HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE INFO MUST BE COI ' ETED FOR APPLICATION TO BE ACCEPT. ��
Date: I y SCANNED Permit Number: O
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 V.
PERMIT APPLICATION FOR:
Address: J �Jpy- r-
II
Legal Description: (e ci, cV Ld� Vj,,j
Zt?1 er 9,J J w ��.'Co N ZM'C_rr Co ' S)d r-
- 4 L.
Property Tax ID #: 3S «'-a%�51- r�(aC� - Z Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks ' Front Back: Right Side: Left Side:
�rN^o�2 . L7e�PF4J :�.er1K-- 2= RcQI<ce
�di��I New w:n��ewS
u�
Aclamono wor to a pe orme under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
r '
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: J0()
F
Cost of Construction: $ Idr do() Utilities: '—Sewer _Septic Building Height: \O l
Name :t NdffMName:
iw
Address: 8i CV r
Company: "k,- avi d�
City: Wwtee- State: +6
Address: b bLA c O
City: 16A- Vverw state: r l
Zip Code: 3'kq ( Fax: %���L�OSD
Phone NO i
Zip Code:-34'1 '%Z Fax:
Phone No, 7%Z' L� �5
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail -
State or County License
from the Owner listed above) r•_;. , ,
If value of construction is 2500 or more, a RECORDED Notice bf commencement is required.
_. y
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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
im ovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
beffVre the first inspection. If you intend to obtain financing] consult with lender or an attorney before
commencing work or recording vour Notice of Commence ent.
Sig ture of Owner/Agent/ Lessee/Contractor
Sig ure of Contractor/License Holder
STA E OF FLORIDA ((��
COUNTY ��Li`C
e
ST TE OF FLORIDA
OF J
1 > .
C NTY OF
The forgoing instrum was acknowledgeEbefore e
The for ing instrum c nowledge fore me
this day of
20
this i ay of _� 20� y
Oka -
—
(Name of person ackn [edging)
(Name of person acknowledging)'
(Signature of Notary Publ - a
of Florida)
(Signs ure of otaryu Ic- St a of Florida )
qp,
Personally Known OR eclldenti$g�
Type of Identification 'i "` tltcoM,y3egl� # UPP
Personally Known 0 (Iced I e�uf ori'=- _• .. -
"type of Identification I * MY COM6pSSICI �U r
EE
Ff
"%?'a•• a° EXPIRES:
Produced
L Af"t •` Bond_ThNNS AP 112, 20530
Produced q ..
'< W17c„ ,
Thm
o�tYPu6lic Un tlenv(etg
';; Notzy Public
Commission No.
Seal
( )
Commission No. (Sea
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE .
MANGROVE
COUNTER
REVIEW
RE IEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
`ILIZr
c
RECEIVED
DATE
COMPLETED
nev. r//U.iv
JOSEPE E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE N 4010035 OR i, `� 3666 PAGE 2176, Recorded 11/03/20111` : 09:02 AM
i
FERAIFTI: i J
NOTICE OF COMIKF:NCEmim
The undersigned hereby given notice that improvement wdR he made to cabin and property. ad in xcmk= with cbvta713.
Fladdastamtea the foilowing Wh maton is provided In theNotimofcoo®enamenL
I. DESCRIPTION OFPROPERTY((<ga(desaiption and ebeCadd.) TAXFOL10NUMBER:W-3ti1-W$
6. SURETY'S NAME ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7.Persons WdUnthe Sm OlFloddad®grukdby Own VMwhomnotiwsonolhadoonmenbmaybeservedwpruridedby.
Section 713.13 (IHa) 7, Florida Statutes:
NAb1E,ADDRESS AND PRONENMOM
S. In additim m himselfon basil{ Owner daigontn the fonmivg toreceive a copy ofthe Ueam's Notice as provided in Section
713.13(IHb), Florida Statteec
NAI118, ADDR VVS AND PHONE NUWWM
9. @ryifetiondete Ofwflwafcammeoameot (the eaphaOm data is 1 Year fiwmthe dare ofrewNingmless a di remntdate is
Sign of OwDer",
OwDa'a A W haAsed OIDn�DlertodPsemv/Muager
SreraofFloyd+
County of „�J{� uC1Q
3
6kAira A!, glimaiZi
PdDDName and ProMde Slpdu-y sMadMm
e6 V Iv Sc�
dNameof) otayPoblie) (SigsabueofNolaryPrblic)
Undapenaltia of pmjmy, I declare Wd I have read the fmplag and that the face in it am tore m the bat of my Imowledge and
belief (section Suss. Nocida Statutes).
