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Home My WebLink AboutSUBMITTED PAPERSI ALL AF Date: INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED o SCANNED Permit Number: BY St. Lucie County RECEIVED Building Permit Application Planning and Development Services APR 0 201� 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:'1500 S Legal Description: js1 G r1(l1 e5;,, 1 coyAC-5 tryn v, I } Lp Property Tax ID #: Uisc) Z— I_0Z— (iC)2(3 — Lot No. Site Plan Name: Block No. Project Name: Setbacks Firont Back: Right Side: Left Side: 'DETAILED DESCRIPTION�OF WORK: CONSTRt C' TI0N"'INFORMATION MUI�UiILLIyhal wor to eDerformed un er t is permit— check all apply: _ H AC G M"s Tank ❑Gas Piping Shutters Q Windows/Doors Electric! I-1 Plumbing Sprinklers 0 Generator E]Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Const luction: $ ' 000 Utilities: 0_ Sewer D Septic Building Height: .OQWN ER/LESSEE: CONTRACTOR: Name flfj Name: Justin C. Thiery Address: S r,l i)0�(c�c-.lc- I2-c�. City: 1.4 0_ rn State: Zip Code:V 6__l qS__ Fax: Phone No. C FSloO� i,AgS — 2'Z56 Company: Island Kitchen and Bath 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) i E-Mail: jthieryikb@gmail.com State or County License: CBC1259508 it value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNE Name: _ Address: City: Zip: FEE SIMI Name: _ Address: City: Zip: NGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Address: Phone: _ TITLE HOLDER: Phone: State: x Not Applicable City: State: Zip: Phone: BONDING COMPANY: Name: Sure Tec Insurance Company Address: 1330 Post Oak Blvd City: Houston Zip: 77056 Phone: I certify that no work or installation has commenced prior to the issuance of a permit. _Not Applicable 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 ith 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 com ienci�og W�frcpr recording y r No ice of Commencement. i— Si a e o Owner/ Agent/ Lessee —� SigA=OF one/License Holder ( STAT F 10 DA STLORIDA COU D Luci e COUNTY OFSt.Lucie The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me this II Y day of Marry) 20 1$ by this i day of rnofch 2066 by C-Le ra-!Ll & ralcocy- J 0 b -ham j ,Y) er4_ (Name of person acknowledging) (Name of person acknowledge ) (Signature f Notary Public- State of Florida) (Sig6atureAf Notary 7OR - State of Florida ) Personally Known I OR Produced Identification t/ Personally Known Produced Identification Type of Identification Produced dnVe%S I ofnSe Type of Identification Produced Prye�iC, DAYN;a J. RCGIS °��a ••ue4` I� OMMISSION # FF 109457 Commission No.' � lU��15 •••'• 86MMISSION # FF 10AS Commission No. FF;09 4�� « EXPIRES: April2, 2018 u1 EXPIRES: April2,20'i; "rqr___,��°e Bonded ThruBudget NotaryServices Revised 07/115/2014 i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE r COMPLETE 7 INITIALS �i6.. �L PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division Island Kitchen and Bath ividual Name) BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the located at L4 — Loc) :;) ^ C)OO r) -- ) o -_� (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 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 Total Communication EC13004182 lumbing Pipe Connection CFC033824 Mechanical �HVAC/ Roofing Gas St. Lucie State of I Pipe Plumbing # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division P BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ty Contractor Certification Number: i Certification Number (If applicable): CFC033824 lnection have agreed to be the zany Name/Individual Name) Sub -contractor for Island Kitchen and Bath (Type' of