HomeMy WebLinkAboutSUBMITTED PAPERS01/11/2011 z18:47
7728719117 .� yT�ST LUCIE PROP MGMT
OFF.ICL USE ONLY -
DATE MED:
PLAN REVIEW FEE: RECEIPT NO.: PE Jeff NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
PAGE
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED r
PLANNING & DEVELOPMENT SERVICES DEPAR
BUILDING & CODE REGULATIONS DIVISION
SCANNED 2MVhvinkAveaatte c
BY Ft Twce, PL.34982,%52 �Y
772462-1553
St. Lucie County
APPLICATION for EU"ING PERMIT
CERTMCATE of CAPACITY'/ZONWG COMPLIANCE
PROJECTINFORMATION
1. LOCATION/STIR ADDRESS:
2. PROJECT NAM' M PLAN NAME:
3. PROPERTY TAX JD0.4
O
4. gGAL DESCR�ON (attach axlra sheets ifaeeessary): L /t 0lL 0iq-5 Y�
LD"T 6 a 2 32L6-Zoo 51 -
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. & TAT NO. 40
9. PARCEL SIZE (ACRESISQ FT): � 2- � LOT DZ ENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTPi►ITY:--
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appxoptiate boxes)
[ ] NEW CONSTRUCTION ( ] EXPANSIONIADDITION (} INT MORRENOVATION
(yRESWENTIAL ( I COMMERCIAL [ ] HWUSTRIAL
[ ] OTHM (SPECIFY)
13. DESCRIPTION OF PROPOSED USB. �s I —
14. SQ. FT OF CONSTRUCTION:
16. VALUE OF CONSTRUCTION' $
15. SF. FT Ist FLOOR
The value of=5n auction is use$ to dcktufum the amount ofpam it few to be ossa WA St Ludt Conmy re mas the right to gaestioRnNor modify the Wicated
vahm of coushuetioo ifit i9 aemonatrated Wat tba sttbmdteti tueuot coaatstem with stmilarlypw of cousguuctio>a activities Ifft vahw i4 S7.S00 m mot; a
R=RD9DN0ticeofCamaus9ctattfmt must ha svbmdW whh this applicWmn-
SLCCDV Form No.: 001-02
UPDATE UM109
-fZ
_J
01/11/2011 18:47 7728719117 ST LUCIE PROP MGMT
PAGE 04/13
OWNER IINNFORN,
5n
STATE: I ZIP:.
CITY. ``
PHON13 (DAXTIME): S �' 2 V� ( Epnaii: n ` vyllti l - Go ✓`^
IF THE FEE SI14 PLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT M61a THE OWNER. LISTUED ABOVE, PLFA.SE
FILL IN NAME AND ADDRESS BELOW.
FEE SMIFL E TITLEHOLDER:
ADDRESS:
CITY: _ - STATE: ZIP:
PRONE (DAYTIME): (^)
CONTRACTOR INI=ORMATION .2
ST. of FI. REG.CERT #: I V 1 `J I ST. LUCIE COUNTY #:
BUsMss NAME c
QUAX.IFIERS NAME: S 1 ' ` 0--
ADDRESS: 2L \ i "1 L 2
CITY: ` r % BS)(� STATE: ZIP:
PHONE (DAYTIME): CtO q% CD " S�o L r FAX NO. t(6 i - & L�� `�a�tI: � � ✓V°
ARCHIT/ENGDUMR:
ADDRESS:
CITY, STATE: 22:
PRONE (DA`YTSM! (_)
BONDING COMPANY:
ADDRESS:
CITY: STATE: ZIP:
MORTGAGE LENDER:
ADDRESS:
CITY. STATE: ZIP'
IMPORTANT NOTICE: When a permit is issued aad iit is not picked up within 60 dals after notification•
it will be voided and returned to you by maiL
3?-.4 4kIv,
Planning & Development Services Inspections
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-2172 Fax: (772) 462-6443 Lj
hftp://www.stiucieco.org/planning/permitting.htm
Online Inspections
http://airs.slcfl.vetrol.com/AIRSweb.php OA,(Olk
425
Sewer Connect
0
260
30 Day for Testing
7
800
Address Final
7
6 6�
172
Hurricane Panels (shutters)
8
261
30 Day Expired
8
e-
804
Driveway Bldg
8
CA
808
Landscaping/Trees
8
996
Final Termite Treatment
8
999
Final Inspection
8
821
Solid Waste
8
'_e'.'annon Boone
06/21/2006
154
Bora Care Treatment (Termit
0
Approved
Dave Johnson
06/21/2006
Boone
03/22/2006
105
Form Board Survey
I
Approved
Jodee Vorreyer
03/22/2006
IShannon
Shannon Boone
03/27/2006
420
Plumbing Rough
1
Approved
Greg Smyth
03/27/2006
IShannon Boone
03/27/2006
