HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,J
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I �Uia ' �V7'J/C/
SCANNED
BY RECEIVED
BinQ, Lucie County
ding Permit Application JUIV 2 91018
Planning and Development Services
Building and Code Regulation Division Permitting Departm
St. Ludo CaU,,
2300 Virginia Avenue, Fort Pierce FL 34982 yent
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Generator El
�?FkOPC�SEDa
Address: 9531 SHADOW LANE FORT PIERCE, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB UNIT TWO LOT 215 (OR 3970-1750: 4057-2932)
Property Tax ID #: 1334-502-0096-000-9 Lot No.215
Site Plan Name: MYKOLYN Block No.
Project Name: MYKOLYN
Setbacks Front Back: Right Side: Left Side:
GENERATOR INSTALLATION
aclitional worK to be nej rtormed u
IIHVAC 1 Gas Tank
11 Electric 0 Plumbing
er tnls permit — cl
❑ Gas Piping
Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ i 4 (3 0 ' c,6
all apply:
Shutters ❑ Windows/Doors
Generator Roof Roof pitch
S Ft. of First Floor: _
Utilities :JSewer ❑Sep tic
NameMICHAEL T & GEORGIA M MYKOLYN
Address:9531 SHADOW LANE
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No.772-409-4497
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: GARETT GUIDROZ
Building Height:
Company: COMPLETE ELECTRIC INC
Address: 637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone No. 772-388-0533
E-Mail: cregan@completeelectricinc.com
State or County License: EC0001911
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
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1. cuRRENrTntEOVFORMAnoNomlHEsuiuEm, Y CERTIFIED TO:
HIIDNOTSEENFURNISREOTOGEAPOINTMKviiim6,m(U. O
ATTHEMMEOFTHIS PLOTPLA L Michael T. Mykolyn and Georgia M. Mykolyn H
2. LOTS, TRAOMANDEASEMEMAREASSHOWNONIHE Supreme Title Solution, LLC _
PLAT OFMONTIS aARLocomweLuB uNrTim.PUT Chicago Tide Insurance Company 14
BOOXA PAGE26S, GT. WCE COUNTY, FLORIDA RECEIVED
CTO 3. CONntARAND OWNERARETOVERIFYALLSOBACKS.
BUILDING DIMENSIONS, ANDLAYDUT 010M HEREON PRIOR
TO ANY CONSRTUCRON, AND IMMEDIATELY ADVISE GEOPOINT SURVEYING, MO OF ANY DEVIAMON FROM J�7tlA'
1U18 r0
D+PORMAnONSHOW HEREON. FAEt1RETODO60WILL BE DESCRIPTION: LOT 215, MONTE CARLO 2 7
ATUSER8SMEIUSK COUNTRY CLUB UNIT TWO, AS RECORDED IN
4. FINISHEDFLOOREMA71DNMOESETATISOFOOTABOVE PLAT BOOK 23,PAGE 26-B4OFTHE PUBLIC Department
S. AAF w�OFiHISAREAHASNOMBEERPFMM. RECORDS OFST. LUCIE COUNTY, FLORIDA Permitting Luc unty
S. ELEVATIONS 61101VNHEREON MENFEETANDME �61 �llClr3 COUflty
PIPER ]W4M'rOTIE NAMM ALAMMMVVMM DATUM
OF 13Sa (NAVOSON
T.
BEARINGS ARE BARED ON THE NORTH BOUNDARY OF
LOT 215 HAVING A BEARING OF 6a9'O9'18•E PER PLAT.
