HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (0 - 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
PROPOSED'IMPROVEMENT LOCATION:
Address: CAL-1c) (-� C----)r eCT---, Az�� Co—r:\
Legal Descriptiodanc_�� CCW=%J CW= r\ k P" — LAO 1-4
IN-
PropertyTaxlD#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONS T RU CT ION INFORMATION:
Additional work to be nertormed under . this permit — ch apply: Windows/Doors E
ID Gas Tank
F]HVAC E]Gas Piping Shutters
NElectric 0 Plumbing OSprinklers FIGenerator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ O'S 4 6 0 b
SC * Ft * of First Floor:
Utilities: n Sewer El Septic
Building Height:
W NER/LESSEE:
CONTRACTOR:
N a m e,,
Name:.Justin Thiery
Address:D�w C"N :A-- 9c), k---)
City: Nt6CT=hn State: O�A
Company: Island Kitchen & Bath
Address: 2340 SE Charleston Dr.
Zip Code: LAL-A Fax:
City: Port St Lucie FL
State.
Phone NoLz'1'6--) 'g-C)
Zip Code: 34952 Fax:
Phone No. (772) 678-8219
E-Mail:
E-Mail: ithieryikb@gmaii.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
State or County License: CBC1259508
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN, LAW INFORMATION:
DESIGN ER/ENGI NEER: Not Applicable
Name:
Address:
City:
Zip: —
Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: Sure Tec Insurance Company
Address: 1330Post0ak131vd
City: Houston
Zip: 77056 Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordinq vour Notice of Commencement. I
---III Sigb$ure of Owner/ Agent/ Lessee
cerise Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 154 L,\XAf � COUNTY OF 54 -(_Ut L\,e_
The forgoing instrument was acknowledged before me The forgoing instrtgaent was acknowledged before me
this day of J(Ank)OA24, 20 LS by this--62dayof J6(JQQ 20-6.by
V
(Name of person acknoMedging) V (Name of person acknowlecleing
(signaturVof Notary Public- St6te of Florida
Personally Known OR Produced Identification J
Type of Identification Produced idn I i t_-ee-L�
Commission No. JD'q957
* MY
Revised 07/15/2014
(Signature c/ Not;�y Public-tttate of Florida
Personally Known J OR Produced Identification
Type of Identification Produced
Commission Noiv DAYNA J. REGIS
MY COMMISSION # FF 1i
157 EXPIRES: Apdl 2.2C
W� Bonded Thru Budget Notary Si
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION -
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
PERMIT # I I ISSUE DATE I
PLANNING & DEVELOPMENT SERVICES
M7, Fj
------- Q-0— i Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicab1c): —cc
have agreed to be the
(company r*melindividual Name)
C,4 Sub -contractor for cy-A
(Type of Trade) (Primary Contractor)
For the project located at "'._5D
rs o�
(Project Street Address or Property Tak 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 f iling a
Change of Sub -contractor notice. (Form: SLCC0V (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's Licensc)
NOTARIZED SIGNATURES ARE REQUIRED
Business Name, —1 C, � r-,(- C4-\
Address; 3rA��c) Lin
City/State/Zip: V11\ C�l -tl-
Phone: I )!fj� 1'2; 3��A email: A C.-e C
SIGM(TUftE PRIX"AME DATE
STATE OF FLORIDA, COUNTY OF
THE FOREGOING tNSTRVMENT WAS SIGNED BEFORE ME THIS 6 DAYOF1tn1,4rq_ 20
BY l,)vw!4Jr,4- (1LC4n1t310-i WHO IS PERSONALLY KNOWN OR HAS
U
PRODUCED
AS H)ENTII FICATION.
(STAMP)
DAYRAJAW16
SIGNAT(JRE OF NOTARY PUBLIC PRINTINAME OF NOTARY PUBLIC MY CMINON # FF 10945 . 7
A EXPIRES: APA 2,2018
I SLCPDS: 12116/2013 Bor&d Thm Bu* Nobty Gervim
yy�ez�y�
LANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
N N
I
BUILDING PERMIT
SUB-CONTRAcTOR AGREEMENT
St. Lucie County Contractor Certification Numbec... I?
QLa_p ... �
State of Florida Certification Number (If applicable):
cl;
have ag ed to be e
(Company. Name/Individual Name)
\0� Sub -contractor for (A
(Type of Trade) (Primary:Contractor),
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 BuildiDg and Zoning Department of St. Lucie County by filing a
Change of Sub-contract.or notice. (Form., SLCCDV (No, 004-00)
BUSINESS. QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED�
C
Business Name:
Address:
r
City/State/Zip:
Phone: �4_ email: 116 < S Co C_
et�A. ull�
SIGNATURE ' PRINT NAME
STATE -OF FLORIDA, COUNTY OF 3+. L_Lk_-(, P—
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS —L DAY OF J'OY100�& 204-15;�
t' /
BY. rer I I tetr ffpr-� WHO IS. PER90NALLV KNOWN I OR HAS
PRODUCED AS IDENTIFICATION.
