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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