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SUBMITTED PAPPERS
OFFIf E USE4?NL - DATE FILED: — {I'" I2- ,01__ qq { PLAN REVIEW FEE: RECEIPTN .- PERMITNUMBER 1`05-Z 15F CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE &FILLED IN TO BE ACCEPTED - PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Vmginia Avenue - FL Pierce, FL 34992-5652 .SCANNED 772462.1553 BY St. Lucie County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITEADDREsIs: ON 455l� N- 2. PROJECT NAME: 0 ft � 'e r SITE PLAN NAME: 3. PROPERTY TAX ID #: -7g07_ &/,Q z ZI56 DD_B®7 _ G 4. LEGAL,DESCRIPTION (attach extra sheets ifnecessary): / S < t7A t { ! 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL-SIM(ACRES/SQFT.): --LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: iLtcO(lr � CD�� �Iyew�J (replaceyt� � ��p�u/R�-lG Ott 2560�5! ��fi6Ra.Y a y11 SETBACKS(ACTUA1FRONT:='BACK,��0�33�RIGHTSIDE:% ;.LEFT SIDE: �L{ 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) AA ,, NEW CONSTRUCTION h"1 [ ] EXPANSIONlADDITION (] IN'fERIORRENOVATION -` JA RESIDENTIAL [ ] COMMERC [] INDUSTRit�L L [ l OTHER (SPECIFY) lit /y'e tZ,2` 13. DESCRIPTION OF PROPOSED USE: L /Li N.0 CtGGe9`5 " 14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1st FLOOR e.� 16. VALUE OF CONSTRUCTION: $ D�® The value of construction is used to determine the amount ofpmh fees to be as value ofconshndion ifit is demonstrated tharthe submitted figure's are not on" RECORDED Notice ofCommmcement must be sAnni0ed with this application. SLCCDV Form Na: 001-02 the tight to question and/or modify the indicated won activities. Ifthe value is U500 or mam, a UPDATED &W109 OWNER INFORMATION NAME: �-%Q {1 ['ey ADDRESS: 670 7' Ca s Sid �/ l ✓t Pam/ /� p CITY: %� G 2 STATE: FZ ZIP: PHONE (DAYT1ivIE)^ (_) Email: _ J{'.. . ... L 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): C—) CONTRACTOR INFORMATION ST. of FL REG.CERT #: �(T�G �� 96 ST. LUCIE COUNTY CERT #: BUSINESS NAME: Cd�C (-e , QUALIFIERS NAME: %O r c ADDRESS: 35 ( Sin 6 l s'-p 71r- CITY: ;E-(- STATE.- _ p PHONE (DAYTIME): (�n ->Q© L37f FAX NO. �Gr4 �� 6� Email: FAr ARCHIT/ENGINEER n CC ADDRESS: CITY. ` STATE: ZIP: PHONE (DAYTIME): (_) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER ADDRESS: CITY: STATE: "Ar 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. CERTMCATION: - I 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, FENCES, ETC, not otherwise included with this building permit application. t St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. 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: YOURFAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAINFINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. �:1�2 0 OWNER OR CONTRACTOR SIGNATURE STATE OF FLORIDA' COUNTYOF SC (Juer� The foregoing instrument was acknowledged before me this 10 day of iK20� by /,,y l N "i ,,I d-kc who is personally known 13e or has produced W t.QQ,L;� CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF 5T LU cr e The foregoing instrument was acknowledged before me this /0 day of M4 20-j by %D2; lV,L'. *r S who is personally known V or has produced i1 r as identification. as identification. ignature o _ ry Signature of Notary Com o.t;ERqRD JAMES LANIGANeal) Commission No. Commission 887991 , ':' ERAR S LANIGAN n Expires May 10, 2013 t sr Commission # DD 887M BpdgETburm,F0i Wa= 9� �19 x'n? roF Expires May 10, 2013' �• , +`adtleC TMFan�70•18Sr01a NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE