HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - PERMITSr
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SECTION:
a rj
'TOWNSHIP:
340 S
RANGE:
1. 1 D _
MAP NO.:
ZONING:
��y. I
`/) /E
LAND USE:
LOT CVG %:
TAZ NO.:
FLOOD ZONE:
I�
J"f /
FIRM MAP #:..
a Q Cl h �
v
1ST FLR ELM, •
(-/ �
MAX HGT:
CST TYPE:
OCCP TYPE
MAX. OCCP:
-
# OF FLRS:
WATER:
SEWER:
'
SPRINKLERS
STORMWATE
WL1.C-Ll.
_
LA.I.JC�?
R
LOT OF REC (befr 1190)
LOT OF REC (a0r 1190)
LOT SPLIT
LOT SPLIT
REO'D
APPRV'D
10 LL F
'DECAL
LIBRARY
PARKS
PERMIT
NUMBER
IMPACT FEE
IMPACT FEE
'FEE
j REPORT
PUBLIC BLDG
HABITABALE
-
-RADON FEE
1 CODE
IMPACT FEE
AREA
"
1
I
(RADON)
M ATN
Y
N
ROAD
GROSS ROAD
CREDIT I
TOTAL ROAD
IMPACT ZONE
f J
IMPACT FEE
IMPACT FEE'
DUE
SCHOOL
CREDIT
-
TOTAL
IMPACTFEE
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SCHOOL -
1MPACi FEE
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POLICE FEE
FE
-
MISC FEES:
TOTAL
.-
POUCEIFIRE/"
'
MISC. FEES
ADDITIONAL
SPECIFY:
TOTAL ALL
PERMITS
FEES
REgD.
REVIEWS
ZONING
ZONING
PLANS..
-VEGETATION
SEA
MANGROVE
.REVIEWED BY
EXAMINING
TURTLE
TE
y
COMPLETE
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INITIALS
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01
DATE FILED:
PLAN REVIEW FEE: • a O RECEIPT NO.: 2 l/"[ PERMIT NUMBER: 1021 a- O 3 I D--
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE U FILLED IN TO BE ACCEPTED
-
y , ST. LUCIE COUNTY PUBLIC WORKS k l6 C
h BUILDING & ZONING DEPARTMENT
2300 VIRGINIA AVENUE ��
OR\�Q FORT PIERCE, FL ��Cfl 34982-5652 SCANNED
o0
772462-1553 c�
St.111Ciaf'.nnv+�'
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECTINFORMA•
1. LOCATION/SITE
2. S/D NAME: C 1AL11 em x��p�y✓ y��1 I� SITE PLAN NAME:
3. PROPERTY TAX ID#:'�/`(a� �/li-006.�L' 000'
4. LEGAL DESCRIPTION (attach extra sheets if necessary): S
✓w D vr
5. PLAT. 6. PAG ' (r 7. BLOCK /� 8_ LOT DEAF
BOOK _ NO. ��� Y � (� NO. P1 NO. I-ci
9. PARCEL SIZE: ACRES/SQ FT. 35� LOT DIMENSIONS
10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: �� ✓l i n5
11. SETBACKS (ACTUAL) FRONT: ` BACK RIGHT c� LEFT 5
5z- " L 31.1 SIDE SIDE: t
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
AT NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ J RESIDENTIAL [ ] COMMERCIAL [ j INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: VI �/I b� �P/Il�� h� Wyt•'�
14. Sq. FLICONSTRUCTION: 15., Sq. Ft. ist'Floor.
16. VALUE OF CONSTRUCTION: $ (0r6bU -
The value of construction Is used to delemine the amount of peWt fees to be assessed. St. Lucia County reserves the right to question and/or modify the
indicated value Of Construction it it is demonstratedthat the submittedar figures e not coilsistent with simitar types of construction activities. -If the vahie is'$25W
or more. a RECORDED Notice of Commencement must be submitted vvith this application. -
SLCCDV Form No.: 001-02 .
OWNER INFORMATION;
.NAME:.
ADDRESS: `� J
CITY: - STATE. ZIP
PHONE -(DAYTIME): !^ ` To
.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)-
CONTRACTOR INFORMATION
`^ ^^/ I�ttJ.f OLD l
ST. LUCIE COUNTY CERT #:
ST. of FL REGJCERT #:
c ,IhMG
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): 1 1 FAX NO.
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY.
ADDRESS:g
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
P1CC�\ 2A A4 P-L7�
[ 0 2-0 SW PA \i LqTa^" I-,iN �
7 L-, - STATE:
b
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. 1 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 FORTHIS 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 LI EN
LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECTTO ATTACHMENT.
OWNER'S AFFIDAVIT:t' 1 ertify that all the foregoing information is accurate and that all work will be done in compliance
i all applicable laws regulating construction and zoning.
OWNEOJCONTRACTOR SIGNATURE CONT CTORSIGNATURE
STATE OF P STATE FLORIDA
COUNTY O COUNTY' F
The foregoing' instrument was acknowledged The, foregoin instrument was acknowledged
before me this t day of _�, 20 by _ before me this day of , 20_, by
who is person II c max,<.
ho who is personally known to me
h roduc �ofD0 r a51 or who has proded as identification.
o�
S of Otary Signature of Notary
�012A.�-, Pc(Pea9t- KW Left
Type or Print Name of Notary DER yl of Print Name of otary
.. -. STATE: Zip LO B p5143o - _ .
