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Home My WebLink AboutSUBMITTED PAPERSALL APPLICABLE NFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ( J� l SCANNED BY Permit Number: �- a at. Lucie County ec Building Permit Application �WVUUA Planning and Development Services � Building and Code Regulation Division `� (� �� 2300 Virginia Avenue, Fort Pierce FL 34982 5A Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial_ Residential ' A PERMIT APPLICATION FOR: To Select from dropbox, click, arrow at the end of line Address: Legal Description: Property Tax ID #: %yZ 3 — ^ n Lot No. �//7rf Site Plan Name: lSI Or7 S LL414 P14 — :5 '�, C,pyG• r,/ �►-Li�Block No. Project Name: RlA4WA (Lar�lOfc f`1G>✓ Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK x, hL 7e-,�,,�,�ry� ona wor o 11HVAC je�je orme under this permit — check all ❑Gas app y: Electric I _I Gas Tank Piping L__I Plumbing _ Shutters a Windows/Doors ❑ Sprinklers Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ (�Z E COD , 00 S Ft. of First Floor: _ Utilities: �Sewer F]Septic Building Height: OWNER/LESSEE r K, ` yr s CONTRACTOR " Name C GL G� Name: JOhn a Cc> Address: P/f — 3 Company: J o 30Lc1�6s Address: LiT701 COZQCL�r City: �''"r f��vti State: Zip Code: % Fax: L—,e� City::/ rr— State•F L_ Phone N %2 ��— Zip Code: 3141 S Z— Fax:'7T7 2 ,4& (p & `f E-Mail: Phone No. 772 ,9ya $53L/ Fill in fee simple Title Holder on next page (if different E-Mail: J WI a Ma 0 -WAu State or County License: from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. C NSTRUCTION LIEM SU5-imState: DES: AppAGE _Not COMPANY: Not Applicable Nam� C }�.u� ,ram PA AddOQ,u,cv-c, fj-„-G: Citye St. State: Zip: gSq9.SD Phone: `7922&17 Ia-7q Zip: Phone: FEE SIMPV TITLE HOLDER: Not Applic ble BONDING COMPANY: Not Applicable Name: cL / na Name: A3 k A Address: Address: O IV City: FE� . City: Zip:'5L11449 Phone: Zip: 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 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 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 recording your Notice of Commencement 11 \� 1 11. � I .......... I,, � I �, � � 1 � I, � I t � � ignatur f Owner/ AdI Lessee STATE OF FLORI COUNTY OF 1 The forping instrument was acknowledged before me this ay of �e p�: 20 14 by of person ack ing SUSIETETREAULT MY COMMISSION # EE 125556 ^t EXf�IRES: September 13, 2015 ANdod Tlnu Notary Public Undewwiters (Signature of Notary Public- State Personally Known OR Produced Identification Type of Identification Produced Commission No. (Seal) Revised 07/15/2014 iC SignatuYFFLOR,,DA ractor/Lice a Holder STATE COUNTY OF 5 (11 L1 Q The for ing instrument w s acknowled&ed before me this ay of 20_1_4 by of person ac {ngj SUSIE TETREAULT MY COMMISSION # EE 125556 ? . EXPIRES: September 13, 2015 Bonded Thru Notary Public Underwriters (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 40NING & DEVELOPMENT w-CES -Buildhig:& Co e Compliance BUILDING PER1WT SUID-CONTRACTORAGREEMEN-f St. Lucie County Contractor Certification Number. State Florida , biida.C6rtificate:O'IiNtimber(ifppucable).- Aces Name) havezgrecd to:be>the gyp sub-;.-c ontractor for QVir-J, 6LC-d �qnP oftrade)(PrimaryContractor) for. the:Projeq t Iodated 'at, A/ , (Projed Street—Adciress or 'property -Tax �3 Itis understood that;, if there is, - - - any. change 9P . of.status regaidiiig our participation. withwiththe above: mentioned project,I WHI h2mediate]Y advise the Build of Lucie:County by filing a Change :pf.Sub-contractdr:IiO'O.Pe... (Form'. SLCCDV No.; 064-00) BUSINESS .QUALIFIER (Name.6fthe 1ndividuaI:s;hovv11 ojj.theContractor's License) (0 l a q, THE FOREGOING INSTRUMENT WAS SIGNED BEFORE MEMBSQUVAY OF 'S __ �0�� 20 encg"n- WHO. IS PERSONALLY KNOWN OR HAS PRODUCED k iz� k AS. IDENTIFICATION. (STAMP) SIGNATURE. OF.NOTARY PUBLIC a "Y OF NOT -P NELROSE CENORD Notary Public - State of Florida My Comm. Expires Feb 10. 2015 Commission # FF 63477 OFECEI) PLANNING & DEVELOPMENT SERV][CES Banding & Code Compliance Division BUILDING FE&VIT SUB -CONTRACTOR AGREEAMNT St. Lucie County Contractor Certification Number: 1-7 L( 12,T State of Florida Certification Number(ifapplicable): _ CFC 0 (Company Name/individuai Name) have agreed to be the sub -contractor for `— (Type of Trade}N ,JACQ,�S - (Primary Contractor) ` for the project located at .a --, -:-- (project Street Address or property Tax Ill #) 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 filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name ofthe Iniiividual shown on the Contractor's License) NOTARIZED SIG,�IATURES ARE REQUMD Business Name: Address: City/state/zip: Phone: S-TZ>VN2. {�Lvw1l� f �iC i e sSZ v�r �\}erz�s,,-1cit Z��•-�-1�-(9_ "(Z � email: �Ov vm.