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Home My WebLink AboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/45/15 SCANNED Permit Number: BY St. Lucie County Building Permit Application Planning and Development Services 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: Building a_k� C^11n .PROPOSEQ1M PROVEM ENT LOCATION,:,,, ' Address: C)(99-0 -5 nre Dr- -fl 10 an Legal Description: k.-An4- JN�.C) Qqc�. i-ndiv L*x1_rP_1'n _C=Ff)M 4,eMQr)k (pr ISLAI-10'Llba,) 930 Property Tax ID #: L4 Q1 - C51 C>�%-+— c_xDcA Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: DETA(L' D bEk R4410'N 6'F,w6kK':-', ��J Right Side: Left Side: ciaitionaiworKtOnenertormea 11HVAC unaertnis permit- cneCK an 0 Gas Tank []Gas Piping appiy: Shutters Windows/Doors C-71 YJ Electric rui LeN Plumbing OSprinklers 0 Generator Roof Total Sq. Ft of Construction: Cost of Construction. $ 1 ki 500a S Ft of First Floor: Utilities,ln Sewer 0Septic Building Height: OWNER/LESSEt-,' CONTRACTOR: Name 7.6N-P% J�=Lis* Lirda '6,-_mQ ui*.4- Name: Justin Thiery 'J , V Address: '2Z V, &C4o� City: T-61 State:Ny Zip Code: 1 Fax: Phone No. 0% — C12-1 — (C501\ Company. Island Kitchen & Bath Address: 2340 SE Charleston Dr. City: Port St Lucie State. FL Zip Code: 34952 Fax: Phone No. (772) 678-8219 E-Mail: ithieryikb@gmail.com State or County License: CBC1259508 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. �e SUP'PIL"E''M,ENTAL,"C-0�NSTRU'CTION'LIEN LAW INFORMATION':, DESIGN ER/ENGI NEER: Not Applicable MORTGAGE COMPA Y: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: - Phone: — Not Applicable BONDING COMPANY: Name: Sure Teo Insurance Company Address: 1330Post0akB1vd 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or andpcovenants 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before commef—cfNa. work -or riatorclin vour Notice of Commencement. I Sign Lessee M OF FLORIDA UNTY OF !!a I_A��rje! The forgoing instrument was acknowledged before me this 6" 2 dayof—Xi4ucta,:j= 20 14 by V re STATE OF FLORIDA COUNTY OF -5-� Holder The forgoing instrument was acknowledged before me this 30 day of -i)erey-n1y_r , 20 14 by et OtS TName of person ac6owledging) (Name of person acknowledgin6l) (signature of Notary Pub ric- State of Florida (Signature oMota `^�7 lic- Staee of Florida Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced di-tv'e ha-_nS&_ Type of Identification Produced gy P Oy P"a, Commission No. ff DAYNA J. REGIS Commissi n No. fT )O'JlLb7�� pIRMYNAJ. REGIS MY COMMISSION # FF 1+7 10 ISSION # FF 109457 EXPIRES: Aoril 2.2011 - EXPIRES: Ap612,20118 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS I JOSEPH E. SMITH, CLEPV OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE #.4028249 OR BC 3704 PAGE 2967, Recorded 01/06/201E� 08:42 AM NOTICE OF COMMENCEMENT POrmit No. Tax Folio No..L#D -10�U6+- L State of Florida County of St. Lucie 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 Of Commencement. iaDL"a' ""'Opropertf,,andllre�e�addeslf�,��labIL,�, of 1. _eman, General d�.,-Jpe_ 4-1-IrLy N owner "'foinnatlon or Lessee Infl-n-tiOn if the Lessee contrMd lorthe lrqprov ame ement: 4-M Address .2.31 ic-a+ca i interest In property.. Name and address Of tee simple titleholder (If dIffere-ifrorn Owner —1.ted above Contractoes Name; I--0+1n -T-h " f Contractor Address: -L34() 66- 0-orlint-,�c, 1Dr P5L — Phone Number: Surety (if applicablie, a copy of the payment bond is attached): Amount of bond;$ '0 Name and address VICII-er- 121 —1 —()A-C—>C �Phonenumber: Lender Name; 1`-- On V, r3i VA, T);, Lender's address: — - Number: Persons within the State of Florida designated byOwner upon whom notices or other documents may be —ed as provided bvSection Z=1) (2)7., Florida Statutes: Name: Add ess:— Phone Number: In addition to himself or herself, Owner designates f Uenor's Notice as provided In Section 713,13(l) (b)�Florida 'statutes. —o Phone number of Person or entity designated by owner; to receive a copy of the Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date Is specified) WARNING To OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEICTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO YOUR PROPERTY. A NOTICE OF COMWNCEMENT MUST BE RECORDED AND POSTEDON THE JOB SITE BEFORE THE FIRST INSPECIION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Uncler pen -all ury, - I clarethat I have read the foregoing notice of commencement and that the facts stated therein aretruetothe st ve 'u my knowl a be of ISIg t of 0 .1 In r Les.see, or Owner's of Lessee's Authorized 6fflcer/Dilect.,/P.rl—n,!r/Minager IS. 1p.