ER
Notary Public Title
"wry 6tY MM19Fs rvaf y ta,201 I to Public Title
Commission Number �. "-'""^ Commission Nu 'er
(seal) (seal)
STATE: ZIP -
ZIP
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. `
INIPORtANT..NO,TICE:1Nhen a permit is: issued and it is not picked u Within- 60 daaLs IF APPLYING FORTHIS BUILDING PERMrr AS AN OWNEkMUILDER, THE OWNER MUST PERSONALLY APPEAR
P P P TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
after notification it will be voided and returned to you by mail.
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
http://www.stiucleco.org/public�_workstperm!Hing.htm
Permit 1
zR BN E®
Address 594 BE HIDDEN RIVER DR I Owner(s) Richard A Lewis
PORT ST LUCIE 134983 1 Historic I No Jurisdiction ISt. Lucie County
Parcel R 3427-311-0002-000/9 S/D IHIDDEN RIVER ESTATES I Block 12 1 Lot # 1
FLU RU I Zoning AR-1 Flood Map 280E Flood Elevation 7 Flood Zone I AE
Job Address 594 HID —DEN RIVER'DR uate voided Please explain in Additional Commen
CONTACTI(NFORrviATiON,, Application Contact >>
Category Type
Property Owner
ly Owner
Builder
Contractor
Name
RICHARI
Business
Address
315 SW I
STUART
Email
Open Contractor .
Registration Form
Phone (772) 579-1200 ext
Fax ( ) -
Mobile ( )
Pager ( )
SUB TRADE PERMITS
Attach Sub Trade Permit >>
Sub -Trade Permit Permit Type
Sub
Trade Status
Contractor
Taken By
Company
Date Applied
Owner / Buildier
Issued
Sub -Trade Job Description
Issued By
Expiration
Finaled
Finaled By
Flood Map 280E
I NOC Receivec ® NC
Setbacks Front 52.20 Back 31.70 Left Side 20.00 night Side 54.80
Job Description
Additional Info
CONSTRUCT UPLAND RETAINING WALL 165 LINEAR FEET ON A SFR
Please include the data and vnur name when addlnn Inrnrmadnn.
Flood Zone AE
!xpiration 04/05/2008
f' ?
Code Compliance Division
2300 Virginia Avenue
FL Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
http://stfucleco.gov/ce
BUILDING PERMIT
Page 1
Issued: 04/05/2007 Conf #: 826 Permit #: SLC- 0702-0312
Job Location: 594 HIDDEN RIVER DR City: PORT ST LUCIE
Permit Type: Building (Miscellaneous) SCANNED
Job Description: CONSTRUCT UPLAND RETAINING WALL 162 LINEAR FEET ON A SFR BY
Subdiv: HIDDEN RIVER ESTATES S4. hirlA rnlint,
Lot: 1
Block: 2
Parcel: 3427-311-0002-000/9
Owner Builder RICHARD AND LORRAINE LEWIS (772) 579-1200
315 SW SALERNO ROAD STUART, FL 34997
Property Owner ' RICHARD A LEWIS (772) 579-1200
315 SW SALERNO RD STUART, FL 34997
Property Owner LORRAINE W LEWIS (772) 579-1200
315 SW SALERNO ROAD STUART, FL 34997
Setbacks Left: 20.00 Right: 54.80 Front: 52.20 Rear: 31.70. Zoning: AR-1
Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 0.00
Minimum Floor Elevation: Flood Map: 28OF Flood Zone: AE Elev: 7
Job Value: $10,000.00
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.
Raymond Wazny
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.
Code Compliance Division
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1653 Fax: (772) 462-1148
httpJ/stlucleco.gov/ce
BUILDING PERMIT
Page 1
Issued: 04/05/2007 Conf #: 826 Permit #: SLC- 0702-0312
Job Location: 594 HIDDEN RIVER DR City: PORT ST LUCIE SCANNED
Permit Type: Building (Miscellaneous) B�
Job Description: CONSTRUCT UPLAND RETAINING WALL 162 LINEAR FEET ON A SFR St, iir`io
Subdiv: HIDDEN RIVER ESTATES
Lot: 1
Block: 2
Owner Builder RICHARD AND LORRAINE LEWIS
315 SW SALERNO ROAD
Property Owner RICHARD A LEWIS
315 SW SALERNO RD
Property Owner LORRAINE W LEWIS
315 SW SALERNO ROAD
Parcel: 3427-311-0002-000/9
STUART, FL 34997
STUART, FL 34997
STUART, FL 34997
(772)579-1200
(772)579-1200
(772) 579-1200
Setbacks Left: 20.00 Right: 54.80 Front: 52.20 Rear: 31.70 Zoning: AR-1
Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 0.00
Minimum Floor Elevation: Flood Map: 28OF Flood Zone: AE Elev: 7
Job Value: $10,000.00
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, rooting, 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 maybe 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.
Raymond Wazny
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.