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Home My WebLink AboutSUBMITTED DOCUMENTS` f OIGF�::IISE ONLY: DATE FILED: BP #: t4�7L1s� ��j ='I PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER:I/v�� OFFICE USE ONLY SECTION: TOWNSHIP: RANGE: /�/J i " MAP NO.: L{/O ZONING: / y� ( � LAND USE: / I �^ LOT CVG %: TAZ NO.: FLOOD ZONE: FIRM MAP #: 1ST FLR ELV: MAX HGT: CST TYPE: - I / / _ OCCP TYPE: MAX. OCCP: # OF FLRS: WATER: SEWER: SPRINKLERS STORMWATE R LOT OF REC (befr 1/90) LOT OF REC (aftr 1/90) LOT SPLIT LOT SPLIT REQ'D APPRV'D DECAL LIBRARY PARKS PERMIT NUMBER IMPACT FEE IMPACT FEE FEE REPORT PUBLIC BLDG - , HABITABALE RADON - CODE� IMPACT FEE S_. AREA (RADON) Y ROAD GROSS ROAD CREDIT TOTAL ROAD ' IMPACT ZONE IMPACT FEE IMPACT FEE DUE .: Y N SCHOOL CREDIT TOTAL IMPACTFEE SCHOOL • IMPACT FEE POLICE FEE FIRE FEE MISC FEES: TOTAL POLICE/FIRE/ MISC. FEES Y N '1CC-7721L AD�iONAL SPECI .. - % / ✓ 2 i. !"'U � TOTAL ALL TS / n FEES REQ'D / REVIEWS 20 G ZONING • - PLANS VEGETATION SEA MANGROVE ' REVIEWED BY EXAMINING -TURTLE DATE_ COMPLETE U7 - INITIALS pw li S CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MIST BE COMPLETE a FILLED IN TO BE ACCEPTED .h y��E coy ST. LUCIE COUNTY PUBLIC WORKS Azhl 4/ BUILDING & ZONING DEPARTMENT 2300 VIRGINIA AVENUE 20R10Q FORT PIERCE, FL 34982-5652 SCANNFED 561-462-1553 BY St: Lucie CountY APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE 1. LOCATION/SITE ADDRESS: 2. 3. PROJECT INFORMATION S/D NAME: Lin n •QG( r�__ SITE PLAN NAME: PROPERTY TAX ID #: 3T 1 P- 70 i U®O4 — oC>0 - -0 4. LEGAL DESCRIPTION (attach extra sheets if necessary): McTnEVn 5/T) aka IDS i AND Z AND 5 1/2 or - I NW. A11-MA AN Ab:r oN 0-L05 01S -*I- (0,58 65�aftP7,V105) rog-347-fD3 (57q- 1047, 4 LPN75o(f/D`1-16w) l 5. PLAT 6. PAGE 7. BLOCK 8. _LOT BOOK NO. NO. �- ' . NO. 9. PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: y�f h I C,i-1 aCCeS`i.��e� 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT LEFT SIDE SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) i [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION IQ/ INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) ii� ` 13. DESCRIPTION OF PROPOSED USE:-idY\�Alcctp ik6G255 14. Sq. FUCONSTRUCTION: 1967 15. Sq. Ft. 1st Floor: 16. VALUE O .,CONST(2JJC�TION: $ C/l/i w r The value of construction is used fQ 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 V demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500, - or more, a RECORDED Notice c 4cwmencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER INFORMATION: NAME: ADDRESS: CITY: ---- - /p/e�!'Q / STATE: _Zfg� L ZIP PHONE (DAYTIME): r SV 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: PHONE (DAYTIME): L_ CONTRACTOR INFORMATION STATE: ZIP ST. of FL REGJCERT #: 1 C C=CO I I 'f (0 ST. LUCIE COUNTY. CERT #: I BUSINESS NAME: _ 1 . P. `` -LA Y'.f-� $ -I- V\ C— QUALIFIERS NAME: ADDRESS: S 9 OCo S i1yQ,r- Usk -b 2 b j Ge-cI' O-GJ STATE: F'� ZIP J i 6 Z CITY: � F `. �j �P/ / /� p, PHONE (DAYTIME): 1 r774 ' C� — Ur `t r� h FAX NO. an-LL W- ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER -- ADDRESS: CITY: STATE: STATE: STATE: ZIP ZIP ZIP 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 structuresy(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 ATTA HMENT;-ASACONDITION 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. x OWNER/CONTRA OR SIGNATURE CONTRA TOR SIGNATURE STATE OF FLORID�j STATE OF FLORIDA COUNTY OF � f , AA —Q) COUNTY OF NZ-� UCI Qi The foregoing in% ment was acknowledged before me this%�ay of IMN, 20-01by _ who is personally kn to me or who as duced as identification. Signature of Nota Type or Print Name of Notary Notary Public Title Commission Number y'A Barbara J. Griffin (Seal) .