HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY: � r
DATE FILED:
PLAN REVIEW FEE: I RECEIPT NO.: I PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
SCANNED Ft Pierce, FL 34982-5652
B Y 772462-1553 g
St. Lucie County
APPLICATION for BUILDING
PERMIT
53.E -1
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: St&# N A►A 4' 1a3 i 1{trttHrfvSctn► I SCAW0 4 %t
2. PROJECT NAME: CwolStGIFJt/CrC SITE PLAN NAME:
3. , PROPERTY TAX ID #: 14 t q —60 - 00t3 ' 000 - G
4. LEGAL DESCRIPTION (attach extra sheets if necessary): SAYN IHOW OCEANS 7yaueRS Qy/L PiA4 A
9. PARCEL SIZE (ACRES/SQ FT.):
LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Kt2N-JEN ReAmArrC+J —
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11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION
[ ] RESIDENTIAL
[ ] OTHER (SPECIFY)
[ ] EXPANSION/ADDITION
[ ] COMMERCIAL
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION:
16. VALUE OF CONSTRUCTION: $ /O, OW . `4
[4-__ TERIOR RENOVATION
[ ] INDUSTRIAL
15. SF. FT 1st FLOOR:
The value of construction is used to determine the amount of permit fees to be assessed St. Lucie County reserves the rigbt to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6)25/09
OWNER INFORMATION
NAME: L ENA CMo I
ADDRESS: Sa6f tJ AI A . !t
CITY: ISLA-r-o STATE: rz ZIP: _ _J"ggf
PHONE (DAYTIME): C"W 443 - %1(v j Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER: rj / A
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): (__)
CONTRACTOR INFORMATION
ZIP:
I') ae (\/a
ST. of FL REG.CERT #: 66C 1571620 7 ST. LUCIE COUNTY CERT #: v
BUSINESSNAME: T-AoPltift- Dizem,riS )ZjavovA-rrcwS
QUALIFIERS NAME: eA - NyvK[ tN
ADDRESS: 2q i rg-ca.A ,SE iE S"
CITY: Fftmn 6-fty STATE: FL zip: ?2 go q
PHONE (DAYTIME): (7Z) '? J�9 ? Z FAX NO. , f ZI - 98N- Z235 Email: 790AGpQEAM 24f a Axxah
ARCHIVENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY: At
ADDRESS:
CITY
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
STATE:
ZIP:
MOO
ZIP:
E"ORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE 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 YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF TIES PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
STATE OF FLORIDA
COUNTY OF MICC%Cell
The foregoing instrument was acknowledged before
me this ")Z day of 20 ) 5 ,
by �fl
who is personally known or has produced
00(d tVWS i rfS as identification.
� D✓I�ICQ_
Signature of Notary
SIGNATURE
STATE OF FLOAl
COUNTY OF L L Ca -�
The foregoing instrument wasacknowledgedbefore
in his day of 1 A ` W , 2 (( ''
'CYJ�c1 K 1�
by
who is personally known
or has produced
MY COMNUION # EE 083530
OLIVIA LOWRANCE A::;; EXPIRES: April 12, 2015
Commission No. Lt T %p )-7C1 NOTARY PUBLIC Commission No. ;R` ; ( q hru Notary Public Underwril
STATE OF FLORIDA
CC�omme#sEES70179
NOTE: TWO (2) SIGNATURES ARE REQUIRErEAGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
Signature of
For specific instructions see appropriate permit checklist.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable): 9-C Coo0 r
C0M MF4t r 14 L G�ee flejc Qc, vMX 044A .Q have agreed to be the
(Company Name/Individual Name
let Ecn2 ►cm, sub -contractor for 1206 a -r Fx)wKG.In1
(Type of Trade) (Primary Contractor)
for the project located at _ S& 1 fJ ArA * 163 , Flvm", xgew 1Sci4-rd0,&
(Project Street Address or Prbperty Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
REQUIRED
�iA& CO FA4W4F a M11 1
PRINT NAME DAM'
Business Name: 4!!�ar{4MORC1 RC &ecneiC ". /'V A11Yr1EA.4W-C
Address: 2 f ► 1-MV4 A402.
