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HomeMy WebLinkAboutBUILDING PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: _ Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ---- Residential � PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: . . Address: 12:Dl �Oto \ZfEQ_�' ttP1eve-u ,r1.,.,24g01 Legal Description: Wr,e,,Wb't)j illv\i. u b H: 4 :&.h 2P\ l tl \S Property Tax ID#: � ' �O�O=--'- l _-_,l""'Q---"µ:\_.._-_02-=---'- \ q-'-- - D�Q=:).,_-_Oj-+------------ Lot No. _ Site Plan Name: ..()Jv � � be:f±__ Block No. Project Name:_- ---...-QJ = hJ = =v=t=� = =:: ) fu : :;; : :=:t : ..,,.1 ,.._ . D = , iV:� : ;++; : =============================�---------��� Setbacks Front ---- Back: Right Side: Left Side: _ I DETAltED DESCRIPT'l©N OF vyORK: f• ltiona wor to DHVAC DElectric er t ts permit - c ec a app y: DGas Piping Shutters D Sprinklers D Generator D Windows/Doors ORoof Total Sq. Ft of Construction: _ Cost of Construction: $ �f&:'.l - ·-�'�---- S� of First Floor: Utilities: LJ Sewer D Septic Building Height: _ Name_�'-'---'--'��a...--->..,.,.,...c_::::::...:::'-=-'---- Add ress :_l_,_,.�_,__-->...c�LLl.lG-l..-'-""''""'-':::...,_.......,.,='-'""+----- city: n t'\f>-<f-1 Zip Code: · s.::?Ag5 \ Fax: _ Phone No. _ E-Mail: _ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Todd Paroline Company: Superior Fence and Rail Address: 2778 N Harbor City Blvd #102 City: Melbourne State: FL Zip Code: _3_ 2 9_3_5 Fax: 321-638-0086 Phone No. 321-636-2829 E-M a i I: spacecoast@superiorfenceandrail.com State or County License: _2_ 9 5_8_9 _ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: <ii, _ Not Applicable _ Not Applicable MORTGAGE COMPANY: Name: _ Address: _ City: State: Zip: Phone: _ DESIGNER/ENGINEER: Name: ------------------- Address: ------------------ City: State: Zip: Phone: ----- ------------ _ Not Applicable _Not Applicable FEE SIMPLE TITLE HOLDER: Name: ------------------- Address: ------------------ City:------------------ Zip: Phone: _ BONDING COMPANY: Name: ------------------- Address:------------------ City: _ Zip: Phone:------------ STATE OF FLORI� l Al AV COUNTY OF . ( " STATE OF FL R� COUNTY OF \ W )..Q--? 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 W ER: Your failure to Record a Notice of Commencement may result in your paying twice for improvem )/ o our proiy. Notice of Commencement must be recorded and posted on the jobsite before t rt i pe on i end to obtain financing, consult with lender or an attorney before re r in o Noti e of Commencement. The '?4going instrument was acknowledged before me this day of fyv, \ , 20 Qby MANGROVE REVIEW SEA TURTLE REVIEW VEGETATION REVIEW The forgoing instrument was acknowledged before me this j_ day of V\Guj , 20 .tJ by :ro � \J\ ¥1®\ �'.Y\(Lj SUPERVISOR PLANS REVIEW REVIEW ZONING REVIEW FRONT COUNTER Revised 07/15/2014 REVIEWS (Name of person acknowledging) DATE COMPLETE INITIALS JOSEPH E. SMITH, FILE # 4302333 CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY OR BOOK 3989 PAGE 1856, Recorded 04/27/2017 09:07:41 AM NOTICE OF COMMENCEMENT ST A TE OF --8orlda COUNTY OF --- s.moad tr, i.0 LI/} THE UNDERSIGNED hereby gi_ves notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information 1s provided 111 this Notice of Commencement. -------- ----------------- I. 2. 3. Description of proper : (legal description o�roperty, and street address ;_available) -, --�:,1 �n1ZJ--RG<:;C\ f't.4 �----- l -\ :P - __ _B- Rene f:1 ,342\c:-::,\ General description of improvement: - S �::5?