IL FLOOD ZONE MAP PANEL HAS NOT BEEN PRINTED FOR
THIS AREA NO SPECIAL FLOOD HAZARD AREAS,
S 89*09'18' E 1.171.93' SHADOW LANE
NOTES:
16B.00' 1,003.93' BENCHMARK COVEIIACE 60' RIGHT OF WAY (PRNATE)fLEVAT/O " --
LOT AREA - 16,500 SF ASPHALT PAVEMENT
BUILDING CDVERAGE - 3,099 SF - 19% - „ I
IMPERVIOUS TOTAL - 5,001 SF - 30X 4 w
0 0
n n
PROPOSED FINISHED FLOOR ELEVATION = 21.45' (NAVJI. BS) N
ST.LUCIE COUNTY AR 5/8 55- ,S99'09'18 siR�� ryor
PLAN REVIEW I o6 I 10' P.U.A.D.E. 1fo.00' m
IM1' 1 AD.E
BLDG: L co
DATE: t$ t
p I
0:0'- TRANSFORMER I I
EL 1104 r I w I 21.92' 4 I IJ
DATE T�D�'x' I S y i ) A 16' PAVER tt i i
I ? P DRIVE , > > 1
PLUMB:
DATE: LI —1v1 10.B7'F j
MECii: I L 1L3/ r �1V 1zz3 30.0'
m ? I
l O I 16 I 1
O
I
Z.Z1L i 0 i 16
LOT 215
RESIDENCE
FFE=21.50 w j
pool iryO 1
�I
1� 1 EQUIPMENT I M l
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FLU ,L t TANS /bL i Oiry� 30.0, I 110
20.e2'
I I X y l
I I
3X3 SCREQIED'''
COCam. pAOR PAD C. I I
Q1'r I e `` I ,Cy)
� 04I� 1 N W COI~
i NIN I
1
OII � m I nhN
LEGEND JiLL i i �ILWL
}}E------- Finished Ploor Wevotlon I I - - - - N I ILL
AIC Air Cond/tloner I I' I -~
S!R------- Set 1/2' !mn Rod LB7768
10' P.UJLD.E I ♦�
f7R------- Faund Iron Rod
Cana. ------- Cenerete i L.grn S@9'09'18 E 1 moo' CCRR s a
a ------- Sanitary Se, Cleen Cut S/R I �r /
I N N TRACT 2
m------- Telephone Pedestal 11- 11
®------- Water AAeter I OLLI
):(------- Light Pol. JLLLL
P.UAO.E------- Drainage llEasem LOT 215 - MEADOWOOD
FINAL SURVEY 4
_
REVISIONS I Prepared For. GHO HOMES
FORMSGAROS
FINAL
Sheet No. I of I Sheets
Gary A.
FLORIDA PROI
NOT VAUL
7ALSED SEAL
No. Sze
LS4828-
SURVEYOR AND MAPPER
.' -
Geopoinn't
Surve)4ng, Inc.
4152 W. Blue Hcron Blvd. Phone: (561)444-2720
Riviera Beach, Florida 33404 Fwc (813) 246-2266
WRRV.geOPolntsurvey.com Umnscd Basins Number IS 7768
)rown:DZ I Date:02/20/17 Data File: Meadowood Lot216
;heck -.GAR] P.C.:CK/JD IFIeld Book20161BW-Os
lectioa: 27 Ttm.34Bng.39 IJob #:Meadowood
DESIGNER/ENGINEER: _ Not Applicable
Name: MICHAEL T GEORGIAMMYK
Address: 9531 SHADO ORT PIERCE, FL 34951
City: FORT PIERCE State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress: 637 SEBAST LVD
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: GARS GUIDROZ
Address:9531 WLANE
City: SEBASTI State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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_your Notic-e of Commencement.
STATE OF FLORIDA
COUNTY OF �i-��L1 �r� Piif G►�
The forging instrument was acknowledged before me
this rtt Aday of :LL n if20�&by
Name of person making statement
Personally Known OR Produced Identification L1
Type of Identification
Produced
— c qnt�'6:� L �—
(Signature of-Nota Public- State of Florida )
Commission No.C6 0 1• Zdc(Seal)
COURTNEYE
REVIEWS my COUONTER HIV on
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Signature of Contractor/License Holder
STATE OF FLORID
COUNTY OF.r,Cc
The forgoing instrument was acknowledged before me
this 40day of I u. n P . 20JL— by
Name of per os n raking statement
Personally Known OR Produced Identification .
Type of Identification
Produced
(_ IL
(Signature of &ary Public- Stat f Florida )
Commission No.0 G 0317Za (Seal)
VEGET
REVII
COURTNEY E REGAN
Notary Public - State of Florida