA ST. LUCIE'COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL J E. SMITH ERK -- ° eputy CI k 1 Date: APR 1 0 J CO (0 5o (S Planning & Development Services (pet?itt Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Fax 462-1578 CHANGE OF CONTRACTOR Or Subcontractor or Cancellation of Permit Change of Contractor is to be completed by the property owner, and the new contractor of record for the current permit. A new permit application must also be completed with new contractor information, signature, and transfer fee. A new Notice of Commencement must be filed in the new contractor's name for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to commencing any work. Subcontractor changes can be completed by the general contractor. Absent extenuating circumstances, a cancellation of permit is to be executed by both the owner and qualifier of record. Date: Site Permit Number: 99 004 — 0/9 (a ea l 61,y-)MLAV1 t CC It Co State Licens4FQ 3c6q /ff4 SLC License Original General Contractor (or Subcontractor) lit _ State License13014MM SLC License New General Contractor (or Subcontractor) _27Reason for Change �%�� , The undersigned does hereby agree to indemnify and hold harmless St. Lucie County, its officers, agents, and employees from all costs, fees, or damages arising from any and all claims of action for any reason, which may arise as a result of this change of contractor/subcontractor or cancellation of permit. A permit cannot be cancelled if work has been performed. z 2 All GN O O ER (or owner/builder) SIG ATU E OF NEW GENERAL CONTRACTOR PRINT NAME C - / -t / ellzq PRINT NAMEGL,IC ��_ r- State of Fl Irida, County of St. Lucie County State of Florida, County of St. Lucie County The following instrument was acknowledged before me this The following instrument was acknowledged before me this daylof rp201-6y &_day of�, 20�'Ciy who is personally know to me who is person kno o who hasl r uce 4orasp ed ID. Sr at re fNotary Date 'y �G� e f Notary Date *Only signature required for change of subcontracLar=_ _ " 6�q,7/21/�ARGARET M. LEONARD ; o.Vky MARGARET M. LEONARDP"''°��,�-; Notary Public - Slate of Florida ?«•1 Notary Public - State of Florida �; •_ My Comm. Expires Jul 17, 2015 - My Comm. Expires Jul 17, 2015 Commission # EE 77881 14 Pr Commission # EE 77881 Bonded Throuan National Notary Assn. Bonded Through National Notary Assn. _ANNING & DEVELOPMENT Building; & Code Compliance Division BU11DING PERMIT SUB-CO1vTRACTOR; AGREEMENT St. Lucie County Contractor Certifcation,Number: State of Florida Certification Number (If appHcablc); ,-. P i C.-. (Company Name/Individual Name) I � V - al 0 �� have agreed to be the sub-contractarfor LL (Type of Trade) (Primary Contractor) for the project located a 1' C 4 n-,-, ; - it (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 project, I will immediately advise the. Building and Zoning. Department of St. Change of Sub -contractor notice. (Form: SI,CCDV (No. 004-00) BUSINESS QUALHU- R (Name Lucie County by filing a ofthe Individual shown on the Contractor's License) STATE Oi FLORIDA, COUNTY of Gr THE FOREGOING INSTRUMENT WAS SIGNED BEFORE. ME TMS DAY OF ZO r WHO IS PERSONALLY KNOWN � OR HAS PRODUCED AS ENTIFIC $ AT E-OFWOTARV PUBLIC ji ; PRIN OFNOTARI OFFICE. (STAMP) MARGARET M. LEONARD Notary Public • Stale of Fiorida `. My Comm. Expires Jul 17, 2015 Cornrnissioni # EE 77881, pn,rNnA (hrnunh ?j,t;Anal Nolary Assn•. �F � � t'Jr •Jr.F_ rAWM _.n . 142"-- .. --33 K 15'. —18" ; " — ----33V'—: CONCEALED FASTENERS OR ATTACHMENTS o .., 30 — —33s" — ARE THE RESPONSIBILITY OF THE CONTRACTOR OF RECORD ST. LUCIE COUNTY REVIEWED FOR C MFVI;=WED BY THM PLANS AND ALL FROKUP :. DATE `'^I W MUST BE KEPT ON JOB OR R ; NO INSPECTION WILL ldyv �5; �C�'(�/ Chi: % (;s co 2AIZ/A .J-OWI