\ : D'(::,Lf __ --�eccl � U,_., lu \ I -- c.:7· � jf Owner information: a. Name and address Chv1 s\::q±:ovirrw+ ,, JX22 3:10:b P.JJb. .. Pa.! \1 � ):'+- Y\f':n e I rL64-C1Cj I b. Phone number: c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: a. b. Name and address: Phone number: Superior Fence and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourne, FL 32935 321-636-2829 --- -------------------- c. Phone number: _,n"'/_.. a __ 5. Surety: a. Name and address: -'-'n"" / a=---------------------------------------- b. Amount of bond S __ ,=�------------ 6. Lender: a. Name and address: b. Phone number: �D�l�a�-------------------- �n�l=a�---------- --------------------------- ------------------------------------------------ 7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13( I )(a)7. Florida Statutes: a. Name and address: �"='�a�---------------------------------------- b. Phone number: ola___ 8. In addition to himself, Owner designates the following persorus) to receive a copy of the l.ienor's Notice as provided in Section 713.13( 1 )(b), Florida Statutes: a. Name and address: n/a _ ------·······-·-··-···-----·--·-------------- b. Phone number: n/a 9. Expiration date of notice of commencement (the expiration date is one ( l) year from the date of recording unless a different date is specified) __ Produced Identification Y J,,__---#-------- f'LlX= .-1}I. � i'�\<, STEPHANIE BROOKS {*[ :4 MY COMMISSiON I FF 217128 �} ..... �J EXPIRES: April 5,2019 •Fif,,r;;i Bonded Thro Nota,y Public UndelWIWI F.H.A REQUIREMENTS DIST. WELL TO WEST PROP.LINE 10.1'± WELL TO NORTH PROP. LINE 10.0'± WELL TO SEPTIC 118'± WELL TO DRAINFIELD 130'± WELL TO HOUSE 32.3'! SEPTIC TO HOUSE 15.8'± SEPTIC TO EAST PROP. LINE 13.8'± SEPTIC TO SOUTH PROP. LINE 27.3'± BOUNDARY SURVEY SURVEY NOTES CONCRE fE DRIVE CROSSING INTO R/W ON SOUTHERLY SIDE OF LOT. THERE ARE FENCES NEAR THE BOUNDARY OF THE PROPERTY AND CROSS INTO THE 10' P U.E./D.E. AT REAR OF PROPERTY. SEPTIC ,--� �-.! LOT15 BLOCK 39 LOT16 BLOCK 39 BUILDING #7302 32.9' � '° lG .,., (Q' r l 10.0' 10.0' - x LOT17 BLOCK 39 LOT14 BLOCK 39 C> .. ·.-1 ·: .. •,i b ;:!; CoNCRETE ;:!; FOUND 5/8" � DRIVE FOUND 5/8" IRON ROD � IRON ROD ___ _l!O I.D.·�i,,,,00,__..,...__.....,....,'i"""" NO ...... I.D_ . ..,_. I I � I ---1 I ,� I� ,� if: QI, er: �z �·� I r-: \ ,.J) \-Y � I ::r: �-�i� ,,� ii8 . �\S, �\ _ jZ .1�6-�i� i c � � I � I vo,, ' �� ,, I �·&�� t I -: ... ;i,��� )I .. ��qi ' I I c:, L: c:, I I � • •• ,• • ' a � r�/ I I -� -- 2t--�- 7Q;/lNv;PROVED) t�---� ' -��- - L j SANTA ROSA PARKWAY FOUNDP-K NAIL/DISC � 1 1 ' -ir_w-==-� . ���ll: :( - I HEREBY CERTIFY THAT THIS HOUNDARY SURVEY <:Z: IS A TRUE AND CORRECT REPRESENTATION OF A SURVE'VTl'I,. TG LLC :'., : SURVEY PREPARED UNDER MY DIRECTION : '. 1 J. ll.... , � '"' /.;� NOT VALID WITHOUT AN AUTHENTICATED ELEClRONIC , ,. LB #7893 �''.· ST ATE OF /' SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL, • • • , I 0<.i �.�.if ORARAISEDEMBOSSEDSKenlnelh Oiqttally stqned by / SERVING FLORIDA � . . Kenneth Osborne 6250 N. MILITARY TRAIL, SUITE 102 O borne Date:2017.03.14 WESTPALMBEACH,FL33407 � S 16: 19:47 -04 '00' PHONE (561 I 640-4800 (SIGNED)------· � -·-- STATEWIDE PHONE (800) 226-4807 j KENNETH J OSBORNE . .J;',hgJ:;,, 7 .Qi;;rt,.£(,\<;ifcl STATEWIDE FACSIMILE (800) 741-0576 j L-�==::.i::�,=.===,.,...,..,;��m!� .... -=��:�."'�-===---�""=;�;�,,��:!=�"'"�·==r.=,)