HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date- I I I Permit Number: (0
RECEIVED APR
17 205
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Building Permit Application '3t 4 6?), 4)
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Planning and Development Services CO
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Building, and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click here
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..... . ...... . ....
Address:� op S pe,".
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Legal Description: —'TV%*- %A-A:
Property
Tax ID #: 14'5ca?-, ION - o(z)VI, - C) (3v.-3 - Z Lot No.
Site Plan Name: Block No.
Project Name:
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Setbacks Front Back: Right Side: Left Side:
317 7
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Ad apply:
C�H AC L_J Gas Tank Gas Piping Shutters F] Windows/Doors
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Electric 0 Plumbing Sprinklers U Generator Roof
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Total Sq.'FL of Construction: Scl. Ft. of First Floor:
I
OSeptic
Cost of C onstruction:$ Utilities: Sewer Building Height:
777
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Name Name: Peter Cafaro Ill
Address; kt_N,30� 5 ace.%.. 'Co- Company: Lowe's Home Centers Inc.
City: State:FL Address: P.O. Box 781993
Zip Code: -7 Fax: City: Orlando State: FL
Zip Code: 32878 561-771-0049
Phone No. Fax:
E-Mail: I Phone No. 772-418-3695
Fill in feel simple Title Holder on next page if different TPG._Lpermits@yahoo.com _Lpermits@yahoo.com
from the Owner listed above) State or County License: CGC1 508417 SLG#22986
if value of construction , Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION.
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: _ t Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: I Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: blot Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Applicable
OWNER[ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify th t 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 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 propert . A Notice of Commencement must be recorded and posted on the jobsite
before the first inspec - Ty
intend to obtain financing, consult with lender or orney before
commendine won recordi Notice of Commencement.
Signature of t alit
STATE OF FLOP
COUNTY OF sLC
The forgoing instru ent was acknowled ed before me
this l $day of _ .` 20by14
Peter Cafaro III
(Name of
ng)
(Signature of Notary Public- State of Florida )
i
Personally Known x OR Produced Identification
Type of Identification Produced
Signature
STATE OF FLOR
COUNTY OF SLC
The forgoing instrument was acknowledged before me
this %1' day of 1�jlev1 , 20E51by
Peter Cafaro III
(Name of person
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission' No.
(SeR11}fCH BOCOOK
ommission No.
••`"""�.
BOCOOK
Notary Public - State of Florida
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=�?�• •`'�=
Notary Public - State of Florida
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Revised 15/20 '"'����•"
Commission # EE 176669
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s4f OF G��`�
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10.
Commtsslon a EE 176669
07/
Bonded Through National Notary Assn,
Bonded Through Nauonal Notary Assn.
REVIEWS'
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
r
RECEIVED
DATE
COMPLETED
JOSEPH E. SMITH, CLERK OF -THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4072739 OR BOOK 3 _ PAGE 30, Recorded 05/21/2015 at 02 PM
i
1y AFTER RECORDING -BERME O
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
li The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice ofCommenocment YSoV ' _•9 l/'
1. DFSLRIPnON OF PROPERTY (Legal description of the ptopeny & street address, ifavailable) TAX FOLIO NO.: y ed A"
SUBDIVISION 'MrlA t111 BLOCK 2-- TRACT LOT 1YL BLDG UNIT
y 4,� 7
i3. GENERAL DESCRIPTION OFIMPROVFAIFHT:
3. OWNER INFORMATIONORL INFhORMATITInON IF THE LESSEE CONTRACTED FOR THHEEIMPROVEMENTt
� .. N.me ud tldrcn��A �WWSR-G �ZJd I .f-.'1lA IG)VI l�r✓Y/C .L/(� llUl�4'1 f1LiY� rr(�
b. Interen in property: �N/ny� 3Yyr�
e. Nene W.ddrem off .mpledadh'wlder(if&Uflia��mt frrarn Owner aaed.boreY
4. a. CONTRACTOR'S NAME: /�"`4+>Mw • Ace- "Aroonj
ComrWor.eddr— / B " 7a r�9 3 cf VW r✓ 57WAO b. Phone monb-..
