HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONT,Y:
DATE FILED-..
PLAN REVIEW FEE: RECEIPT NO.. PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
i PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553
St. E3
�f
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: '740§ Lakeland Blvd
2. PROJECT NAME: Tub Liner/valve SITE PLAN NAME:
3. PROPERTY TAX ID #: 1301-607-0010-0003
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
• Lakewood Park Unit 7 Blk 70 Lot 10 (Map 13/02N)(Or1268-2532)
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 70 8. LOT NO. 7
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
New Tub Liner and Valve
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION
[X] RESIDENTIAL
[ ] OTHER (SPECIFY)
[ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] COMMERCIAL [ ] INDUSTRIAL
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION:
SFR
15. SF. FT 1 st FLOOR:
do
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 a ' ' ies. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application. ^
SLCCDV Form No.: 001-02 \0 �(f n
UUPDATED 6/25/09
OWNER INFORMATION
NAME: Eileen R McCulley
ADDRESS: 7406 Lakeland Blvd
CITY: Fort Pierce STATE: FI ZIP: 34951
PHONE (DAYTIME): L_) 772-489-5559 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: STATE: ZIP:
PHONE (DAYTIME): L�
CONTRACTOR INFORMATION e`1J ?32—
ST. of FL REG.CERT #: CFC1427599 ST. LUCIE COUNTY CERT #:,,,,
BUSINESS NAME: Always on time and affordable plumbing inc
QUALIFIERS NAME: Jahn D011wet
ADDRESS: 729 SE 3 Ave
CITY: Delray Beach STATE: FI ZIP: 33481
PHONE (DAYTIME): L_) 954-422-8166 FAXNO. Email: wrt615(@gmail.com
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE: ZIP:
STATE: ZIP:
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.
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.
/1 .
ON" -
OWNER OR CONTRACTOR SIGN
STATE OF FLORIDA
COUNTY OF S/` C�r_t ff
The foregoing instrument7was..,,cknowledged before
me this ty" d
by Eileen McCulley
who
Notary Public State of Florida
William R Thomas
512017
has produced
CONTRACTOR V
GNATURE
STATE OF FLO //
COUNTY OF A,0i
The foregoing instrument was acknowledged before
me this °? day of //—* ` , 20 () ,
by Jahn Dollwet
ersonally known �,><or has produced
d as identification.
�o o ry u c State of Florida
William R Thomas
Wtnr6Vff®tVy017
Commission No. (Seal) Commission No. (Seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING
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 instructions see appropriate permit checklist.
OFFICE USE ONLY BP #:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1 IT 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
CODE
HABITABLE
AREA
RADON
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BID
IMPACTFEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS
Property Appraiser - St.Lucie County, FL
PROPERTY RECORD CARD
Eileen R McCulley Record: 1 of 1 <<Prev Next» Spec.Assmnt
Property Identification
Site Address: 7406 LAKELAND BV
Seclrown/Range: 02 :34S :39E
Map ID: 13/02N
Zoning: RS-4
Ownership and Mailing
Owner: Eileen R McCulley
Address: 7406 Lakeland Blvd
Fort Pierce FL 34961-1471
Sales Information
Date Price Code Deed
12/15/1999 85900 00 WD
8/7/1988 65000 00 WD
Page 1 of 1
Taxes Exemptions Permits Home Print
ParcellD:
1301-607-0010-000-3
Account #:
126506
y 1 J l< I
Use Type:
City/Cnty:
SF Res
Saint Lucie County
Legal Description
LAKEWOOD PARK -UNIT 7- BLK 70 LOT10 (MAP 13/02N) (OR 1268-
2532)
Assessment 2013
Book/Page 2013 Final:
68000
1268/2532 Assessed:
68000
0625 / 1741 Ag.Credit:
0
Exempt:
43500
Taxable:
24500
Taxes:
626.82
BUILDING INFORMATION
Total Land and Building
Land Value: 4800 Acres: 0.24
Building Value: 63200
Finished Area: 1724 SgFt
Exterior Features
View:
-
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
ExtType:
HD+ - HD+
YearBlt:
1987
Frame:
-
Grade:
D+ - D+
EffYrBlt:
1987
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FUIIBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/2Bath:
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 Qua[. Cond.