427
Temp.Toilet/Temp Culvert
1
Approved
Greg Smyth
03/27/2006
!Shannon Boone
03/21/2006
104
Compaction Test
1
Approved
Shannon Boone
03/21/2006
1VR Access
04/04/2006
103
Eufer Ground
2
Approved
Greg Smyth
04/04/2006
IVR Access
04/04/2006
115
Slab
2
Disapproved
Greg Smyth
04/04/2006
121
Termite Spray
2
Not Required
Greg Smyth
04/04/2006
IVR Access
04/05/2006
115
Slab
2
Approved
Greg Smyth
04/05/2006
lVR Access
04/12/2006
118
Column
3
Approved
Greg Smyth
04/12/2006
;\.'.R Access
04/12/2006
128
Bond Beam
3
Approved
Greg Smyth
04/12/2006
Access
05/05/2006
133
Window/Door Bucks
4
Approved
Steve Brasda
05/05/2006
-J-2B
�IVR Access
05/05/2006
134
Roof Sheathing
4
Approved
Steve Brasda
05/05/2006
Access
05/05/2006
137
Strapping
4
Approved
Steve Brasda
05/05/2006
,,IVR
�IVR Access
05/05/2006.
145
Truss Drwg
4
Approved
Steve Brasda
05/05/2006
. f0IVR Access
05/05/2006
135
Wall Sheathing
4
Approved
Steve Brasda
05/05/2006
�.Shannon Boone
06/19/2006
148
Window/Door Attachment
5
Approved
Greg Smyth
06/19/2006
`.-Shannon Boone
06/19/2006
179
Firewall
5
Not Required
Greg Smyth
06/19/2006
1
06/21/2006
650
Frame -all
5
Cancelled by Building Der
Shannon Boone
06/21/2006
06/26/2006
127
Mullion
5
Not Required
Steve Brasda
06/26/2006
Boone
le8, tenon B
06/08/2006
259
Power Release Form
5
Approved
Shannon Boone
06/08/2006
05/30/2006
136
Roof Dry-in/Tin Tab
5
Approved
Shaun Milligan
05/30/2006
P annon Boone
06/21/2006
140
Construction Rough Framing
5
Approved
Dave Johnson
06/21/2006
��7,hannon Boone
06121/2006
238
Electric Rough
5
Approved
Dave Johnson
06/21/2006
R!514annon Boone
06/21/2006
351
Mechanical Rough-In(ducts)
5
Approved
Dave Johnson
06121/2006
SShannon Boone
06/21/2006
423
Plumbing Top Out
5
Approved
Dave Johnson
06/21/2006
06/28/2006
141
Insulation
6
Approved
Steve Brasda
06/28/2006
06/28/2006
167
Roof Final
6
Approved
Steve Brasda
06/28/2006
�.^hknon Boone
07/18/2006
153
Insulation Certification
7
Approved
Shannon Boone
07/18/2006
Comments
EDULED WITH DEAN
is
M
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
(-U C '10 AS t) I [ will be using the following sub -contractors for the
(Company/Individua
l Name) r �
project located at l� J �`S c, t44 G„S C c
(Street address or Property Tag 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. immediatelyadvise the Building and Zoning Department of St. Lucie County.
Trade
Name of +Company/Contractor' _-
St. Lucie County/
- `-'AStrite of orida
License Number
Electrical
4, A�(' L
22 ej 3 g
Plumbing
11� � � � �`v �.b�n
RFd����
iqqiL4
Roofing
Gas
/C
d J f Ce_ 1. /
CA C
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER: J I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
P` ' BUILDING & CODE REGULATIONS DIVISION
') BUMDING PERMIT
Le Is SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 2
State of Florida Certification Number (if applicable), � " O G
have agreed to be the
r (Company Namenndrvidual Name)
/�� y��jZ/�, 0 Zi sub -contractor for �"�S�%'� Contractor)� ��� X 7J
(Type of Trade) �azY
for the project located at 121
p oject 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 Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNAPMS ARE REQUIRED
GNATURE PRINT >NAME i ATE
Business Name:
Address:
City/State/zip:
Phone: `7 -7 email:-
/�G1sGl�lC. CdYj'`
�-- WTC41" A7LTT V.
Urrr itZ Uad WINJU X .