Slg®bm(l) ofOwDa(f) er Owner(sYAutbariaed Omw MhVcrofNarbwrAfaoageewbo dgoedabova
Date..
NSW 0:3 cu_ it
Property Appraiser - St.Lucie Colixity, FL
Page 1 of 1
PROPERTY RECORD CARD
Ernest Merrill Record: 1 of 2 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address: 8261 S INDIAN RIVER DR
.
O
G
Paont
town/Range: 18:36S:41E
#:
115807Sec
Map ID: 35118S
Use Type: SF Res. -
Zoning: RE-2
City/Cnty: Saint Lucie County!
Ownership and Mailing
�`Ce ah •'s ri t" rope
Owner: Ernest Merrill Judith Merrill
8 36"411F - M NE CDR OF GOV LOT 4 RUN SELY ALONG RIVER
MOT,
Address: 8261 S Indian River or
TH RUN W // TO N LINE OF LOT 4 570 F
Fort Pierce FL 34982-7862
More...
Sales Information
Assessment 2014 Total Land and Building
Date Price Code Deed
Book/Page 2014 TRIM: 126100 Land Value: 32900 Acres: 1.09
3/24/2000 148000 00 WD
12891205 Assessed: 125759 Building Value: 93200
10/1/1981 19000 00 CV
0365 / 2051 Ag.Credit: 0 Finished Area: 1736 SgFt
5/1/1980 7500 00 CV
0331 / 1285 Exempt: 50000
Taxable: 75759
' Taxes: 1678.07
BUILDING INFORMATION
.ii
jt
Exterior Features
View: -
RoofCover:
ExtType: HC - HC
YearBlt:
Grade: C - C
EffYrBlt:
StoryHght: 0020 - 2 Story
No.Units:
Interior Features
BedRooms: 3
Electric:
Ful[Bath: 2
HeatType:
1/28ath: 0
HeatFuel:
%A/C: 100
%Heated:
Special Features and Yard Items
Type Y/S Qty.
Units Qual. Cond.
YrBlt.
PA01 - POOL DK-AVG Y 1
664
AV
AV
1983
SWAV - RES POOL AVG Y 1
512
AV
AV
1983
DWC - Driv-Concret Y 1
600
AV
AV
1983
FNW4 - WOOD FEN 4' Y 1
132
AV
AV
1999
SD - Dim Shingle
1983
1983
1
MX-MAXIMUM
FHA - FrcdHotAir
ELEC - Electric
100
Land Information
No. Use Type
1 0100-SF Res
RoofStruct:
Frame:
PrimeWall:
SecWall:
PrmintWall:
AvgHUFI:
Prm.Flors:
%Sprinkled:
GA - Gable
WS - Wood/Sheath
DW - Drywall
CU - Carpet
0
Type Measure Depth
215-Front Ft 158 300.89999
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.paslc.org/paslc/prc.asp?prclid=351834100050002 11/3/2014
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NOTE: SURVEY DRAWING ORIGINALLY'PREPARED
BY BETRAM GROUP, INC. ORDF-R NO.
81-229�IDATED II_18_gl q SHEET I OF 2
TM
ENGINEERS • PLANNERS- SURVEYORS
921 NORTHEAST COMMERCIAL STREET JENSEN BEACH, FLORIDA 33457 .
(305) 334-1800 • 465-6380
NOTE: THE SURVEY SHOWN HEREON COMPLIES WITH THE MINIMUM iiEdU1REMENTS
OrswnBy:RAY A.NDERSON FOR LAND SURVEYS MADE FOR TITLE PURPOSES IN FLORIDA,'AS DEVELOPED AND
Dote: 4 -27-64 A SEARCH F THE PUBLIC RECORDS HAS NOT BEEN MADE. BY THIS OFFICE. '
Raviaed:.>
I HEREBY CERTIFY that the plot shown hereon Is a true and correct repraeantatiorrof a eurvo mode under
Order Number:84-082 direction and that sold survey Is accurate to the hest of my knowledge t
of and Ch o shown, there are no encroochments. NOT VALID unleae eoeled withSED
Piet Book^ Page Field Book 24 A ScaleI " a 60' 810NAL LANO SLI VEYOR
FLORIDA CERTIFICATE NO. 3988
R.L.A. 3/83