HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: D U J 03
Building Permit Application
PERMIT APPLICATION FOR:
PROP `` D INPR EMENT LOCATION:
Address: " 7 1 I0 %J ` O[ POW 8e� 1
Legal Description:
Commercial Residential
Lit PI
Property Tax ID #: c3J1'510-0QQ, `O'er Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing I _ Sprinklers
Total Sq. Ft of Construction: �d l�nS��'•
Cost of Construction: $�� Utiliti
Name
Address: 01 v� N
City: , (.,. C`e State:JA0
Zip Code: Fax:
Phone No.
E -Mail: AC 14 'IQ 0 Akktl 1 I ► CQ M
Fill in fee simple Title Holder�on next page ( if different
from the Owner listed above)
Generator Roof Pitch
Sq. Ft. of First Floor:
es: _ Sewer _ Septic Building Height:
Name:
Company:
Address:
City: State:
Zip Code: Fax:
Phone No
E -Mail
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
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
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencing work or recording our Notice of Commencement.
Rev. 7/2014
gnatureTofneLessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE A
STATE OF FLORIDA
COUNTY OF 5-)4 Lir_,
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this j_J_ day of 20" by
this day of 20_ by
Gam;; cwl_ 2 �G t r : S
(Name 6f person acknowledging)
(Name of person acknowledging )
(Signature of Notary Public- to of Florida)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
HEATHER BURFORD
�ti,PY P(/B
Commission No. ? State miprida-Notary Public
GG 183217
Commission No. (Seal)
•= Com ass on #
' + My Commission Expires
FRhruary06, 2022
REVIEWS
FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7/2014
30.c
ACCURATE LAND SURVEYORS, INC.
NA
PF L.B. #3635
�' NC
1150 E. ATLANnC BLW. TF1. (951) 782-/4V1
POMPANO BEACH. FLORIDA 23060 FAX. (951) 782-1 N2
W E
51 9`
BOUNDARY SURVEY
LEGEND OF ABBREVIATIONS: +4 = ELEVATIONS BASED ON NA.V.D
5
D CENTRAL ANGLE SO. FT.=SQUARE FEET
A =ARC LENGTH P.C.P. = PERMANENT CONTROL POINT
CB =CHORD BEARING P. B . R. = PALM BEACH COUNTY RECORDS
R = RADIUS P = PLAT
R/W =RIGHT OF WAY N&D = NAIL & DISC
P . = POINT OF CURVATURE P.O C, = POINT OF COMMENCEMENT
P = POINT OF TANGENCY P.O.B. = POINT OF BEGINNING
WM -WATER METER A/C =AIR CONDITIONER
OH =OVERHANG FND. =FOUND
N =NORTH CHATT. = CHATTAHOOCHEE
S =SOUTH F.P.L. = FLORIDA POWER & LIGHT
E = EAST N.T.S. = NOT TO SCALE
W =WEST B.C.R. = BROWARD COUNTY RECORDS
CONIC. = CONCRETE D.C.R. = DADE COUNTY RECORDS
D.B. =DEED BOOK P.B. =PLAT BOOK
CLF =CHAIN LINK FENCE O.R.B. = OFFICIAL RECORDS BOOK
BLVD. = BOULEVARD F.F. = FINISHED FLOOR
I.P. =IRON PIPE GAR. =GARAGE
I.R. = IRON ROD C/L = CENTERLINE
P.R.M. = PERMANENT REFERENCE MONUMENT MH = MANHOLE
N . V. D. = NORTH AMERICAN VERTICAL DATUM (M) = MEASURED
B.M. = BENCHMARK LP =LIGHT POLE
STREET ADDRESS:
~,
416 OLEANDER AVENUE
o•
PORT ST. LUCIE, FL 34952
tF;
LEGAL DESCRIPTION:
LOT 7, BLOCK 18, RIVER PARK UNIT TWO, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN
PLAT BOOK 10, PAGE 72, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA.
NOTES:
-
1. Unless otherwise noted field measurements are in agreement with record measurements.
2. Bearings shown hereon are based on a bearing of N/A.
3. The lands shown hereon were not abstracted for ownership, rights of way, easements, or other
matters of records by Accurate Land Surveyors, Inc.
4. Ownership of fences and walls if any are not determined.
S. This survey is the property of Accurate Land Surveyors, Inc. and shall not be used or reproduced
in whole or in part without written authorization.
6. This survey is made for the exclusive use of the certified hereon, to be valid one year from the
date of survey as shown hereon.
0
7. This survey was made for mortgage and title purposes only and is not valid for design or
construction purposes.
OX
I�
FLOOD INFORMATION:
V
Community name and number: UNINCORPORATED 120285
Map and panel number: 1211100280-J
Panel date: 02-16-12
Index date: 02-16-12
Flood zone: "X"
Base flood elevation: N/A
EASEMENTS ACCORDING TO THE AFOREMENTIONED PLAT:
NONE.
ENCROACHMENTS ACCORDING TO THE AFOREMENTIONED PLAT:
DRIVEWAY IN ROAD RIGHT-OF-WAY ALONG THE EAST BOUNDARY.
FENCES AND WOOD DOCK IN ST. LUCIE RIVER RIGHT-OF-WAY ALONG THE WEST BOUNDARY.
CERTIFY TO:
GEORGE R. HARRIS & LEANN C. HARRIS
HARBOR COMMUNITY BANK
PATCH REEF TITLE COMPANY, INC.
COMMONWEALTH LAND TITLE INSURANCE COMPANY
DATE OF FIELD SURVEY: 11-09-16 DRAWN BY: O.I.W.
FIELD BOOK: 16-3849 CHECKED BY:C.C.C.
REVISIONS DATE BY
CERTIFICATION:
This is to certify that this sketch of boundary survey was made under my responsible charge and is
accurate and correct to the best of my knowledge and belief. I further certify that this sketch meets
the current Standards of Practice, established by the Board of Professional Surveyors and Mappers,
Chapter 51-17, Florida Administrative Codes, pursuant to current Section 472.027, Florida Statutes.
O 0 10 20
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