HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER:
CONCURRENCY FEE: 15`l _ RECEIPT NO.: CERT, CAP. NO.:
ALL INTRO MUST BE COMPLETE & FILLED IN TO DE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue SC
Ft. Pierce, FL 34982-5652 A��ED
772- 462-1553 `St kLIC COUllt
y
APPLICATION ON for BUILDING PERMIT
CERTIFICATE ®f CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS:•
2. PROJECT NAME: S6 PLAN NAME:
3. PROPERTY TAX ID #:
4. LEGAL DESCRIPTI N (attach extra sheets if necessary):
5.
9.
10.
PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
PARCEL SIZE (ACRES/SQ FT.): a d)12 W OT DIMENSIONS:
11. SETBACKS
12.
OF CONSTRUCTION PROJECTOR WORK ACTIVITY:
FRONT: BACK: RIGHT SIDE:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROP
LEFT SIDE:
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
14.' SQ. FT OF CONSTRUCTION: 111A1 15. SF. FT 1st FLOOR
16. VALUE OF CONSTRUCTION: $
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right 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
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L�J itN } i J TIT. ij ,'l ," i e" N
("VVH
ADDRESS:
CITY: 41 ° *j�Q/" 0 STATE: cly ZIP:
du M
PHONE (DAYTIME): 65- bN I Ema 1:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): (�
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: /
COUNTY CERT #: 6 17�
QUALIFIERS NAME:
ADDRESS: O
CITY: STATE: ZIP:
PHONE (DAYTIME): C/M ` FAX NO. 7 4&bq5j Email: rh Q.l I 0 hP-r6+
ARCHIT/ENGINEER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): L�
BONDING COMPANY:
ADDRESS:
CITY: STATE: ZIP:
l
Nl
MORTGAGE LENDER
ADDRESS:
CITY: STATE: ZIP:
IMPORTANT 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.
+
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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 THIS 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.
OWNER R CONTRACTOR SIGNATURE
STATE OF FLORID � `
COUNTY OF Q�
The foregoing instrument was acknowledged before
me this day of 2011-1
by
who is personally known has produced
7(
s iden 'fica,
Signatu of Notar
,,,..MITI, i JUANrI•A L HALL
Commission My COMMISSION it� 11l
�- EXPI ES: June 1 I 1
Bonded Thrb Notary Public Undervniters
C NTRACT R G_N'ATVRE
STATE OF FLO
COUNTY OF �� I p
The foregoing instrument was acknowledged before
'bAme thiyk�day of ' 201V
by V I IUJY
who is personally known LZ�r�has produced
JIJMffA L HALL
MY COMMISSION N DD
---dfplR€S-June 17,
Bonded Thfu Notary Public Un
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE 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.
For specific in: tructions see appropriate permit a heeklist.
OFFICE USJl:.f ONLY BF ti o
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
AREA
FEE
FEE
(RADON)
LIBRARY
PUBLIC BLD
PUBIC BLD
PARKS
IMPACT
IMPACT FEE
IMPACT
IMPACT
:FEE
CORRECTION
FEE
FEE
GENERAL
zSCHOOL
ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED
FEE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING: / /
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
INITIALS
f i i i 1
1 ; 1
Property Appraiser - St.Lucie Cc= „+-�, FL
Page 1 of 1
Linda B Loe Record: 1 of 2
Property Identification
Site Address: 2820 LUCY LN
Sec/Town/Range: 05 :36S :40E
Map ID: 34/05S
Zoning: RS-2
Ownership and Mailing
Owner:
Address:
Sales Information
Date Price
3/5/2012 100
1 /27/2005 100
6/1/1986 10000
Linda B Loe Jade K Loe
2820 Lucy Ln
Fort Pierce FL 34981-4979
PROPERTY RECORD CARD
«Prey Next»
Spec.Assmnt Taxes
Exemptions Permits Home Print
�VICIE �0
ParcellD:
3405-802-0009-000-7.G�
Account*
40073
y
Use Type:
SF Res
City/Cnty:
St Lucie County
Legal Description
LUCY ACRES LOT 9 (0.56 AC) (OR 505-1590 : 2148-1378; 3369-668)
Assessment 2012
Code Deed Book/Page 2012 Final: 116000
0116 QC 3369/0668 Assessed: 111550
01 QC 2148 / 1378 Ag.Credit: 0
00 CV 0505 / 1590 Exempt: 50000
Taxable: 61550
Taxes: 1439.52
BUILDING INFORMATION
li 7• M9.
Total Land and Building
Land Value: 22300 Acres: 0.56
Building Value: 93700
Finished Area: 2066 SgFt
Exterior Features
View:
-
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
ExtType:
HC+ - HC+
YearBlt:
1987
Frame:
-
Grade:
C+ - C+
EffYrBit:
1987
PrimeWall:
HP - Hardi Plank
StoryHght:
0010 -1 Story
No.Units:
1
SecWail:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/26ath:
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 Depth
DWC - Driv-Concret
Y 1
2500 AV AV 1987
1 0100-SF Res
221 -Front Ft
177.67999 135.92
FEN4 - CHAINLINK 4' Y 1 90 AV AV 2009
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/pre.asp?prclid=340580200090007 3/18/2013
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
7�4-DS-- ':;�oj - 0 0 0 9 - Dock
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
r erty Owner Name (' ease 'nt)
L
roperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS I DAY OF 201
BY U, da Lo WHO IS PERSONALLY KNONA TO ME 4 OR WHO HAS
PRODUCED AS IDENTIFICATION.
1�jm�4 �V41� Had�
GN T O NOTAR P LIC TYPE OR PRINT NOTARY
COMMISSION NUMI ER
JUAWrA L HALL (SEAL)
2 r MY COMMISSION # DD 899878
EXPIRES: June 17, 2013
Bonded TMu Notary Public Underwriters
SLCPDSD Revised 08/24/2010
Monday, Mar 18, 2013 12:40 PM