5. SURETY(if.ppliublaa copy ofth, pryme,nt bod i. enohed):
. N—.nd address:
b. Place number: c Amaum of bond: f
6. & LENDERS NAME-
Lmd, ..ddmss: b. Phone rmmbtr.
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:
a Name.nd Wdre¢
b. Phone mmmb- of decBmed p-
8. a. In addition to himselfor herself, Owner designates of
to receive a copy of the Liena's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
b� Phom number of person or entity desgnad by Owner:
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording unless a different date is
specified): 2O_
(Signature of Owner or Lessee, e's
(Print Name and Provide Signatory's THIe/OIRce)
Authorized OtR�r/Dt'reetor/Partner/Mauger)
Stale of I�i�J°_✓1_C_117
County of M41"f0
hrsam
f r !
was acknowledged before me this
by l�Me l i�fiut°/2 J� erg
day of .10 7
A!b 14v�
�(�ame )
(type of authority,... e.g. office , trustee, attorney in fact)
forTi)d 162.wt iful _
(name of parry on behalf of whom instrument was executed)
Personally Known _ or Produced ldentification—I>/. Type of Identification Produced I--,& D
-"p AtRNANDEZ JR
—
MY COMMISSION VFF204738
(Siguature otary Public)
EXPIRES: MAR 01, 2019
Bonded through 1st State Insurance
(Print, Type, or Stem missioned Name of Notary Public)
Rev. I0-13.12
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE CORRECT COPY TAE r.
ORIG A', a±
Sf�+ttC ��
By:
NAB 20. 2015
Date:
2015 - 0b- 02 10 : 01
-03
ISOPRT75 7724034469 y> 0 P 2/2
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
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Building and Code Regulations Division
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! BUILDING PERMIT
` SUB -CONTRACTOR SUMMARY
Freedom Homebu ilders/i owes will be using the following sure -contractors for the
(Gompany/Yndhidual Name)
projectlocated at 10000 S Ocean Unit 502 Miramar Jensen Beach
(Street address or Property Tax M #)
I
It is u4derstood that if there is any change of status regarding the participation of any of the sub -contractors
Iisted below, I will immediately advise the Building and zoniog Department of St: Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of I lorida
License Number
Dlectrical
Braddock Electrical and Air, Inc
27105
James A. Phillips
EC13002706
plumbing
RV'AC/
Nlechar<�ical
Itoofi�ug
Gas
nMWFI-V TYQV n?Yr.V.
mpo&T
ISSUE DATE:
NCMBER:
Revised 072912014
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2015-06-0� 10:01 ISOPRT75 7724034469 >> 0 P 112
PERMIT,# �ISSUE DATE
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PLAN'NYNG & DEVELOPMENT SEIZ,%YCES
h ' $wilding & Code Compliance Division
•
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucia County Contractor Certification Number: 27105
State olfFloridNICertiBcationNumber (itappikable): C13002706
Braddock Electric and Air, Inc./James A. Phillips have agreed to be the
l (Com any Name/IndividualName) Freedom Hornebuilders/Lower
Electrical Sub -contractor for
(Type df Trado) • (Primary Contractor)
For 'e proje�t located at
10000 S. Ocean drive, Unit 502 Miramar, Jensen Beach
(Project Street Address or Property Tax ID #)
I
It is u' derstood that, if there is any change of status regarding our participation with the above mentioned
proje6t, I will immediately advise the Building aiad Zoning department of St. Lucie County by fililtg a
Change of SUb-contractor notice. (Form; SLCCUV (No. 004-00)
$U,S'I1Vl+,rSS QUAL tXt (game of the Individual shown on the Contractor's Liceme)
NOTARIZE ID SIGNATURES ARE REQVIRED
Address: '• 1084 NE Industrial goulevard
City/3iare0p; Jensen Beach, FL 34957
Phone) 772-600-5886 email; 6raddacicelaetriesndair�gmal•cars
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1
James A. Phillips 2- /
IGN' TCtikE PRINT NAME_ DA
STAT OF FLORIDA, COVNTV
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 02 nA'Y OF , 20
BY James: A Phillips WHO IS PIERSQN IN KNOWN �', OP. HAS
PRODUCED. AS IDENTIFICATION.
