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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBP #: OMF 0097 L,l/� ,L MAP NO.: SECTION: TOWNSHIP: - o� / C RANGE: (tom C� ZONING: 'j/I%)� LAND USE: /� LOT CVG %: TAZ NO-: FLOOD ZONE: FIRM MAP M. (� 1ST FLR ELV: R MAX HGT: CST TYPE: OCCP TYPE: MAX. OCCP: # OF FLRS: WATER: cJLI�� SEWER: SPRINKLERS STORMWATE R LOT OF REC (befr 1/90) LOT OF REC (aftr 1/90) LOT SPLIT LOT SPLIT REO'D APPRV'D . ' DECAL - LIBRARY PARKS PERMIT NUMBER IMPACT FEE IMPACT FEE FEE REPORT CODE PUBLIC BLDG IMPACT FEE. HABITABALE AREA RADON FEE - (RADON) ROAD IMPACT ZONE GROSSROAD CREDIT Y TOTAL ROAD IMPACTFEE, IMPACT FEE DUE SCHOOL CREDIT '� TOTAL IMPACT FEE z --= a :- - SCHOOL - - - � IMPACT FEE TOTAL POLICE FEE FI MISC FEES POUCEIRRE/ efq. MISC. FEES' Y N ADDITIONAL SPECIFY: TOTALALL PERMITS RE FEES -�^ REVIEWS ZONING ZONING PLANS 'VELETA IOND Gn•.ra0 = .tr9EA��3 3 q;MA NGROVE .REVIEWED BY EXAMINING .TWRTEE COO MP 616),03 ((� INITIALS DATE FILED: 's I1 0,2 PLAN REVIEW FEE: tOn •Da RECEIPT NO.: tASI S PERMIT NUMBER: OW- 6(j0 . CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE 8t FILLED IN TO BE ACCEPTED 1 C\6 CpG �1 ��NED y ST. LUCIE COUNTY PUBLIC WORKS U �tlS�d BUILDING & ZONING DEPARTMENT BY b� 2300 VIRGINIA AVENUE ' ' Bt. LudeCoUn �OR1DQ' FORT PIERCE, FL 34982-5652 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE LOCATION/SITE ADDRESS: 2_ S/D NAME: 3. PROPERTY TAX ID #: PROJECT INFORMATION SITE PLAN NAME: ALL OF 4_ LEGAL DESCRIPTION (attach extra sheets ifnecessary):jZ:Cum Te A%11e--%sadTH,RAtJBE2/o,5AgTr. kC0RbMNd-r07Ye PL,07-7h �R P�&5089MOF T -rs e IT FkopabA•4,s >+•77 5. PLAT. 6. PAGE 7, BOOK r1� NO. L3� 43 10. I-E83AN�EXOEPTTI-IESCtITiH ICiFcfTl4N�ROFfD wa i1�KKoxlaE 2tiJPLffTBooK1�PA6tE35�OFTHE s QFP\ccaRt�'. BLOCK 8. LOT NO_ J NO. PARCEL SIZ ACRES SQ FT. �w� LOT DIMENSIONS V J9.0' DESCRIPTION OF CONSTRUCT31_" 0 . ION PROJECT OR WORK ACTIVITY: 33o/ SWIMMING POOL & DECK 11. SETBACKS (ACTUAL) FRONT: BACK: / RIGHT / LEFT SISIDE: �A�O 12. TYPE CONSTRUCTION (Check all appropriate boxes) 7NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: RESIDENTIAL 14_ Sq_ Ft./CONSTRUCTION: 15. SSgq. Ft. �Ist Floor. 16. VALUE OF CONSTRUCTION: $�� The value of construction Is used to determine the amount of permit fees to be assessed. SL Lucie County reserves the right to question and/or modify the Indicated value of construction if it is demonstrate that the submitted figures are riot coiLsistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitled with this application. 3LCCDV Form No.: 001-02 OWNER INFORMATION* NAME: ADDRESS: CITY: PHONE (DAYTIME): (rnpl %7-3-'a DLA - CERTIFICATION: - 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): 1 1 CONTRACTOR INFORMATION STATE: ZIP ST. of FL REGJCERT #: CPC - 057200 ST. LUCIE COUNTY CERT #: 1 91 04 BUSINESS NAME: A & G CONCRETE' POOLS, INC. QUALIFIERS NAME: ARTHUR H. ALLEN ADDRESS: 410 SAEGER AVENUE Coy; FORT PIERCE STATE: FLORIDA ZIP 34982 PHONE (DAYTIME): - 177a 878-7752 FAX NO. 772-467 1 624 ARCHIT/ENGINEER: RAY REINHARD ADDRESS: OLD DIXIE HIGHWAY CITY: VERO BEACH STATE: FLORIDA Zip 32960 PHONE (DAYTIME): ( I BONDING,COMPANY: ADDRESS: CITY: STATE: LP - MORTGAGE LE NDER: ADDRESS: CITY. STATE: 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. 1 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. f 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. N ONT CTOR SIG TURE CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OFr' g The foregoing instrument was acknov before me thi —day of�tfLY . 20N who is personally known to me Type or Print Name of Notary STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this �1 day of Au w� 2008 , by �rliR , who is perso ally known to me or who has produced as identification. Signature of Notary 1 Type of Print Name of Notary Notary Public Title Notary Public Title C1Y� 1• 'M 11A15aCommission Number $ commsppm (seal)fiJ EwIn3s4HtIAlp BatlbTMp "' ••^ F•• ••a•NO:a:�:�•k NOTE: TWO (2) SIGNATURES ARE REQUIRED. IF APPLYING FOR THIS BUILDING PERMIT .............................................. (seal) LILLIAN S. SHEPHERD �.t�grp viy Comm# DD0729752 � Expires 12I412011 EACH SIGNATURE MUST BE NOTARIZED6< ." `<` ��a NotaryAssn., Inc i AS AN OWNEF2/BUILDER, THE OWNER MUST PERSBNA'Ly7-APPfI=AR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION- J b(ANNED Code Compliance Division BUILDING PERMIT BY Virginia Avenue Ft St. Lucie County Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1148 hftp://stlucieco.gov/ce Page 1 Issued: 09/25/2008 Conf A 539 Permit #: SLC- 0808-0097 Job Location: 1103 TILTON RD City: PORT ST LUCIE Permit Type: Pool/Spa Job Descrit)tlon: I INSTALLATION SWIMMING POOL & DECK- PE# 0808-0098 S/D St Lucie Gardens S/D Lot: 4 Block: 3 Parcel: 3414-501-0704-000/3 Contractor ALLEN ARTHUR H A & G CONCRETE POOLS INC (772) 878-7752 410 NW SAEGER AVE FT PIERCE, FL 34982 Property Owner WILLIAM K BESSEMER (772) 878-2704 5561 NW THYER CIRCLE PORT ST LUCIE, FL 34983 Setbacks Left:150.00 Number of Units: 1.00 Minimum Floor Elevation: Right: 118.00 Front: Rear: 779.00 Zoning: RM-5 Floors: 1 Buildings: 1 Square Footage: 0.00 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.