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HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:SCANNED Permit Number: c BY ;s 4 -_1 _� -,,-, St. Lucie County RECEIVED Building Permit Application pp 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 I PERMIT APPLICATION FOR: Renovation PROPOSED, IMPROVEMENT LOCATION: Address: 10680 S Ocean Dr 1203, Port St Lucie, FL 34957-1095 Legal Description: Island Crest Condominium Unit 1203 and undiv share in common elements (OR 3328-1095) Property Tax ID #: 4511-516-0120-000-2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ,DJJ;EE/TAILEU DESCRIPTION.O�F,WORK: iditional work to be rtormed under tnis permit— cnecK all apply: 0HVACJ L_I G s Tank ❑Gas Piping _ Shutters Q Windows/Doors i Electric Ev:_ Plumbing Sprinklers 1:1 Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ ���b&0 S Ft. of First Floor: _ Utilities: Sewer 11Septic Building Height: OVV,NER/LESSEE: CONTRACTOR: - -" Name Norman P Hatcher Name: Justin Thiery Company: Island Kitchen & Bath Address:10680 S Ocean Dr Apt 1203 City. Port Sty Lucie State: FL Zip Code: 34957 Fax: Phone No. 5.63-650-2623 Address: 2340 SE Charleston Dr. City: Port St Lucie State: FL Zip Code: 34952 Fax: Phone No. (772) 678-8219 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: ithieryikb@gmail.com State or County License: CBC1259508 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea. r,SUPPLEMENTAL CONSTRUCTION°LIEN LAW INF.,ORIVIATION: <, r , a DESIGNER/ENGINEER: Name: Address: City: Zip: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: State: Phone: I City: State: Zip: Phone: FEE SIMPLE Name: Address: City: Zip: TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Sure Teo Insurance Company Address: 1330 Post Oak Blvd City: Houston Phone: I Zip: 77056 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 struIctures, 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 commencinlIk work or recording vour Notice of Commencement. f Signature of Owner/ Agent/ Lessee STATE OF FLORID COUNTY OF % LIJC:; e. The forgoing nstrument was acknowledged before me this i (. day�of rebgw N 20 l�by Na-n ' n P. 4q6t4cluel- Name of person acknowledging) ry Public- State of Florida ) Personally Known OR Produced Identification Type of Identii ication Produced o� ... c. Commission No.*� • (� COMMISSION tFF109457 XPIRES: April 2, 2018 �1peol'FLo�\Qr Bonded Thru Budget Notary Servkes Revised 0 1/15/2014 ��AT` S' natu of tractor/License Holder STATE OF FLORIDA COUNTYOF The forgoing instrument was acknowledged before me this _L(pday of brJA 20y6by D `n ibi (Name of person acknowledging ) (Sig ature of tary PYO State of lorida ) Personally Known R Produced Identification Type of Identification Produced °; •••. �% DAYNAJ. REGIS Commission No. �� , � �.5 ,� (�eW)COMMISSION A FF 109457 EXPIRES: April 2, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS �/i Property Card Property T,dentifieation Site Address: 1 80 S OCEAN DR 1203 Parcel ID: 4511-516-0120-000-2 Sec/Town/Range,own/Range: 11/37S/41 E Account #: 124142 Map ID: 45/11Bi Use Type: 0400 Jurisdiction: Saint Lucie County Zoning: Norman P Hatcher 10680 S Ocean Dr Apt 1203 Port St Lucie, FLI 34957-2651 Legal Des ription ISLAND CREST CONDOMINIUM UNIT 1203 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3328-1095) Current Values Just/Market Value: $178,200 Assessed Value $178,200 Exemptions: $50,000 Taxable Value: $128,200 Taxes for this parcel: SLC Tax Collector's Office http://www. Total Areas Finished/Under Air (SF): 1,023 Gross Area (SF): 11141 Land Size (acres): Land Size (SF): information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2014 Saint Lucie County Property Appraiser. Page 1 of 1 4/10/2015 PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY Island Kitchen and Bath (Justin Thiery) will be using the following sub -contractors for the (Company/Individual Name) project located at 10680 3 Ocean Dr 1203 4511-516-0120-000-2 (Street address or Property Tax ID #) It is nderstood 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 I Plumbing I ki'/c S 3 &2�z HVAC/ Mechanical I !Roofing Gas I I OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: PERMIT # St. Lucie State of F Total Electrical ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ty Contractor Certification Number: : Certification Number (If applicable): E C 1 3004 1 82 mmunication have agreed to be the )any Name/Individual Name) of Trade) Sub -contractor for Island Kitchen and Bath (Primary Contractor) l For the project cated at 1C��p�() S C�Cs�c.