HomeMy WebLinkAboutLutze Paperwork 11.16ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-------- Permit Number: --------
Building Permit Application
Planning and Development Services
Building and Cade 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:� Wln\eY nav0,oo �' a PietL<' I B 1.:A951
Legal Description: \ 0. 'l.l\t\Url ffiV'( < \J. \'\ H: ':) 2Dt.. SS lot 3
Property Tax ID#:�� - l� :;:So-Co)--:-)
Site Plan Name: \ t 2f' .. .. Lot No.__.<:> _
Block No. ffi
Project Name: _
Setbacks Front. _
I DETAILED DESCRIPTION OF WORK:
Back: Right Side: Left Side: _
Shutters
OGenerator
D Windows/Doors
ORoofl _ Roof pitch
Total Sq. Ft of Construction:-------
Cost of Construction: $ 14Ql,
OWNER/LESSEE:
s� of First Floor:
Utilities: LJ Sewer D Septic
CONTRACTOR:
Building Height: _
Name_��l.A,.;"-.l._.>."'-'_,..._,_ ....,..... __
Address: ?Ar::A: W 10JCJc t:'{h::d.Pb -PthlJ.:-
City: 8-: V\( V"( e I
State:8..9
Zip Code: 1,� Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_ Not Applicable _ Not Applicable DESIGNER/ENGINEER:
Name:
Addres-
s
:---------------
City: -----.,--------State:
Zip: Phone: ----- -----------
MORTGAGE COMPANY:
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:------------
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 arc 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
commencin work or recordin our Notice of Commencement.
ent for Owner
STATE OF FLORIDA
COUNTY OF ,'.):( l A (,,\(:' /
The ��Ding instr�cknowledge!!J1efore me
this day of k: , 20 lJ.by
The forgoing instrument was acknowledged before me
this lQ_ day of t-Rtlfml?v. 20 _il by
(Seal)
MY COMMISSION I FF 217128
EXPIRES: April 5, 2019 • BoodedT> .. _
Commission No.------
Personally Known \(: OR Produced Identification _
Type of Identification Produced _
(Name of person acknowledging )
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE# 4368738 OR BOOK 4062 PAGE 2121, Recorded 11/08/2017 10:40:09 AM
."OTl<"f. OF COM.\l(i"<'t:)tE:l\'T
� T A'ff CW-· .£.!.Qrjd
C:Olil\"rY OF 91'.e, a���� C Ir,, _::- _
h.
N,nic .,,-d A<ldrc�<·
C /\0LU1i..: :&rtc.J ouhlrt.:1», �,( fee �1111pk lill\•,11\ldL'I' ( rf otl�r tJ,J1\ IH\ ncr):
N:.n� .mJ �I .:;. ...
b. l'h..,,h.: nu,-nb�:r
}. SuMy.
�;u111.: auJ 01JJro,
S':'pcno, Fen�• and Rail of Brevard County, Inc. 2778 N Harbor City Blvd, Ste 102, Melbourno, FL 12935
321·636-282!) ·-. . --- -- --- --- -- • - ·---
b An,o·..lf\1 ol l•••d S.nlL. __
(,. l.,11d.-r.
Nimc ;md actdn::<.,
h rttmoc.· nu1Hl�t
< 1'1""1c IIUO!b..1' C\L
c
,
.,.i)._ __ ---------
1. (\."f,tlfh w1,l1 tilt �\Mc ol flonJ., 1k.'(Jl,lU�h.·d by ()\vrh:r \.lpnn ,�lwr.11 n,ori,cc, or nch,c, ,!(X.'l.Ull('nts n1.1y he M'f\c.'ll a., pr(" ,d..:c.l b�· �ttt1t1rt 71 }. I.\( I )(,1)7.
