HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE INFO MUST BE COMPLEr ;:OR APPLICATION TO BE ACCEPTED
Date: \ l_T SCANNED Permit Number: ktA `OaGS
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential --
PERMITAPPLICATION FOR:
Address: S 1100r—
Legal Description:
Property Tax ID #: 3 q D GDCD - oo&o — 0DD
Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
HFJ f9/, l5ig 7`0 C e�s �i/'Gt 1'`e,
F
Additional work to be pertormed under this permit— check all tat app y:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of ConstructioD: Sq. Ft. of First Floor: '
Sf' o
Cost of Construction: $ Utilities: —Sewer _ Septic Building Height:
Name J e- Sr �v¢2 -iati a
Name:
Address: Sn�� /a/n.e� 0� `
Cornpany:
7State:
City: F� /�. erce State: Fl—
Address:
Zip Code: 34Fax.
Phone No. 772-) nZ� �Lll S�� ��L15
City:
Zip Code: Fax:
E-Mail:
��i Far! 1-7 f�141,cv, Co�
Phone No
Fill in fee simple Title Holder on next page (if different
E-Mail
State or County License
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DESIGN
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City: i City
Zip: Phone: Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain`a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit,holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency.review: room additions,
accessory structures, swimming pools; fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure 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 obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
Si ature of Ow rLessee/Contractor
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5'� .y-yc��
COUNTYOF
The forgoing instrumenqt was acknowledged before me
The forgoing instrument was acknowledged before me
thisU day of N OV 20A� by
this _ day of . 20_ by
S8'e, W skin zYnaY\
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Pub' -State of Florida)
(Signature of Notary Public- State.of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification
of a 'fLatLon`
�D Siy�N0 FI°'o
Troduced entification
ProducType
ed pEaNNA
2
Commission No. �a:^•, NolacY POE,E4 es Oec1 bi
E� . �.; M�S�f p EEa`'B PS
mmission No. (Seal)
�omm�ssio Nat10 NOwl
•p
e�tWo
.. of ::•` -
.
REVIEWS
FRONT
ING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev.//LU14
sS
v WATER COIGIM
ST.� CIE CO TY UTH MES - P.O. BOX 728 FT. PIERCE FL 34982
RES
SEWER
NIvIE% a
METER SZ. M/F
J'�' �,y} /pj (Z ��/ /�)
1.
ACCT #
IRR
0
u
ff
00 �R l e� r
$ r 0 SECURITY DEP
r SERVICE�I�DRE S$ "'d` I
,.
VU
31�e SERVICE FEE
F �i'r�rre
, F L 3 Y g 0
SAME DAY FEE
'Sim,P✓�SION''
OVERTIME FEE
u ri�
eV'OUS OWW-9-METER INSTALL. BILIINGADAIiEs3 ,'
CFC/WATER
FPUA CFC
%MOVE DATE
IN/CLOSING
CFC/SEWER
ibis application hereby request and authorizes. the Utility to render water and/or sewage disposal
GUAR. REV.
services to the premises described above in accordance with the Utilities present or future rates,
LATERAL
rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance witty the established rules and regulations.
TOTAL
CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.
CUSTOMEIF 'S% '"
r ,�, v SOCIAV EC
d l o y J S d�O
SIG�IAT.URE �
r ? FED ID ,
NAME OF SPOUSE
SPOUSE SOCIAL SEC.
ryy
/
OFFICE USE ONLY
RECEIVED BY
DATE RECEIVED O /✓
CASH CHK #1
t
Property Appraiser - St.Lucie Co... P , rty Appraiser - St.Lucie Co...
Page 1 of 1
PROPERTY RECORD CARD
Joe M Stutzman
Record: 1 of 1
<<Prev Next>>
Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
}1CIECO
Site Address:
5400 PALMETTO
DR
ParcellD:
3402-606-0060-000-1
a�li
!�t
Sec/Town/Range;
11 :36S :40E
Account #:
36904
<
Map ID:
34/11N
Use Type:
SF Res
A4`-
Zoning:
RS-3
City/Cnty:
Saint Lucie County
Ownership and Mailing
Legal Description
Owner:
Joe M Stutzman Dorothy
W Stutzman
INDIAN RIVER ESTATES -UNIT 05-BLK 22 LOTS 1 AND 2-LESS E 150
Address:
5400 Palmetto or
FT -(MAP 34/11 N) (OR 3667-1981)
Fort Pierce FL
34982
Sales Information
Assessment 2014 Total Land and Building
Date
Price Code
Deed
Book/Page
2014 TRIM: 93000 Land Value: 13600 Acres: 0.45
8/28/2014
110000 0001
WD
3667 / 1981
Assessed: 93000 Building Value: 79400
7/15/2013
83500 0112
SP
3641 / 1080
Ag.Credit: 0 Finished Area: 1587 SgFt
6/4/2013
100 0112
SP
3541 11079
Exempt:
5/15/2013
51000 0112
CT
3519 / 0177
Taxable:
8/8/2001
100 01
QC
1428 / 0323
Taxes: 1725.5
1/26/2000
0 04
FJ
1276 / 2948
6/25/1999
75000 01
WD,
1235 / 2808
1/5/1998
69900 00
WD
1121 /0479
11/21/1996
76900 00
DE
1047/2315
9/8/1995
100 01-
WD
0973 / 2961
3/1/1985
11000 02
CV
0450 / 1628
LPII_ILUI:CH IID Y9:1 PJa�I[�7:1
Exterior Features
View: -
RoofCover:
FS - Fibrglss Shg
RoofStmct:
HP - Hip
ExtType: HC - HC
YearBlt:
1985
Frame:
-
Grade: C - C
EffYrBlt:
1985
PrimeWall:
BS - CB Stucco
StoryHght: 0010-1
Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms: 2
Electric:
MX- MAXIMUM
PrminlWall:
DW- Drywall
FullBath: 2
HeatType:
FHA - FrodHotAir
AvgHt/Fl:
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.
YrBlt.
No. Use Type
Type
Measure
FEN5 - CHAINLINK 5'
Y
1
70
AV
AV
1990
1 0100-SF Res
BCS -Front Ft
132
EN02- POOL ENC-AVG
Y
1
953
AV
AV
2001
PHTR - POOL HEATER
Y
1
1
AV
AV
2001
SWAV - RES POOL AVG
Y
1
392
AV
AV
2001
PA01 - POOL DK-AVG
Y
1
561
AV
AV
2001
DWC- Driv-Concret
Y
1
1500 AV
AV
1985
UTL3 - UTILITY AVG
Y
1
120
AV
AV
1999
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
Depth
150
http://www.pasle.org/pasle/pre.asp?prelid=340260600600001 11/20/2014