PERMIT # ISSUE DATE
iC
reery V R
BUMDTNG & ZONING DEPARTMENT
SUION-CONTMCTOR AGREXAMM
St. Lucie COU34Y contmw cauficamp tm1mr /90 6 `
aN �P•�r� 1= ®0 6 6 99.E
have agmd to be the
(conq=y NQmC&&vi&at Naum)
p/t, m 61 ti4 6Ubwnlracor foY 7S C�r1S i ruei y.ce Ce�r s►I,l �L�
(Type Of Trade) {gtbmw cmeactar)
far tM pmjwt located a, 61".$7-08 ZdS /.f/`zj ,.fS � /0 S. `�lS
(1 mjeet &reel Aftm or Pmperty Tax M
It is understood that, if them is =y change oftt tras regarding am participation 1wth the
above mandoms d project, I will im=& tely advise the BIAlft aad Zoning Dqmrtmant
of St Lucie County by pemon allly filing a Change Of Contractor notice. (Damp SLCcDv
N0. md440)
BIDS ESS 1 UALEFU , (vaM of thr inddV}dtgtl shecm on tlse Cw*Wtor s Ucmw)
saAn SE0130all
,.,.NANX DATE
Business Rlasc►e:: / � i,^> O � �/f��� rn�r
Ate,: 161
CwAskairmIr , S o 2- ,
Ph*". T zc-- -z i
01/19/2011 14:46 7728719117 ST LUCIE PROP MGMT PAGE 02/04
% i
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
? . BiT)< MING REBMIT
SW1,C0NTRAC 0RAGREEMENT
ontractor Certification Number: lqq14
St. Luce County C �;
State of Fladda Certigcation Number afappficab)e): (" kC-0�O
have agreed to be the
(Company e/IndividWName) G
o Z �
sub -contractor for
(Type of Trade) Con r)
for the at
project locatea
p (Project Street Addrm or Property Tax ID 0)
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 personally filvag a Change of Contractor notice. (]Form: SLCCDV
No. 00"0)
$[TSINESS QUALIFIER (Name of the Individual shown outhe Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
Name:
City/StateMP:
Phone:
PRINT NA� S DATE
f ///^_ n &- J '* _ :_!l/iva
e.c>'i,6
ll1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT.
. -il I BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. LucieCounty Coup Contractor Certification Number:
State of Florida Certification Number (If applicable); C r G , `
(A P Jyy 1^(_.e �., Have -agreed to be the
� APS sub -contractor for
(Type of Trade) (Primary Contractor)
CI, V\Ss)\k��5
project located at (o 3 ()n_L- C' S 2 4. \ M C' S w C,-
(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 Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
/r''/1
SIGNATURE P NAME DATE
Business Name:
Address:
City/State/Zip:
Phone: V o LZ email:
nFFIrR ITSF, ONLY:
v PERMIT # ISSUE DATE
I I I
;Low
01/12/2011 10:00 7728719117 ST LUCIE PROP MGMT PAGE 03/03
ST. LUCIE COUNTY
BUILDIfNG & ZONING
2300 VIRGINTA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
VIT
7,1,he undersigned, am the
s rA 14-
® r 16-11
,veer of the following desc
(Tax ID/Le.-al de-scription/,Addxess)
TAIA- 1 3 1LV--yam —av 10— C')o6-3
for which 1 have applied to St. llcle County for a Final Development Permit. In accepting
this Final Development permit, BP Number , Z acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NC)T be adversely affected. Z further acknowledge that in
granting this permit for the development of this property, St. Lucie County is neither obliged
nor liable to provide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the ina=diate community.
1�-ea Gel
Property Owner Name Property Owner Signat Daie
J �"°' rTICOLE S. COBLE
A —
MY COMMISSION 8 DD855434
,2013
STATE OF FLORIDA, COUNTY OF r �j 1 ' 9�, EXPIRES: April 27 Y Fl. Norery Diw°°^t (uwc. Co.
1400
ACKNOW 0 D EFo E ME THIS DAY DF `! , V-4,
1 co 1 , WHO IS PERSONALLY�ME OR WHO HAS PRODUCrED
BY �" � . J
AS IDENTIFICATION.
