HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE INFO MUST BE CON, fED FOR APPLIC4TI6-1 TO BE ACCEPTEf p
l
Date: SCANNED
^ 2 Z n I /Ste/ 44? i� Y ^ Y Permit Number: � '
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
PERMIT APPLICATION FOR:
Address: _ 1 0 l O Z
IR «r4c a, I
Residential _X
Legal Description: ��} )a„iisGondo,,ini, )3LD6 A 14-7S03/9- 10VD PP-O-RAy69
S 4)OF.£ zr-/V Cn0. 0, E/e».an�St/ 02 36f6- 'zs2-s 1'2-lq -'z-Y 0 q )
Property Tax ID#: Sys 0 Z- $02- 00 yo-6®o- 7 Lot No.
Site Plan Name: Block No.
Project Name: * _4 -1 w h 71
Setbacks Front Back: Right Side: Left Side:
_Mechanical
Electric
_ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction; $ 1 0 0 ^ 0 0
_Sprinklers _Generator _Roof
Sq. Ft. of, First. Floor:
Utilities: _Sewer _Septic Building Height:
a _
Name J!�e v l h K 1 vi 2R
Name:
Address: g 6' i C o c KS-,- I DF -
Company:
City: i=kl (f StateV�
Zip Code:2---06 Fax:
Phone No. -) o 6 Y 9 %
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: Nevii,P) (-f rh 4 C o/v,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
NEER: Not
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
rlty
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
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; your Notice of Commencement.
Signat re of Owner/ -Agent/ Lessee/Contractor
Signature of Contractor/License Holder
STATE OFFLORID
STATE OF FLORIDA
!
COUNTY(
"p< •••7
COUNTY OF
The for oing instrument was acknowledged before
3
The forgoing instrument was acknowledge efore me
thls� day of20& by
e m 8 o
this _ day of _ by
9
Z�
S_Nn
YJ P
u IN
Pl=
(Name of person acknowledging) ag $
(Name of person acknow dging )
I
(Signature of 146tary Public -State o Florida
otary Public- State of Florida )
Personally Known OR Produced Identification `�
/Personyn OR Produced Identification
Type of Identification
ation
Produced 1 •at Jd' jb'
ll2
Commission'No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.//Z014
DISCLOSURE STATEMENT ,
F S, 489 503;(�,EXEIVIPTIONS
State law requires electrical contracting to be done by licensed electrical contractors 'YOU have applied for a
hermit underan exemptionaatlaw.=n*e;eiremption allows you as the owner ofyoui property, to act as your own -
electrical contractor eyen though you do not have a license. You may install electrical wiring for a farm outbuilding
or:ja single-family or duplex�residence. You may inFtatl etanf 4�5t , t_ -„-
maynot bebuilY for sale:orlease. Ifyon self or-leasemore:than onebuildm ssvV �Y�Vr 1L g you wired yourselfwithm l,year
-'
after the construction is .complete, the law will presume thatyou.built it forsake or_lease, whicil:is.a vio]ation oftiiis
exemption Y.ou maynot.hffe an unlicensed per'sonas.your electricalcontiactOr_ Your construction shall.be done
acoordmg to building codes.and zoning: regulations. It is.yoi r responsbbility to make, sure that people employed by ,
you have licenses required by state law and by county or municipal licensing_ ordinances.. Failure to do so may result
=.. in.a liability for you!
To qualify for this exemption under this subsection, an owner mustpersonally appear and snhebuidinpermit application: g
Lhereby acknowledge that I have read and understand the above disclosurestatement and that I
further understand,thatany violation -of the terms of the owner/builder exemption shall be repo
Corted' by the-
mmumty Development Director the Florida State Department of Professiona112egulation .Signed and
kn acowledged on this. day of _ilf '.In 9-n J, r 20 ' �G ,
OWNER7BUILDER SIGNATURE.
STATE OF:FLO
COUNTy.OF y�
The, foregoing instrument was acknowledged before me this. yday of // / j20
-.
by aOh Cll:/ i/l i� _ who is personally lmown to me or has produced as Il t 1��1_t 77 t Q � identification.
Title: Notary Public Commission Number
SLCPDSD Revised 7/23/2010 - ••;r:'y AUDREMHUMPHREY
x4 • •g
,.. r oc0M6116911NkEE061159
St Lucie County Owner Builder Affidavit -Electrical Conuac&g •`.: EXPIRES March 6, 2015
�""'tj,'••••'B,dedThNNdary PubI0UudefftM
• AR.i�
Property Appraiser - St.Lucie (^nnty, FL
Page 1 of 1
PROPERTY RECORD CARD
Kevin J Kunze Record: 1 of 1 <<Pmv Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
CIE'
Site Address:
10102 S OCEAN DR 503A
ParceIID:-45gY-802-0040:00937
Sec/Town/Range:
02 :375 :41 E
Account #: 122309
Map I:
45/02S
Use Type:
Cando
Zoning:
City/Cnty:
Saint Lucie County
Ownership and Mailing
Legal Description
Owner.
Kevin J Kunze Terri M Kunze
EO.f1DO111R119%SrOGF) U, NI 5039-AND:PR_ l�A
Address:
9621 Locust Hill Dr
S to 2 It1'r•:O7viM0'�`°E2t ENi'S (ORT399 - 525. 21 2 0 r
Great Falls VA 22066
Sales Information
Assessment 2014 Total Land and Building
Dale
Price Code Deed
Book/Page
2014 TRIM: 154700 Land Value: 0 Acres: 0.02
9/1712014
179900 0001 WD
3673 / 1634
Assessed: 154700 Building Value: 154700
8/11/1996
100 01 QC
1219 / 2409
Ag.Credit: 0 Finished Area: 1053 SgFt
12/1/1982
85000 00 CV
0390 / 2525
Exempt:
10/1/1979
45000 00 CV
0318 / 2580
Taxable:
8/1/1978
84600 00 CV
0292 / 1210
Taxes: 2900.13
1/1/1978
36000 00 CV
0283/2531
BUILDING INFORMATION
Exterior Features
3900
View:
Ocean
RoofCover:
-
RoofStmct:
-
View
ExtType:
X005-AtltCondBldA
YearBlt:
1978
Frame:
-
Grade:
X05A-ABanlisBdAA
EffYrBlt:
1978
PdmeWall:
BS - CB Stucco
StoryHght:
0010-1 Story
No.Units:
1
SecWall:
-
Interior Features
Bed Rooms:
0
Electric:
-
PrmintWall:
-
FullBath:
0
HealType:
-
AvgHt/FI:
STD
1/213ath:
0
HeatFuel:
-
Prm.Flors:
-
%A/C:
0
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S
City. Units Qual.
Cond. YrBlt.
No. Use Type
Type
Measure Depth
1 0400-Condo
N-Unit
0 0
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/pasle/pre.asp?prclid=450280200400007 11/24/2014