,�/ ,sae. 't Lsa ILsoN
PRINT N OP NOTARY P � JACLY ISS w Frl"'7
,SIGNATI3 l�Tr NOTARY )PUBLIC my cotAm bar 81
2018
SLCPDS: 08/416/2014 o(PIT455 NpVe`T' cam
Lauri MA`�
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2015-04-08 'I16:07
ISOPRT75 7724034469 >> P 3/5
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THHESERM AND ALL
PRRyQ�F! Y, 1
ARE SU&!LC i i O MY V1R� REC iTION ti
REQUIRED BY FIELD INSPECTORS )0
MAY BE NECEU- M, IN ORDER TO
COMPLY WITH ALL APPLOW COCES, .,Z
Z4p
cejL-,
E i f o r- CAS
CEALEC FASTENERS OR ATTACHMENTS
ARE THE RESPONSIBILITY OF THE
CONTRACTOR OF RECORD
ST. LUCIE COUNTY
BUILDING DIVISION
REVIEViEa®
FOR GOfi2CE
REVIEWED
BY -
DATE
PLANS AND PERMIT
MUST BE KEPT ON JOB OR
NO INSPECTION WILL BE MADE
2015-04-08 6:08
ISOPRT75 7724034469 >>
P 5/5
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Edward
From: Martinez, Jenn - Jennifer S <jenn.s.martinez-1@store.lowes.com>
Sent: Thursday, May 14, 2015 8:11 AM
To: Edward Roseberry
Subject: Dombroski
Good Morning Ed,
are removing
Thank you for responding so quickly.
. We are not moving_a
Tenn Martinez
Department Manager Installed Sales
Lo•we's of Stuart, Ff
3620 Southeast ,gedera(Highway
Stuart, F-C 34997
Phone: 772-283-4229 ext: 7
Fax. 772-22oi 4169
EmaiC-jenny.martinez-i@store.Cowes.com
MY
NOTICE: All information in and attached to the a -mails below may be proprietary, confidential, privileged and
otherwise protected from improper or erroneous disclosure. If you are not the sender's intended recipient, you
are not authorized to intercept, read, print, retain, copy, forward, or disseminate this message. If you have
erroneously received this communication, please notify the sender immediately by phone (704-758-1000) or by
e-mail and destroy all copies of this message electronic, paper, or otherwise.
By transmitting documents via this email: Users, Customers, Suppliers and Vendors collectively
acknowledge; and agree the transmittal of information via email is voluntary, is offered as a convenience,
and is not a secured method of communication; Not to transmit any payment information E.G. credit
card, debit card, checking account, wire transfer information, passwords, or sensitive and personal
information E.G. Driver's license, DOB, social security, or any other information the user wishes to
remain confidential; To transmit only non -confidential information such as plans, pictures and drawings
and to assume all risk and liability for and indemnify Lowe's from any claims, losses or damages that
may arise from ,the transmittal of documents or including non -confidential information in the body of an
email transmittal. Thank you.
x " b
2015-04-08 �16:07
c�
ISOPRT75 7724034469 >>
B*CorP INC. THE PEitMET GROUP
t
RECE"'zD APR window / Door / Snuffer
1 710SpERMiT PACKAGE CHECKLIST
Please provide aU of the following information
Customer Name & complete Job Address
Work Description & Total'Job Cost $
P 4/5
Vie- (Z-0
60-e. µ19
provide complete FL # including decimal and / or N.O.A. # for ALL
being installed including Mulls***NUMBER(s) ONLY PLEASE***
tax a copy of the following:
• Permit PO with correct price for job value, municipality & scope of
work
• Layout drawing / Site plan with openings being modified and their sizes
clearly labeled. PLEASE indicate if existing construction is concrete or
wood frame
• If job value is $2,500 or more please confirm if a Notice of
Commencement (NOC) is ready for pick up at the sto
YE�S NO FILE,
Please be sure it is signed by a property owner and notarized
i
Store Representative Akka
__Store # � (�
Date Thank You