HomeMy WebLinkAboutSUBMITTED PAPERSOrFICE.U..SEbAY.:
DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.: _
CONCURRENCY FEE: RECEIPT NO.: _
7 Age G9At V60 qib i
ALL INFO AUST BE COMPLE
1.
2.
3.
4.
PERMIT NUMBER:
CERT. CAP. NO.:
� ]FILLED IN TO ]BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
EIJILbING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553 CANNED
1-.)Y
St, Lucie COun(y
APPLICATION for BUILDING PERMIT
CERTIFICATE ®f CAPACITY/ZONING COMPLL4NCE
PROJECT INFORMATION
LOCATION/SITE RESS: J� �—
PROJECT NAME: SITE PLAN NAME: _
PROPERTY TAX ID #: ;:2ar-Q -'� D�
LEGAL DESCRIPTION (attach extra sheets if necessary):
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO.
9. PARCEL SIZE (ACRES/SQ FT.): I A✓v/ LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF COIZISTRUC!TION PR
�;-XSC>
11. SETBACKS (ACTUAL) FRONT: 5115— r BACK:
ACTIVITY:
8. LOT NO.
RIGHT SIDE: 02 % O LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1 st FLOOR: .S I
Ll
�U
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 tho valucis $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
OWNER ONFOR NATO
NAME:e�—
ADDRESS:
CITY: STATE://,L ZIP: 3
PHONE (DAYTIME): �� ? %v '�'Z.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:
ADDRESS:
CITY: ATE: ZIP:
PHONE (DAYTIME): (�
ST. of FL REG. CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME): (_)
ARCIRVENGINEER.
ADDRESS:
CITY:
PHONE (DAYTIME): ( )
BONDING COMPANY:
ADDRESS:
CITY:
STATE:
FAX NO.
STATE:
STATE:
COUNTY CERT #:
ZIP:
Email: ,
ZIP:
ZIP:
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.
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 OR CONTRACTOR SIGNATURE CONTRACTOR SIGNATURE
STATE OF FLO STATE OF FLORIDA
COUNTY OF -L U CIA-2_ COUNTY OF
The foregoing instrumewas acknowledged before The foregoing instrument was acknowledged before
me this day of �J 20 1 11 me this clay of . 20
by ` �c by
who ' personally known or has produced who is personally known or has produced
.�Midoentific n. as identification.
Signature of Ncgry Signature of Notary
y„
Commission No. ` (S Commission No. (Seal)
%�••....• :� A7YCO,U1r1� �nY H1JF~ra`;
Bondd -rh,.0 S;'p ,d 083530
htiNot2 12 licU2G16 1€
�YPubt�ds,yzi� r`~
NOTE: TWO (2) SIGNATURES ARE REQ TEACH SIGNATURE MUST BE NOTARIZED, IF APPLYING FOR
THIS BUILDING PERMIT AS OWNER BfTILDER, THE OWNER MUST PERSONALLY APPEAR .TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THV FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific flnptlrucflons see ap1propriate perM t heddisto i
't .
OFFICE USE ONLY Bp ' .-_ -
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
IST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
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
SCHOOL
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
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
E
EIVED
E
PLETED
f
IALS
� 1 4 i 1 1
Planning & Development Services Department
Building & Code Regulations
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553 -
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even
though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You
may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of
under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially
improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building; it is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all applic_abl� laws,
ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on how to meet
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction project -
they may be entitled to workmen's compensation. I could be held liable for. all doctor, lawyer and relate err ical
cost, which could include loss of wages during recovery from their injury. Initial l
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
Z�4 Departs to the Florida State Department of Professional Regulation. S' ed andAcknowledged on this
ay of of 20 A.
OwnerBuilder Signature
STATE OF FLORID n
COUNTY OF
The; Fegoing ins ument was acknowledg be
b ��
produced
e e thi / day o 20
�rsonally known to me, or who has
Property Appraiser - St.Lucie Cow', - .
FL Page 1 of 1
PROPERTY RECORD CARD
Charles H Paschal Record: 1 of 3
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Property Identification
1 rt
Site Address: 500 Coker Rd
ParcellD: 2309-332 000;1,j000 \��v�CIECpG
Sec/Town/Range: 09 :35S :39E
Account #: 13290
Map ID: 23/09S
Use Type: IMPRVD AG
Zoning: AG-2.5
City/Cnty: Saint Lucie County '
Ownership and Mailing
Legal Description
Owner: Charles H Paschal Pamela Paschal 9 35 39 THAT PART OF SEC MPDAF: FROM SW COR OF N 1/2 OF
Address: 500 Coker Rd
SW 114 OF SW 1/4 RUN N 89 42 32 E 44.50 FT,T
Fort Pierce FL 34945-0000 More...
Sales Information
Assessment 2013 Total Land and Building
Date Price Code Deed
Book/Page 2013 Final: 221900 Land Value: 150900 Acres: 7.94
7/27/1992 100 01 QC
0802 / 0553 Assessed: 113900 Building Value: 71000
3/1/1987 0 01 CV
0535 / 2143 Ag.Credit: 108000 Finished Area: 2446 SgFt
12/1/1985 40000 00 CV
0484 / 2992 Exempt: 50000
Taxable: 63900
Taxes: 1475.55
BUILDING INFORMATION
(eoo)
b
R��bl: Bw9
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ry p
Exterior Features
View:
-
RoofCover:
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtType:
HD -HD
YearBlt:
1976
Frame:
-
Grade:
D - D
EfIYrBlt:
1977
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
2
Electric:
AV - AVERAGE
PrmintWall:
PB - PANEL BOARD
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
STD
1126ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CG - CONC GRD
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and
Yard Items
Land Information
Type
Y/S Qty. Units
Qual. Cond,
YrBIt. No. Use Type
Type
Measure Depth
OHD - OHD AVG
S 1 300
AV AV
1987 1 5000-IMPRVD AG
210 -Market
6
Acres
2 HR01-HO12SE RANCH N -Class Acres
6
3 0100-SF Res
210 -Acres
1.94
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=230933200010001 1/3/2014
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