HomeMy WebLinkAboutSUBMITTED PAPERS__
Q Date: • - Fee Due:..x Receipt# Permit # GD
Planning & Development Services
Building & Code Regulations Division 190
2300 Virginia Ave. 1
Fort Pierce, FL 34982 bad ��0
(772)462-1553 01 C
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty
r permits
1. Location/SiteAddress: �ao® �� ' o- �� ! �� PCP/1Ct- rI `I /q�'
2. Parcel ID Number: 13 o I " � (;5 - 0Zy q " o 00 — 1
Office Use
Section
Township
Range
Map Page
Zoning
Land Use
Initials
Only
3. Complete Description of Project or Work:�'(�(,(.
�el/k c
4. Owners );nformation 5. Contractors Information I
Name: �U� S (J I Qd FL Reg/Cert #:
Address: 73_00 11� ,riDSQ L1J County Cert#:
City: ter/- �(.r�ce� State: Business Name: N ' ce a
Zip: 54967 Phone: 1%)- tf (plf�049 Phone 9L6172- Fax: 903 I V3 44v q'
DO
6. Value of Construction: $ 6_� 5'
OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
compliance with all applicable laws regulating construction and zoning.
amp
PRINT OWNER OR CONTRACTOR NAME
�j er, SIGNATURE OF OWNER OR CONTRACTOR
l STATE OF FLORIDA, COUNTY OF CIO A ,, �/QJ ,,
ACKNOWLEDGED BEFORE ME THIS O DAY OF 2013 BY kD S S G&ium bat>
WHO IS PERSONALLY KNOWN TO ME �R WHO HAS PRODUCED
AS I IFICA I N.
1-- � �� o1rAY15, ?4g� Notary Publicela,S tQ�a'�te of Florida
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY DofBon isslon °
_�` � r� ry r� � My Commission EE038372
COMMISSION NUMBERL 65 / C -� OF 4\; �xpir®r 1012112014
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
Revised 04/26/2010
NOTICE TO OWNER: FAILURE TC`_ 2CORD A NOTICE OF 'COMMENCEMENT MAY ikESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
under a primary building permit. This application may not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction
Indicate the street address or general location .of
property where the building activity is taking place.
Indicate the tax identification number of the
property where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work.
Indicate the total value of the work to take place.
Total cost of construction includes all current retail
material and labor costs associated with the
building/construction activity. Construction value is
used to determine the permit fee. St. Lucie County
reserves the right to question and/or modify the
in value of construction if it is demonstrated
that the submitted figures are not consistent with
similar types of construction.
❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance
Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifcations
enee Attach 2 plot plans showing location of fence height offence and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts foT
new system or full replacement
This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications will be
accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772)
462-1553, during regular office hours (8:00 AM - 5 60 PM), Monday through Friday.
NOTE. Emergency electric service change out inspections will not be performed after 3: 00 PM without
special arrangements and: additional fee paid.
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261.
OKEECHOBEE VERO BEACH SEBRING JUPITER STUART 'BELLE GLADE FORT MERCE
(863)763-6255 (772) 562-0022 t 363) 3854493. (561),744-1303 - (772) 283-454 t, ,!,561) 924-3419 (772)465-3890
JOB NAME: DATE:
JOB ADDRESS: CONTACT: 6=_
F -
j PHONE: c
f
MAILING ADDRESS: MOBILE:
FAX:
EMAIL ADDRESS: JOB#: nor.7--q.15 S,'.) 'Ir—It6l'b
DIRECTIONS: 2 TC- ZU30
PERMIT* T'?
STYLE FENCE 11-A006 b
HE16HT I FOOTAGE
HEIGHT FOOTAGE
SELVAGE
VME
c
LINE POST Al/ YvIlk,
CMCREft
-
TERMINAL POST 4"'04"i-V f 'Ott
p(wsmal
TOPIBRAGE/BOTTOM RAIL q f M. O.Q
TENSION WARE
'07
BARBED WIRE 14&W
WALK GATE SIZE :57 r FRAME ANkqlj
WALK GATE SIZE FRAME FaCREM
WALK GATE POST 1 1011 01
uruvr_
GATE_SIZE _FRAME
JaW.RErEl ti lo
01
GATE POST DRIVE
DRIVE
GATE SIZE FRAME
0
DRIVE GATE POST
GORE'DRILLIASPHALT Ak vi�ej.
PRIVACY SLATS U614-
CUSTOMER APPROVAL
PRORLINES CLEARED No
YES
PROP. MARKS VISIBLE COST 5-5f- -DEPOSIT BALARCE—.,—.
