HomeMy WebLinkAboutApplication for Building Permitvv-•""u.•.:•:.'::i�?{i:i: isi:{•::..isis'?:i>:,v'-j::(:ii:�'isi::ti:ti¢i::ti:?'.:ii::^:;`;i':ii
'vji? :.�...l�ti>.,.
n:.+: v::;v: r::: i?:-w.v:: •.::.,^.i43ii::.•.:.:v::?iiivi: iY:?4:::::•: .:. v{;-: -
....::....... ...:::.::::::.......
MAP
SECTION: 2 TOWNSHIP: c RANGE: MNO.: Al
ZONING: f J
LAND USE:
Lt
-LOT CVG %:
No
TAZ NO.:
FLOOD ZONE:
FIRM MAP #:.
�j [ L / ,
I l7(T
1ST FLR ELV:
`Q �" 1
V
MAX HGT:
CST T1(PE:
OCCP TYPE:
MAX. OCCP:
# OF FLRS:
WATER: FI1 I)q
SEWER:
r , /
SPRINKLERS
SRTORMWATE.
LOT OF REC (befr 1190)
LOT OF REC (aftr 1190)
LOT SPLIT
REUD
LOT SPLIT
APPRV'D
DECAL L RY T!
I
PARKS
�104
'L
PERMIT
NUMBER IMPACT FEE
IMPACT FEE
FEE
i REPORT PUBLIC BLDG
�fJ
HABITABALE
RADON FEE
! CODE IMPACT FEES
(RADON)
- -
ROAD GROSS ROAD
IMPACT FEE
ZONE =S Ja►n d
I
CREDIT
Y
N
TOTAL ROAD
IMPACT FEE
IMPACT ` DUE
OL- CREDIT
SCHOOL•
TFEE
T
" IMPAC
Y'
N
-
-
- - ---
?i4 is Cl:
-
O T TAL
SCHOO L
IMPACT FEE
patl�E FEE FIRE FEE
L',/�
MISC FEES:
TOTAL
POLICE/FIRE/
"
MISC. FEES
Y.
ADDf17ONAL SPECIFY:
TOTAL ALL
PERMITS
FEES
RECiD.
ZONING
REVIEWS ZONINGJR1
PLANS..
VEGETATION
SEA
TURTLE
MANGROVE
VIEWED BY
EXAMINING
DATE
I
COMPLETE
! c/ / 1
pt/
INITIALS
)
c
Ok-FICE USE ONLY2DATE FILED: O�r��� �% s /� Q
PLAN REVIEW FEE: l / RECEIr T NO.: �! / / PERNIIT NUMBER: � o 6 ✓ v ` y0
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL
INFO
T MUST BE COMPL
ETE & FILLE
D IN TO BE ACCEPTED
sr
C O
_ c� 2c3
St. Lucie County Building
n
g
and ZoningIn
g
2300 Virginia Avenue
f0 10 Ft. Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
QR
✓
1.
LOCATION/SITE ADDRESS: 5024 WatersonQ
Way, Ft. Pierce F1 . 34949
2.
S/DNAME: Watersong SITEPLANNAME: The Windsong
3.
PROPERTYTAXID#: 2532-500-0084-0007
L1___
4..
LEGAL DESCRIPTION (attach extra sheets if necessary):
W a t e r s o n g P U D Plat No. O n e
(P B f/
42-34) Lot 70 (OR 2306-21)
5.
PLAT 6. PAGE
42.
7. BLOCK 8. LOT
BOOK NO. 34
NO. n/a NO.
70
L
9.
PARCEL SIZE: ACRES/SQ FT. 0. 12 a c r e15OT DIMENSIONS 4 0. 0 0' w i d e x 12 7. 0 0
l o n g
10.
DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: single family home
concrete, block and stucco, 3 story, 4 bedrooms, ,7/bathrooms,3
car garage--.
11.
SETBACKS (ACTUAL) FRONT: 10.2J BACK: 4o • j 5 RIGHT: LEFT:
-10r-n 40'-0"., SIDE
6' SIDE 6'
12.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] INTERIOR RENOVATION
[XJ RESIDENTIAL [ ] COMMERCIAL
[ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13.
DESCRIPTION OF PROPOSED USE: single family home
r/
5,750
�o
14.
Sq. FtJCONSTRUCTION: 5,653 S q . F t . Total 15.
Sq. Ft. 1 st Floor: .Ft.
3,612 Sq. Ft. A/C
__
16.
