Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Z l //l1 V� " O06/ CLCsC RECEIVED Building Permit Application AUG 0 9 202, Planning and Development Services 3t Lucie Counry Building and Code Regulation Division Commercial Residential pefMtNng 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: Vic (I ce— Address: S 3 5o'ki✓' ISQ Property Tax ID#: Ina Lot No. Site Plan Name. v Block No. Project Name: 8 woo 0q,%v arc Y 12 M fs o x New Electrical Meter Second Electrical Meter 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:$ .?qV 0 -akvd� Utilities: —Sewer _Septic Building Height: Name O `t QA4) \ Name: r" r Address: 3y5� S W►('�S� �� Company: F Yz)u L. City: FEA State: Address: Zip Code: -Zj YggoZ Fax: City: State: Phone No. (7-7 a) q q— 6 aU 0 Zip Code: Fax: E-Mail: 0\/tC,nNrh1& c', CL'o �� t© M Phone No Fill in fee simple Title Holder on next page ( if different E-Mail from the Owner listed above) State or County License 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. 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 attorney before commencing work or recording our Notice of Commencement. D_Tol'� 0"�' Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contra o License Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF COUNTY OFF Sworn to(or affirmed)and subscribed before me of Swor o(or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of 12020 by this�day of A24�f , 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 (Signature of Notary Public-State of Florida) (Signature of Notary Public- to a of orida) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO 00016-9A NGROVE COUNTER REVIEW REVIEW REVIEW REVIEW _3� ATN R DATE - Mmrnigsi d#Norary pu�, RECEIVED y Com GG c DATE rya y 06 n2 pz2 res COMPLETED ev. L SURVEYORS' NOTES: LEGAL DESCRIPTION: s 1. Bearings shown hereon are based on the East line of Lot 6 as plotted and bears S 0711'00' E. LOT 6 and 7, CLYATT'S SUBDIVISION, according to the map or plat thereof, as fi d'�i 2. Written dimensions take precedence over scaled dimensions and distances are not to be scaled recorded In Plat Book 4, at Page(s) 61 ("A" through "B'), of the Public Records of leo5 \ a'}I for construction and/or design purposes. St. Lucie County, Florida. 3. All distances and bearings are as field measured and are coincident with "PLAT" and description data unless otherwise noted. LOT AREA: 90.411 Sq. Ft; 2.08 Acres* e�u,n 4. This drawing In not valid without the signature and original raised seal of a Florida licensed _ Surveyor & Mapper. STREET ADDRESS: 3453 Sunrise Boulevard, Fort Pierce, Florida 34982. :SITE { 5. This survey Is based upon a description furnished by the client, there has been no search of x the public records done by this office. 6. Property Iles in Flood Zone 'X' as scaled from the Notional Flood Insurance Program Rate Map, I as N Community Panel Number 12111CO186 J. with an effective date of February 16. 2012. 7. This survey Is not covered by professional liability Insurance. - - & City water & sewer am not available in this area. / I , u„u A,,, 9. No underground utilities or Improvements were located unless otherwise shown. NE Corner Lot 2 J �+ Vicinity Nap �`%�' N 89'15'50" w 440.10' LOT 5 (vACANT) s�' (Not To Boi1st r_ FOUND IRON ROD m, FOUND 3"X3" � LEGEND 75.7 s3 ' ' CONCRETE MONUMENT ® - SANITARY CLEANOUT �2s.r CL - CENTERLINE RIGHT OF WAY EP - EDGE OF PAVEMENT rasoH � �� COVF>wD ; p x - CABLE TELEVISION RISER In �1 , 011E- OVERHEAD UTILITY LINES b DnRY n; I S 0 - WOOD POWER POLE AnAdeD �y I 145.7' ---- ' lIl E—- POLE ANCHOR srosAae �r m� / " TRY - CONCRETE ___-- - TELEPHONE RISER B8.9' 7 P C • - WATER METER O------- -- Zqr LOT 6 7e.4• 'w� ,ING AR. � � A/C - AIR CONDITIONER PAD CLF - CHAIN LINK FENCE N �� ONE-STORY ed7 $ , NO WF - WOOD FENCE * -CHURCH & ANNEX , PLUS OR MINUS N q� ., s LOT B "� lida »1 rLAcvaU¢e '9fiL' g to 0 m LOT 7 MOUNDED KP71C �u . VAULTa 0 I C 225.4' +--'' � R ___________________________________ o WOODEN tP < INCH , G ♦' LOT 7 --- ---------'47?' -- E I,>rD 4'aF n lb jEM 4 IXF CAP'S,o.4'W) S ari8'29" E 4 .9 D O —WEUHEIDHE am FOU BROKEN 4 X a 4'OLF-r(s.sS OtE OFE 4'OtF-C(a4b) CONCRETE MONUMENT(0.5'E)1 I (OCCUPIED) °'•e) (o(xurlm) I (OCCUPIED) ,� Dale of Last new work,06/03/2015 --- -- -LOT 8 ---- — Bounders su>nss CERTIFIED T0: eennett Open Door ed an_ffW Apostolic JUNE 16, 2015 OPEN DOOR APOSTOLIC CHURCH, INC.; B*nne" Surin9, Inc. Church, Ino. Date of Signature WIwAM B. BENNETT OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY; 107 A Mode Curt nw& LW Job No.:16-0548 Professional Surveyor & Mapper Ili BEADLE dt McGARRELL. PA and JupRsr. FlorWo 3318E Florida Ild No YbObo. 8353 UNITED PENTECOSTAL CHURCH DEVELOPMENT FUND, INC. ab 7ri-IX48M Drawn: LM I Date:08 18 2016 small: bowwdssysying"hoo.com Soolec 1 —40 Shed: 1 of 1