SPECIAL INSTRUCTIONS TERMS
THIS PRICE EFFECTIVE UNTILI—
PERSONNEL 7
INSTALLER DATE
r4
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06/13/2013 13:12 FAY,
t L708EPH $: SMITH, CLERK fHE
FILE #( 3643483 OR BOOS 3527
Permit No. 1 � b " O DP7.3
State of Florida County of St. Lucle
The onknilgnad hereby gives notice that In
the following Infoneatlon Is provided In this
ta[el Dowlitilon of Property; (and street a
-k;AUEU)6»A ?AzK- I)ut-r
j._
CIRCUIT COURT - SAINT LUCIE COUNTI.1
PAGE 983, Reoozdod 06/11/2013 at 0954 AM
NOTICE OF r MMENCEMENT
Tax FOIIO NO. l ���+( ^ fy �Fy!—DCIC�•/
m mint will be mode to certain real property, antl In itcordanre vWth chapter 713, Florida Statutes,
t1 ofCbmmenaement.
/rl�.lDT3_iMaP/3%diii012r2�3.1r]J�I
General dowlFdan of Improvement 11 &z-rA 3' D -, aia .0doY
Owner Info aUon Qf to Info, cnntnlcgd for the Improwmpntt
,me 1
Address S R (pxi[t S
Interest In property; JPW 0
NA17 d address dreg Omple titleholder pf 01 rent from Owner listed aboyek
Contractor's
Contractor Addressi, �30. N F I t5O hp[ Y phone Number: -
surety(If pppltoab�e�a cppyof the payment bond ;attached): Amount of bond; 5
Noma and address 7z Phone number:
fonder Name; Phone Number:
lenders address:
Penont Within the State of Ftorlds designated III Owner upon whom nOfkes or other doeumnints may be mnved es provided by Section
I39 12) # )7 FlarWe Statutes:
Name: Phone Number;
Address:
in addition to himseif or herself, Owner di0snote of to revolve a copy of the
Lien's Notice as provided In Section 713,1NI) ( I, Florida statutes,
Phone number of person or entity deslgnatedby C wrier:__
Expiration date of notice of commencement; (the eXpiratlon detc may not be before the completion Of construction and final payment to the
tbhtractor, but will be i War from the date of ritcarding unless a different dace Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY HE OWNER AFTER THE EXPIRATION OFTHE NOTICE OFCOMMENCEMENTARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PAR I, SECr1oN 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTSTOYOUR PROPERTY. ANOM FCOMMENCEMENT MUST BeRECORDED AND POSTED ONTHE t05WENFOREINC FIRsf
INS"CTION, IFYOU INTEND TO OBTAIN FINANCII 10, CONSULT WITH YOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have nee I the foregoing notice of commencement and that the facts stated therein are true to the best of
my kposvledQ rid bel qf,
(511naipro nerorlessee,or nersorLvs 1",
e'sAuthorizedOfilcbr/DlreLtor/Partncr/Manager
ta,erraWrye ncmrvnicel
The (foregoing instrument was aeknowledeed befo me this 5t1 day of#g, , ao! 3
By as
ante o ,on Type of authority (e,ll, officer, trustee)
X
5isnetun of Notary Publk - State Of Florida) Koury PutJh Stew d (Print, Type, or5rampCommissionedName of �) Daroer, EIaNI T
MY Cnmmkeyn [loaaa7silyd•
r.� eeNee,uv,go,�
14
Party on behalf of whom Ins tn,mant was aracuted
rally known_ or pebducccl JohintHlwtlon
d Iderrtlflcatldn pldtlu[etl ` '����
STATE Of Ft HIM
ST. LUCIE COUNTY
THIS ISTOCERMYTHATTHISI5A
TRUEAN-9 CORRECT G0PY OETK
ORIGINAL.
JOSEP SMITI , LEtt ��
I$y= Ty r*
D e;
16002/002
06/13/2013 13:50 FAX
JOSEPH E,_ SMITH, CLERK—',.;. 'THE
FILE # 3e43493 OR BOOK 3527
CIRCUIT
COURT — SAINT LUCIE COUNTI�-
PAGE 963, R000rded 06/11/2013 at 00:54 AN
R 002/002
Pentiftlfid.
State01i'l0rida County of% Lucia
The undersigned hereby gives nodCe that In
the foltowing Information Is providod In this
LF;PI Oasatptlorr of Property: (end streer a
Generalldnalptlon
Name &Vbw b 'f. 1L,1
Address ILIVO s
Inmostiln Property; _ OW
NaiTtrid eddrt:sy of roe simple titleholder (If rill
�it n
.—
NOTICE OF COMMENCEMENT
Tax FeffoNa. i30^�i3—OZ
I .dV t - " v )8 .
tent WW be made to CerW n real Property, and M accordance with Chapter 733, Florida Statutes,
of Commencement,
f avagable)): I P�euxlsa hil R f41eG Fla-Sqw/
k![ AV Lc'f 3 _ KMAIF All At ) 012 r273.It7PY
Ad�Y 0 A' 8qdg6W,6oY
e contraetsd for tits Improvement:
COMradorAddress: S U d Pheno Urn r a
Surety (II applicabl,ee a py of the payment bond I atrachcd): Amount of bond: S __
Neme and addrvs," " hens num1mr:
Lander N■ma: + Phone Number;
Lendee;address;
Poreorahvlthle the state of Florida deer uiloA by Dimor upon Wham 11OHM or other doaumenh may I" semd n provided by Section
TS@, I) i perka Hatutas:
Name; phone Number:
Address:
In addition to hlmwif or herself, Owner designates of ,to receive a copy of the
Liencesffbtiee as provided In Smion Z13.13(1) (b , Florida Statutes.