VALUE OF CONSTRUCTION: $ 1.0 8 5, 0 0 0 .0 0
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
M
OWNER INFORMATION l�
NAME: J &0— 7�^ 1►1 lJ9 5�yn �n'- S L L
ADDRE .7 S. 505 D nwood Dr.
CITY: Naperville STATE: I11in6is ZIP 60540 —
PHONE (DAYTIME): 0 3 0 9 6 1 — 9 0 0 5 email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ZIP
C1____
x
ST. of FL REG./CERT #: C G C 0 5 8 0 5 9 ST. LUCIE COUNTY CERT #:
BUSINESSNAME: G.W. Purucker Homes, J V. Dmq
QUALIFIERS NAME: Gary W. P u r u c k e r
ADDRESS: 5608 PGA Boulevard, Ste. 208
CITY: Palm Beach Gardens STATE: Florida ZIP 33418
PHONE (DAYTIME): G 61) 7 7 5 —117 0 FAX NO. A_0 email: m a r k m o r s e@ b e l l s o u
ARCHIT/ENGINEER: A N N A M_ C o r. p., Hung N_g 3 n
pz),i,20t-5g60
ADDRESS: 2312 S.W. 10th Street
CITY:_Boynton Rearl; STATE: Florida ZIP 3a'426
PHONE (DAYTIME1. (5 6
BONDING COMPANY: N / A
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
STATE:
rAN
CITY: STATE: ZIP
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT. TITLE,
AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS
PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and zoning.
O RICOqTRACTOR SIGNATURE CONTRA TOR SIGNATURE
ATE OF FLO
COUNTY OF
The foregoing instrument was acknowledged
before me thi;0'4L day of 209b
who i ,, ersonally
known me or who has produced
as . . cation.
S' a of Notary _ f
Type or Print Name of Notary
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this S a/ ay of/iiG' 9^ 20- b
yea- who is ersonal
o me or who has produced
as identification.
Ignature of Notary
A464N A. _(39; eQ d
Type or Print Name of Notary
Commission No. (Seal) Commission No. (Seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUH ING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
For specific instructions see appropriate permit checklist.
cl_� - - I.A&A Nft--ftb
,p PAMEI.q..d TRUDEL COt11mf11kiI0f1
MY C� Nh ,fir' # OD529262 ' � M
L?:?;fti::'rtx; is;2010
�OFV0
(407) 39"1 _--
w
MY COMMISSION M DD528262
oFltoa�! EXPIRES: Mar.14,2010
(407) 398-0153 Florlda Notary SwA e.com
G
OFFICE USE ONLY4
DATE FILED: v
PLAN REVIEW FEE:
CONCURRENCY FEE:
_
RECEIPT NO.: 5I '�-
RECEIPT NO.:
PERMIT NUMBER:
CERT. CAP. NO.:
6) q6 V.-7 --6/ �k
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
_a. St. Lucie County Building and Zoning REQUIRE
9{p 2300 Virginia Avenue
�R10� Ft. Pierce, FL 34982-5652
772-462-1553 yes No
,ate
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 5024 WatersonQ Way Ft. Pierce , Fl . 34949
2. S/DNAIv1E: WatersonQ SITEPLANNAME: The Windsong L
3. PROPERTYTAXID#: 2532-500-0084-0007
41. LEGAL DESCRIPTION (attach extra sheets if necessary): W a t e r s o n g P U D Plat No. O n e (P B l/
42-34) Lot 70 (OR 2306-21)
5. PLAT 6. PAGE T BLOCK 8. LOT
BOOK 42 NO. 34 NO. n/ a NO. 70 Is
9. PARCEL SIZE: ACRES/SQ FT. 0. 12, a c r eL OT DIMENSIONS 4 0. 0 0' w i d e x 12 7. 0 0' long
10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY:, single family home
_concrete, block and stucco, 3 story, 4 bedrooms, ;K bathrooms,3
car garage-.^
4-6rr
11. SETBACKS (ACTUAL) FRONT: 10•29 BACK: ``®• RIGHT: LEFT:
10r—Q"_ 40'-0" SIDE 6' SIDE 6r
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[XJ RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: single family home
5Q7ol
50T
®
14. Sq. Ft./CONSTRUCTION: 5,653 S q . F t . Total 15. Sq. Ft. 1st Floor • F t .
3,612 Sq. Ft. A/C
16. VALUE OF CONSTRUCTION: $ 1, 0 8 5, 0 0 0 0 0
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02