Trade) 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) (Primary Contractor) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZE SIGNATURES ARE REQUIRED Business Name -eG-tA Address: 2501 AE Baer St City/State/Zip: Port St. Lucie, FL 34953 Phone: (772) 260-5958 email: P,,.c.nnecticn@yahoo.com; 1eemar1on56@gma11.com SIGNATURE -I STATE OF FL .Lee Marion U r L, — PRINT NAME COUNTY OF St. Lucie &l� A E I THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF , 20 t5 BY Lee Marion WHO IS PERSONALLY KNOWN X OR HAS PRODUCED AS IDENTIFICATION. L�% 2O�•0.'•ueli wl,qDayna J. Regis c* MY CO MISSION# FI 09457 PRINT NAME OF NOTARY PUBLIC N. f EXPIRES: April 2, 2018 GNAT RE OF NOTA PUBLIC °TeoFFLo�``O Bonded ThruBu*tNoteryservim SLCPDS: 08/06/2014 PERMIT# St. Lucie Co State of Flor Total C Electrical I6*Y11:87110 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ity Contractor Certification Number: a Certification Number (If applicable): EC 1 3004182 Immunication have agreed to be the pany Name/Individual Name) Sub -contractor for Island Kitchen and Bath of Trade) For the project located at (Primary Contractor) (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) BUSINESiS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: 3499 SW Thistlewood Ln City/State/Zip: Palm City, FL 34990 Phone: j (561) 596-7304 email: drgtce@gmail.com STATE OF F Dwight Gonzaloz /J PRINT NAME COUNTY OF St. Lucie DAT THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS ' d DAY OF ( (/L�� , 20_LC— BY Dwight Gonzaloz WHO IS PERSONALLY KNOWN X OR HAS PRODUCED1 AS IDENTIFICATION. S GNAT RE i F NOTE RY PUBLIC SLCPDS: 08/0,6/2014 Dayna J. Regis PRINT NAME OF NOTARY PUBLIC DAYNA I REGIS FF a� c*MY 2,1018 E%pla & April 2, 2s45 en ces 0oededthm6uagatNotary �"'W IF fly JOiSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4057550 OR IF , 3734 PAGE 296, Recorded 04/10/201I 08:37 AM Aft- AFTERRECORDING-R RNTO• P.RMUNrMBR• I I ,..o c,:,.. �.d- f 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. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER:gS 0 ?--(PC) a-UU all-(30(J SUBDIVISION BLOCK TRACT LOT BLDG UNIT 3() 2. GENERAL DESCRIPTION OF IMI 3. OWNER INFORMATION: a. c. interest in property o">n11.— d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Justin Thlery, 2340 SE Chadeston or. Port St Lucie, FL 34552, (772) 67M219 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: Sere Tee rose — eo, 1330 Poet oex ervd, Hn,sten, $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 PRONE 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_. or I Print Name and Provide Signatory's Tille./OfBce State of Florida County of St. Lucie The foregoing instr ment was acknowledged before me this _t D—day of I t march 20 15 By � LVm Id AUrGa ZaQIL , as Owner (Name of pers ) (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 M: DAYNA J. REGIS MY COMMISSION t FF 109457 Dayna J. Regis DEXPIRES: (/r�,u, (Printed Name of Notary Public) (Signal a of Notary Pu lic) Ban0e/1nNBu4gHNrurySenket Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are we to the best of my knowledge and belief (section 92.525, Florida Statutes). nature ) of Ow r() or w r(s)' Authorized Otricer/Director/Partner/Manager who signed above: A By: By R�.. es�aa ( mmst STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL. Q Oft SMITH, RK - - 6'B 01 U n Date: 1zu,-C,L-VaaL_ 1501 Planning & Development Services 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 unange;ot 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, =Uir�l and transfer fee. A new Notice of Commencement must be filed in the new contractor's r 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: L4 I (P Permit Number: 'Z�) C — 01 q % Site Address: ( 0:0,l (tj4nVIAL, 1 i'04 M(A State License t— l 3ovU 1 Try SLC License Original General Contractor (or Subcontractor) i G, p r��c,�nC LLB State License l✓ j 3o►y1li3SLC License New General Contractor (or Subcont ractor) �, f Reason for Change: jFi .