FlonJa SU.rutcs
h Pl,,,llC numhcr o.(a
>i In Jtkli!t\:111 lo h,111�\,':l(, Owm.:r &.•\iC,11,1h.':i thL· 1Ulll . .n\111p. �"ll.:1w1\4,1 l1J receive .1 cop�' of chc L1t.!i11)('·� �oucr ;t, prv\ idcd m Sct.:tiun 71:;.l l( 1),(b).
Fk,n,l:1 Su11ut\"=''
.,. �Jm\· �ntl 3\!Ure"'' 11/a
n/a _
WAl<IIING TO OWNt:R: ,\NY Pl\ YMtt-. TS MADE HY TII� OWNEK Al'I 1:ll 'rt 11:: EXPll<t\TIUI\ OF TIIE NOTICE OF< ·o�IMfNl'l'�ll:NT
,,K� (.1):-0�11)!:Rl:.O IMPt\ClPF.ll P;\YMf,\ITS UI\IJl.,R ('(11\l'l�R 713, r.\ftT ,. s1:l,;'rt()N 71.\ D. rtlllltl),\ ST,\'flJ'fFS. MIO L,\N 1(1:'St:LT
I� YOt:11 PAYING TWI( I: l'OI! lMl'I\OVt�'-11.11-'TS TO YOUK PI\OPERT\". J\ Ntmn:or ('OM\11·.XCkMENT Mt:S'I' Hr. Rt'(OIU)l:I) ,\:,.;()
POSTl-.1) IIN 'TIIE JOII SI Cl: IIHORf. nu flRST 1i-srt,CTION If YOII 11\:TEr-:ll ro onr AIN flNANCIN(i. (01\SUL 1' WITII YOUR
1.ENl>t'I! OK ,._,-. ,\l T<ll<NI-'' Hf.fORF l 0:.1MENCINC. \�J"(\µ�- \'Oll
_ ...
:,::.··-�F ("O�l�IHIC:�NT-·
���
)wr..:r', Aml�11i1., li.:wllirc,:,01.r�1111<1 Msi.i�tr
Sll!r\. H� ', Tl1k,OtrK� _w_r�(..
l'roJ1�,:d IJC'l'ldiwl on I= t.J)\. x..;
Lot 3 In Block 55 of
LAKE\\000 PARK - UNIT FIVE
according to the plot thereof os recorded In Plot Book 11 poge 5 of the
Publlc Records of St. Lucie County. Florldo.
ABBREVIATIONS: R.O.W. - Right of Woy
CONC. = Concrete
R = Radius of curve L • Length of curve D.• Delta ol Curve MEAS.= Measured
SET• Set 5/8" Iron rebor with
yellow cop morked "PSM 5543•
X-X-X- Chain Link Fence 1 0--0--0-- Wood Fence ®• Power Pole EB• Wot er Meter ORAINflEID 181• Bel I South �
OH---OH---OI+-= Over Head Wires $• Well s.r .-Squ�re Foot LOT 25 81.0CK SS f'.f.E.=f1nlshed floor Elevation f'F£ _ 1214 (•)-Not verified by field meosuremerif - ·
FO=found 5/8" Iron Rebar PL-Value os plotted MS=Volue os measured in lield 1-Volue os plotted & field measured �- SI te Benctrnork
...,,,,11,, ''"'''-""'•
1. Unless otherwise noted only plotted eosemonts ore shown hereon.
2. No underground ul 11 it Jes or Improvements were located unless otherwise shown.
3. This site lies within Flood Insurance Rote Mop Zone X.
4. Flood Zone shown hereon Is on inler�etotlon
by the surveyor and Is provided os o courtesy. The flood zone should be verified by o determination agency.
5. Bearings shown hereon are based on the Eost
llne of Lot 3 Block 55 OS being soo·25·oo·r
according to the Plot described hereon.
6. P.U.O.E. denotes Public Utii I lies and Orolnoge Easement.
7. All Lot dimensions shown ore per plot unless otherwise shown.
-Vrfil & SEPTIC
LOT 23 BLOCK 55 ITT= 10.82 'l!fil & SEPTIC NO CONFUCT
x -
0.92'
I t--