;7- 0' J_\ ? (STAMP)
ID, /CXA�z� -kI vV-4. ) 42V
S11§NATAE OF NOTARY PUBLIC PRINT NAME, OF NOTARYIPUBLIC DAYNA I REGIS
my MMMISSION ii FF 10957
EXPIRES. AP0 ?.'( 016
SLCPDS: 12116/2013 Mrd DUVI Nobry services
f6r6l -00-51�' -DMSION
ST. LUCTIE COUNTTY
11"C
RV OR COIlPLWC
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,VyENV ED FOR CON
NiLVED By
I
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PATE r iwvvvTnli
PLANS ERMIT 6.1 -D
ARNO iNSPECTION WILL BE AL4DE'
C", -
THESE PLANS ANID, ALL PROPOSED WORK
AND SUBJECT TO ANY CORRECTIONS
REQUIRED BY FIELD ;'N'SPECTORS THAT
MAY BE NECESSARY IN ORDER TO
COMPLY WITH ALL APPLit.-JABLE CODES.
0 rop�
�ojj�EALED FAST LIIERS OR Wl TACHM'
ARE THE RESPONSISIM OF THE
coNTRACTOR OF RECORD
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ZM
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
�,12 ,
Cosa ill be using the following sub -contractors for the
(Company/Individ6al Name)
7
project located at —m)D-3—oc)cj_1
(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
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
t. Lucie County/
State of Florida
License Number
Electrical
0 0 LA
Plumbing
r3
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER: I
JOSEPH E. SMITH, CLERK -OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4028250 OR B�'_ 3704 PAGE 2968, Recorded 01/06/201!-' 1 08:42 AM
Permit No.
State of Florida County of St. Lucie
NOTICE OF COMMENCEMENT
Tax Folio
= Ol
W
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with Chapter 713, Florida Statutes,
the following Inromiatlon Is Provided In this Notice of Commencement.
Dewiption of plop rty: (and street address If available):
4 "40 0 'S c C_'e CA "b V-k
General description of Improvement
Owner Ififonnation or Lot— Wtz� is #I,,
Name contracted for Fk-
Address ke-t�,
C� C qz�' 0 C_.e
Interest In_
Name and address Of fee simple titleholder (If different from Ow— Iistedabve)--.
Contractor's Name: _Xb+in -rh,.e f
ContWorAddress: -2340 Se CV-prIc-_4c_r% 1Dr p�A_ 99.3-L Phone Number:
Surety (if applicable, a copy of the Payment bond Is attached): Amount of bond:$. 1(.).CX>O
Name and address: rcl!�� Cf)M Phone number:
Lander Name: Aj
Lender's address: —Phone Number:
Persons within the State of Florida dpslgnated by Owner upon whom notices or Other documents may be served as Provided bySectlon
Z=4) (a)7., Florida Statutes:
Name: Phone Number:
Address:
in addition to himself or herself, Owner designates
Llenor'S Notice as provided In Section 713.13(1) (b):71�orjdStatWL�S.
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, SECTION 713.13, FLORI DA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of periury, I declare that I have read the foregoing notice of cc mencement and that the facts stated therein are true to the best of
VmVkno dge d ti�ell
(S of DAYNA J. REGIS
for a
(S Ure 40fGwnerorLesseeOrOwner'sor LAVe's AuthoAwd office Dir Partner/Manager MYC0hWISS0#FF1D9W
EXPIRES: ApIll 2,2018
(518natory's Title/Office)
The foregoing instrument was acknowledged before me this-iL day ajawl —. 2CL6
By Ion I - - as /YAXLO/ for _j (A-0-eil-
_03 ftlgq��
jh'fb)�Wf eq"ejqq�"' Type of authority (e.g. officer, trustee) Party an behalf of whom Instrument was exe
Personally known or produce. Id .......
gnatu Notary Public tate of Florida)
(PrInt; Type, Or Stamp Commissioned Name of Notary Public) Type of Identification produeddn!j!JJ I �i�
STATE OF FLORIDA
ST LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT CO Y OF THE
ORIGINAL
E, SMITH K
1puty C1 k
Date: AN 0 6 Wnli
This Document Prepared By and Return to:
Christopher J. Twohey, P.A.
