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DATE FILED: I'
PLAN REVIEW FEE: 0- RECEIPT NO.: c PERMITNUMBER:
CONCURRENCY FEE: ;9 S - RECEIPT NO.: CERT. CAP. NO.:
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ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning Y�nvi
2300 Virginia Avenue
•'c/ORlO� • Ft. Pierce, FL 34982-5652
772462-1553 SCANNED
APPLICATION for BUILDING PERMIT
e C
St. Lucie
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: . 5DI FY•r1CCQx-) 4"renc 34 9 S l
2. S/D NAME: SITE PLAN NAME: .
3. PROPERTY TAX ID #: [ 31 o - q I aZ - Orin S - OGIU -S
4- LEGAL DESCRIPTION (attach extra sheets if necessary): 1� I3G0. q�i F+ 0� AKCY- h" 02sg N ZZI, G
-4- tR 5,1193 , IR &+ , OR 14 tIa Q-9 Se t/L1 oS 9-C. lo, iwS'P 3 A 5 39 t✓
5. PLAT 6. P�jt�iE IajQ _ 44-44 7. Ba .r. 8. LQT
BOOKao"�5 O. 3=1 �Np Sec%lon [o AGO. 7lows (1
3 q ;
9. PARCEL SIZE; ACRES/SQ FT.6' I 1 4CrXS LOT DIMENSIONS 7-03, 1% X I ZW, 9 q ZZ 1, D2 X 9ZI. 0$
9. , , a 19 Sc,. �+,
10. DESCRIPTION OF CONSTRUCTION.. PROJECT OR WORK ACTIVITY:
71711251c� la 1/\12 1 �) UNI) }ILr�TIk
L T1tA b i2,A tn-RWV1 4 An� 2) r /]r /,rn atl S I Y
IL SETBACKS (ACTUAL) FRONT: BACK: RIGHT: LEFT:
SIDE rJq SIDE �J 01 �IoZ
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
RESIDENTIAL [ ] COMMERCIAL [) INDUSTRIAL
OTHER (SPECIFY) ((�1 I
13. DESCRIPTION OF PROPOSED USE: S 1, 1 e, '1 GClLIM t I U YC.Stp.w `�
14- Sq. Ft./CONSTRUCTION: q 19 0 (0 15. Sq. Ft. 1 st Floor:
16. VALUE OF CONSTRUCTION:
—36q;- r
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 S2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
CERTIFICATION:
OWNER INFORMATION
NAME:
ADDRESS:
.CITY:
STATE: - F L
3�951
PHONE(DAYTIME):.C]]i) 3Li3- 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: N
ADDRESS:
CITY: STATE: ZIP
PHONE (DAYTIME): �)
CONTRACTOR INFORMATION
ST.ofFLREGJCERT4: C&CogQ3131 ST. LUCIE COUNTY CERT 4:
BUSINESSNAME: SL),nm p-C TffNY�P� _N\C
QUALIFIERS NAME: (3C6Y'
ADDRESS: -VprC.Ci- N, 11 6lyA-• -t�kso I
CITY: STATE: L
PHONE (DAY— (DAYTIME): 1 FAX NO.(GPli39O-5g3W
X -d-I
ARCHIT/EN
ADDRESS:
CITY: UxJ Ilt c1Q
PHONE (DAYTIME): (5j) -70($- -7')90
ZIP 3 3' i I Li
email: (�' e•ISq , Arl'EKe.lse-t'' 1
Slpf_L�16rr'e GO'r'1
STATE: 4:� I. ZIP '7) 3 Li i Lk
BONDING COMPANY: �IW
ADDRESS: .
CITY: STATE:
MORTGAGE LENDER:: C'CCWAX>i 'cf.
ADDRESS: TOOLS F'
CITY: Ftlft Ple Y•CR_
ZIP
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.
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 conchrrency 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.
J,-, — A'_
O R/ ONTRACTOR SIGNATURE CON OR SIGNATURE
STATE OF FLO DA" STATE OF FLORIDA /7
COUNTY OF CLAW\ cx0.Zy-N COUNTY OF Pod'y\
The foregoing instrument was acknowledged
e o bre me thjsday of f - . 2&,•by
who is personally
known t me or who has produced
as identification.
Si ature o otaryl/
C 17,x6 vi (4x_VCW-
Type or Print Name of Notary
Commission No. 'YI 1 (Seal)
The foregoing instrument was acknowledged
before me this 21 day of KW . 200_(A by
6CbML_ (k-T'0kr-, n , who is personally
ktigm2 to me or who has produced
as identification.
Si ature ofNotaryl
i✓IIiaheed" eIS¢r
Type or Print Name of Notary
Commission No.12 777 (Seal)
NOTE: TLY (2) SIGNATURES ARE_REQUD2ED _EACH'SIGNATURE'WSUE;NOTARIZED. IF APPLYING FOR
THIS BUILING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN_
THIS APPLICATION IN.THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
ISER
For spe, ' iate permit checklist. 1*awldal
afn BETMFLb6e Sib :Wft
NMYPKUie-ShYaFWMWM ��D30.
