HomeMy WebLinkAboutBuilding Permit Package I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1O115121 Permit Number:
RmaIvr®
o JUN 16 2�e�
`� ° ° `�` Building Permit Application
Gourrty
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: V14 4 CD bbt es k ww- breve
Property Tax ID#: 232tv (gO0 by S 3 §0OS Lot No. 42
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION`OF WORK:`
.ZrSh-,&// 2 Oq fr a F 41, h r4 h ,6/�ck 4L./c�.,n:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:-
Additional work to be performed under this permit-check all that apply:
_Mechanical' _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 9-I�f�r�►.� Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR-:
Name ShIe CartmS}2q. Name: der► 1MQJkIAS Go1s�r
Address: 8"1&4 Cb1o6leS-6 .& 1rve Company: �!� Ftv+�e Ca�n[.b+►�yo ;-kc`GeaSkuti
City: f-�-_ 'PtWdp_ State: Address:
Zip Code: ?JLfgHS Fax: City: P State: FL-
Phone No.('154) 7.4P. at 35 Zip Code: 3+445 3 Fax:
E-Mail: a4kle,it, 4%ct"IT 'y►0404Y.A411• Cbrh Phone No 0 12.) 200 O1403
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License y
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of"Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneyMorAcommencing work or recording our Notice of Commencement.
l `l
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License older
STATE OF FLORIDA STATE OF FLORIDA., L
COUNTY OF Sk- I.•ulG�. COUNTY OF +-. L Lw,%el
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
)< Physical Presen a or Online Notarization VL Physical Presence or Online Notarization
this /S day of 2021 by this If5 day of J It„C ,2020 by
Name of person making statement. Name of person making statement.
Personally Known ' OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
( ture of ry P lic a e o� SMITH ig ature of ary Pu ic-state
t ERI SMITH'
PVOTARY PUBLIC NCtTARY RUBLIC _.
Commission No. STATE139;g.ORIDA Commission No. STATOWIFLORIDA
MY COMMI NO EXPIR€&JUN.08 201$ NO.HH7464
MY COMMISSION IR€S JUN.98,2024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
evR--7.5/15/20
BOUNDARY SUKVt X
RECEIVED
•JUN 16 2021 File Copy �o
St Lucie County o c
Permitting � �j�o
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CURVE TABLE
CURVE LENGTH RADIUS DELTA
C1 18.37' 60.00, 17°32'22'
SURVEY NOTES F.H.A REQUIREMENTS DIST. C2 7.44' 25.00' 17°03'40°
MWETE ME CROSSING THROUGH IV U.E WELL TO EAST P ROP.LINE 90'± C3 34.09' 175.00' 11°09'46'
INTO RIW ON EASTERLY SIDE OF LOT. C4 169.96' 175.00' 55°38'40°
THERE ARE FENCES NEAR THE BOUNDARY WELL TO NORTH PROP.LINE 130'±WELL TO HOUSE 171± C5 23.60' 305.00' 4°25'SB'
OF THE PROPERTY. C6 23.90' 190.00' 7°t2'29'
PROPERTY SUPPLIED BY CITY SEWER.
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r/u No.8at5 SURVEYORS CERTIFICATE
TARGET ]
a I HEREBY CERTIN THAT THIS BOUNDARY SURVEY
15 c ; SURVEY
TRUE AND CORRECTUNDER MY DIRECTION. A SIT 7'1DZ JL�tTr1 G,, T C
SURVEY PREPARED UNDERYIYDIRECTION. LJjt�l I'i j��� 1�.J\/
NOTVALID WITHOIR AN AUTHENTICATED ELECTRONIC
.�. STATE OF SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL
, LB tk7$93
' " OR A RAISED EMBOSSED SEAL AND SIGNATURE.
ram ';! SERVING FLORIDA
° Digitally signed by
Kenneth Kenneth Osbcw 6250 N.MILITARY TRAIL,SUITE 102
WEST PALM BEACH,FL 33407
Date:2020.11.30 PHONE(561)640-4800
OSboI'neli:sa;sg-aSog STATEWIDE PHONE(800)226.4807
(SIGNED) KENNETH J OSBORNE pppp��pp,,�nn���Dpee pp�� STATEWIDE FACSIMILE(600)741-0576
PROPESSIDNAL SURVEYOR AND MAPPER NN1S OYOTCOIi@l>+'CS�It17kbUt�AUE II WEBSITE: h0pJllargelsmey4ig.nel