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HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY BP #: SECTION _ TOWNSHIP RANGE MAP NO. /f ZONING LAND USE LOT CVG % TAZ NO.j FLOOD ZONE FIRM MAP # IST FLR ELV MAX HGT CONST TYPE - OCCUP TYPE AX OCCUP # OF FLRS WATER R SPRINKLERS STORMWATER LOT OF REC (before 1190 LOT OF REC (after 1l)0 LOT SPLIT RE UIRED LOT SPLIT APPROVED ADMINST VARIANCE LIBRARY IMPACTFEE PARKS IMPACTFEE PERMIT FEE REPORT CODE Q%� PUBLIC BLD IMPACTFEE HABITABLE AREA RADON FEE SCHOOL IMPACTFEE GROSS ROAD IMPACTFEE DUE CREDIT Y N TOTALROAD IMPACTFEE SCHOOL IMPACTFEE CREDIT Y N TOTAL SCHOOL IMPACTFEE POLICE FEE ' FIRE FEE MISC FEE — TOTAL POLICE/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- / — --- — — INITIALS - OFFICE USE ONLY: �` „n1 O� DATE FILED: \� 61 PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED JUE CpG 1 5�` &' St. Lucie County Building and Zoning 1 Ft 414 2300 Virginia Avenue <ORIOp' Ft. Pierce, FL 34982-5652 AO 561-462-1553 a��e APPLICATION for BUILDING PERMIT 6RTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION I. LOCATION/SITEADDRES4 i[D °lL711 1h 1{f�AU fT 10�,, � t t k9�'1 2. S/D NAME: / SITE PLAN NAME: 3. PROPERTY TAX ID #: 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 310 o N ,,A2 A H43 (CN1 t�' Lc tArV 5/ir�S � ttf� 6C2'IGA� � Cols�6mtrliJ.r� S�GT1bA ] �SSactA-{�"s? 1� C • I 5. PLAT 6. PAGE 7. BLOCK 8. LOT BOOK NO. NO. NO. 9. PARCEL SIZE: ACRES/SQ FT. LOT DIMENSIONS i i i 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTMT4 1-Yi4t0 Au- fz Rom. 3S a AZOA-c� r a rc — L% L3L to c J V I 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT: LEFT: SIDE SIDE 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [j1J OTHER (SPECIFY) —13—DESCRIPTION-OF PROPOSED USE: 14. Sq. Ft./CONSTRUCTION: 15. Sq. Ft. 1st Floor: 16. VALUE OF CONSTRUCTION:—$ ,.. 7 • 1 1 -bOd' The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated 1 value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is S2500 or more, a i RECORDED Notice of Commencement must be submitted with this application. I SLCCDV Form No.: 001-02 I CERTIFICATION: OWNER OWNER INFORMATION NAME: SAd'� �' -Mtr RsSauA�tay+ A C�JDamc rs t d rn SiTaN A�� clrr� tpr I) C ' ADDRESSES: CITY: ;t PIG�tL�15 SATE: ZIP`{r`Y� PHONE (DAYTIME): 11 Z) �FfPIP ' $ Z'TN 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: ADDRESS: CITY: OA Z� PHONE (DAYTIME): STATE: - - P_� CONTRACTOR INFORMATION (-+*Z)-44'o-gl-j(t, ST. of FL REG./CERT #: 2�C�G O(Py BUSINESS NAME: t QUALIFIERS NAME: ADDRESS: 'R 21 CITY: J L�'& SCE d -- STATE: PHONE (DAYTIME): �( 2)1�Iy' cl I I FAX N0112'I-ID 0 a° 4 ZIP is 1%- ST. LUCIE COUNTY CERT #: ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): C__) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: zip 3 n <P ir I email �- Prott t' 8. 04.1 ZIP ZIP 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: 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. OWNER/CONTRACTOR SIGNATURE CON-71aCTOR SIGNATLUZI STATE OF FLORIDA STATE OF FLORIDA r{i�j (Zldeyu COUNTY OF : xIlrh 21Ot`rC� COUNTY OF 8 The foregoing insh}iment s acknowledged . before me this i da of P k) 20 o y Wait v who is pers"]ly known to me or who has produced as identification. The foregoing instrument w acknowled ed efore m this ��ay f � , 2Q0 by ctVlo r , who is personally known to me or who has produced as identification. 49igna-tue�u-�-e, '"` 9'of Notary ' n Signature of Notary p Type 2, J arrprpEpppgp Type or Print Name of Notary `�'I` MYCOMMISSIONNDD042762 e,"i (� '' KATHERINEI.P 0 Comnal§ o. EXPIah7e 1� Commissio}t°' 62 EXPIRES: May 792005 i!i feP e aonmd1nN Notary P&M Und@nrnhn NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATUR i PLYING FOR THIS BULLING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For specific instructions see appropriate permit checklist. ST. LUCIE COUNTY r -T?LIC WORKS ' BUILDING & ZONING—EPARTMENT. BUILDING PERMIT SUB -CONTRACTOR SUMMARY 4fx''5r~'+`f 5�"iZd 165 '&3 T • W C ' will be using the (companyrrndividual name) following sub -contractors for the project located at (street address or property 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. ff1H1111HHfNf1HH1HH1f1fH1fHNNHfHf HHf H1f 111H1fff Mf f f HfffHHlNfH Fr Trade Name of Company/Contractor I St. Lucie County/ State of Florida License Number Plumbing Electrical L loll o' ggSCo HVAC/Mechanical Roofing " Gas t- i ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT �ORIOp' BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: g S State of Florida Certification Number (If applicable): EL. I ` D a3g-3 have agreed to be the (Company Name/Individual ekz1(.i (Lt C PrLL, sub -contractor for Con 12r'c i sc-e-vi QL� (Type of Trade) (Primary Contractor) for the project located at 1'-�'fv.00S OCe-IA-Ai �G00 ?Ii • AjA (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) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED 9.t�.r-�okl-t/V-- {�(�G✓L7 �o2K-ASK-� �-Ils-�� SIGNATURE PRINT NAME DATE Business Name: J)(A [�of-)s LEI, C c- Address: S.L,) — City/State/Zip:y 20 f iLAt t-i t rA, 3a9 U'a ==Phone: --- - =i 1 - of 1lr q- - - — email--- — - - _— -- OFFICE USE ONLY: l. .