>;�r.tC�C SICSNA ELT v PRINT NAME STATE OF FLORIDA.,COUNTY OF 6t •• L V CI E DATE THE FOREGOING INSTRUMENT WAS SIGNED BE FORE IE THIS . DAY OF S �- �l � c�rv�g�' rz , 20� g�`� i4 —` --' WHO IS PERSONALLY KNOWN OR HAS PRODUCED *GATULRU AT.i N. [ C (STAMP) OF N ARY PIJ�LIC • .�: • SI cl; I'RI.NT NAME OF NOTARY PUBLIC °SAY PUB ;•••;Gc MUELLE D. SIGMON * * IN COMMISSION # FF OWDI EXPIRES: October 16, 2017 OFFICE USE ONLY: Nh"rem �o�`O� Bonded n" Budget Notary Seftes - --= PLANNING & DEVELOPMENT SERVICES DIVISION O `` ' ''` BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave -�- - Fort Pierce, FL 34982 BUILDINGPERMIT l 0 r - -- — SUB-CONTRACTOR— Jo N -s- Q, I 'will be using the following sub=contractors for the gafly/Individual Name) - ---- - --Rrom'ec_t3ocated at . . _ - (Str-eehaddress�or Property Tax ID #) .. It is understood that if there is any change of status regarding the participation U any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. . S t: Lucie -County/ Trade Name of Company/Contractor. State of Florida License Number Electrical J Y�'7 .1.1�1 e�c / 5 Do (D Plumbing I1VAC/ Mechanical Roofing Gas. OFFICE. USE PERMIT ISSUE DATE:.' NUMBER: JOSEPH E. SMITH, CL?e�-K OF THE CIRCUIT COURT — SAINT LUCIE CC_— -1 FILE # 4045200. OR --\',3721 PAGE 1566, Recorded 03/03/201E j03:32 PM L-� After Recording Return to: John Jacobs Construction, Inc. 4701 Oleander Avenue Ft. Pierce, FL 34982 (772) 882-9334 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: 1423 5030025 000 7; VISIONS CONDO UIMT PH3 AND COVERED GARAGE UNIT OR 2142-2937 2. GENERAL DESCRIPTION OF IMPROVEMENTS: Interior Renovations 3. OWNER INFORMATION: Michelle and Peter Aldana; 4000 N AIA, Unit PH3, Ft. Pierce, FL 4. CONTRACTOR'S NAME AND ADDRESS: John Jacobs Construction, Inc., 4701 Oleander Avenue, Ft. Pierce, FL 34982; (772) 882-8334 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER: N/A 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: N/A 7. Person's 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: NAME, ADDRESS AND PHONE NUMBER: N/A 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: N/A 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a The regoing instrument was acknowledged before me this AV day of February, 2015 by Peter Aldana as O . He i nally known to me an id not take an oath. otary Public - State of Florida at Large 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). Signature of O r or Owners) Authorized Officer/Director/Partner/Manager who signed above: X By: /L--• Owner SUSIETURFAULT '/'t'�,��}1 ur �tkAttI5SI0N 1 EE 125558 EXPIRES: September t3, 2o% BuMee Thu tklryPuDk UnOmdfars STATE OF FLORIDA ST. LUCIE COUNTY THIS IS CERTIFY THAT THIS IS A TRUE A CORRECT COPY OF T ORIGI LJLAAW MI LE K gy; - Deputy Clerk Dole: A� ®3 2 15 0 - 9-6217, March 16, 2015 Bowdoin G. Hutchinson P.E. 806 Delaware Ave. Fort Pierce, FL 34950 RE: Certification of Inspection for (772) 267-1399 bohutch@live.com e"t Fr - MAR 2 7 2015 BY: Permit # 409-0212, 4000 N. A1A, Ft. Pierce, FL Dear Mr. Peterson, St. Lucie County Building Department: Please be advised, that I have inspected the interior remodel at the aforementioned location and certify to the best of my ability and belief that the interior remodel meets or exceeds the applicable portions of the FBC 2010 to every extent possible. Specific item inspected are listed below: Inspection 179: Firewall - Approved Inspection 650: Frame -All - Approved Inspection 999: Final Inspection - Approved Thank you for your diligence and please feel free to contact me at (772) 267-1399 with any comments or concerns that you may have. Sincerely, Bo Hutchinson E. \�0G ` '��/ HUTC// oy ' Na 70 78 .W— .� 4 ///ASS/O r- March 16, 2015 Bowdoin G. Hutchinson P.E. 806 Delaware Ave. Fort Pierce, FL 34950 RE: Certification of Inspection for Permit # 409-0212, Dear Mr. Peterson, St. Lucie County Building Department: (772) 267-1399 bohutch@live.com 4000 N. AM Ft. Pierce, FL Please be advised, that I have inspected the interior remodel at the aforementioned location and certify to the best of my ability and belief that the interior remodel meets or exceeds the applicable portions of the FBC 2010 to every extent possible. Specific item inspected are listed below: Inspection 179: Firewall - Approved Inspection 650: Frame -All - Approved Inspection 999: Final Inspection - Approved Thank you for your diligence and please feel free to contact me at (772) 267-1399 with any comments or concerns that you may have. Sincerely, Bo Hutchinson P.E. G, N U TCH," S E �' •soy O , • �pg78 No *' . W — //llllltll\