61 C S
S1rNA.TUPX rARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUEJjC--TITLE � �� MMtSSION NUMBER
01/11/2011 18:47 7728719117
CEIGMCATION:
.ST LUCIE PROP MGMT
PAGE - 05/13
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a Cet fficate of capacity,
if applicable, for the peroritted work. I certify that no work or iuslallabon has commeoced prior to Me issuance of a permit and that all
wcrY will be performed torment the standards of all laws regulating coilstraction in this jnfisdiction. I understand that sgWate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, 'FELLS, POOLS, FDRNA.CES, BOIURS, HEATERS, TANKS,
- -AND AIR-CONDITIONERS;_FENCES, ETC., not otherwise included with this building permit application. -
St. -Lucie CouAtynuahrs no —re presentabi q, m that its-gra»kng ofa permit will aatleoiize fhe,permit holder_to build tha snbject_struct�ae _
- --- --which is b-confliict-with ally applicable -Homeowner Association roles, bylaws or any covenants-that.may restrict -or proWNt =ch
structure. Pleaso'consuh with your Ho meownees Association and review your deed for any restridims which may apply.
The -following building permit applications are exempt from- undergoing a full ooncxurency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non -
ice
- -
--resideAtaal-use;
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMIM E NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR90ROVRMEtN1'S TO YOUR PROPERTY. A NOTICE OF .
- COMME?NC)3IVIIsT f MUSTBE RECORDED AND POSTED ON THE JOBSETE BRFORE THE
FIRST ERSPECTION IF YOU 114TEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LMDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCI�ME{NT. - - _ -- --- -- -
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTAC1IIulENT: AS A CONDITION OF ISSUANCE OF TIRS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACFMNT.
OWNER OR CONTRACTOR SIGNATURE CO OR SIGNA
4e, p �e, NICOLE S. COBLE
STATE OF FLORIDA STATE OF FLORMA MY COMMISSION a DDssS434
COU TY OF COUNTY OF SIRE& AP0 r7, zor3
1-904TARY Fl. Namy Nsoo ul A. Co.
The.tioregoiog instrument was acknowledged before
me tiles day of 20
by
wi;o is perseanlly kumm _ or has produced
As identification.
Signature of Notary
Commission No. _ (seal)
The foregoing instrument was aKik mvAe lefore
me ims �� jday of J U � 20 LL
by '& 1,11 j&)i 1
who is perso=Hy known X_ or has produced
as i�ierstFtication.
S"&At6reof N ry
Commission No. ?JC/(Seal)
NVi : n�+1 i`1 �SIGi7ATI=r, ARE = ED - 116-A
�R e.r rti� a,e+tf—AE Iry
V ! 'aJa..�,.. Dell_ SiviLITAJL �e� Inti51 SE fi01AieiL>Gil. ul' ArrLXINt� FOR
THIS BUILDING PERMIT AS AN OWNERNUiLDER, TILE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERSUILDER APPLICANTSS.
For specific instructions see appropriate permit checkUst.
01/11/2011 18:47
7728719117
ST LUCIE PROP MGMT
PAGE 13/13
ONLY
BP #:FFIETOWNSP
FUS
RANGE
MAPNO_
NG
LANDUSE
LOT %
TAZNO.
FLOOD ZONE
FMM MAP #
1"FIR EL,V
MAX HOT
CONST TYPE
OCCUP TYPE
MAX OCCIIP
# OF FLRS
WATER
SEWER
SPRMMS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
�Q
LOT SAffRPI D
Dome 111990
After 111990
REPORT
HABITABLE
PERMIT
CODE
AREA
FEE
LIBRARY
PUBLICBLD
PUBICBLD
PARKS
BRACT
MALT FEE
BRACT
Z PACT
FE6,
CORRECTION
FERAL
TEE
SCHOOL
ROAD
CBEDIP Y N
I.AW MW
Ilu1PACT
BRACT
IMPACT
FEE
FEE
FEE
FIRTS/E1uIS
DRIVEWAY Y
N DRIVEWAY
THE
MACT
REQ D
VARIANCE FEB
FEE
SPECIFI' NEJ.CRAW
ROOF
NON -CONFORMING
MISCELLANEOUS
�
GAS
LOT OF RECORD
FPS
ItBQTJIliEA PI.[�i IN
DATE SENT TO r11y1TRBSSING: 1 I
REVIEWS I ^PRONTO I ZONING I S DTZLWv�rOR I RRMW I REVIEW 1 REVIEW i REVIEW
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3555123 OR BI-" 3264 PAGE 81, Recorded 01/27/2011 i 2:43 PM
02/12/2012 10:00 7728719117 1. ST LUCIE PROP MGMT PAGE 02/03
��OT MIMMR
mo= OF gQxHWc NM
The undersigned hereby even notice that improvement will be made to certain reel property, and in accordance with Chapter 713,
Florida statutes the following Ijn((fotmadon IJs,'ptovlded In the Notice-1
cammmcamaot.
