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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION.TO BE ACCEPTED Date: \ 'z6 tea, Permit Number: JA N 2 6 2022 w St.Lucie CObFit? ° s �" `.``-`' Permitting Building Permit Application 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:• , t - -,n V 3 D�/ J�f� E� I�S. `S =�_%- I�TtALE l L. 3 `/ Address: - Property Tax ID#: 3 `f 01Y - 2 I 0- O C?/ I - O af © _ `7 Lot No.�_ Site Plan Name: Block No. Project Name: 0 El NE,, C'y�I cf2 �- .3 L-ryt' �5 �r�✓�C2e r �y 5 TA.C 11 New Electrical Meter Second Electrical Meter (Affidavit required) NR .fin-yT `',4 _,;' t- t'i` �s-r, `ice ¢r. Additional work to be performed under this permit-check all that apply: Mechanical Gas Tank _Gas Piping _Shutters —Wind s oors _Pond —Electric —Plumbing —Sprinklers —Gene"rator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: 0 Cost of Construction.' 2 (fl to v / Utilities: —Sewer _Septic Building Height: NO r � 105, ";,tea f{gr€-2v1 = :-mot 's..'sk.N Name�7A V/l� -Fn/p/D -7 lZODC-LL Name: Address: ,S301-/ -5--7 -5 S T. Company: City: '770/1--?" PI/ X-er State:LL Address: ..A Zip Code:,��l �/ Fax: City: t & State: rL � Phone No. 7 7 2-- 3 7 0 - / 2-kff Zip Code: ��✓%��. Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page ( if different E-Mail r` from the Owner listed above) State or County License C� s 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. r 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`t'o�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 wit der or an attorneybefore commencingwork or recordingour Notice'cf Commencemeht. Sig Vatef ne`r L'ssee/Contractor as Agent for Owner STF'FLO�R D ` COUNTY OF ri '` a Sworp�yyfie-� (or affirmed) and subscribed before me of Physical Presence or Online Notarization this CJ day of Ja A; 20 3C 1 by �)LX->Q_i._\y"L Plf\1 l\�`3 Name of person making statement. Personally Known OR Produced Identification Type of Identification Prod II (Signature.of Nota}Public-State of Floriddy— Commission No. .l �� ( al'�YP�e°.. AMYM.BOYD ?�; •��`. Notary Public-State of Florida ,as Commission Commission N GG 301818 'FoFr,° My Comm,Expires Apr 1,2023 Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS_ VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 21 04 STATELY OAKSSTREET, o PIERCE, • 0 CANOE CREEK SET 1/2"IRON SET 1/2"IRON (P.B.18,PG.No.9) ROD AND CAP N89° 48' I O E ROD AND CAP LIMITS OF PLAT "NEXGEN 8111" 99.96' "NEXGEN 8111" _X, ` ^' \ FENCELu e �- SCALE:1°--40' `'`` '. N - ,I 2.6'E AERIAL PHOTOGRAPH o_ (NOT•TOSCALE, s'�.:.• 0 34.T LOT 5 �>t, :.� 26.0 07 v1 fh �1 0 X LOT 6 N RECEIVE® �� ( O RESIDENCE °j° �� r' ; < _ a .0' #5304 2 6 2022� 3.2' 10.6' N ti 4 0 0 � JAN .0' 3.s' 5.o cn cn .may :ems x: co DRAINAGE St..Lucie County CO* � �`' o N o I m EASEMEN Permitting >\ �v m 3.8' (PLAT) J m o 4.8' ir`flv_ j�TRACT..A.. 2a oQ 31.8' 5.0' J �, N. FENCE SET 1/2"IRON t 440 O= �� � FENCE 0.3'S ��' S 0.3'S `0 0 2 W IROD AND CAP s� , I�NEXGEN 8111 SET 1/2"IRON S890 47' 0211W ROD AND CAP 89 48' CUL DE-SAC a 'S' ' lRP3�„� "NEXGEN 8111" (U.E) o '. � ._ - �•69 15 II FENCE EASEMENT --`RADIUS' POINT 5�� o 7Z c' I .(PLAT) POINT OF N� ���o LOT7CD > I REVERSE MIN. SETBACK REQ. �I �. CURVATURE l FRONT D rn I AT LOT 7 SIDES r O POINT OF I / CNR SIDES � I 0 �ni CURVATURE REAR----- D I r-a AT LOT 7 ZNG.� u ,�, � LINE TABLE o THE SW CORNER TECH.._ BEARING LENGTH OF LOT 7 �^ L1 S00°12'58"E 3.89' C/){ m D FOUND 518" L2 300°12'58"E 100.00' m o N LO � IRON ROD W/CAP CURVE TABLE m 1 p O THE SW CORNER 2Z0"679 CD LENGTH RADIUS DELTA CHORD CHORD BEARING OFLOT8 � � WE C1 32.56' 50.00' 37°18'54" 31.99' N39°23'56"W FOUND 5/8" C2 55.29 50.00 63°2125 52.52 S10°5610°W IRON RODGME C PLIA 18.69` 25.00' 42°50'00" 18:26' S21°12'02"W -ALL ANGLES AND DISTANCES SH •EV O f',( bFIk6--MEASURED UNLESS OTHERWISE NOTED • • • •' • •ZZ• • • • fill• The survey map Sc report or the copies-thereof re t7d without the digital signature and neat of a Florida licensed surveyor and mapper Date of Field Work : 10-27-2021 """""""'rr'r•r Drawn By: Oleg O•A4 Order#: 157501 - � Last Revision Date-None El', PSlY�2883Boundary prepared by: LB811I NexGen Surveying, LLC -508-6272561 STATE OF 1421 Oglethorpe Rd �(p�j /t�t� I �p•a ?4 _ FLORMA West Paim Beach, FL 33405 UR E l N 1 Lo �4r9 ,rsv ,ca PLANNING &DEVELOPMENT SERVICES DEPARTMENT COUNTY Building&.Code Regulations Division • R I n A .2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 RECEIVED FILLED LAND AFFIDAVIT ,l A N 2 6 2022 St.-Lucie County Permitting I, the undersigned, am the owner of the following described property, 3Vof -?ice DO//-odo- 9 §o,)4iean OPA5 ID &Lo tRcK?J-210 (Parcel Id#/Legal description/Address) 5-3 by 57 A�erL y o A k.S e e-1 for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. A-t tir7l d S�g470. Property Owner Name(Please Print) / l 2Y �Z Property Owner Signature Date r STATE OF FLORIDA,COUNTY OF rJ� r `�ci C.ACKNOWLEDGED BEFORE ME THIS_ DAY OF ) `1 M 20_2�� r / / BY I ��/r `� y Ll N ( t j WHO IS PERSONALLY KNOWN TO ME O OR WHO HAS PRODUCED AS IDENTIFICATION. S f�TCURE OF ARY PUBLIC TYP�Ri1VT NOTARY COMMISSION NUMBER JOSEPH GOMEZ ,;;Notary Public-State of Florida Commission 0 HH 160416 %oFn90 My Commission Expires November 16, 2025 SLCPDSD Revised04/11/2011