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Home My WebLink AboutBUILDING PERMIT APPLICATIONQM- CE USH ONLY: DATE FILED: I lJ ci PLAN REVIEW FEE: RECEIPT NO.: _ PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & ]FILLED IN TO BE ACCEPTED c St. Lucie County Building and ZoningPj�D7��-0�� 2300 Virginia Avenue. OR1O Ft Pierre, FL 34982-5652 772-462-1553 APPLICATION for BUILDING PERMIT St. Lucie CERTIFICATE of CAPACITY/ZONING COMPLIANCE P14 0JECr I. LOCATIONS IE ADDRESS: 2. S/D NAME: SITE PLAN NAME: 3. PROPERTY TAX ID H: 131 p • "/ /.2 • Q Qp $ • p 0o • 5 4. T&EGAL DESCRIPTION (attach extra shEets if necessary): 5: PLAT I "T`/ totoaif. rp-XGWF v bc.7v7c.rcrrO1 r TLWKKjyYj�(o•I►AL�Co8�,'1TJ-f 011'L71 BOOK NO. NO. NO. (2G(o151, 66) 9. PARCEL SIZE: ACRES/SQ FT. kc LOT DIMENSIONSQ 560. $, $ t/ 12fo rq4 i 10. DESCRIPU040F CONSTRUCTION PROJECT OR WORK ACTIVITY: �� 11. SETBACKS (ACTUAL) FRONT: TSIDE ACK: O RIGHT: 1 LEFT:V/ SIDE rnQ 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [� NEW CONSTRUCTION kTOO O ANSIIOCN/ADDITION [ ] INTERIOR RENOVATION RESIDENTIAL , Mf [ ] INDUSTRIAL H' OTHER (SPECIFY) S 13. DESCRIPTION OF PROPOSED USE: 14. Sq.FtJCONSTRUCI[ON: �7d4 31• Z15. Sq. Ft. Ist Floor: I � . I(o f 16. VALUE OF CONSTRUCTION: $ p_�� 0� , The value efcoasmuctiou is used to determine the mnount of permit fm to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value ofeonsbuction if it is demonstrated that the submitted figures up, not consistent vrith similar types of conshmction activities. If the value is $2500 or more, a RECORDED Notice of Commencement roust be submitted with this application. SLCCDV Form No.: 001-02 t OWNER INFORMATION NAME: I Q Ir D ADDRESS: S ticI- CITY: _ Vr)c± Ole ✓LF STATE: r L ZIP 3 4 QI S l PHONE (DAYTIME): 661011 l oaf 1# • $ 05 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: ZIP PHONE (DAYTIME): ( ). - I - � j CONTRACTOR INFORMATION O �"0( ST. of FL REGJCERT #: CM � L y 3 rl ! 5; 9 ST. LUCIE COUNTY CERT #: ,Q_ 3 -A 'C BUSINESS NAMED i- -- QUALIFIERS NAME: x^ j .-, .1 u1 t Q % l -P . CITY: Ve-rin -Re &-c-jq STATE: {- L ZIP 3 Zcf (y Z PHONE (DAYTIME): ,(�� Sle.'1 l \�C'FAX NO. -(�Sbi Ia.O�. email: C Os.1ne Nj!5 p 3e ARCHIUENGINEFIL: ADDRESS: CITY: Y D STATE:_1 .. ZIP :3. Z J} L p PHONE (DAYT1ME):(� BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER. - ADDRESS: CITY: SPATE: STATE: 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. n CERTIFICATION: This application is hereby made to obtain a permit to do the work and inatallations 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, {YELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application. The following building permit application, are exempt from undergoing a full concurency review: mom 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 YOURPROPERTY: IF YOU INIEND 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 PERMff, IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACIiMENAS 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. P' ~ OWN CONTRACTOR SIG ATURE CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY of JticLir n Uxr The foregoing instrument was acknowledged before we this al day of 203),_, by Sy'r-w. fri.'R.ilnlr won rso � lme or wh has produced NJA— as identification. STATE OF FLORIDA � COUNTY OF _-InctiGn 1�Ar The foregoing Instrument was acknowledged before me this 2Vay of 20 b' amnt-. P64 . wh ersone me o�roduced UJA as identification. ,?Jignature of Notary loin elcna j e-- Type or Print Name of N Type or Print Name of Nc ROSWEIANO CommissionNo..�.( lq ( k"M� MYCOMMISSION0DD045493 '10"%i`�7YCOM SMSIONfDD IXPIRES: March 19,2011 CommissionNo. � mmraTn.uNaarra,mmun me .., ea�tiwE�Sio��eim st,h NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BULLING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF TILE APPLICATION. r COMMISSION 45493 LONG For specific instructions see appropriate permit checklist, sq `g. 4_ MYCACOMISMatdt19,2011 SECTION I TOWNSHIP a A �+ RANGE 5a C C+ MAP NO. BADS ZONING AG` — I LAND USE G RE LOT CVG% 10 - TAZNO. FLOOD ZONE FIRM MAP # TO [ 1 15T FLR ELV MAX HGT o V CONST TYPE OCCUP TYPE! MAX OCCUP # OF FLRS WATER tyLOTIOFREC(atler �7yG SPRINKLERS STORMWATER LOT OF REC before 1190 LOT SPLIT RE OUIRED LOT SPLIT APPROVED ADMINST VARIANCE- LIBRARY K IMPACTFEE PARKS /i MRACTFEE I PERMIT FEE REPORT CODE 32q PUBLIC BLD IMPACT FEE HABITABLE AREA RADON FEE (RADON) SCHOOL ►. A�1 M7.1 GROSS ROAD CREDIT Y N TOTAL ROAD IMPACT FEE ' IMPACTFEE IMPACT FEE DUE SCHOOL CREDIT - Y N TOTAL IMPACTFEE SCHOOL :. , .,.. IMPACTFEE POLICE FEE FIRE FEE MISC FEE TOTAL POLICEIFIRE M1SC FEES .. ADDITIONAL PERMITS REQUIRED Y N SPECIFY TOTAL of ALL FEES REVIEWS ZONING ZONING REVIEWED BY PLANS EXAMING MISC. VEGETATION SEA TURTLE MANGROVE � I- Ib-D% rrnn�l Pc "lhe„z a F- Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 http://stl ucleco.govice BUILDING PERMIT SCAeN1NED St. Lucie County Page 1 Issued: 12/05/2007 Conf M 722 Permit #: SLC- 0710-0308 Job Location: 5501 EMERSON AVE City: FORT PIERCE Permit Type: Pool/Spa Job Description: CONSTRUCT INGROUND SWIMMING POOL, SPA & SAND SET TRAVERTINE DECK OWNER / BUILDER EP# 0711-0232 FP# 0710-0311 Subdiv: Lot: Block: Parcel: 1310-412-0005-000/5 Contractor SHAWN M RILEY CORAL POOLS, INC (772) 567-1125 885 10TH AVE SW VERO BEACH, FL 32962 Property Owner TOBY T ABERCROMBIE (772) 343-8906 8200 PENNY LN FPR, FL 34951-1037 Property Owner. KELLY A ABERCROMBIE (772) 343-8906 8200 PENNY LN FPR, FL 34951-1037 Setbacks Left:68.00 Right: 86.00 Front: Rear: 218.00 Zoning: AG-1 Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 0.00 Minimum Floor Elevation: Flood Map: 70F Flood Zone: X Elev: Job Value: $ 66,217.36 Permit holder 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 entities 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. IFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S. Christopher Lestrange Building Official For Automated Inspections, Call (772) 462-1261 For Questions, Call (772) 462-2172 Date