Phonsnumber ofperson orantltydesIgnotedbya or:
Eeplratl;n date of notice of commencement: (the (ratlon date may not be before the completion of Construction and final payment to the
contractor, but will be 1 year from She date of rea rdIng unless a dlffennt date Is specifled)
WARNING TO OWNER: ANY PAY MENTSMADE BY I HEOWNER AFTER THE EXPIRATION OFTHENOTICE OFCOMMENCEMENT ARE COPINDERE0
IMPROP,FR PAYMENTS UNDER CHAPTER 713, PARI I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY, A Nana COMMENCEMENT MUST GE RECORDlO AND P05M ONTHE 108 WM BEFORE 711E FIA T
RUPE6TtON.IFYOU INTEND TOORTAINpPWtq G.CONSULTWITH YOUR LENDER ORANATTORNEYBEFORECOMMENCING WOAR0R
REOORNNG YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have Tea the foregoing notloe of ebmmencernent and that the facts stated therein are true to the best of
my I,Ppyvledge ynd beget. .
or
t,
The/foregoing Instrument was eCknowledged bel
fi ey` m 1GOYf I La as
ems rson
Signature W Notary Public - 5tot1 of Florlda)
(Print, Typo, or 5tomp cemMisdonad Name or f
e,
me chid t' day of , 20 1-31
of AUthmlty (e.g. offlcsr. trustee) Party on behalf of whom 1Aatnrmintww e--tpd
neuy known _ or produced Idendf lecaLtion
Nturner y Puhllo aide affW0 i��l,T
I%) CaClardi of Identification produced
�rp-etsthmu0�Od7a +����/f'rl30
STM Of FLORIUA
ST. LUCK COUNTY
THIS ISTOCEATIFYTHATTHI$ISA
TRUE AN9 CORRECT COPY OF THE y 4
ORIGINAL.. ?z
JOSEPH G SMITIlL111 4 -' .t r
By:
t
t
N
t
06/13/2013 13:11 FAX
la 0 0 1 / 0 0 2
ADROP
I FENCE COMPANY INC.
9
32 NE 12T" S T.
OKEE
HOBEE, FL. 34972
7
800-282-5172
Fix
863-763-8404
E
ail: adronfenCeCcDlive.Cnm
DATE: /
FROM:
TO: c
PAGES
TRANSMITTED
FIRM:
FAX#:
NOTES f v C
Pz,,,L� 6) -
if YOU HAVE ANY QUESTIONS,
OR DID NOT RECEIVE ALL THE PAGES OF THIS
TRANSMITTAL, PLEASE CALL.
OKEECHOBEE VERO BEACH
PIERCE
863-763-6255 77Z-562-002
JUPITER STUART BELLE GLADE Ft.
561-744-1303 772-283-4540 561-924-3419
ADRON FENCE CO
WPANY, 'FENCING YOU IN SINCE 1962'
M
A9, /Nerele
67--k.-
k\'K
-07Z /0'5
A
ti
e Wa.! 54'
ZAgIVe
0-
EMU=:
Lot 3 , Block 148 in the abdivisim
CERTIFIED TO:
of Lak--vxx)d Park U-dt 11
Harbor Federal Savings & Loan
as reomded in Plat Book 11, Page 32A, 32D,
Treasure Coast Abstract & Tit
of the PJahc rbozub of St. Tiri
Insurance Company
Gmt_y, Kwida.
James E. Biles
azveffr's NDbes;
Carolyn S. Biles
1. Larr3s shm herein ire not acted
for rights of say and/or eammnts of
record by this office.
2. legal dag=ipticn vas 9:ro ital by cLi.Ert.
3. Flood Zcre X Panel # 12111CO070 F
11116 CUTIVICATION IN KRON OMLV TO ASOVE
M931AS1 AND/OM NORIGAGN Of 2119IN DILIM
KEY:
FND-FOUND
-:-WANX0 PURCIA1131. 00 1118POW81MILITI OR Ll
pa"yos " I use or sunval fol ART Mal
I -IRON ROD �*
P..XRbN
I:R PIPE
_"'NO1':L1X11k6 TO, USX Or SUAVRV rox sUAVRj
I rsornTv, on To Any oTaga firRION NOT L11
vim RTGRT OF WAY
-.-- — - — ------ __
It &
FILE COPY