HomeMy WebLinkAboutbuilding permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I'
Date: 3� �u Permit Number:
I• i
Building Permit Applicati,'on
Planning and Development Services
Building and Code Regulation Division . I,I
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi'denti'al l�
I
PERMIT APPLICATION FOR: !
ky) Ce-
F.IW MR. 1 INPR01/EMEaNT L_OCATI N; t p
Address: 2 00 ����-`�Wdo cl Ln �T: V -�ccP_j i\L 1"3
Legal Description: I'
Property Tax ID#: �U - a[—Uo (� OOC��- I h, Lot No.
Site Plan Name:
IBlock No.
Project Name: !'
I' 4
Setbacks Front Back: Right Side: Left Side: I'
DETAILED DES�CRIIPTtON OF WORK:.
�'I Serf- 26 �7 � off �o '' r° GJ ve irJ
�CfflST' UCTl NN 1NNl R,fMATION:
Additional work to be performed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters (P',. t Windows/Doors
Electric _Plumbing _Sprinklers _Generator f'i _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
l�i I �
cost of Construction:$ �� 41S Utilities: _Sewer _Septic I! Building Height:
ONE,ffER/LE-SSE CONTRA OR:
!Name COC�Ilp / Name: -e A
Address: /2dCY cpj� zoDcf Z_ Company: Il erj', (fopi viceaqi47bh
City: � 'C2 State: Address: -71 q,:�F S�(+�✓:j G(SGlii S t
Zip Code: `� 9 d�� Fax: City: _.���''I i Ct State:
Phone No. 92-A8 24 Zip Code: .9� -7D, Fax:
^;'
" E-Mail:/2n�I--2g2� ua.�i��D. Ct�W1 Phone No 22 U l 5_5
Fill in fee simple Title Holder on next page(if different E-Mail enrl I ;-CK'c <�o M
from the Owner listed above) State or County icensel'! 35
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.)1,
S !PP�LEM�NTAL CU.NST �UTlQN l.l: N LAIN U> FQRMAT(ON;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: 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.
ig ture of Owner/Lesse(/e(/Contractor as Agent for Owner Signat a of Contractor/License Holder
STATE OFTLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF ,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi-Q& day of _ 20%1 by this&iday of \'1Nwy A_ 20$ by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- tate of Florida ) (Signature of Notary Public-Aate of Florida )
Personally Known OR Produced Identification Personally Known R-`P'o11den ication
Type of Identification Type of JI ion SNAH�State of Flo( A
20
Produced 20,
Produc d .``aY Pi%e'•, No Y °b�10 0�nec
obZLLI�� # uoissiwwoo °• *�.c t `2�a i MY Comm "'.. sF i7" A9
840Z'OZ OZ,
sand��' 'o�Ryy •; Commis ib +oQF Comm�ssioN3,,onalNotar ssn•I i
Commission No. ea')' p: s
epl aleig- i qo �(aetoN •�,o dy0,• �4 ryT mor` ep`
Y�1IYDNI tlNHtlFIStlI ••''f l``�� "ol"��
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
LEGEND
CIE— Covered Entry
CAC — Concrete Pad with Air Conditioning
CB Catch Basin
CBS — Concrete Block Structure
CMP — Corrugated Metal Pipe.
CPE -_Concrete Pad with Pool Equipment
CTV—"Cable TV Box
FPE— Formboards for Concrete Pod'with Pool Equipment
GV— Water Gate Volvo .
HYD — Fire Hydrant
0/L — Overhead U67ity Line Plat Limits
PP — Power Pole
SSMH - Sanitary Sewer Manhole SBC N''89'95'S7"
TCB — Telephone Communications Box74+ �
UB— Utility BoxUtility,Easement
WM— Water Meter
LEGEND PY.C. Fen "une
FCM — Found 4'x4 Concrete Monument
RP Found}'Iron Pipe, —
FIPC — Found Iron Pipe with Cap r Metal c
FIR — Found f5 Iron Rod eD,c
FIRC — Found 15 Iron Rod with Cap
SIRC — Set 15 Iron Rod with Cap 1017357" y r I 1
RPC -Found 1/2'Iron Pipe with Cap
FM_ Found Mag Nall 1
I 25.2' conbrote' m
FIND — Found Mag Mail with Disk ` I In
FN —Found Nail O- W y I N Covered (dFNIT—-Found Nail with Tin Tab. 9 Screened. 19.0'
FPK— Found PK Nail
FPKD — Found PK Nail with Disk £j3&2' m
FRRS — Found.Rm7 Road Spi7ce �, '? 24.8'
/CO — in Pavement Cut Out A
r'1
9 w 1 Story Residence
1200 Fleetwood Lane
R Lot 4 h.
e, p� 7.7' Concrete
20.8' Ddveway
-- ^ O /E
b '---- 17.1' 'I� C
1 I 25`4' ---.
I —
In
I .
Lott I. I
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N 89355'7'W I 1
174.24
S 162.56, W FSR S 89'95'57" E 174.24'
FRC 1 I
H Phone c
❑ Box o
❑ue
1---_ I Edge of Pavement
Reetwood Lane
Center Line 80'ftht of Way
FEMA Flood Zone data
shown here on is based
on the visual inspection of Edga of Pavement
the digital Flood Hazardous
Maps provided by the
FederalEmergency PREPARED FOR: LEGAL l
Management Agency (FEMA) Rodney .Leggett Lot 4, Driftwood Manor
and is limited to the A&G, Pools
accuracy of such maps. to the Plat- thereof, as
Flood Zone: X and AE Page 6, Public Records
Base Flood Elevation 7 Prepared By:
Community #: 120285, Regina C. Karver, PSM114363
Panel #: 277
Suffix: J, Date: 2.16.2012 Karver Surveying,g, Inc. LB#7357
Prepared For: .. . KARNER SURVEYS
Residential & Commercial Sur
Rodney Leggett
2740 SW Martin Downs Blvd.#333,
Phone: (772)288 .7206
! St. 'Lucie Count Florid WWW.KARNERSURVEYINGINC.COM