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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � j , I Date: Permit Number: =0 e Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Roof P.ROPOSEDJMPROVEMENT LOCATION': Address: 3001 APPROACH SHOT WAY PORT SAINT LUCIE FL.34952 Legal Description: SEC:25/TWN:36 S/RANGE 40 E Property Tax ID#: 3425-707-0178-000-2 Lot No. Site Plan Name: I Block No. Project Name: CORNELL RESIDENCE Setbacks Front Back: Right Side: Left Side: DETAILED-DESCRIPTION OF,WORK:, REMOVE EXISTING SHINGLED ROOF. INSTALL SOPREMA RESISTO SHINGLE UNDERLAYMENT. INSTALL IKO CAMBRIDGE SHINGLES. 2/12 PITCH CONSTRUCTION INFORMATION: - Additional work toe e orme under this permit—c ec a appy: HVAC Ei Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric ❑_Plumbing Sprinklers Il Generator W1 Roof Total Sq. Ft of Construction:: 14900 S . Ft.of First Floor: 5,100.00 C 13 ft Cost of Construction:$ Utilities: Sewer Septic Building Height: OWNER/LESSEE: ; „ CONTRACTOR: Name JOHN&MARILYN CORNELL Name: GARY MARZO Address:3001 APPROACH SHOT WAY Company: GARY MARZO, INC. City: PORT ST. LUCIE I State:FL. Address: 861 A-SW LAKEHURST DRIVE Zip Code: 34952 Fax: City: PORT ST. LUCIE State:FL. Phone No.772-340-7832 Zip Code: 34983 Fax: 772-465-8829 E-Mail: Phone No. 772-871-2489 Fill in fee simple Title Holder on next page(if different E-Mail: GMARZOINC@AOL,COM from the Owner listed above) State or County License: CC-CO58193 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SU°PPLEMENTALCONSTRUCTION LIEN-LAW-INFORMATION:` "` DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: 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 our Notice of Commencement. NJ�L4 M I r&--- 94a� M'10 s _Signature of 0 n r/ essee ent Signature of Con tj for/License bblder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST.LUCIE COUNTY OF ST.LUCIE The forgoing instrumen9t� s acknowledged before me The forgoing instrument was acknowledged before me this J(0 day of CQ L 1 20 Z6by this 16 day of OCTOBER 20 by DAVID VANDERFI IER DAVID VANDERFLIER (Name of person acknowledging) (Name of person acknowledging) ,A. Cigna ota c- tate of Florida) (Slgnatu're ofNotary M�State of Florida) Personally ov d� V1 V��D� $ Personally Known x o.. Type of Ide ifa n; o uce Type of Identificatio P� #'a �i o .. MY CO1tl11dMSJe 119 VANDERFLIER Q.= EXPIRES Mar 2018 MY COMM{S�S19(J#FF099550 Commission Nb�oi- �(�e�a1) Commission No. ` '.. ,'� 5! eall (407)398-0153 FloridallotaryService.com ''aFOFw„o` XPIRE Me, ch 9, 2018 (407)398-0153 Florldallotirygervico,com Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE CO MP LETE INITIALS JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4122775 OR BOOK 3799 PAGE 1173, Recorded 10/19/2015 at 11:49 AM i i. Z 4 I NOTICE OF COMMENCEMENT To be completed when construction value exceeds$2,500.00 4 PERMIT M TAX FOLIO#3425-707-0178-000-2 t[[ STATE OF FLORIDA COUNTY OF 1 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. {, LEGAL DESCRIPTION OF PROPERTY(AND STREET ADDRESS,IF AVAILABLE): .. 3001 APPROACH SHOT WAY,PORT ST.LUCIE FL.34952 SEC:25 TWN:36S RANGE:40 E i GENERAL DESCRIPTION OF IMPROVEMENT:REROOF ? E OWNER INFORMATION OR LESSEE INFORMATION,IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: { Name: JOHN W.OR MARILYN CORNELL Address: 3001 APPROACH SHOT WAY PORT ST.LUCIE FL.34952 Interest in property:RESIDENCE Name and address of fee simple titleholder(If different from Owner listed above): } i' i CONTRACTOR'S NAME:GARY MARZO,INC. Phone No.:(772)871-2489 ) Address:861 A-SW LAKEHURST DRIVE PORT SAINT LUCIE FL.34983 ' i c SURETY COMPANY(If applicable,a copy of the payment band Is attached): Name and address: f Phone No.: Bond amount: I LENDER'S NAME: Phone No.: ) Address: Parsons 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: i Name: Phone No.: Address: 1 i In addition to himself or herself,owner designates of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statues. Phone number of person or entity designated by Owner: ' i 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): tt WARNING TO OWNER,ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED L IMPROPER PAYMENTS UNDER CHAPTER 713.PART 1.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 penal of perjury,l declare that I have read the forego g and that the facts In It are true to the best of my knowledge and belief. - ( ture�o�f/Owner or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/Attorney-In-fact 011//�P/ Signatory's Title/Office The fore o n Instrument w cknowledlged before�m}e this day of ©(IU,GL•C�/(/ .20 By: ✓�/ ash{ .1� for I e of person Type of authority(e.g.officer,trustee) Party on behalf of whom Instrument was executed f i. Personally known produced identification O Notary Ignature Type of Identification produced i (Print,Type,or Stamp Commissioned Name of Notary) �-•'• LYNN W= NYC0111.(ISSIDN IIEE 173953 < EXPIRES:Apr15,2016 T:\BLDIBIdg_Focros\New ApplieationslForms\NotiAceOfCommencemetik • Rev.9/15/11 �4R�nrR4g BadsdThN&dpdNdar/SenYzs i 3 � STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT THIS IS A C1x� TRUE AND CORRECT COPY OF THE ORIGINAL . JOA,EPIJ E.S TH, RK M BY, D!, 1 Clerk 1 cD Date: