HomeMy WebLinkAboutSUBMITTED PAPPERSOFFICE USE ONLY BP #:
SECTION
/a
TOWNSHIP
�,SS
RANGE
MAPNO.
a��✓
ZONING
LAND USE
/ / t */Z
LOT CVG %
TAZ NO.
FLOOD ZONE
X
FIRM MAP #
I7 S G
ISr FLR ELV
MAX HOT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
(before 1/90)
LOT OF REC (after
1/90)
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
ADMINST
VARIANCE
LIBRARY
IMPACT FEE
PARKS
IMPACT FEE
PERMIT
FEE
REPORT
CODE
j
PUBLIC BLD
IMPACT FEE
HABITABLE
AREA
(RADON)
RADON FEE
SCHOOL
IMPACT FEE
GROSS ROAD
IMPACT FEE
DUE
CREDIT
Y
N
TOTAL ROAD
IMPACT FEE
SCHOOL
IMPACTFEE
CREDIT
Y
N
TOTAL
SCHOOL
IMPACT FEE
-
POLICE FEE
FIRE FEE
MISC FEE
TOTAL
POLICF/FIRE
MISC FEES
ADDITIONAL
PERMITS
REQUIRED
Y
N
SPECIFY
TOTAL
of ALL
FEES
REVIEWS
ZONING
ZONING
REVIEWED BY
PLANS
EXAMING
MISC.
VEGETATION
SEA TURTLE
MANGROVE
DATE
COMPLETE
Ilan/0(a
INPIIALS
OFFICE USE ONLY: /�
DATE FILED: • j R' Q o
PLAN REVIEW FEE: RECEIPT NO.: 1
CONCURRENCY FEE: RECEIPT NO.:
PERMIT NUMBER fco
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
\E C
< St. Lucie County Building and Zoning
2300 Virginia Avenue
F<ORVO Ft. Pierce, FL 34982-5652 NNED
772-462-1553 BY
St. Lucie County
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: / 0-T-0
2. S/D NAME:
1-
3. PROPERTY TAX ID #: c2,7A) - /33- 0oo l - aoO- 3
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 0-35-3P A/ , ro Ff wl $'.r%Fi o
P4,A e�.rW /j-,lwx e Lf6 A/ark'6m.,n.. /9ve Q/\Le� .1/ra.,Q1 9S7
5. PLAT 6. PAGE
BOOK NO.
9.
10.
11.
12.
7. BLOCK 8. LOT
NO. NO.
PARCEL SIZE: ACRES/SQ FT. / MX-P6LOT DIMENSIONS I.SO "X S; 3-' /
OF CONSTRUCTION PROJECT OR WORK ACTIVITY: ,./n S1611 j!�,-
,,,4/p G✓a// FL../ DaG f. X e a.r 'x 4,. r
SETBACKS (ACTUAL) FRO -�, eBACK: RIGHT: / LEFT: /
/ SIDE �� SIDE
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[q'NEW CONSTRUCTION [ ] X.PANSION/ADDITION [ ] INTERIORRENOVATION
[ ] RESIDENTIAL [ COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY) // r /1
DESCRIPTION OF PROPOSED USE: C-ancp"�/ 0r z ror nov610
Sq. Ft./CONSTRUCTION: 15. Sq. Ft. 1st Floor:
VALUE OF CONSTRUCTION: $
//a-S
The value of construction is used to determine the amount of peradt fees to be assessed. St. Lucie County reserves the right to question and/or 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
CERTIFICATION:
OWNER INFORMATION /�
NAME: I[J �Ve /v06SP C7toWPrr Z-zc
ADDRESS:
CITY: STATE: )CG ZIP
PHONE (DAYTIME): (77.2) 70 ;�O email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG./CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: T / ,
PHONE (DAYTRvIE):
ARCHIT/ENGINEER.
