HomeMy WebLinkAboutBuilding Permit Application (2) BOUNDARY
SURVEY
ROSEWOOD DRIVE
60' PLATTED RIGHT—OF—WAY
ASPHALT ROADWAY
N89'56'30"E 118.11'
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NO NUMBER
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LOT 1
BLOCK C ( TRACT A
Oo=91'14'11"(M)6.9 w-w(P)
R=25.00' nDDREss FIELD DATE 10!21/03
L=39.81'(M) 39•t6'(P) 204 SANDALWOOD DRIVE DRAFTER:BEK
CB=S44'20'45"W FORT PIERCE,FLORIDA 34947 APPROVED:GKB
C=35.73' LEGAL DESCRIPTION:(AS FURNISHED) SCALE:1^=30'
LOT 2 BLOCK C. SANDELWOOD ESTATES SUBDIVISION, ACCORDING TO THE PLAT.THEREOF,
AS RECORDED IN PLAT BOOK 20, PAGE 5, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA
SURVEYOR INFORMATION DATE REVISION COORDINATED BY: PREPARED FOR
R RESIDENTIAL :
Y:y
LAND SERVICES,INC.
BASIS OF BEARINGS 2230 McKOWEN DRIVE
BEARINGS SHOWN HEREON ARE BASED ON NORMAN,OIO.AHOMA 73072
THE EASTERLY LINE OF LOT 2 BLOCK C FAX:(405)701-1027
BEING N 00.11'52'E,PER PLAT. PHONE;(405)701-1100 JOB ORDER NUMBER
CLIENT REFERENCE NO.1063355134 WVx1W.RLSNOWCOM RLS 03-10-0613
AMERICAN SURVEYING&MAPFn 1 LEGEND
u0 efj�,tw OF �yt= s� ' AfGAIRCONDfTtONER Ay."�MASONRY SURVEYOR'S CERTIFICATE
F OiRAlC4 FV1 DA S4E01 AP.O_APORTION OF NSD;NAIL&NOTC_
3 MW(4071 425-7M F7Nt 8U3M:BURDNG
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED } "
Date: Permit Number: L a -WUID
f9tYfY ,'�{;�..I�,{�•{},y�n`��! LTi.%P�y"p -1�;r,' �„i
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
PERMIT APPLICATION FOR:
Address: 00 jY 5/n.
Legal Description: 5-.—?^ Pte/" CS -127- Y 131., c Z o V L
PropertyTax ID#:&40rl • (Dl Lot No. 2-
Site Plan Name: Block No. L
Project Name:
Setbacks Front Back: Right Side: Left Side:
i
14 7�E
r
re.sol., TR ac =NP k3M
Additional work to be performed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch -
Total Sq. Ft of Construction: Sq. Ft.of First Floorx r .-
Cost of Construction $ ��: Utilities: _Sewer:"':_Septic Building.Height:
Minn
Name / ® Name: i J
Address: 1'2 Company:a1p_
City: e:C a^c4 P "e, State:EL Address: ;W
Zip Code:3 W 1i 7 Fax: City: P/e State��
Phone No. 7 ? Z - 8 Zip Code:3 7 Fax:
E-Mail: Phone No 772- 2/6 X97 e
Fill in fee simple Title Holder on next page(if different E-Mail —/� e ao
from the Owner listed above) State or County License e L /,57--/
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
S P' LE4�IEi� . � ��NS� •�; �TIQN E.l� ' I.AtiN G=MMT.'� }.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable.
Name: Name:
Address: Address:
City: State: City: Stater
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_pr_ohi_b-it such___
- - structure.Please consult with your Home Owners Association and review your deed for anyrestrictionswhich 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.
Signature of ner/Lessee/Contract r as Agent for Owner Signature of C ntractor/License Holde
STATE OF FLO A STATE OF FL A
COUNTY OF -�SJ��J`- COUNTY OF d
The forgoing instrument w cl. ledged before me The forgoing instrument was a knowledgeeefore me
this � day of Q_ 20� by R&�-- this day of 2011_ by `°
RNName of person king statement. Name of person m kin statement.
Persona lly-Known-- – _OR-P-ro d-Identificati — -- Personally Known- - -- OR Produced entification -
Type of Id ti �ation Type of Identificat' n
Produced YD Produced 101
•' P .' Notary Public,State of �:aY a�•., A M.BOYD
e Commission No.FF 205MG :+''" '�4,.
My Comm.Exp.April 1,2019 Notary Public,State of FI ida
� Commission No.FF 205666
FvnAni I
(Signature of Notary PU06 tate of Florida) (Signature of Nott - °moi r_ 19
Commission No. LOU (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 812-117