�� n ,� (Project Street Address or Property Tax ID #) It is unders ood that, i ere is any change of status regarding our p, project, I will immediately a vise the Building and Zoning D p`artm Change of Sub -contractor notice. Form: SLCCDV (No� 4-00) BUSINESS QUALIFIER (Nam fthe I d NOTARIZED SIGNATURES ARE RE ED Business Name: 1 ((�t�l Address: 3499 SW "istiewood Ln City/State/Zip: Palm y, FL 34990 Phone: (56 596-7304 Dwight Go SIGN E PRINT NAME STATE OF LORIDA COUNTY OF St. Lucie 4pation with the above mentioned of St. Lucie County by filing a shown on the Contractor's License) 1"0056p_� drgtce@gmail.com DATA THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS l�kDAY OF {rla V P 20 / BY Dwight Gonzaloz WHO IS P RSONALLY KNOWN X OR HAS i runnrlrF.n AS IDENTIFICA ON. SIGNATME OF NOTARY SLCPDS: 08I/06/2014 Dayna J. Regis PRINT NAME OF NOTARY PUBLIC (STAMP) DAYNA J. REGIS MY COMMIGSlON d FF 100457 RXPA16, April P. 9018 �,y�� � 06nle�fitNBdtly9tNe�ttt68YYiss� PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division a BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (I£ applicable): Pipe Connection CFC033824 have agreed to be the (Company Name/Individual Name) Plumbing Sub -contractor for Island Kitchen and Bath (Type of Trade) (Primary Contractor) For the projlect located at ( UX U 3 C C Fri (1 , � % 6 3 St Limit G (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 I 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: `ice Address: 1 2501 tE Baer St City/S1 Phone: SIGNA' Port St. Lucie, FL 34953 (772) 260-5958 email: plpeconnection@yahoo.com; leemarion56@gmall.com Lee Marion PRINT NAME STATE OF FLORIDA, COUNTY OF St Lucie WAU E THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS f DAY OF d ! (X , 20 Iq BY Lee Marion WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. SIGNATU E OF NOTARY PUBLIC SLCPDS: 08/06/2014 Dayna J. Regis PRINT NAME OF NOTARY PUBLIC (STAMP) e�i P�®�DAYNAJ.REGIS MY COMMISSION # FF 109457 EXPIRES: April 2, 201B 000�w Bo dedThruBudge!NArySINI e JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 4057552 OR B(:- '.3734 PAGE 298, Recorded 04/10/2015 )8:37 AM AFTER RECORDING.RETURN TO, -- r- PERMITNUMBER- i 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. I. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 4511-516 0120-000-2 SUBDIVISION Island Crest BLOCK TRACT LOT BLDG UNIT 1203 Island Crest Condominium Unit 1203 and undiv share in common elements (OR 3328-1095) UICZ 2. GENERAL DESCRIPTION OF IMPROVEMENT: J -N en '1Y,CX cx—i J?A 3.OWNER INFORMATION: a. Name Norman P Hatcher b, Address 10620 S Ocean Or Apt 1203, Port St Lucie, FL 34957-2651 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: JusQn Thlery, 2340 SE Chadesion or. Port St Lucie, FL sa952, (T72) 67aa219 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: sure Tec insurance co, 1930 Po.i Oak Blvd, Houston, $1o,0o0 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 i 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 (l)(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_. Signature of Owner or Print Name and Provide Signatory's Title/Office Owner's Authorized OfDcer/Director/Partner/Manager State of Florida County of St. Lucie The foregoing instrument was acknowledged before me this (40 day of Fe brt )arLL 20 145 By AbrMtall p. i IA } � as Owner (Name of person) (Type of authority...e.g. Owner, officer, trustee, attorney in fact) For Owner .I (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID:Gt� . ,tom �`":• DAYNAJ.REUIS * MY COMMISSION I FF IOX57 Dayna J. Regis L EXPIRES: April 2, 2018 (Printed Name of Notary Public) ignature fNotaryPublic) g'�sa�sti++++dP° BondedThruBv*INWrySenkn Under penalties of perjury, I declare that 1 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),,o/r Owner(s)' Authorized Officer/Director/Partner/Manager who signed above: ARy: P-" ~ 1 . s)"U-x By Rev. OB/. MON(Recording) STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT C Y OF THE ORI NA d E. SMIIT L Deputy CI k Date'. APR I U05- 991 rr.._...._.__..-...._.__._._._._.-._..__._.______.-_ 3 r 27" ,. 24"—/ 30 39"— 1 4 - - - - ------- . ............. - . . I - . .. .. .. .... ..... '594 3 1 r 271 3., 24"A' 3 3, 2 12, 2436BU W301 UTT W39 6 WF B2712.FH TRW2727 BPPS24.2 BPPS30.2 F3 W2727 11 WFP3.36 0) -------- -- uremens co to be finalized c Initials v F3.30 WD W2115R W2415BU 21 .90(L} I co WR3318BUTT a) 712 C3 3 22 2 0 33 4 Cb 00 CA) 00 Pe,s ARE::I;:HE I'll LI I r I wwnnn 51: I