ADDRESS:
STATE:
ZIP
�O ST. LUCIE COUNTY CERT #:
,�3aa4
STATE: ,e"C. ZIP
p� �66 crk FAX NO.77a -yp¢O-&'S email: .47 jZ 4 Ua CA20/ Col..
Gi
CITY: or- .rl.0 G G t6 STATE: FG ZIP 3,7 Z
PHONE (DAYTIME):07L) U66- sso9
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER
ADDRESS:
CITY:
STATE:
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. 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:
STATE OF FI
COUNTY OF
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.
XONTRACTOIC SIGNATURE
The foregoing instrument was acknowledged
before�ne this day o 9!/ 2006 by
v ?ta ho is personaLLr�
known to mQ,br who has produced
�— as identification.
Signature of Notar2-r-le
J
6MMP-A E.
Type or Print Name of Notary
Commission
L4FAWA E. YAGGIE
EACH
LISTED ON
STATE OF FLO p
COUNTY OF le�e2i
The foregoing in ent acknowledged
bef9 m this %Y"aa of � 20� by
At Gt ro is personally
known to me or who has produced
as identification.
U -P/
'Signature ofNotary
t,
e&P-R 6- lfiGG1E
Type or Print Name of Notary
For specific instructions see appropriate permit checklist.
8ARR8ARA E. YAGGIE
Y Public- State of fbddo
IF APPLYING FOR
APPEAR TO SIGN
03101120DS 09:23 7723439404
DET ENGINEERING PSL PAGE 02/02
®rAT
Project
DUNKELBERGER ENGINEERING & TESTING, INC.
Fort Pierce, Florida
Client Name: Blue Goose Growers
16050 Orange Avenuc
Fort Picrec, Florida 34979
�CEIVED PectNo.:
Prooject No.:-10-214
MAR - 2 2006 Date Tested: 01-24-06
Technician Initials: BH
/<l 41� Proeress Renort No.: 1 (Sheet I of
Tort
No.
Probe
Depth
in
.lii" jxl�,:tF'
:deiotr4r:�
�IAi�nrn
Jt�v
rti:iw
i
4
.v�9
�w9!eJ
�: In j."JJJ� M14i��hL�.
Maximum
Dry Density
a
Optimum
Moisture
°/.
Dry
Density
Cone
Resistance'
is
Moisture
%
Minimmn
.Required
Compaction
°/a
Percent
Maximum
Density
Test
Result
1
12
122
10
126.3
6.8
95
104
Pass
2
12
122
10
124.2
6.4
95
102
Pass
3
12
122
- 10
122.0
6.1
95
100
Pass
Typo ot Field Density Teat: O ASTM D 1556 (X) ASTM D 2922 O ASIM D 2937
Minimum Required Compaction Based on: (X) AASHTO T-180 (ASTM D 1557) O AASHTO T-99 (ASTM D 698)
1 Cnmmction nereent cstimated from cone oenetrornecr roodinp_ obtained with aBrainard-Kiltran Model S-214 hand-held cone Denctmmetcr.
1
2
WT6W 1J91 wi a l("11 pIpIyW Aq1
I��o ,�
�?j � iY � .
h T{16
�� �'.a
% il C°il
:�•} � ..�!,
0-12
Front of pad
2
2
0-12
Center of pad
3
2
0.12
Back of pad
'slevation Referenced to: NGVD O MSL (7C) Other IDels&c below rap of pad.
"IV ii , ix-v46i1,1" ! 0l m:: rE MW -
1 Structural Fill cc: Client ...(2)
2 Final Grading Fill St Lucie County Building Dept ... (fax 462.2362)
3 Mass Grading Fill
4 Utility Backf ll - Sanitary
5 Utility Baeldd1- Water
6 UtilityBacldill - Storm
7 Roadway Subgrade Craig£. lhmkclbcrgff
8 Stabilized Subgrade FL Registration No. 9 Base Course MAR — 2 V610 Other.
!e: T1rc nriginal of thin report won nigned and sealed by a regisicrcd engineer in accordance with Rule 61015.18.811 of the Florida Administrate Oe.
'rhis report is minnitted as the confidential propnty of our client and authorization rarpubliwtion of statemems conclusions or extracts fmm or regarding
this report is marved pending our written oppraval. The nba�c-rckrenccd testing was performed at the locations and depth intar aI described therein on
the associated report des¢. No other wmrnnties with regard to mbnurfaec exploration. rceommendations or design arc expressed by this fine.
y i)hn�i71 'a5s� i ,ts!➢e'1 Li�3'(*+Yt��J4� 'tl�' �t�ite ��'�";� t IxF'�ti i""5^2 � tqu t��N�i!!;;
q �y1� t+�'gyW nr ;I m sly rye. _e�xg5 �. b__I) CI.1; inl r�.j Ie iG' fY j}{���4}i Iq� FYI c ��rUy q�'y"a�: [� ✓nL
EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 2782815 OR HOOK 2466 —',3E 1225, Recorded 01/19/2006 at 03:. -�,,i
s �
NOTICE OF COMMENCEMENT
Permit No. .SLC- 0601- 0593 Property Tax ID No. 0;!--1/02'��.� GLb/-ci10- 3
State of Florida County of
The Undersigned hereby gives notice that improvement will be made to certain real property, and
In accordance with Chapter 713, Florida Statutes, the following information is provided In this
Notice of Commencement.
.7
Owner's Interest in site of Improvement _/DO
Fee Simple Title holder
Address Far #
Amount of )fond
Lender Phone#
Address Fax#
Persons withka theSmte ofFlodda desigmted by 0meruponwhom aotim orotherdommenm may bemned mpmvided
by Section 713.13 (a) 7., Florida Statues:
Name Azle Phone#
Address Fax Al
In addition to himself, owner designates 1e1 of
Phone#_ _. Fax
to receive a copy ofthe Lieoor's Notice as provided to Section 713.13 (1) (b), Florida Stemtm Expiration date ofnotite of
commencement is one year from the date of recording i dess a different date is specified.
State of Florida, County of Y.
Acknowledged before me this
who morally Imo o to me or who
Signature of Notary
i
as identification.
Uffi"A E. V &AL
Type or Print Name of Notary (Seel)
Title: Notary Public Cavunfsd
MISSML WOW
tfmmY fttle� r/a attloddo
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT COPY OF THE
ORIGINAL.
ST. LUCIE COUNTY
CLE (OFCIRC XRT
sy:
Code Compliance Division
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
Date: 23 February 2006
Job Address: 16050 ORANGE AVE
Received By: dpelton
Paid With: ck
Building
Receipt
Paid By: B&B BUILDING Sign:
Receipt#:
0000033896
'ermit Number:
SLC- 0601-0523
Amount:
$290.75
�redit Card Number:
Check Number:
1269
St. Lucie County Building & Zoning
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMrr
J SUB -CONTRACTOR SUMMARY
S0- 6 Rllt ��f , %t n r �.C'�' s .i� c will be using the following sub -contractors for the
(CompanyAndividual N e) //
projectlocatedat_��/ J33"C7O0/-060-�-7 / /eO
(Street address or P erty Tax ID address or erty Tax ID #))
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
a p Q P r C
Plumbing
�I
HVAC/
Mechanical
Roofing
Gas
USE ONLY:
PERMIT
: ISSUE DATE:
.0
ST. LUCIE COUNTY PUBLIC WORKS
BUILDING & ZONING DEPARTMENT
' 4 '
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 19 State of Florida Certification Number (If appH.b1,): V, oa _ aK /a
have agreed to be the
(Company Name/Individual Name)
C/eehr i cW sub -contractor for D o-S Gv ,'W- ^l �9-r `-am i O c
(Type of Trade) (Primary Contractor)
for the project located at
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
PRINTNAME
Business Name:
�.�► i
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561462-1553
R
FILLED LANDS AFFIDAVIT
the undersigned, am the owner of the
property:
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number I 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.
vU///p �jOgr-c G�-pA/PrS �C .z
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF� r�r„/i�,�g,
ACKNOWLEDGED BEFORE ME THIS (L , _ I DAY Z
BY
IS
WHO HAS PRODUCED
V
AS IDENTIFICATION.
�, nl 'nI
u&
&E_bPM 9 . *661E
SIGNATURE OF NOTAR�IeY
TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE
COMMISSION NUMBER
uugy,
PIARNME. YAGGIE
Notary PW)Ll State of Floddc.
's'�®�•MY'�1�E118pYt11YbY27.26C' e
'.q7 , ° ` Ca�fYfddOn DD191116
Code Compliance Division
n
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
Date:
19 January 2006
Job Address:
16050 ORANGE AVE
Received By:
serranob
Paid With:
CK
Paid By:
B&B BUILDING
Building
Receipt
Receipt#: 0000031919
Permit Number.
SLC- 0601-0523
Amount:
5150.00
Credit Card Number:
Check Number:
1204
Sign:
Property Appraiser - St.Lucie G' ay, FL
Page 1 of 1
Blue Goose Growers LLC Record: 1 of 3
Property Identification
Site Address:
16050 ORANGE AV EXT
Sec/Town/Range:
12:35S :38E
Map ID:
22/11X
Zoning:
IL -CO
Ownership and Mailing
PROPERTY RECORD CARD
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Spec.Assmnt Taxes
Exemptions Permits Home Print
UCIE CO
ParcellD:
2212433-0001-000-3
Account #:
12479
y
Land Use:
WRHSNG DIST
Ciry/Cnly:
ST. LUCIE COUNTY
A
Owner:
Blue Goose Growers LLC
Address:
P
O Box 14709
Fort Pierce FL
34979
Sales Information
Date
Price
Code
Deed
Book/Page
7128/2005
425000
00
WD
2316 / 0226
1/25/2002
50000
01
SP
1489 / 1417
8/19/1996
162300
01
WD
1032/2036
6/22/1993
120100
01
CT
0849 / 2915
3/1/1987
26000
01
CV
053511613
3/1/1987
0
01
CV
0535 / 1612
3/l/1986
28000
01
CV
0494 / 0543
Legal Description
12 35 38 W 150 FT OF S 574 FT OFTHAT PART OF SW 1/4 OF NE
1/4 LYG N OF ORANGE AV AND E OF CANAL #57
More...
Assessment FV
Total Land and Building v
2005 Val:
241900
Land Value: 68700 Acres: 1.98
Assessed:
241900
Building Value: Z3200
Ag.Credit:
0
Finished Area 8216 SgFt.
Exempt:
0
Taxable:
241900
TotalTax:
5126.17
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
SM - Sheet Metal
RoofStruct:
HP - Hip
ExtType:
IDL -INDUS-LOW
YeafBlt:
1986
Frame:
-
Grade:
D+ - D+
EffYrBlt:
1986
PrimeWall:
CM - Corr Metal
StoryHghE
0020-2Story
No.Units:
SecWall:
-
Interior Features
BedRooms:
0
Electric:
MX- MAXIMUM
PrmintWall:
DW- Drywall
FullBath:
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/2Bath:
HeatFuel:
ELEC- Electric
Prm.Flors:
CU- Carpet
%A/C:
50
%Healed:
50
% Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S
Qry. Units Qual.
Cand. YrBlt.
No. Land Use
Type
Measure
1 4800-WRHSNG
DIST 325 -Sq Feet -
30000
2 4800-WRHSNG
DIST 540 -Acres
1.29
Depth
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTE1�D..
6� V
10 10
/ I ,
\ 6,4
http://www.paslc.org/prc.asp?prclid=221213300010003 1 /19/2006
�-1
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