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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