�. it" uw� 6EMINOLE FORM 408 fe„}7' - NOTICE OF COMMENCEMENT - _ ~PANS IN ouN.mAm State of Florida County of 1) The undersigned hereby informs all wncemod that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available) • • .... • .. • • • . • • • • ...... • • • • .........3.(oa...... .. t. ........+ .u.Y.c.c�. .�.c�v...�.s.�a ...�.�.. 4�4 -0033 Sands OKI -Tr e, DCeavi A CDrld- SeG• -q- ................................................................................................................................. General description of improvements .........................................................:. Ow nay Sas.©..1..O.C�r�?.i./J.c►�47o�t��tV V�1...5.EC�U..I... Address .... kS.S.,ac.U.4a,-o.�-I..�. . `....... Owner's intn:vaii 6-, ak,& of :he im.p.0vom..ent ... !� /� .................. Fee Simple Title holder (if other than owner) Name....................................................... Address .!/Q4.................................................. _ a*v_ ............................. EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT I SAINT LUCIE COUNTY FILE .4 2549632 02/03/2005 at 09:09.NM I OR BOOK 2151 PAGE 1197 - 1197 Doc Type: NC RECORDING: $10.00 I Contractor .. C'6 CV C . LO>.1\CY; \ I } -?. i-! .......................................................... . Address ..1 .... ....'Ve;!!t5�...`.!!:'.....�Ls.-6..��.. .. ..1..(�e...3�.. . .(f"Li ................................... Surety(if J.any)/ �QS........................................................................................................:. AddressO. A ................. ........... 4......................... ........... ............. Amount of bond S %J/X...... Any person making a loan for the construction of the improvements: Name.Y-. /................................................................................................................ Address..!................................................................................................................ Person within the State ofFloridadesignated by owner upon whom notices or other documents may be served: - Name ..Li C- i `............................... ......... .F........ .®........... ................... ...... q J ........Addreas...2.32�?..................... . In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) Ih), Florida Statutes. (Fill in at Owner's option). Name.........l) . /:........................................................................................................ Address..................................................................................... ....... .. .... . TNIS SPA CE FOR RECORDER'S USE ONLY I .\ ATO... ;a C? `l.... Owner _ T I' -u—. , F--.6 6 9 Sworn to and subscribed before me this .. • • • • • • . Z mo5 . ✓ . ;d.rof . /�'F B/�u --....................W.......... s: Commission #DD147129 ._ Expires: Qct 13, 21106.....1 �.... ....... HoodedThru Notary Public 1 Cr(m Property Appraiser - St.Lucie r- nty, FL Page 1 of 1 PROPERTY RECORD CARD Leon I Butler Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Map Property Identification Site Address: 3100 N A1A Sec/Town/Range: 25:34S :40E Map ID: 14/25S Zoning: Ownership and Mailing Owner: Leon I Butler Minds H Butler Address: 3100 N A1A PH A5 Fort Pierce FL 34949 J �UCIE ParcellD: 1425-608-0081- E7=9 ��'v g0Gy Account k: 8949 w Land Use: C o ' City/Cnty: ST. LUCIE COUNTY Legal Description SANDS ON THE OCEAN -SECTION 1- UNIT PHA5 (OR 1423-2350) Sales Information Assessment Final Value Total Land and Building Date Price Code Deed Book/Page 2004 Val: 273000 Land Value: 0 Acres: 0 7/31/2001 185000 00 WD 1423/2350 Assessed: 273000 Building Value: 273000 10/31/1997 100 01 WD 110812901 Ag.Credit: 0 Finished Area: 1207 SgFt 3/1/1987 113000 00 CV 0534/2963 Exempt: 25000 Taxable: 248000 TotalTax: 5411.35 Exterior Features View: ExtType: Grade: StoryHght: Interior Features BedRooms: FullBath: 1/2Bath: %AIC: BUILDING INFORMATION 3900 Ocean RoofCover. View X131 - SndOTOcnSc1 YearBlt: NT -NT EffYrBlt: 0010 - 1 Story No.Units: 1983 1983 1 1 Electric: - HeatType: - HeatFuel: - 0 %Heated: 0 ❑x RoofStrucC - Frame: - PrimeWall: - SecWall: - PrmintWall: AvgHUFI: Prm.Flors: %Sprinkled: STD 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qua1. Cond. YrBit. No. Land Use Type Measure Depth PUNT - PUD UNIT Y 1 273000 AV AV 0 1 0400-Condo N -No Land Val THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasle.org/PRC.asp?prclid='142560600810009' 4/6/2005