O 17 W 79TING FOR THIS BUILDING PERMIT AS AN OWNER/BUHAER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERBUH.DER APPLICANTS. For specific instructions see appropriate permit checklist. t OFFICE U k 12,05 -0 l SECTION TOWNSHIP RANGE G MAPNO. r ZONING 1 LAND USE LOTCVG% TAZNO. FLOOD ZONE FIRM MAP # 1ff FLR ELV -MAX HGT — — CONST TYPE OCCUP TYPE MAX OCCOP # OF FLRS WATER SEWER SPR]NKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Befim 1/1990 Ater 111990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE P5 AREA OtADOM FEE FEE LIBRARY PUBLIC BLD PUBIC BID PARKS IMPACT LMPACTFEE IMPACT IMPACT — FEE CORRECTION FEE GENERAL. FEE SCHOOL ROAD CREDIT Y N LAW ENF. IMPACT IMPACT IMPACT FEE FEE r FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADM]NurRATIVE IMPACT REQUIRED FEE VARIANCE FEE — FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS -SUBS _ _ ELECTRIC GAS _ ' LOT OF RECORD ' FEES REQUIRED' PLUMBING _ FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR' PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE _ DATE ' t. ,,e , • j ;,` � +n :f ragto,: `. COMPLETEW .. 0 . 1 C4-1 Asuu er vrrgrma Ave i ItOrt PlarcFL 34"2 0 „Z�2-u,x Fn»z.,62-"43 `' CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT *: /a d ,moo /�P JOB ADDRESS: 1,>6Z e,9ss e. BUILDER/CONTRACTOR: _ vp.J ege iS PEST CONTROL CONTRACTOR: < PESrCOMROL LICENSE *: -7' S8' We, the undersigned, hereby a►* that we have Pretreated the above dourlbed constrw2fon for subterranean termites In aoorelance with the standards of the Nat wW FeA Cw&d Aodatton. Square fit If area treated: Cfr&Tftts used: !'J•e�•'ii�s Percentage of solugon: D ofS Total gallons used: 7[J Date of Treabnent O 2' Time of Treatment: Foe dab eTreabnent—rTreabnent e-Treat—Re-Treat DrIvemy Pools 1" Tmadnen! 1` Treabnent Re -Treat Re -Treat .Other Perimeter for Final Inspectlon I` Treatment __jte-Treat Saps P Signature of Bdennlnator Naw: 77wmmast&ea0anudewA m s� Lo bePfobsd4a bY� Ga�a:earat 1hs a'Eagro! CA -••••..o.' K.W WvrrmWWW "V0Vfturwpr fiftnoytermthx A �eaDSa►�M�hEtallePntEltyaaaid 4004aprpvllcdcm 1�'�%9+mpY�Naparsana9tapea►Itblew�d4�andanwNi�eratayhrdrrbu/M�+gPcmdi'II�rC 7AC flattrarnt slraYprov�e mepradref+asdi d rhsapy�Iiamr, Lbnewd otrtedtlke+hxOrxn6 slie�aApv, ear � okem�Vea�parrmtmnaveraodnaadmxnbrdga�arre�d, rbeia rmAlbAtarnprrdd G�eb�rrt lfdHST39dA6mm/dv�fimetlradfb�rtemtRepr+a�nGpp6t6�d,Ale/CMhM{7IOtA/NN de �m I�FJtri�7p �varBlL St Weis County MquI m for the fired ImVectfon fkw Oar a Permanent Stfdmr to be plboed an the Akw* r�r w�w�� V.. �.r.�� _n �__�_�_ _ - __ Property Appraiser - St.Lucie "tnty, FL Page 1 of 1 Stanley Wheeler Record: 1 of 1 Property Identification Site Address: 6101 Cassia or Sec/Town/Range: 12 :36S :40E Map ID: 34112S Zoning: RS-4 Ownership and Mailing Owner. Stanley Wheeler Address: PO Box 833 Vero Beach FL 32961 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print �VICIECO ParcellD: Account* 3402-610-0456-000-7 38574 yar z Land Use: SF Res City/Cnty: St Lucie County Legal Description INDIAN RIVER ESTATES -UNIT 09- BLK 85 LOT 32 (MAP 34/12S) (OR 1193-1617) Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 34300 Land Value: 6900 Acres: 0.23 12/14/1998 51000 00 WD 1193 / 1617 Assessed: 34300 Building Value: 27400 2/28/1997 41000 00 WD 1063 / 2599 Ag.Credit: 0 Finished Area: 1056 SgFt 12/1/1982 0 01 CV 0394/2751 Exempt: 25000 611/1977 22500 00 CV 0270/1381 Taxable: 9300 Taxes: 189.21 BUILDING