844 SE Ocean Blvd. Ste. "A"
Stuart, FL 34994
Parcel ID Number: 3535-701-0023-000/1
Warranty Deed
This Indenture, Made this day of
Roy H. Risberg and Janet Risberg, husband and wife
of the County of Barnstable
10s� ��
metggqWandjN ne, -F,
�,a� �g�husband and wife
whose addrcss is: r2aaa—Ldjpk�aw
December I
of the County of Summit 5
Witnesseth that the GRANTORS, for and in consideration of the sum of
--------------------------------------------------------------- TEN DOLLARS ($10
and other good and valuable consideration to GRANTORS in hand paid by
granted, bargained and sold to the said GRANTEES and GRANTEES' heirs, s
lying and being in the County of St. Lucie
, 2014 A.D. , Between
3tate of Massachusetts , grantors, and
tate of Ohio , grantees.
----------------------------------------- DOLLARS,
7EES, the receipt whereof is hereby acknowledged, have
; and assigns forever, the following described land, situate,
of Florida to wit:
A condominium parcel designated as Unit No. 316 of OCEAN TOWEE S CONDOMINIUM A, a Condominium, according
to The Declaration of Condominium recorded in O.R. Book 352, Page 846, and all exhibits and amendments thereof,
Public Records of St. Lucie County, Florida, together with an undividec share in the common elements appurtenant to such
C,
Unit and all other appurtenances to such Unit as set forth in the Declara ion of Condominium.
SUBJECT TO:
I.Taxes for the year 2015 and all subsequent years;
2. Zoning restrictions, prohibitions and other requirements imposed by
3. Restrictions, and matters appearing on the plat or otherwise common
4. Public utility easements of record, if any.
and the grantors do hereby fully warrant the title to said land, and will
iernmental authority;
the condominium; and
the same against lawful claims of all persons whomsoever.
In Witness Whereof, the grantors have hereunto set their hands and seals the day and year first above written.
Signed, sealed and delivered in our presence:
Rc6T L!Risberg
i
P 0. d e
.0. A d ess: 82 4
isberg
r Dr., EasA Falmouth, MA 02536
(Seal)
(Seal)
Koy h. Xisberg and Janet Xisberg, husband and
of the County of Barnstable
Joseph L. Metzger and Nancy Metzger, husband anj wife
whose address is: 228 Lake Pointe Dr., Akron, OH 44333
of the County of Summit
Witnesseth that the GRANTORS, for and in
and other good and valuable consideration to GR)
granted, bargained and sold to the said GRANTEES
lying and being in the County of St. Lucie
State of M-assachusetts grantors, and
I State of Ohio grantees.
m of the sum of
N DOLLARS ($10) -------------------------------------------------- DOLLARS,
)RS in hand paid by GRANTEES, the receipt whereof is hereby acknowledged, have
GRANTEES' heirs, successors and assigns forever, the following described land, situate,
State of Florida to wit:
A condominium parcel designated as Unit No' 3' 6 of OCEAN TOWERS CONDOMINIUM A, a Condominium, according
ir
to The Declaration of Condominium recorded I O.R. Book 352, Page 1846, and all exhibits and amendments thereof,
Public Records of St. Lucie County, Florida, tog ther with an undivided share in the common elements appurtenant to such
Unit and all other appurtenances to such Unit as, set forth in the Declaration of Condominium.
SUBJECT TO:
I.Taxes for the year 2015 and all subsequent e rs;
y
2. Zoning restrictions, prohibitions and ot er re, uirements imposed by governmental authority;
3. Restrictions, and matters appearing on the pla or otherwise common to the condominium; and
4. Public utility easements of record, if any.
and the grantors do hereby fully warrant the title toll said land, and will defend the same against lawful claims of all persons whomsoever.
In Witness Whereof, the grantors havc hereunto
Signed, sealed and delivered in our presence:
Printed N
Witness
Printed
COMMONWEALTH OF Massachusetts
COUNTY OF Barnstable
The foregoing instrument was acknowledged before j
Roy H. Risberg and Janet Risberg, husband and wif
who are personally known to me or who have produced their
their hands and seals the day and year first above written,
(Seal)
R". Risberg
RO. AAdx�ss: 82 CleanyAter Dr., EasA Falmouth, MA 02536
(Seal)
:t Risberg
Address: 82 Clearwater Dr., East Falmouth, MA 02536
this day of /�—December , 2014 by
as identif- ation.
