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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 T SSA ; St. Lucie County LIM ..:.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 .. i; 4 Srt 5 �ONSTRIiCTIONr �- { 7f+.„ ', s u' -+�a4" w } r •i t + -" T � !' 1� - } � �� �k�`k -a- t d E i k 1 .� jk 11EN LqW INFO�tMATION _ _ i -syf" y4M„ l r "#e�"T, v}rYt lt,Lf`. iit !•t?'t C.t .-rDx a t r,„� ?�,'� ri' ': e1 �i['.�? ,hm ,i,±;r)x'nie '3.1{.t:,=i,!5lxliNy�J}"1,4{I�ivrtxr-!.tif2 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 i 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