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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: y^ =13 Building Permit Application Planning and Development5ervices Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 101 N Rock Road Fort Pierce Florida 34945 Legal Description: 17fflwrc> Property Tax ID#: —c4co^L Lot No. Site Plan Name: Block No. Project Name: Rock Road Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Install electrical subpanels from existing UPS's for OP8's circuits CONSTRUCTION INFORMATION: trona wor to e e Orme un ert ispermrt—c ec a appy: HVAC E] Gas Tank ❑Gas Piping _ Shutters Windows/Doors Electric In Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: eX7ST7n6p S. Ft. of First Floor: Cost of Construction: $ /-71 /0 Utilities:Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name51, kmuCCW� Name: + PA41- CVOK Company: Cook Electrical Inc Address: 745 Eastport Rd Address:2300 Vt'-Et\QUA �N6 City:���Ge- State: F�— Zip Code: Fax: City: Jacksonville State: FI Phone No. Zip Code: 32218 Fax: 904 696 1018 E-Mail: Phone No. 904 696 1017 Fill in fee simple Title Holder on next page (if different E-Mail: Christian.Masarik@cookelectrical.com from the Owner listed above) State or County License: EC1575 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. WhlCtl IS IinOCOflillCmL aWlth any applicable )Home Owners Association) rwill esabylaws or anScovenants that build ay 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 aind posted on the jobsite before the first inspection. If you intend to obtain financing, consult�vCi#f lender r an attorney before rnmmonrina wnrk nr rornrdina vnnr rumirn ..f r' ......................... STATE OF FI COUNTY OF The focrgoing instru nt was acknowledged before me this` ray of 1 .201_oby l yrL-P 5. Lr uc.- (Name of person acknowledging I i'" s L� C. (Signature of Notary Public -State of Florida ) Signature of Contractor/--- nse Hs STATE OF FLORIDA COUNTY OF Nya l The forgping instrument was acknowledged before me this = day of 20 16 by �qu,1 L . Cool L . ICOo� (Name of person acknowledgingdging I (Signatur f Notary -Public- State of Florida I Personally Known L OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Prod Type of Identification Produced n':6 ,; CHARLOTTE S LACHWE NK691+IMISSION / FFORK3 Commission No. =': ' 'E%PIN Commission No. �NGELIABRACKIN % ES: March t, 2015 S NOTA ' Bonded ten�NawrYwmr�cundewierr�� ,NOTARY PUBLIC Revised 07/15/2014 Comm* FF089351 =v ;— eP2,dl . -- – 11—wcw4v to REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS AFTER RECORDING -RETURN TO F PERMITNUMBBR• L NOTICE OF COMMENCEMENT J The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: SUBDIVISION BLOCK TRACT LOT BLDG UNIT 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION: a. b. interest in property d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER:. CW (t` E16CTV 16& J Z1jL Ale FAcf(Mno *mrr.. t,, m1 t^. u 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER 7. 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 AND PHONE NUMBER. S. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) , 20_ Of Owner's R¢4 Print Name and Provide Signatory's TitlerOfllce 'PE co . 06M State of Florida County of The fi a oing instrument was acknowledged before me this day of _ Apd) 20 By i'T -c I.L nGnre as (Name of person) (Type of authority., -c.g. Owner, officer, unstee, auomey in fact) (Name of party on behalf of whom instrument was executed) Personally Known or produced the following type of ID: _ ss•'Nn'j""'y� CHARLOTTE S. LACHANCE v gg MY COMMISSION 1.20 --� EXPIRES: Marchh 853 1, 2013 (Printed Name of Notary Public) (Signature of Notary Public)8d)Ch BOMae tMu Notary Public undeMkrs J 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 92.525, Florida Statutes). Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Parmer/Manager who signed above: By: Rev WOQV2007(R.c ohg) Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership St Lucie County 2300 Virginia Ave Fort Pierce, FL 34982 Legal Description 1135 39 NE 1/4 OF NW 1/4 -LESS N80 FT AND E 25 FT- AND E 3/4 OF SE 1/4 OF NW 1/4 -LESS S 54 FT AND E 25 FT AND LESS ROCK RD AS IN PB 31-15- (68.96 AC) (OR 421-2150) Current Values Just/Market Value: $15,853,300 Assessed Value: $11,424,930 Exemptions: $11,424,930 Taxable Value: $0 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 900 N ROCK RD 2311-210-0000-000.6 13460 23/11N 8600 I Saint Lucie County Total Areas Finished/UnderAir (SF): 310,179 Gross Area (SF): 313,603 Land Size (acres): 69.54 Land Size (SF): 3,029,162.4 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2016 Saint Lucie County Property Appraiser. 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