- MY COMMISSION#CC838487 EXPIRES OF MOV 14 2003 • BONDEDTH2U7ROYFAIN INSUMNCE INC The foregoing instrument was acknowledged before me this day of 20Cy by who is personally known to me or who has produced as identification. Signature of No ry Type of Print Name of Notary Notary Public Title Commission Number (seal) `+ +_ MY COMM1.miON#CC838487 EXPIRES =re May to 2003 BONDED THRU TROY FAIN INSURANCE, INC NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IMPORTANT NOTICE: When a permit is issued and it Is not picked up within 60 days IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNEFVBUILDER, THE OWNER MUST PERSONALLY APPEAR after notification it will be voided and returned to you by mail. TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. ST. LUCIE. COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED BY St. Lucie County St. Lucie County Contractor Certification Number. State of Florida Certification Number (If applicable): has agreed to be name) the 42a U7 c-Zsub-contractor for J�, Jgao s ��,2.Oi✓is (type of coHstructiori tydde) (na a of the prime contractor) for the project located at h j 2 9 5, 1 De.c1)L tlW4 �� . It is understood that, (street address or property tax ID #) r.L / I --,cC e-- if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO. 004-00). (original signatures required): slgnatute Q/ " Print name Date business name: %/J`2 /�B f,4 Ga 07,—' address: city,state,zip: phone: Of HUE USE ONLY: SLCCDV FORM NO.: 002-0( PERMIT ISSUE DATE ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St Lucie County Contractor Certification Number. State of Florida Certification Number (If applicable): name) SCANNED BY ya 3 '�7 St. Lucie County has agreed to be the' 1%/ec,16, ,. / sub -contractor for 9 P JAL.=, c (type of construction trade) (name of the prime contractor) for the project located at 6'9" <'Q7,' 6us.1 It is understood that, (street address or property tax ID #) if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor Form (SLCCDV FORM NO.004-00). BUSINESS QUALIFIER (original signatures required): 0/0 _x signature Print name Date business name: address: city,state,zip: phone: PERMIT # ISSUE DATE SLCCDV FORM NO.: 002-00 aa�so 9lG ST. LUCIE-,COLINTY PUBLIC WORKS BUIELDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR SUMMARY SCANNED BY St. Lucie County will be using the name) following sub -contractors for the project located at SY Sly /=eo! i�zi/ (street address or property tax lb #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Plumbing 1, +F o z o Electrical ll/ -- o HVAC/Mechanical i Roofing Gas r DFFICE USE ONLY: SLCCDV FORM NO.: OOJ-OC PERMIT NUMBER: ISSUE DATE: Property Appraiser - St.Lucie County, FL Page 1 of 1 George E Petrie Record: 1 of 3 <<Prev Next» Spec.Assmnt Taxes Exemptions Map PROPERTY RECORD CARD Property Identification XOCIf Site Address: 5989 S US HWY 1 ParcellD: 3410-701-0004-000-8 b Sec/rown/Range: 10 :36S :40E Account #: 40594 yMap ID: 34110S Land Use: MX-STR OFCEZoning: R_u CG-CO City/Cmy: ,�. Ownership and Mailing Legal Description Owner: George E Petrie Liseloge A Petrie AETNA PARK S/D BLK B LOTS 1 AND 2 AND S 1/2 OF VAC AETNA Address: 5989 S Fed Hwy BV ADJ ON N-LESS US #1- (0.38 AC) (MAP 34/1 Fart Pierce FL 34982.0000 More... SCANNED Sales Information Assessment Total Land and Building Date Price Code Deed Book/Page 2001 Val: 191600 Total Land: 0.38 Acres BY 4/17/1997 100 04 QC 1071 / 2699 Assessed: 190868 Buildings: 3 St. Lucie 2/10/1995 100 01 QC 0941 / 0501 Ag.Credit: 0 Year Built: 1957 County 3/1/1983 0 01 CV 0397 / 0403 Exempt: 25000 Total Bldg: 6492 SgFt Taxable: 165868 Click here to view sketch details. Exterior Features View: AILLUC: ExtType: Grade: StoryHght: Interior Features Rooms: BedRooms: FullBath: FuIIRmg.: AddlBath: AddlRtng.: 1/2Bath: 1/2Rating: CMH -CMH D- - D- 0010 -1 Story 5 0 1 ANTL-ANTL 1 AV - Average BUILDING INFORMATION 10 Click here to enlarge picture. Foundation: YearBlt: EffYrBIC No.Units: RoofCover: Insulation: #HeatSys: HeatType: HeatFuel: %Heated: %A/C: % Sprinkled: Electric: CN 1957 1970 TG - Tar 8. Gravel 1 0 100 0 AV -AVERAGE RoofStruct: FS - Flat/Shed Frame: PrimeWall: BP - Conc Block SecWall: SecWall%: AvgHt/FI: STD PrmintWall: PF -PF SeclntWall: Partition: Prm.Flors: TZ- Terrazo SecRoors: - %Sec.Floors: Basement: Special Features and Yard Items Land Information Type Y/S Qty. Units Qua]. Cord. YrBlt. No. Land Use Type Measure Depth 3CHT S 1 1 AV AV 1970 1 1200-MX-STR OFCE 290 -Front Ft 125 131 3CHT S 1 1 AV AV 1970 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://10.1.28.86/PRC.asp?prelid=341070100040008 6/6/2002