City/State/Zip: PftfA GAY F4 319001
Phone: 32 I �' S) - q �6 email:
OFFICE USE ONLY:
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE COMPLIANCE DIVISION
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
JACo"14—09—eA ^d Pew. / Roe e2l-Ipm be using the following sub -contractors for the
(CompanyAndividual Name)
project located at SCGfo l N AAA * t03 , H-urefftr song lsco r4 i ft
(Street address or Property Tag ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
C OM M P�2C C
�
G OOOO.91S"'
Plumbing
HVAC/
Mechanical
Roofing
Gas
USE ONLY:
IIPivuMBER: I I ISSUE DATE: I II
Property Appraiser - St.Lucie Cr„mty, FL
Page 1 of 1
PROPERTY RECORD CARD
Lena Choi Record: 1 of 1
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Property Identification
Site Address: 5061 N Al 103
ParcellD: 1414-601-0003-000-0
G,y
Sec/Town/Range: 14 :34S :40E
Account #: 7180
Map ID: 14/14N
Use Type: Condo
Zoning:
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner: Lena Choi
BRYN MAWR OCEAN TOWERS BUILDING A UNIT 103 (OR 3437-
Address: 206 Dinnick Crescent
1255)
Sales Information
Assessment 2012 Total Land and Building
Date Price Code
Deed
Book/Page 2012 Final: 100800 Land Value: 0 Acres: 0.02
9/20/2012 114000 0002
WD
3437 / 1255 Assessed: 100800 Building Value: 100800
6/19/2005 280000 00
WD
2252 / 0419 Ag.Credit: 0 Finished Area: 1251 SgFt
10/25/2000 87500 00
WD
1337 / 2480 Exempt:
9/5/1996 85000 00
WD
1035 / 2241 Taxable:
12/27/1995 80000 00
WD
0993 / 2837 Taxes: 2039.32
4/6/1995 74500 00
WD
0950 / 1571
3/1/1988 75000 00
CV
0581 / 2072
BUILDING INFORMATION
77
3
Exterior Features
3900
View:
Ocean
RoofCover: -
RoofStruct: -
View
ExtType:
X021 - BrMaOcToBA
YearBlt: 1984
Frame: -
Grade:
X21 B - BrynMawrB
EffYrBlt: 1984
PrimeWall: BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units: 1
SecWall: -
Interior Features
BedRooms: 2
Electric:
-
PrmintWall:
-
FullBath: 2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/2Bath: 0
HeatFuel:
ELEC - Electric
Prm.Flors:
-
%A/C: 0
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty. 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/paslc/prc.asp?prclid=141460100030000 3/13/2013
Permit No.
State of Florida County of St. Lucre
�'NOTICE OF COMMEt
Tax Folio No.
JOSEPH E. Sl,, , CLERK OF THE CIRCUIT COURT
SAINT LUCIE LcjuNTY
FILE # 33I07S7 03,13.-013 at 04:17 PM
IR BOOK 3494 RAGE 1541 - 1541 Doc -ype: NC
RECORDING: S10.c0
The undersigned hereby gives notice that improvement will be made to certain real property, ana in accordance witn Cnapter713, Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property: (and street address If available):
ggy ! M*L4R Cjc mj%4 nwan< IqultDir.t R VN/T IG3 Si76► NAll9 lU3. /fvTzHrn►SCN /SJ;14NG
General description of improvement: KI1J<M£04 Q9AZVA-T►Cr)
Owner information or Lessee information if the Lessee contracted for the improvement:
Name ` I
Address M #/A *14?, HtjTtfMxkSON IS&Amb . Jql
Interest in property: /GOT To
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: Tka tc*l- (OKOl9MS RZJ00✓AT10AJS
Contractor Address: ZNI TNc2/4v[/ Wflt JAIL.M 4ptVr R J2iO4 Phone Number: 9*Z aS =39Z
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: N Jp Phone number: _
Lender Name: N JA Phone Number:
Lender's address:
Persons within the ices or er ocuments may be served as provided by Section
713.13(1) (a)7., Florida Statutes:
Name: 04A Phone Number:
Address:
In addition to himself or herself, Owner designates /yli4 of
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified) / I !C r ! 2a1 ,S
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECDRDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare at I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
belief my knowledge and ,/% �j//
e of Owner (Sr Lesire e, or bwner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me this day of Cb
tqw , 201
Le x is u t1 % as � ( for Lena Cl'Z p',
Name of Person Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
�� a :�Rayl U� Personally known_ or produced Identification-L.
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public) Type of Identification produced nA-6r; z)d CoAc L>2ct'11xS
U i ;via Lc,>v-rt n ee
L-Ccel%nPX--
OLIVIA LOWRANCE
NOTARY PUBLIC
STATE OF FLORIDA
Comm# EE870179
Expires 1 /30/2017
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& at,i teevcgez c.-t,nez
[Vl'diritensions Sze ecm8nations
given are sabjeot to vetification on
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ST, LUCIE COUNTY
BUILDING DIVISION
REVIEWED
FOR C 4PLL&NCE
REVIEWED BY % L
DATE 3 -
PLANS AND PERMIT
MUST BE KEPT ON JOB OR
NO INSPECTION WILL BE MADE
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Thia 15 an original design And must Tbesig led: 2- I/2o13
not be Mumsed or copied unless Printed: 714/2013
agplicabIo fte has been paid or job — -
order placed,
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