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Date: / / K---t' I Fee Due: c'-) Receipt# ` 7' 17I Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCq st <c, e y�Eo Cie CC�nt .Y SPECIALTY PERMIT APPLICATION ❑ Electrical Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 202.3 S-� UL C-ke- & V J 2. Parcel ID Number: k`A-'Z 04() '� 000 (o Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: C OMO)on A r-ecx S e vJ C r— ►r L r S and Ine-w 19-o-r, oLAks 4. Owners Information 5. Contractors Information Name: � �jpe f I nQ \ Y Q [ Co 0 D I rlt , FL Reg/Cert #: CFC j a� 22 Address: 202.3 S+ LL'(C I e- (�A U C,P County Cert#: City: F'7a,+ P� e r CCi State: F-1 Business Name: t (CAnACA- Cc4I2S 4'SJ 1 ]clZ- Zip: '3-(Cl 1-4 to Phone: l-1 `- 467 -? ( $ )_ Phone:77.) Sr) -/,)3 Fax: -7 7 Q71 O ?6 3 6. Value of Construction: $ /G cl D ©. 0 D OWNER'S AFFIDAVIT: [certify that all of the information contained i ppl' is correct and that all work will be done in compliance with all applicable laws regulating const c oning. r-C� — A c-- PRINT OWNER OR CONTRACTOR NAME S OF OWNER OR CONT STATE OF FLORIDA, COUNTY OF St' Lc.c C ACKNOWLEDGED BEFORE ME THIS / 3 DAY OF J R n 20 , BY J /LJ , ✓� ht( t WHO IS PERSONALLY KNOWN TO ME04— OR WHO HAS PRODUCED AS ID C T ATIO T SIGNATURE OF NOTARY COMMISSION NUMBER 2) I,0 c+' 4-0 TYPE OR PRINT NAME OF NOTARY •��"""'�• Lori Diodato •'% �COMMISSION#DD859311 4 ' 13ES: FEB. 09, 2013 /oesi � WWW.AARON NOTARY.com 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 0426/2010 W hsP�ra�S oil Jan 20 2011 12:48PM H ASERJET FRX p.2 JOSEPH E. SMITH, (CLERK OF THE CIRCUIT COURT SAINT LUCIE COUNTY PILE # 3544937 1212212010 of 02:31 PM OR BOOK 3255 PAGE 1617.1518 Poe Type: NC RECORDING: $18.50 ` L NQTICE OF COMMENCEII TAT The undersigned hereby given notice that improvement will be made to certain teal property, and in accordance with Chapter 713, Florida statutes the following infarmation is provided In the Notice of commencement (y n, 50 y O O O T 000 �0 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: SUBD"IONI BLOCK T T, LOT BLDG 1^tiS'�''tnc_�JCre4 � EO CDo '40 2, GENERAL DESCRIPTION OF IMPROVEMENT: rC+l t' 8 3. OWNEA INFORMATION: a_ Name b. Addms-6),JW— o. interest in property d, Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AN? PHONE NU� Spl �' C'z.�sA _ 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT; 6, LENDER'S NAME, ADDRESS AND PHONE NUMBERI 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section713,13 (1)(a)7., Florida Statutes; NAME, ADDRESS AND PHONE NUMBERr S, In addition to himself of herself, owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutea: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration dare Is 1 year from the date of recording unless a different date is e,vri{iedl _ 20 3lguature,ot t:rf, ar Print Name and ProAde Signatory's Tltle/OEfica Owner's Authorlsed ()facer/Difector/Partner/Manager State of Florida County of —11;f C,tc 1 — Tho foregoing imtruroent was acknowledged before mo this i day of 20 W a,r,1 h tr �e as 9y-- ('Type of authorlty...e.y. Owner, officer, trustee, attorney in fact) (Name of person) For (Name of party on behalf of whom Instrument was executed) Personally Known— or produced the, followirg type of ID: Le,00g'; D I I& Citd.1L4 (Printed Name of Notary Public) (Signature of Notary Public) Lori Diodato ��ppMMtssionaoD959311 lkieA�EXPIgM FEB. 09, 2013 i�r+ WWW,AAA0NN0TIV9Wm 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 92.523, Florida Statutes). Signature(S) of owner(m) gr Owner's)' Authorized Officer/Director/Partner/Manager, above: 20201, RIv. 0:VAree,(RP.=diq 1 • Property Appraiser - St.Lur;- County, FL Page 1 of 1 Whispering Creek Co-op Inc Record: 1 of 1 Property Identification Site Address: 2023 ST LUCIE BV 10 Sec/Town/Range: 33 :34S :40E Map ID: 14/33N Zoning: RMH-5 Ownership and Mailing Owner: Whispering Creek Co-op Inc Address: 2023 St Lucie Blvd Fort Pierce FL 34946-8715 Sales Information Date Price Code Deed 12/18/2001 4400000 02 WD 1/1/1900 0 No Sketch Available PROPERTY RECORD CARD Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ,,\.UCIECO ParcellD: 1433-504-0008-000-6 G2� Account#: 146769 �� Land Use: VacRes Coop City/Cnty: St Lucie County Legal Description WHISPERING CREEK CO-OP (OR 1469-2744) UNIT 10 Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 7000 Land Value: 7000 Acres: 20.91 1469 / 2808 Assessed: 7000 Building Value: 0 / Ag.Credit: 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes. 145.5 BUILDING INFORMATION Exterior Features View: RoofCover: RoofStruct: ExtType: YearBlt. Frame: Grade: EffYrBlt: PrimeWall: StoryHght: No.Units: Sec Wall: Interior Features BedRooms: Electric: PrmintWall: FuliBath: HeatType: AvgHt/FI: 1/26ath: HeatFuel: Prm.Flors: %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0005-VacRes Coop 158 -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED 1 n 4(,. \) C I R cl V-) C Lj S g) 410 Nn e s http://www.paslc.org/prc.asp?prclid=143350400080006 1/13/2011