Printed Name:
Notary Public
My Commission Expires:
AP
=SANDRA L. HILL
10M NOTAFRY PUBLIC
Commo we
mmonwealth of MasGachuufts
Omcyo Commission IE)Kores =Jan.22, 2021
Bill of Sale
Know All Men By These Presents, That this day of
Roy H. Risberg and Janet Risberg, husband and wife
of the County of Barnstable
Joseph L. Metzger and Nancy Metzger, husband and wife
whose address is: 228 Lake Pointe Dr., Akron, OH 44333
of the County of Summit
Witnesseth that the FIRST PARTIES, for and in consideration of the sum of
------------------------------------------------------------ TEN DOLLARS ($10.
and other good and valuable consideration to FIRST PARTIES in hand paid by
granted, bargained, sold, transferred and delivered to the said SECOND PAE
the following goods and chattels:
together with all existing improvements and fixtures, including built-in
wall-to-wall carpeting and flooring, range/oven, refrigerator, dishwash,
and draperies, blinds, window treatments, smoke detectors, washer, dr-1
hereto and made a part hereof
All being located at: 9490 S. Ocean Dr. #316, Jensen Beach, FL 34957
To Have and to Hold the same unto second parties, and the second pa
And the first parties covenants with the second parties, and the second
that the first parties are the lawfiil owner of the said goods and cha
parties have good right to sell and transfer said property, goods and c
sale and transfer of the said property, goods and chattels hereby made
representatives, successors and assigns, against the lawful claims and
binding upon the first parties and the first parties' heirs, personal representat
In Witness Whereof, the first parties have hereunto set their hands and
Signed, sealed and delivered in our presence:
/% Rov
ber 2014 A.D. , That
of Massachusetts
of Ohio
, first parties,and
, second parties.
----------------------- ----------------------- DOLLARS,
ND PARTIES, the receipt whereof is hereby acknowledged, have
and SECOND PARTIES' heirs, successors and assigns forever,
pliances, built-in furnishings and attached
hsposal, ceiling fans, light fixtures, drapery rods
and all items on Addendum to Contract attached
' heirs, personal representatives, successors and assigns forever.
rties' heirs, personal representatives, successors and assigns
; that they are free from all encumbrances; that the first
-Is; and that the first parties will warrant and defend the
the second parties, and the second parties' heirs, personal
ands of all persons whomsoever. This covenant shall be
successors and assigns.
the day and year first above written.
(Seal)
Roy H. Risberg and Janet Risberg, h,�'-qnd and wife
of the County of Barnstable
Joseph L. Metzger and Nancy Metzger, husband and ?v
whose address is: 228 Lake Pointe Dr., Akron, OH
of the County of Summit
Witnesseth that the FIRST PARTIES, for and in
and other good and valuable consideration to FIRST PA
granted, bargained, sold, transferred and delivered to t
the following goods and chattels;
together with all existing improvements and fixt
wall-to-wall carpeting and flooring, range/oven,
and draperies, blinds, window treatments, smok
hereto and made a part hereof
All being located at: 9490 S. Ocean Dr. #316, Jensen I
33
State of Massachusetts first partieS,and
I State of Ohio second parties.
:ration of the sum of
DOLLARS ($10) ----------------------------------------------------- DOLLARS,
IES in hand paid by SECOND PARTIES, the receipt whereof is hereby acknowledged, have
said SECOND PARTIES and SECOND PARTIES' heirs, successors and assigns forever,
res, including built-in appliances, built-in furnishings and attached
efrigerator, dishwasher, disposal, ceiling fans, light fixtures, drapery rods
detectors, washer, dryer and all items on Addendum to Contract attached
FL 34957
To Have and to Hold the same unto second pai Jes, and the second parties' heirs, personal representatives, successors and -assigns forever.
And the first parties covenants with the second pg 'ties, and the second parties' heirs, personal representatives, successors and assigns
that the first parties are the lawful owner of the said goods and chattels: that they are free from all encumbrances; that the first
parties have good right to sell and transfer said )roperty, goods and chattels; and that the first parties will warrant and defend the
sale and transfer of the said property, goods an' chattels hereby made to the second parties, and the second parties' heirs, personal
representatives, successors and assigns, against the lawful claims and demands of all persons whomsoever. This covenant shall be
binding upon the first par -ties and the first parties , he i s, personal representatives, successors and assigns.
In Witness Whereof, the first parties have
Signed, sealed and delivered in our presence:
set their hands and seals the day and year first above written.
Printed Naing `Cja Ss� C_% C', I CoAC-_j,\ �1 Roy
Witness
COMN1—ONWEALTH OF Massachusetts
COUNTY OF Barnstable
The foregoing instrument was acknowledged before
Roy H. Risberg and Janet Risberg, husband and wil
who are personally known to me or who have produced their
i
P
42 Cleanvatpf q+., East Falmouth, MA 02536
82 Cleanvater Dr., Vast Falmouth, MA 02536
this day of /,S December
as ident cation.
Printed Name: 7/
Notary Public
My Commission Expires: eu
" 2 ?_. � C)
(Seal)
(Seal)
� 2014 by