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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.SECTION. r7 o\ TOWNSHIP 4 S RANGE MAPNO_ ZONING 1/Yl LAND USE J J LOT CVG % TAZ NO. [ FLOOD ZONE X q' / ` j� FIRM MAP f! p�i (jCl IS` FLR ELV MAX HGT J CONST TYPE OCCUP TYPE MAX OCCUP #OFFLRS - - 5333 $ WATER SEWER SPRINKLERS STORMWATER RE LOT OF REC LOT OF REC (after LOT SPLIT LOT SPLIT .m... :naniimar .. nnuunVvn M •SCHOOL Ili' I i' W,� ImpAcTFEE MWA W-.A , �.. REVIEWS ZONING ZONING PLANS MISC. VEGETATION SEA TURTLE MANGROVE REVIEWED BY EXAMING DATE LF h �'^� COMPLETE b o VU •. a8 - �n'ro �� .- INITIALS j l d.Lli l .ham _ CX I/�1�l i FICE:��U� f�/ "ATE FILED: O ©� —02? AN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: F ONCURRENCY FEE �0 f) RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie,unty Building and Zoning 7r • ���Ibe9 2300 Virginia Avenue F 5652 ORN �� t Pierce, �.S 772-462-1553 St. Lucie coo* APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1 p 1. LOCATION/SITE ADDRESS: 103 Itr O 2. PROJECT NAME: 'OENCE SITE PLAN NAME: 3. PROPERTY TAX ED #: 3�41L1 ' 50\ " O�� -� �3 1 4. LEGAL DESCRIPTION (attach extra if necessary):. UCIE LitaoENS • Z3 1 40 sheets 1JT q-lFss S 10 ff /O0 1�ss-RD ►�IW - 9.btA� MaP 3u �23 5 oTz 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 3 8. LOT NO.4 9. PARCEL SIZE (ACRES/SQ FT.): —1 t � l C RL' LOT DIMENSIONS: JF� AI�Pf I:FO S(7 iL.UE -- 414/l6 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: INEW SiabLF- i u/✓ Ct �r REPLA(jEXnFwrr Dr- i f. SETBACKS (ACTUAL) FRONT: ' JACK • S RIGHT SIDE: LEFT SIDE: r�z� 5Gz, ATIALNr—D SJeU In boxes) 12. TYPE OF CONSTRUCTION (Check all appropriate [,KNEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: .SIN 6 LC-- U( M t0t �I�St ' A L�y33 14. SQ. FT OF CONSTRUCTION: � J 14. f- 15. SF. FT 1st FLOOR: �t � 16. VALUE OF CONSTRUCTION: $ (o l 30O S5/G is 79.1r The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question andlor 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 $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER INFORMATION NAME: _ W 11Sa RM K. d CITY:( �C.�IICU: STATE: Ni-. ZIP: 3 PHONE (DAYTIME): COO s +9 -220 q 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: F.1 STATE: PHONE (DAYTIME): (_, CONTRACTOR INFORMATION ST. of FL REG.CERT #:CGi C 15 1 -4 M ST BUSINESS NAME: HE(llMiN6U.)A`( 0(hEb QUAD .iFrFRS NAME: W i LLt A M O M P &C ,N 11, ^ _. 1 , n___ _ . G _ .u0 COUNTY CERT #: a?SD(Q 3 CITY: VAI m L \-TY STATE: ZIP: 34CI1 O PHONE(DAYTIME): FAXNO. Tic 1'Iloy� Email: HEmminlb�7A�Ctiolm�s@� ��'� C . - ��vw • ARCHIT/ENGINEER. �;L ;AAV LSEP—S �iysoGt Ej ADDRESS:: IRA\ SE iiv�1 qN PST 1JN'\4 104 CITY: — �)WpaT STATE: V V. ZIP: ISLA 12t i-1- PHONE (DAYTIME): (� '.eb U - \ BONDING COMPANY: ADDRESS: 1150 .5E CITY: � %. Ji . U)U MORTGAGE LENDER: ADDRESS: CITY: STATE: Xl. - ZIP: _-3 � Q E 2 STATE: /I• E"PORTANT 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. 