HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y �3 k \5 SCANNED Permit Number: 56 y da'i d
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SSA ; St. Lucie County
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..:.L v Building Permit Application RFC F/i`�Q
Planning and Development Services p/P rcJ�
Building and Code Regulation Division ?0
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line m
PRQPOSED IMPROVEMENT LOCATION
Address: .1. 1939 s Indian River DR
Legal Description: very lengthy please see attached
Property Tax `D #: 3532-802-0016-000-0
Site Plan Name:
Project Namel:
Setbacks Front50 Back:100
Right Side: 60 Left Side: 60
Demo porches, remove cabinets, doors,trim, a/c, electric, drywall and windows
Lot No.
Block No.
CO;NSTR,UCTION iNFORMATIOltl ,
ACIClitional work o De nerformed underd
t is permit — check
all apply:
1JHVAC _Gas Tank
[]Gas Piping
_Shutters
Q Windows/Doors
11 Electric 0 Plumbing
Sprinklers
Generator
Roof
Total Sq. Ft of Construction: 2000
1S
Ft. of First Floor: 1800
Cost of Construction: $ ��0
Utilities:- Sewer Septic
Building Height: 14
OWNER%LESEE �R `T
COrNTRACTOR
;4' Y "LtY ^i tl •: _r2�,
tf •1 i Y a+Wk ,6Ti'` Fs2 RF@-`f`dis' 4 5
Name Maureen Cool
Name: Roger Winn
Company: Winn Brothers Custom Homes Inc
Address:11953 S Indian River Dr
City: Jensen Beach State:Fl
Address: 2428 NE Center St
Zip Code: 34957 Fax:225-0205
City: Jensen Beach State: FI
Phone N0.20�1-7892
Zip Code: 34957 Fax:
Phone No. 201-7893
E-Mail:kenny12keys@gmail.com
Fill in fee simple Title Holder on next page if different
E-Mail: wlnnroger@gmail.com
from the Owner listed above)
State or County License: CBC 043507
If value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
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�ONSTRIiCTIONr
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11EN LqW INFO�tMATION _ _
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DESIGNER/ENGINEER: X Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address: I
Address:
City: 1A I V State:
City: State:
Zip: o e:
Zip: Phone:
FEE SIMPLE TITLE H LDER: x Not Applicable
BONDING C MPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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 bylaws
rules, 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 fist inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
'�- 6
s
_ Signature of Owner/ Lessee/Agent
Signatur of ntra icense Holder
STATE OF FLM A
STATE OF FL
COUNTY OF ;J4I r)
COUNTY OF
The forgoing instrument was acknowledged before me
The `forgoing instruRie�nt w1 as acknowledged before me
�t�day
this day of 20by
this I of 20 by
�IA.1"kl
) r)
(Name of person acknowledging)
(Name of p son acknowledging)
(Signature of N ary Public- State of Florida)
(Signature of Wary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced CRY P�
SType of Identificatiold Produced
MY COMMISSION # EE
Commission No. g ll-1 5 * •' * EXPIRES:March6
N,
8 445 RY P(/
�Qmmission No. if S a�`:•••.e�{Seal)MARYLEEMATtIS
o" Bonded
ervices * * MY COMMISSION # EE 881445
N EXPIRES: March 6.2ol7
'eoF FO Bonded ihru Budget Notary Services
Revised 07/!15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF T,r'- ^.IRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4051185 OR BOOK 372' ?AGE 787, Recorded 03/23/2015 at 10:,' tM
I
AFTER RECORDING -RETURN TO: ■ ■
.. ...... .... .mod 7n, .,. .., n,n ■
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: 3r, 3 L-40 2.-00i 4 ---w - O
SUBDIVISION BLOCK TRACT LOT BLDG UNIT
Yza t cAeArd 1 c-W
2. GENERAL DESCRIPTION OF IMPROVEMENT: f''ere y4 GI
3. OWNER INFORMATION: a. Name 114 AVAM4 6DD t
b. Address t Q134 Ci t, M tat YI 21 V C y Of c. interest in property U —*11
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: 12JGen W , iJ 24 Lq CtP,v1 ky
6r 3,eY,5en Pieat,L._ Ft_ -34A57 -1rL-ui-9593
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: — /P.
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: N1 R
7. Persons within the State of Florida designated by Owner u n whom notices or other documents may be served as provided by
Section 713.13 (])(a) 7., Florida Statutes: �^}—
NAME, ADDRESS AND PHONE NUMBER: i !/
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 PHOj=q0--
UMBER: /V `
9. Expiration date of not(ce o1 cencement (the expiration date is I year from the date of recording unless a different dale is
specified)
WARMNC TO OWNER' ANY PAYMFNTMADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
Signature of Owner or
Owner's Authorized Officer/Director/Partner/Manager
Print Name and Provide Signatory's TIUe/Ofiice
State of Florida [��
Countyof Mar TfkLj ,fin
The fo egoing inswment was acknowledged before me this day of / i la �C� .20
gy ecrl rG• Coo as O tAnuIt-
(Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
For
(Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID--&Y2bL.
45'; �•!S MARYLEEMATnS
11n'tuI ) _Z lnMY COMMISSION #EE881445
EXPIRES: March 6,
(Printed Nalne of Notary Public) (Si natur of Notary ryPublic) BonOedTMUBd9tNo1vy5tnke!
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).
yy� Slanature(s) of Owner(s) or Owner(s)' Authorized OlDcer/Director/PaMer/Manager who signed above:
By:lltAAl.Aos.,j 1E 0 0 ( By
R-oanaam at.".e,
STATE OF FLORIDA
ST, LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE AN # ORRECT COPY OF THE
ORIGIN
IT I ER
By:
4p 12le k
Date: J�f( !3. Z015
Apr. 13.2025 02:29 PM -
PAGE. 2/ 2
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Planning Dowlapmom 0eMcdo
Build ft A Code Reguldon DkIdan
2300 YlrptnW Avenue
FOrt Plerl�, FL. 2
Phoae,,(?19}48'21T Fxtc:i? t�}40 �44$
ASBESTOS NOTICE
Asbestos Notice to Contractor
April 13, 2015
WINN 13ROTHERS CUSTOM HOMES INC
ROGER D WINN
2428 NE CENTER ST
JENSEN BEACH, FL 34957
RE: Building Permit Number 1504-0240
It is your i responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law.
4/13/201512:42:54 PM