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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11-10-2016 Permit Number: 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: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: 8005 Pacific Av. Legal Description: LAKEWOOD PARK -UNIT 4- BLK 32 6EGAT NW COR BLK 32, RUN N 89 DEG 53MIN E 132.87 FT, TH SO DEG 07 MINE 100 FT, TH S 41 DI=G 40 MIN W 35 FT, TH W 110 FT, TH N 126.14 FT TO POB (16) (MAP 13111 N) (OR 3865-1734) Property Tax ID #: 1301-604-0124-350-4 Lot No. Site Plan Name: Block No. Project Name: Karnes Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Tear off shingle roof replace with shingle roof Roof is3200square ft on a 3.5112 roof pitch. Owens corning shingles FL10674-R11 Peel and stick underlayment --Additional work to be nertormed under this permit— cnecK all apply: HVAC Gas Tank E]Gas Piping _ Shutters FlWindows/Doors EElectric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: 3200 S Ft. of First Floor: Cost of Construction: $ 12,700.00 Utilities In Sewer U Septic Building Height: 18 OWNER/LESSEE: CONTRACTOR: Name Philip w Karnes Charity M Karnes Name: Richard A. Newland Address: 8005 Pacific Av. Company: Richie the Roofer City: Fort Pierce, State: FL Zip Code: 34951 Fax: Phone No. 561-676-1940 Address: 6704 Santa Clara Blvd City: Fort Pierce State: FL Zip Code: 34951 Fax: 866-610-8652 Phone No. 772'-464-4329 E -Mail: pkarn114@gmai1.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail: richieroofer@yahoo.com State or County License: 20506 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: City: State: Zip: Phone: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Dame: Address: Address: City: City: Zip: Rhone: 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 thepermit 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, 1 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 vour Notice of Commencement. of Owner/ Lessee/Agent STATE OF FLORIDA COUNTY OF S'! The forgoing instrument was acknowledged before me this ff day of JLQUi?t n (-c , 20 Eby ature of Contractor STATE OF FLORIDA COUNTY OF S [ &t i f The forgoing instrument was acknowledged before me this /�_ day of J IL(2 0---"12- 20 /4-- by (Name of person acknowledging) (Name of person acknowledging) " �J� 'Zf� 1i_'qJ �' (Signature of Notary Pu tate of Florida ) Perso y t ow ---OR Produced Identificationa Typ [cation Produced gTYg9gi:7 1'.SSION *EE383700 Commission No.(Stab= ; p;tAR 13, 2017 Bulled :; wrnh 1, s! Stale Imurance Revised 07/15/2014 (Signature of N ublic- Sta a of Florida } P r �na�R Pro uced Identification Ty ed _ ,1f.R�PGB4 , �`�Y�1`liSS1O[yEE8837oD Commission No. � �( RES: MAR 13, 2017 - _50 06d iststate lfisLIrance 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 AFTER RECORDING -RETURN TO: SAINT LUCIE COUNTY FILE # 4248115 11/1412016 01:49:46 PM OR BOOK 3932 PAGE 614 - 614 Doc Type: NC RECORDING: $10.00 PERMIT NUMBER. NOTICE OF COMAMNCEMENT — 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: 1301-604-0124-350-4 SUBDIVISION BLOCK TRACT LOT BLDG UNIT LAKEWOOD PARK -UNIT 4- BLK 32 BEGAT NW COR ULK 32, RUN N 89 DEG 53MIN E 13287 FT, TH 80 DEG 07 MINE 100 FT, TH S 41 DEG 40 MIN W25 FT, TH W 110 FT, TH N 125.14 FT TO POB (161 (MAP 13111N) (CR 3565.1734) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Reroof 3. OWNER INFORMATION: a. Name Philip W Karnes b. Address 8005 Pacific AVE Fort Pierce, FL 34951 e. interest in property owner d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND Eir NUMBER: Richie the Rooter 6704 Santa Clara Blvd Ft Pierce FI. 34951 ?� -?2 &19 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: 8. 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 1 year from the date of recording unless a different date is specified) .b[_i ,{&y44r _, VT 20_1�_- WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THEN TICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 713.I3 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P Y-1 I -TF W. VhI f pr � c Signature of Owner or Print Name and Provide Signatory's Title/Offiee Owner's Authorized Officer/Director/Partner/Manager State of Florida County of St Lucie +� The to M. Ding instrument was acknowledged before me this � ar '� day of o [ e TfY .6 r 20�. gy �` as owner (Name of pers ) (Type of authority ... e_g. Owner, officer, trustee, attorney in fact) F., self (Name of party on behalf of whom instrument was executed) Personally Known x or produced the following type of ID: FL NI�'�44r� RICHARD SNOOK a*" o =;o Gi'._NOTARY PUBLIC -STATE OF FLORMA RV COMM. # EE647S27 (Printed Name of Notary Public) (Signature of Notary Public) Nr.,VV My COMM. EXPIRES 01-15-2017 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/Partner/Manager who signed above: BY: � cc�—� O �u' ^y 2� By. Rea,08/30/2007(Ree rdikq) bed FW = - . L OR— Planning F►. & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit 1, 1 "tut-CL'c°" L+ , licensed as a(n)Contractor*/Engineer/Architect (Please print name & circle license type) *FS468 Building Inspector General, Building, Residential or Roofing Can tractor or any individual certified under 463 F.S. to make such an inspection- On nspection On or about _ �_ I did personally inspect the roof deck nailing (Date) (3 C5 work at: 4 c`A 112 (Job site address) Based upon that examination I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) Signature and Seal License # STATE OF FLORIDA , COUNTY OF Sworn t nd subscrib before me this l � day of 20L by 3 Gt �: r X -e -V . Who is personally known to me or who has produced as identifications. Notary Public, state of Florida Signature of Notary:1'_° I Commission Number: ���' °•� %�� (Seal) En 01/19/2011 WA • MIS T f BOBILIN WMy G()MF4ISSI0N *EF883700 EXPIRES: MAA 13, 2017 Bonded usrotmgh 1st Stale 1n6u ce