--Vee, DAYNA J. REGIS (Signal tOr/s Tltle/Office 0 . W DOWISSION III FF 109457 .Mw EXPiRES:Apn12,2018 The foregoing Instrumen was acknowledged before me this day Of—J'O("4!j- 2QI=' BY—LLO 1�erdaL)64- as for t%A-4,VV" NameofPersonL) Type of authority (e.g. �fncer, trustee) P.,ty.nb.!h.,If.f.h.rnint..,t,�,.,.,uted 119-�IureN.ot.ry �Pbvr ,tate Personally known or Produced IdentIficatIo orlda) rt-�- (Print, Type, Or Stamp Commissioned Name of Notary Public) Type of Identification produced atri Vey!$ 11�T"w STATE OF FLORIDA ST LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT 99PY OF THE 0 IN . H E. SMI Deputy 411r JAN 06 Date: PtRMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building &Co& Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certifictition Number; State of Florida Certification Number (If applicable)- 2— _,67+al 1111ornmi-f)�Cah'C'n — have agreed. to be the .(Company Name/Individual Name) "� I f- — t!!� _C-179�1 C-(--4L- Sub -contractor for '(Type of Trade) (Primary Contractor) For the project located at )Q(40 INO (Project Street. Address or Property Tax ID ft) It, is'understood that, if there is any p I hange of status regarding our participation with the above mentioned project, I will immediately advNe the Building and Zoning Department of St. Lucie County by filing a Change, of Sub -contractor notice. (Form: S,LCCDV (No. 004-00) BUSINESS. QUALIFIER (Name of the Individual shown on tho Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: 70+n� ctmmn�Ga+l cv, Address: le Vonj LJJ. City/State/Zip: q0 Phone: email; di-co-C c arrWil"I cam U ---- J e-,5' -Z' 5' PRIN"AME DATE STATE OF FLORIDA, COUNTY OF t — ur 'e THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAVOFT&-1'1L-101-4U 720 By —WHO IS PERSONALLY KNOWN �ORHAS V PRODUCED SIG?(ATUlkE OF NOTARY PUBLIC SLCPDS: 12/16/2013 AS IDENTIFICATION. (STAMP) f—RiN-r rwAmE OF NOTARY PUBLIC DAYNA i. REGis MY CGMMISSION # FF 100457 EVIRES: Apdl 2,2018 PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division 0 'BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sti Lucie County Contractor Certification Number; State of Florida Certification Number (if applicable): ;cy---, have agreed to be the Oompany —Name/individual Name) Sub -contractor for 8*10!_ A tc-Inen a (Type ofTrade) (Primary Contractor) For the project located at 10 (-A-0 'c,:p �COQ 0 1:;�— 10 (Project Street Address or Property Tak II) H.) ardihg our participation witfi'the above mentioned It is understood that, if there is any change of status reg project, I will immediately advise the Building and Zoning Department of St. Luc . ie County by filing a Change.of . Sub -contractor notice. (Form: SLCCDV (No. 00400) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's LicensO NOTARIZED SIGNATURES -ARE 11EQUIRED Business Name: Address: CityistatOzip: 4__ ,?�7 Z,- 2140 .56.. email: Phone: aeyya, i e--n E NT N DA �S_116,NATVRE AME STATE OF FLORIDA, COUNTY OF THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS, DAYOF7JbnUAL& 2 0 _1G BY C WHO IS PERSONALLY K N OR HAS PRODUCED Sfl�A2TU OF'NOTARY UBLIC S,LCPDS: 12/16/2013 AS IDENTIFICATION. (STAMP) V14 DAYMAJ, FIEGIS PRINT NAM OF NOTARY PUBLIC MyC0MM$sJ0N#FF1004b7 PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the (Company/Individual Name) project located at C) n 11 ,A 1�k (Street address or Property Tax 11) It is understood 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 Plumbing C e4 HVAC/ Mechanical Roofing Gas OFFICE USE ONLY:,� PERMIT ISSUE DATE: NUMBER: I I -1 1 f-f , - ST. UICTE COUNTY RUMI)ING DIVISION REVIEWED FOR COINIPLIANC REVIEW'ED BY DATE PLANS AND FERMT MUST BE KEPT ON JOB OR NO INSPECTION WILL BE MADE. THESE PLANS AND ALL PROPOSE AND SUBJECT TO ANY CORREC REQUIRED BY FIELD INSPECTOR MAY BE NECESSARY IN ORDE COMPLY WITH ALL APPLICABLE � WORK 11ONS THAT. TO !�DES. wit ;m 4, "a-2�—w 4,-0, �54 21 Ae -p/ e; gx-'7�,f- OR ATTACHWAM- RES CONTRACTO si; c"J., -------------