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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