HomeMy WebLinkAboutSUBMITTED PAPERS---7,
T _-
Date. O A Fee Due: Receipt# I Permit #
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave,
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICA
❑ Electrical Plumbing ❑ HVAC Fence
❑ Shed Demolition ❑ Gas ❑ Siding
1. Location/Site
_- BY E p.
St. Lucie county
/.
[ONl g�? {
Seepage .7. for instructions and additional paperwork required for specialty permits
2. Parcel ID Number: L 61 1 5 ` 10 5 Q''�U " "0
Office Use
Only
Secdon
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description c f Project or Work:
4. Owners
Name:
Address:• Lo & l 5-
1
5. Contractors Information
FL Reg/Cert #:
County Cert#:
1:i
FE99
City: PS State: �1- Business Name:
Zip: Phone: � 4WA6Phone:77o� Fax: % 33 t-9�9�j
6. Value of Construction: 4A - U
OWNERS AFFmAvrr: Ice 'fy that all of the information contained in this application is correct and that all work will be done in
com liance with all applicable laws regulating construction and zoning. An
NT
��
PRIOWNER CONTRAC ORNAME SIGNA CONTRACTOR
STATE OF FLORIDA, COUNTY F 5�1i It`
ACKNOWLEDGED BEFORE THIS a DAY OF , 20�, BY
WHO IS PERSONALLY KNO TO ME V/OR WHO HAS PRODUCED
Y
ARY
COMMISSION NUMBER %
NOTICE TO OWNER:
EXEMPT:
r� �% "v'' JUDRHMUUR•WARGO
7 U�! u � ✓ �v * 'sea COMMISSION t FF RGO
TYPE OR PRINT NAME OF NOTARY EXPIRES: December 0 2017
Qg w" Af t4Bonded Thnr Notary public Undewbrs
TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
EMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LT REPLACEMENT WITH CONTRACT UNDER vu750o.00
Revised 04/26/2010
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE C;' Y
FILE # 3994752 OR 13 3671 PAGE 1974, Recorded 09/15/201 09:07 AM
Permit No.
State of Florida
NOTICE OF COMMENCEMENT
Tax Folio No. 34 i S" %QS oo 3a -00o-0
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.
Le9l n =ditrQe[ad'ressi�il�'e). �)� a r %��/AA �S(���•3�Qsa (�Q/i 1.113JO�2ffil
General description of Improvement: 1/'D W t 4.,2W. V 1 M�aOR g! r I a 4
Owner info ti or lessee kjpformation if the Lessee contracted for the Improvement:
Name en'.
Address CoWIIS, Pef�i�
Interest in orooertv: [dean an
Name and address of fee simple titleholder (if different from Owner listed above):
Superior Fence
Contractors Name: _ 1053 SE Holbrook Ct.
Contractor Address: PSL, FI. 34952
Phone Number:
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number:
Lender Name: Phone Number.
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
3.13(1) (a)7., Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself, Owner designates of
Uenoes Notice as provided in Section 713.13(1) (b), Florida Statutes.
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 I, SECTION 713.13, FLORIDA 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 perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
myk=i�:�
dblief
(Signor of Owner or ee, or Owners or Lessee's Authorized Officer/Director/Pattner/Manager
O 4WA
(Signatory's Title/Office)
TheforegoingInstrument was acknowledged before me this"__ii/Il day of _ ]/, 2�i
Byt to A IJ�iQ as 122Lftli „ for
Name of Person Type of authority (e.g. officer, trustee) Party on behalf of whom Instrument was executed
Personally known_ or produced Identification
nature of Notary Public - State Iorida)
(Print, Type, or Stamp Commissioned Name of Notary Public) iy A701iHLR1 t ation produced og` DL
�= MYC0MMISSt0NfFFtIS M
Bomb 1EXPIRES:
acamber 17, 2017
un PuNc LMdvwkn
STATE Of FLORIDA
$T, LUCIE COUNTY