1. DESCIRIMON OFgROfERTV (Legal descripll and streaf addrreem) TAX FOLW NUMMER:(S - SaW — O o/ D
L-e•S /IQ I M 64 (4,0 Y & - 1- 1 L07 d r r b7f f
> o
2. GENERAL DESOMIDN OF WROVEHiNT: L i t uS f
d J
3.OWNER DWORMATION: a Name Ni Lf, f s cH
�-t
b. Address 3, pa ►.4 C LA KC FOLD 1, e-i
C. interest in proprrry /d O i
d. Name and address of fre simple titleholda (if other than owaa)— O Go b 7
4. CONMCM'S NAME, ADDRESS AND PHONE NUMBER, L e '. e
"IP - th!!j
5. SURSTR'S NAM& ADDRESS AND PHONE NUIMMERAND BOND AMOUND Al
D Ns
6. LENDER'S NAIL ADDRESS AND PHONE NUMBER, AJd k/.R
7. Pet— s within tho Stato of Flodda designated by Owner upon whom notices or other documents may bo Served ea provided by
Scodon 713.13 (1xa) 7., Florida Stawtca:
NAME, ADDRESS AND PHONE NUMMi
8. la eddift to himself or bortolf. Owner desiavarw the following to Twelve it copy of the Lienor s Notice w provided 1n Section
713.13•(1)(b), Florida Statute&:
NAM& ADDRP59AND PHONE NUN BEE :
9. Expiration date of notice of eammeacement (the expiration date is 1 year%om the date of teebrding ualess a different date is
specilled)..
Sta c of Florida
County of joy
The fotegotre usauatea was acknowledged before raft _day of 201_..
Hy �v�4
(Name of person) �, J T (Type of wthotlty...e.g. Ovwaa, officer, trustee, attorney In fact)
For ! W, Is (tn _ . .--
(Nam otygriyonlidalfofwborn Instrument was executed) Personally Down V or produced the IbUowiog typa of IN _
Mm
BLE
M77�3/
W Noma of rotary pablic) — (S azure of Public) "M 2013
I•a061K1r�aY�c Gaand.thst Wes tacoIn it:arz sue. a. nd
beJref(eecdo119372d.P(o1lddSliatua).. ' .. .. .. , ,
• -Sloattwe(e) 'fkreet(s) or�r iei(a)' Audsorhed OMm/Ofrector/Parbw•/Manager who a wd above,
ar.meomna®,ap&, .
STATE OF FLORIDA
ST. L'. E COUNTY
THIS IS TO CERTIFY THATTHIS IS A
TCI
OR,
By:
D41
1101. dfK-('
01/11/2011 18:47 7728719117 ST LUCIE PROP MGMT PAGE 05/13
CERTMCATION:
This application is hereby made to obtain a pewit to do the work and instangtions as indicated, and to obtain a CeMcate of capacity,
if applicable, for the permitted work. I cer ft that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed t6 meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, .
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County snakes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association roles, bylaws or any covenants that may restrict or prohibit such
strueaue. Please consult with your Homeowaces Association and review your deed for any restrictions which may apply.
t+
The following building permit applications are exempt from undergoing a full amcaurency review: room additions, accessory
structures (an types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use,
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR Il mov13MMBNTS TO YOUR PROPERTY. A NOTICE OF
COMN ENC13MENT MUST BE RECORDED AND POSTED ON TM JOBSITE BEFORE THE
FIRST INSPECTION IF YOU INTEND TO OBTAIN FINANCING, CONSULT WM YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS Nor YOUR RIaIIT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACI&ENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
f
f .
r
d R O CONTRA R SIGNATURECO OR SIGMA
' r1w"IMCOLMS.OBLE
STATE OF FLORIDA ^ STATE OF FLORIDA/ MY COMMISSION k DDS55434
COUNTY OF _ . s •� ��— COUNT1w' OF ov EXPIRES: April 27.2013
.,,., , .,..r. Fl. Notary Diwomt A,roc. Co.
The foregoing b mtrwuent was acknowledged before
me thisy day of
by f:D ,, _ Net rsa��
who is pe, •sollaliy Known or bas produced
RENEE BENNETT
Commission # DD ONO
Expires April 23, 2013
Bonded Thru Troy Fain Insurance B003854019
The foregoing instrument iiis iikiowledged before
me this i—i-daq of U 20_LL
h9. 4__ ill M0 ,7%t—
who is personally known x_ or bas produced
as ideotitnation.
S' atat'e of N ry
commission
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUl[LD1NG PERMIT AS AN OWNERfOUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERMUILDER APPLICANTS,
For specific instructions see appropriate permit checklist.