`%�'A� �,i ci (Q/)i Ow"-f ( , ScheG( fit I 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 rmit,c not be cancelled if work has been performed. 5� SjGNAT F W R (or owner/builder) * TURE OF NEW GENERAL C.QNTRACTOR ,,, /RINT NAME ,t LS�heT�f PRINT NAME G.Uewy State of Florida, County of St. Lucie County The following instrument was acknowledged before me this day i f &r 20L!5b, y who is perso n to me i o haID. Notary Date *Only sjignature required for chan, vi�at-P0;j/21/14AARGARET M. LEONARD o`� �`� Notary Public - State of Florida _. �__ _ My Comm. Expires Jul 17, 2D15 ' �` Commission # EE 77681 .Jryr oP °;`; ° Bonded Through National Notary Assn. State of Florida, County of St. Lucie County The following instrument was acknowledged before me this day of /J20Z by is personally know to me or w o has pr duc a Sign, ture o Notary Date 114-11� of subcontra or Ah MARGARET M. LEONARD Florida Notary Public -State of My Comm. Expires Jul 17. 2015 Commission # EE 77881 Bon•aed fhrough National Notary Assn. I i I f*�NNING & DEVELOPMENT SWCES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): (� Com have agreed to:be the (� pany'Nameftdividual Name) sub -contractor for > �I --��- (T`ype of Trade) c� . i �(��') . f 7 I (Primary Contractor) for the project located of "15 (Project It is project, I ID #) id that, if there is any change of status.regarding our participation with the above mentioned immediately advise the Building: and.Zoning Department of St. Lucie County by filing a Change Of Sub-contracto notice. (Form., SLCCDV (No. 004.00) BUSINESS UALHUR Q (Name ofthe Individual shown on the Contractor's License) NOTARIZED SIGNATURES, ARE REQUIRE, Business Name: Address: Phone: 1 �g C a l email: ' " � .w � L ---� i(I Q-C � .1 f f 3 P�NTAME DATE" STATE OF FLORIDA, COUNTY OF i*�A U." A G,t -e THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY Of .'20% � BY I WHO IS PERSONALLY KNOWN _OR HAS PRODUCED E As� NT /1 9 l / %1 — 1 �4 (§TAW) .PUBLIC _ • MARGARET M r ;li P AME OF NOTARY LEONARD votary public • Stale of Florida + • E 41Y COW" Explres Jut 17, • =°>' � 2015 so a';' Cn+nni+ssia# EE 77881 .,,• ,•,, . 804;)t'A Il+r(+Iiriil.N]r1l1O�r. ef.,..•:..--- OFFICE 0 -i�eAoca� �,a44io— c, (Z.. ,sc-R co&.C— t TW= W A NS AND ALL PRopm vrm,i, ARE Si18+l -CT TO ANY OMRr" ClIONS HELD INSPECTORSflIAT 4� to REWIRED BY MAYBE NECESSARY IN ORDER TO COMPLY WffH ALL APRXAXE CODES., 2 Bedroon-,/Den/2 Bath Living Area —Balcon Entry- 65 m 01 Dinivp Room 127)" x 12' Bcdroom 12' % M, m I• Den; icdroom !2' ), 1Y CONCEALED FASTENERS OR ATTACHMENTS ARE THE RESPONSIBUY OF THE C T L) F P,! C 9500 s O��v da- r-Il rl moo( WAole. Co,,c& 04-D %L8.8! w Act- IbeLo �e loco k �•c�.. �� ,�p a.s �e �- raw w�+ 'W`t� ✓ems °`Wt_, ; �` �D 4�/�SGc<•r lmrcr— �� t I!S, 6411-1130(c) 611A ail-I'Ll ECKAUA- Zl-) "I',- onck 4ree, a6lv� V, -11-f I AA : - k zp- thy, Ivy /i I — iA -m (. I I _ I- t^ A tAa,4,L( -�w, Lvbt-s one Lab 4,:),, Icl, -IZ -, 7Z .- — . . . - /I I A I - 61A- JWII;l Dining Room 12* 0 O. Aid; 2 Bedroon-,/Denl/'-) Bath VM M Living Area Balcon" 22-5— I-nir�- 65 ........ .. �.4 Bcdroom Den rBcdroom !?'x 1Y .q5c)o s O& 6rtc& -'r-le6c-041- Alr- bLc A 2 Bedroom /Den/2 Bath Living Area Baicc)n-,-.! 2255 , rr--, ��