YrBlt. No. Use Type
Type
Measure Depth
FEN6 - CHAINLINK 6'
Y 1
72 AV AV
1987 1 0100-SF Res
BI -Front Ft
80 130
DWC - Driv-Concret Y 1 900 AV AV 1987
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=130160700100003 11/21/2013
Danze
D112000BT D112000BT
SPECIFICATIONS
SINGLE CONTROL PRESSURE BALANCE MIXING VALVE WITH SCREWDRIVER STOPS
Model
D112000BT
Description
• Ceramic disc, valve
• With high temperature limit adjustment
• Combination %' copper sweat/IPS 4-port hook up
• Back-to-back installation feature
• Mounting bracket & plaster guard included
• Valve will perform at ASSE 1016 standards
when flow rate is restricted to 2.Ogpm
Standards)
Pc • UPC/cUPC
m
"EET' Asme " ASME A112.18.1 M/ A112.18.1
A112.1H.111f/ A112.1 B.1
SP® • CSA B125.1
"'E 1 16 • ASSE 1016
Warranty
Danze products are covered by a manufacturer's
limited "lifetime" warranty for manufacturing defects.
E
E
r`
tD E
E
co
d.
Flow Rate
7
�5
Cal 3
1
20
40
60
80
PSI
Special Packaging
• Trim kits for this valve are packaged
separately. Fits all Danze single handle
tub/shower & shower only trims
• Model numbers for trim kititems include the
suffix "T"
i
EE
-
Finishes Available
• Rough Brass
Submittal Information:
Job Name: Location:
Contractor. Contact #:
Danze, Inc.,�2600 Internationale Parkway, Woodridge, IL 60617, USA danze.com S0112000BT/08-12.02
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 3905188 OR BOOK 3585 PAGE 2604, Recorded 12/09/2013 at 01:43 PM
�®
NOTICE OF COMMENCEMENT
Permit No,
Tax FoIto No. _(30 (— 000'j—OO(O
State of Florida County of St. Lucie z�
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with Chapter 713, Florida Statute$� c_ ®� `•Z
the following Information is provided in this Notice of Commencement, fflt
of Propqerty: (and street
tJf Od it( Uw.L
?t40(d Cr,9( (CJ t9 DI\d
General description of improvement:_ %gib G 4i ► �(s l�A t�� 1 t'e reP Ft 3 Y�' $/
Owner informatigb or Lessee in or�tatipfr If the Lessee contracted for the Improvement:
Name c ( (eM CC..C,( ld
Address 7 to to vw e7
Interest in property.
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: ia��sA A.
Contractor Address:_ �l1IHSih�FIL334BI Phone Number:
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number:
Lender Name: Phone Number:
Lenders address:
Persons within the State of Florida designated byOwner upon whom notices or other documents may be served as provided by Section
Z3.33(1) (a)7., Florida statutes:
[Jame: Phone Number:
Address:
In addition to himself or herself, Owner designates
Lienors 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)
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 RECORDED 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 that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge and belileNff..
AA
( ignalW of Owner or Lessee, or Owner's o uthorized Officer/Director/Partner/Manager
6f'lee,-, rr , c.t(t�i -
Title/Office)
The foregoing in/s�trument'waas acknowledged before me this=day of,�C
By Cf 12t� Y+(tcvl4 as C�W fc"
Name of erson Type of authority (e.g, officer, trustee
(signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Notary Pudic State of Florida
William R Thomas
My Commission FF 008234
Expires 0411W017
Party on behalf of whom Instrument was executed
Personally known 7`or produced Identification_
Type of identification produced
STATE OF FLORIDA
ST. LUCIE COINKTV
THISI�TO��::.
TRUE AN
008MI ,I
Df q�`013
sk. V)r 0-
Date'.