• C MMbIiME00ta p30.t Camrisabn i W 567/M
cmim"M 0 W 5577N By Na6aiel Notary Asn.
Illnew NatipW AWL
DATE FILED: %�' ✓` r`
PLAN REVIEW FEE: O RECEIPT NO.:4 PERMIT NUMBER: 0 (oI
CONCURRENCY FEE: r� S - RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
E `OG
St. Lucie County Building and Zoning
_ 2300 Virginia Avenue
.F�OR10 Ft. Pierce, FL 34982-5652 SCANNED9 t� t`j �` y
772-462-1553 SY a.. UiilUiy�? F-LIEirID
St, Lucie County -Qlli$ED
APPLICATION for BUILDING PERMIT (es No
CERTIFICATE of CAPACITY/ZONING COMPLIANC ' z*-Ir.fj
PROJECT INFORMATION `
I. LOCATION/SITE ADDRESS: SY'/12"Orl t Lr ;A-?L�OL -L 111
2. S/D NAME: SITE PLAN NAME: .
3. PROPERTY TAX ID #: 13 I 0 - q 1 QDO S - 1)00 —!5
4. LEGAL DESCRIPTION (attach extra sheets if necessary): C 1100, c14 P+ 0� Fo [. rkScx-�ht.L Qg [ 1 0 ul•
14. 5. �i,3 ,1g k+ . v� t� 'I� �� Se '/y C)kw' lo, 1ws4 ;�I 5 rntjz 39
s. PLAT 6. 1a� _ !D `� 7. B�eix - S. 1P1_
BOOKa0t1rj O_0-3`t �N'o. Se�ijvn Its ,iVo. I
3y s.
9. PARCEL SIZE: ACRES/SQFT.6' II 4CXtS LOTDIMENSIONS ZO3,1%X 12(v0, 1t{ )c ZZ1,Dg K 9ZI.0�
91(k I a 19 Sq,. -F-+-.
10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: T1251t��a W `011) }(V[�t
1 la &A&z t c [fir &zxA ..
IL SETBACKS (ACTUAL) FRONT: BACK: RIGHT: LEFT:
jQV (Dgit� IRt SIDE �JR�a.t SIDE S9.9v1.
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
] OTHER (SPECIFY) (�
13. DESCRIPTION OF PROPOSED USE: S lYl cl u 1 CUV11 I U Y GSt 'I�IA�
14. Sq. Ft/CONSTRUCTION:- q 1 9 O L 15. Sq. Ft. Ist Floor: -1S 9 (.o
16. VALUE OF CONSTRUCTION: $ &P9 .(,)5
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 S2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
Code Compliance Division
2300 Virginia Avenue
FL Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
httpJ/stiucleco.gov/oe
BUILDING PERMIT
Page 1
Issued: 04/10/2007 Conf #: 654 Permit #: SLC- 0611-0465
Job Location: 5501 EMERSON AVE City: FORT PIERCE
Permit Type: Building Residential (SFR) SCANNED
Job Description: CONSTRUCT NEW SINGLE FAMILY RESIDENCE 2 STORY 5/4/3 BY
Subdiv: St. Lucie County
Lot:
Block:
Parcel: 1310-412-0005-000/5
Contractor GEORGE H. BARIN SUNTREE HOMES, INC (561) 795-414121
12777 FOREST HILL BLVD, STE 1501 WELLINGTON, FL 33414
Property Owner TOBY T ABERCROMBIE
8200 PENNY LN
FPR,FL 34951-1037
(772) 343-8906
Property Owner KELLY A ABERCROMBIE (772) 343-8906
8200 PENNY LN
FPR, FL 34951-1037
Setbacks Left: 59.92 Right:.59.92 Front: 100.00 Rear: 1,096.18 Zoning: AG-1
Number of Units: 1.00 Floors: 2 Buildings: 1 Square Footage: 4,906.00
Minimum Floor Elevation: Flood Map: 70F Flood Zone: X Elev:
Job Value: $ 480,346.46
Permitholder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code
Including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to comply with all
requirements of the 2004 Florida Building Code.
NOTICE: In addition to the requirements in this permit, there may be additional restrictions applicable to this property that may be found in the
records of this County, and there may be additional permits required from other governmental entitles such as water management districts, state
agencies, or federal agencies. s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S.
Raymond Wazny /1% i D -6
Building Official r/ Date
For Automated Inspections, Call (772) 462-1261
For Questions, Call (772) 462-2172
St. Lucie County Land Development Code Section 11.05.01 (A) (2) states; Building Permits shall expire and
become null and void if work authorized by such Building Permit is not commenced, having called for and
received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the
work is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date
of issuance of the Building Permit.