INFORMATION Exterior Features View: - RoofCover: SD - Dim Shingle RoofStmct: GA - Gable ExtType: HD+ - HD+ YearBlt: 1977 Frame: - Grade: D+ -D+ EffYrBlt: 1982 PrimeWall: WS-Wood/Sheath StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX-MAXIMUM PrmintWall: OW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAlr AvgHt/FI: 1/2Bath: 0 HeatFuel: ELEC- Electric Prm.Flors: CU- Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBIL No. Land Use Type Measure Depth 1 0100-SF Res 215 -Front Ft 80 125 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED �Sq 0 http://www.paslc.org/pasle/prc.asp?prclid=340261004560007 5/11/2012 l�. PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING &CODE 1tEGULAT;)NS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, ei-kx ley - (;- A-e-e(el-- (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Prope Owner Na a (Please int) Property OwAer Signature Date STATE OF FLORIDA, COUNTY OF SA V �v d-t S ACKNOWLEDGED BEFORE ME THIS low' DAYOF 01 " .20 t�. BY S � n p)� j WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED "I AS IDENTIFICATION. COMMISSION NUMBER Ex ri-: ii'J 2F: 6dgcv'iam'Oay v;.. !.l'si41b SLCPDSD Revised 0824/2010 ,TOSEPH E. SMITH, CLERK(' ;CHE CIRCUIT COURT — SAINT LUCIE COUNnd FILE ii 3703071 OR ROD],- 'l8 PAGE 2924, Recorded 05/11/2012 a: I137 AM Tbis mmume o Frep.oW try: Name: Address: NOTICE OF COMMENCEMENT TAXFOLION: ?`/D,2&10 ©7��$6-Oo' BUH.DiNGPERMITA: StateofFlarida County of Indian River THE UNDERSIGNED hereby gives notice that improvement will bi made to certain real property, and in accordance with Chapter 713, Florida Stamtes, the following information is prot>!ed in this Notice of Commencement 1. Descriplio ofpro arty: (le Idescd of ofthe pror9p�r ,and street address if available) ,or yo .�LC dls � ^saris files/ '= Dr 1=7&,:y 98Z 2. Generaldescription of improvement J/O1VEl..a+/ 3. Owner information: a. Name and Address: 5119A Ley b. Interest in property: O 1- It rP d. Fee simple ddeholdcr(ifotherthan Owner): Name and Address: 4. Co.. r� a. Name and Address: J'Jd !( �GasC ire 331 —`e'.a rbCE i)K �T )?E[Ge'ri 3�19`f5" b. Phone Number. 772 2D 37e S. Surety a. Name and address: e, at9 N er b. Phone number. c. Amount offhand$ 6. Lender. a. Name and Address: b. Leodds phone number. 7. Persons within the State OCFlarida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address: b. Phone numbers ofdesignated persons: E In addition to himself or herself, Owner designates the following person (a) W receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Name and Address: �+ b. Phone number. 9. Expiration data of notice of commencement (the expiration date is 1 year from the data of recording unless a different date is specified) WARNINGTOOWNER: ANYPAY N SMADERYTREOWNERAFTER�F"P TIONOFTHENOTICEOF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TFUZ ITFa T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this /6 day of NdV .20dAy yJT4V i('� mod' (name 0fpers0n) as__ (type of authority, (e.g officer, trustce, attorney m ct) for (name ofparty on behalf of whom instrument was e 0 GERARD JAMS LAND CanNssimt)DD 88T941 Si tore o D dry P bbe-State oFFlorida) May 10, 2013 ammrmBerr.w....lNmmn Personallyknown IK or Produced Identification Verification Pursuant to Section 92.525. Florida Statues Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the bes f my knowledge and belief. tare"— MWa ,anSiga I ovc FLORI STATE I11GIE COUNTY THI TRl OR n.