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 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. NRR OR CONTR R SIGNATURE CCVNTAACYOR SIGNATURE STATE OF FLORIDA COUNTY OF 5r. Lac E The foregoing instrument was acknowledged before me this 07'5 day of t �ULaC4+ 2U09 by _(.p¢I oce who is personally known or who has produced STATE OF FLORIDA COUNTY OF `X •LOGE. The foregoing instrument was acknowledged before me this 25 day of Omnaffi 20 0� , by UU� Pd n 0iV )NO -t who is personally known ✓ or who has produced as identification. as identification. Signah f Signatto[ a 4 S", MARY TRAPANI ' rY •I M. MARY TRAPANI Commission No.�D Of 4 (p0 on No. D (O _ MXL%9 y' MISSION # D068 • MY COMMISSION #DD68 4 ,t. •. ' ir„-� EXPIRES September' 0, 2011 'f,'wn,.•' EXPIRES September 30, ' f60]139fi.0,53 FlnritlaNnlarvSanrvw.rum NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFF)DAVIT WILL BE REQUIRED FOR ALL OWNERBUHAER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY: U7e DATE FILED: PLAN REVIEW FEE: Z RECEIPT NO.: CONCURRENCY FEE-- � RECEIPT NO.: Y49 n sa PERMIT NUMBER: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED cie County Building and Zoning 2300 Virginia Avenue FL Pierce, FL 34982-5652 772462-1553 LICATION for BUILDING PERMIT TE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION SCANNED 1. LOCATION/SITE ADDRESS: 1103 Bubb 1 � . R-T, - UP�+a t . ,8Y 2. PROJECT NAME:SIT`E PLAN ME NA: 3. PROPERTY TAX ID #: 3�l14� •.501 - Ol cm _cu13 4. LEGAL DESCRIPTION (attach extra sheets if necessary): ST• U C1E Lr Qu lds . 23 3(oti o 1. O r /A • tia5s S. 10 F�r At)o 1Ess ra 1jg1 - 9.6L 1kL NW gU )a3.5 eQ q2_3 -(( 3 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 3 8. LOT NO. LA 9. PARCEL SIZE (ACRES/SQFT.): 01 bl. CnLOTDIMENSIONS: %E�AlC I}�OS(721it;Y 414a /a 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: - �0 51 11. SETBACKS (ACTUAL) FRONT: JACK: S RIGHT SIDE: L LEFT SIDE: 50-7 AI AL"Zn SdeOtY 12. TYPE OF CONSTRUCTION (Check all a propriate boxes) [ ,]ANEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [.]/RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [I OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: 561-0 -SIN L L& VRfYll lam/ DEN 'f/ 14. SQ. FT OF CONSTRUCTION: Ji N5 15. SF. FT 1st FLOOR: Lk 4 3 S 16. VALUE OF CONSTRUCTION: $ cRq la J 300 . The value of construction is used to determine the amount of permit fees to be assessed. SL Lucie County reserves the right to question andlor 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 $2500 or mom, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 http://stiucieco.gov/ce Issued: 05/05/2008 Job Location: 1103 TILTON RD Permit Type: Building Residential (SFR) Job Description: BUILDING PERMIT SU6 mED SV St. LuoieCOUTO Page 1 Conf #: 713 Permit #: SLC- 0803-0272 City: PORT ST LUCIE NEW CONSTRUCTION OF A SINGLE FAMILY RESIDENCE 2 STORY- REPLACEMENT FOR A FIRE DESTROYED SFR S/D St Lucie Gardens S/D Lot: 4 Block: 3 Parcel: 3414-501-0704-000/3 Contractor WILLIAM UMBACH HEMMINGWAY HOMES, INC (772) 781-0054 6858 SW WEDELIA TERR PALM CITY, FL 34990 Property Owner WILLIAM K BESSEMER 5561 NW THYER CIRCLE PORT ST LUCIE, FL 34983 (772)878-2704 Setbacks Left: 104.27 Right: 132.36 Front:371.80 Rear: 821.16 Zoning: RM-5 Number of Units: 1.00 Floors: 2 Buildings: 1 Square Footage: 7,444.00 Minimum Floor Elevation: Flood Map: 283F Flood Zone: A Elev: 18.86 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. IF YOU 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 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.