HomeMy WebLinkAboutPermit PackageAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�1
Date: — I a, -') 0 Permit Number:
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 TYPE:
Address: `7yj1vi i %Ae—J1PE V3( k! I t -'Ll -F y,PC(e rL }-1-1 �s
Property Tax ID#: 3�-iGD-
Site Plan Name:
Project Name:
Lot No.l )On,� I
Block No. Ili
DETAILED DESCRIPTION OF WORK: I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank
Gas Piping _Shutters
Zindows/Doors
Electric _ Plumbing 7 _ Sprinklers _ Generator n_ Roof Pitch
Total Sq. Ft of Construction: <� �I S .7� Sq. Ft. of First Floor: I � C)
t
Cost of Construction:$ �Q�,(���.G Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name'MiLKCrc.ry � Lyni% 1MCtyie COrrjGi,
Name: F �IJEVffin
Address: S? 1:1 P„1'4fffe Nve
Company: -TM + Vi 40
City: FOf+ PIPI('e State:
Zip Code: -�4 q g )LI Fax:
Phone No. 95 y ' H I O i1 I I
Address:-IS4r, S- 6Ale i-i,ckuaCty-
City: � eS 1 I rA GPGC it State:
Zip Code: ?) 3LI C -S Fax:
Phone No 156 I' $ 135 S
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail
State or County Licensee I aL, b 11
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
FRONT
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
MANGROVE
Address:
COUNTER
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatute of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDAA�l �/ C
COUNTY OF V C
TheQrggingioft t�e fas - wledg by me
thi ay of �920 by
person making statement.
Personally Known 9R
Type .of Identhc//mn
77L-% %
(Signature of"Notary Public- State of Florida
Commission No. MICHA cHALE
COMM -W168796
ENNUS December17.2021
Signa re of CorftfaQt6r/L1Eense Holder
STATE OF FLORPA
COUNTY OF (� (IYj �fx
The forgoing instrument was acknowledged before me
this 33— day of F}C3( ZQA by
iAah 7'Man
0
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
- MY COMMISSION # �G�G�0,�0{1
Commission ,.,..;" cxviRES June llb$wli
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7
3/25/2020
Property Card
Michelle Franklin, CFA— Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address:
Parcel to:
Account#:
Map ID:
Use Type:
Zoning:
City/County:
Ownership
Patrick Gary Condon
Lynn Marie Condon
5812 Pincuce DR
Fort Pierce, FL 34982
Legal Description
INDIAN RIVER ESTATES -UNIT -02- BLK 10 LOTS 19,20 AND 21 (MAP
34/11S)
Current Values
Just/MarketValue:
$211,200
Assessed Value:
$208,720
Exemptions:
$0
Taxable Value:
$208,720
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future fazes.
• The sale of a property will prompt the removal of all
exemptions, assessment caps, and special classifications.
Taxes for this parcel: SLC Tax Collector's office D
Download TRIM for this parcel: Download PDF D
5812 PINETREE DR
3402-603-0118-000-4
36661
34/115
0100
RS -3 - Can
Saint Lucie County
Total Areas
Finished/Under Air (SF): 1,594
Gross Sketched Area (SF): 3,882
Land Size (acres): 1.36
Land Size (SF): 59,400
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
® Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.
BOARD OF
COUNTY
COMMISSIONERS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
Project Location:,J���� J� �U%� Date:
Permit Number: Technician:
Reauired Documents:
Application completely filled out with Notarized Signatures ............................
YesZNo
N/A
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes—No
N/A
Owner / Builder Affidavit (signed in office) .................................................
Yes—No—
N/A ✓
Filled Land Affidavit (prior to issuance) ...................................................
Yes—No
_ N/A tZ
Recorded Warranty Deed, if applicable ...... ................................................
Yes—No
N/A_Z
Recorded Notice of Commencement (prior to issuance or inspection) .................
YesV//
No
N/A
Utility Agreement or Payment Receipt (prior to issuance) ...................
..............Yes_No
_ N/A_
Vegetation Removal Application
V
with copy of survey ........................
............. Yes—No
N/A
Plans. Calculations & Attachments ( 3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal ...........................
Yes—No—N/A
Truss Plans reviewed and approved by Engineer / Architect ............................
Yes_No_N/A
-',-'
Landscaping and Parking plan (under 6,000 sgft).........................................
Yes
No
N/A
Approved Site Plans...........................................................................
Yes—No—N/A
✓
Sealed Survey with Dimensions, Finished floor ...........................................
Yes
No
N/A
Elevations and Setbacks.............................................................. Yes _No_N/A
Plot plan with Setbacks............................................................... Yes No N/A
Health Department approval stamped on survey and floor plan ........................ Yes_No_N/A_�Z
Health Department Food Establishment Permit stamped on floor plan ................ Yes—No—N/A
Manual "J" or Manual "N" Calculations.................................................... Yes /No N/A'�
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ........... . Yes ✓ No_N/A_
Sealed Wind Load Compliance Certification ............................................... Yes✓No_N/A_
Product Review Affidavit..................................................................... YesV'� No N/A
Excavating a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ N/A
L/ --
shape, location and quantities of proposed excavation and fill areas
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A `�
Depth of excavation does not exceed 12 feet in depth .................................... Yes No N/A >Z
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A
Other:
Health Department Permit Paperwork.......................................................
Yes_No_N/A
CD for Fire Department if commercial or multi -family ...................................
Yes—No—NIA
v
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on beach)............
Yes_No_N/A
Pool Barrier Affidavit..........................................................................
Yes
No
N/A
Ground Sign Landscape Affidavit (signs) ................................................... Yes—No N/A/
V
Bum Rate for Sign Cabinets.................................................................. Yes—No—N/A—
RV and Mobile Home Tie -Down Only (2 copies)
Permit Worksheet (Tie -Down Diagram) ...................................................
Yes_No_N/At
I/
Manufacture Set -Up and Installation Manual ..............................................
Yes—No—NIA
Manufacture Blocking Documents..........................................................
Yes_No_N/A
"Z
Signed Penetrometer Test (1 copy).........................................................
Yes_No_N/A
Stair Details....................................................................................
Yes—No—N/A
✓/
Mobile Home Inspection Report for Relocation (used only) ...........................
Yes_No_N/A
Copy of Title for Relocation (used only) ...................................................
Yes_No_N/A
V
Private Property not in a mobile home park
Class "A" Approval from Planning or file # ................................................
Yes_No
N/A_
COMMENTS
Revised 10/5/18