HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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
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Address: 235 NE AIROSO BLVD, PORT SAINT LUCIE FL. 34983
Legal Description: SEC: 28 TWN 36 S RANGE 40 E
Property Tax ID #: 3419-570-0089-000-4 Lot No.
Site Plan Name: Block No.
Project Name: CHANNON PROPERTY
Setbacks Front Back: Right Side: Left Side:
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REMOVE EXISTING SHINGLED ROOF. INSTALL IKO STORMSHIELD SHINGLE
UNDERLAYMENT DIRECT TO DECK. INSTALL IKO CAMBRIDGE SHINGLES PER CODE.
3/12 PITCH
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AdditionalXdditional work to b rtormed under t ispermit —check all appy:
HVAC Gas Tank ❑Gas Piping_ Shutters ❑ Windows/Doors
Electric ❑ Plumbing ❑ Sprinklers E W1
Generator Roof
Total Sq. Ft of Construction: 2100 S. of First Floor:
Cost of Construction: $ 7,150.00 Utilities: Sewer ❑ Septic Building Height: 13 FT
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Name CHRISTOPHER CHANNON
Name: GARY MARZO
Address: 235 NE AIROSO BLVD
Company: GARY MARZO, INC.
City: PORT SAINT LUCIE State: FL
Address: 861 A- SW LAKEHURST DRIVE
Zip Code: 34983 Fax:
City: PORT SAINT LUCIE State: FL,.
Phone No. 772-577-0607
Zip Code: 34983 Fax: 772-465-8829
E -Mail: CHANNON21 @COMCAST.NET
Phone No. 772-871-2489
Fill in fee simple Title Holder on next page ( if different
E -Mail: GMARZOINC@AOL.COM
State or County License: CC -C058193
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
DESIGNER/ENGINEER: _
Not Applicable
COUNTER
MORTGAGE COMPANY: _
Not Applicable
Name:
REVIEW
REVIEW
Name:
Address:
DATE
Address:
City:
State:
City:
State:
Zip: Phone:
COMPLETE
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
L.L)I I II I ICI IL.II19 WUI R UI I CL.UI UII IM VUUI IVULIL.0 Ul LL)I I I I I ICI IL -CI I I CI I L.
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Signature`of O t
r/ Lessee/Age
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing instrura6rit waacknowledged before me
this day of 20 fby
DAVID VANDERFLIER
(Name Arson acknowledging )
f
(SigrKture of Notary Public- State of Florida )
Personally Kno rvn.• R Pf8dLdcAe l iUi
Type of Identif dqo >3i cfe'cY
*' *s MY CUMMitiSIUN
Commission N . `"•.',FOF =' EXPIRES Mar§6, , 2018
(407) 398.0153 FloridaNOtary50rvlce,carn
Revised 07/15/2014
0�a� MA��y s
Signatur of Con ra for/License H tr
STATE OF FLORIDA
COUNTY OFST. LUCIE
The forgoing instrument was acknowledged before me
this 26 day of APRIL 20 /(� by
DAVID VANDERFLIER
(Name of 'r�Ion acknowledging )
(Sign46re of Notary Public- State of Florida )
Personally
Type of Id(
Identification
Commission N .:�: MY COMMISSlojgg�rr
f) Q
o
of E5 March S. 2018
398-0153
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4183647 OR BOOK 3861 PAGE 1377, Recorded 04/26/2016 at 08:57 AM
NOTICEOF COMMENCEMENT
To be completed when construction volue exceeds $2,500.00
PERMIT e: TAX FOLIO a 3419-570-0089-000-0
STATE OF FLORIDA COUNTYOF
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):
235 NE AIROSO BLVD PORT SAINT LUCIE FL 34983 SEC 28 TWN 36 S RANGE 40 E
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION OR LESSEE INFORMATION, IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name: CHRISTOPHER T. CHANNON
Address: 7845 SABAL LAKE DRIVE PORT $T LUCIE FL. 34985
Interest in property:
Name and address of fee simple title holder (if different from Owner listed above):
CONTRACTORS NAME: GARY MARZO INC r Phone No.: (772) 871-2489
Address: 8611 A- SW LAKEHURST DRIVE PORT SAINT LUCIE FL. 34983
SURETY COMPANY (if applicable, a copy of the payment bond Is attached):
Name and address:
Phone No.: Bond amount:
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 713.13
(1) (a) 7, Florida Statutes:
Name: _
Address:
In addition to himself or herself, owner designates
receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b), Florida Statues.
Phone number of person or entity designated by Owner:
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 b 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 PARTI SECTION
713.13,FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FQR
IMPROVEMENTIMpg0VEMENT5 TO YOUR PROPERTY A NOTICE OF COMMENCEMENT
MUSLBF RFCORDFO AND POST`^ -- — clTc ecenpFTUE FIRST
_ NriNr. rnua nT
i::_ cCTi^"'F YOUR"�Tc.imm�uTxiu clNe.._... _. __..___.
W n'H Ynl1R LENDER OR AN ATTORNEY BEFORE COMMENCING_ WORK OR
__ -
RFCnRnING YO l R NOTICE OF COMMENCEMENT.
Under penahy p1yE)turwJ.tl�lR ave read the foregoing and that the fans In it are true to the but of my knowledge and belief.
Signature of Owner otLLee�%, or Owner's or Lessee's Authorized Offl ar/Olrector/Partner/Manager/Att—V-infact
/w -
Signatory's Title/Office
_ 17
The foregoing instrument was acknowled ed before methis//
"� b day of ! � _ .20
BR G71_'
for
By;
Name of erson Type of authority
(e.g. officer, lru stee) arty on behalf of whom instrument was executed
identification ❑
Personalyknown`or produced
Type of Itle
Notarissiiinawre
a'N�TLYNNN�b—
(Print.Type, or Stamp Commissioned Name of Notary)
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EXPIRES:ApfN8,2020
„ Bonded TNu NaLMy Pslbbutdervellan
Rer. 9i U.'II
STATE OF FLORIDA
ST, LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A C1
TRUE AND CORRECT COPY OF THE
ORIGINAL. °
JO EPH E. S ITH, CLER J U _
V W91 -
Dty rk o r D
Date: �