HomeMy WebLinkAboutSUBMITTED PAPERSI
OFFICE YJSE O, LY: .
DATE FILED:
PLAN REVIEW FEE': RECEIPT NO.: PERMIT NUMBER:
CONCURRENC, FEE: RECEIPT NO.. CERT. CAP. NO.:
i
A L; INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553
I
APPLICATION for BUILDING PERMIT
ERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
i
1. LOCA ON/SITE ADDRESS:�
2. PROJECT NAME: SITE PLAN NAME: lW'VIA�j-�
3. PROPERTYY TAX ID #: � P% �a �lJ�l e�ew
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
5. PLAT II06K 6. PAGE NO. 7. BLOCK NO. J 8. LOT NO.
I
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:��
10 COMPLETE DESCRIPTION OF CONN�STRUCTION PROJECT OR WORK ACTIVITY:z—
e'
11. SETBACKS (ACTUAL) FRONT: �_ BACK: RIGHT SIDE: �_ LEFT SIDE: 7
12. TYPE OF!CONSTRUCTION (Check all appropriate boxes)
[ ] N, FW CONSTRUCTION [ ] . EXPANSION/ADDITION [ ] INTERIOR RENOVATION
kSIDENTIAL [ ] .COMMERCIA [ ] INDUSTRIAL
O R (SPECIFY) 010A3'�/i��
13. DESC TION OF PROPOSED USE:
14. SQ. Fr OF CONSTRUCTION: �/'V
15. SF. FT 1 st FLOOR:
16. VALUE OF CONSTRUCTION: $ �����✓
{
The value of constn eti6n 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 ifjit is demonstrated that the submitted figures are not consistent with similar types of construction activities. if the valuciis $2500 or more, a
RECORDED Noti6C ofiCommcnccment must be submitted with this application. ;
SLCCDVFori No.:001-02 SCANNED
BY
St. Lucie County i. UPDXfED6/25109
OWNER INFORMATION
�
NAME:
ADDRESS:
CITY: ��.�G "`► C* STATE- ice` ZIP:
PHONE (DAYTIME): ( _/� �i ���� Email:
IF THE FEES I LE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TI L'EHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): (�
CONTRAC OR INFORMATION
-ST. of FL REG. ERT #:
BUSINESS NA
QUALIFIERS 7ME:
ADDRESS:. VAA
CITY: 4 /i 6DzA�� STATE:
PHONE (DAY' IME): 1'1 a_ FAX NO.
ADDRESS: I
CITY: ��
PHONE (DAY Il i
I
BONDING C I
1
ADDRESS:
i
CITY:
i
I
MORTGAGE LE]
ADDRESS: 1 1
CITY: STATE: ZIP:
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be v ided and returned to you by mail.
�i
ST. LUCIE COUNTY CERT #:
ZIP:
Email:
STATE:
STATE:
ZIP:
ZIP:
V
CERTIFICATION:
ICATION: `
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 c 6nsult 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 twesO, swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
i
NOTICE TOOWNER: 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.
4
NOTICE TO PLICANT: 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
I THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
i
b
O 3 C CT IG
STATE OF FLORID _ ga s STATE OF FLORIDA
COUNTY OF ! o 5 COUNTY OF lei
�.�
a�.Zc
Q 3 The foregoing instrument was acknowledged before
The foregoing i st�rument was acknowledged before �, it g g g
CN _�
Z0 da his Lof m a�� .20 � �,
me this ay of Y
by U� nn C)
who is personal[ nown or has produced o --wi is personally own or has produced
ix C7C
as identification. 0 5 � $ W as identification.
zn'
Signatur N tary i o m ature of ry
R t?
Commission N o . (Seal) `" aw mission No. (Seal)
II
NOTE: TWO 2)1SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS IUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR.TO SIGN
THIS kPPLICATION IN THE OFFICE LISTED ON THE. FRONT OF THIS APPLICATION.
OWN R'BVILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. '
For specie instructions see appropriate permit Checklist.
OFFICE
i
I
SE ONLY BP #: I
SECTION
i
I
TOWNSHIP
RANGE
MAP NO.
ZONING
I
PILLLAND
USE y��
J
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORM WATER
LOT OF REC
Before 111990
1
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
I
REPORT
CODE
/
l�
HABITABLE
AREA
RADON
RADON
FEE
PERMIT
FEE
LIBRARY
,IMPACT
-FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
`IMPACT
FEE
I
I
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
I
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
E
PLUMBING
ECIHANIC
X&RIC
i
ROOF
GAS
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO
6RESS1NG:
REVIEWS
FRONT
C UNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
I
DATE
COMPLETED
INITIALS
I
,
y i t
;
j i 4 1 1
PERMIT #
BUILDER/,
PEST CON
PEST CON
We, the undi
subterranear
Square feet i
Percentage c
Date of Trea
Fort Pierce, FL 34982
772-462-2172 Fax 772-4524"3
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
F Al2'
!1-1c1.3 — .0 6 7 7 JOB ADDRESS: t -
iNTRACTOR: r W3,ery
:OL CONTRA R: s—
;OL LICENSE #: 2 E
0, hereby certify that we have pretreated the above described construction for
tes In accordance with the standards of the National Rest Control Association.
treated: Chemicals used:
Ion: �a Thal. gallons used:
i Time of Treatment:
Foot rn� -- SIa ,
i I Treatment Re -Treat Treatment
Re -Treat
Drive Y Pools
1�cTreatment rent
R�Treat
�, perimeter for Final Inspection
1It Treatment
Re -Treat
Sign of Exterminator
Note." Mere 1prust be a mmplewd farm far each required �atrnent or pe-treatment and tlils form must bean tfte job
site to be pl i Why theinspettarat time of aW* n sdredu/ed Inspedron wn71 sail and a re-OWMon
fee charged.
!^BC104.2.6 �,Cetb/" r®te of ProtecilVe Trieatmertt fear preventian of termffit s A weather IESbIantjabsite postr� F lbaard
shall be priovi�eil to receive duplicate Treatyment CenYf/rates as a %* required prof eaft freatment rs n pletcdr
pravldJng a yfor fhepermn the permits Lmied da and anofheraopyfarMe buildlry permlif>fe�. ;the /re��'r��nt
Certificate shall provide the product used, ldentrty of tape aWllmfar trine and date of the treatlnen>r area
treated, the kcal used, perewtconceniratlan and number ofgaffws used, to establish a veritable remd of
protectivs ire tment. If the s ichemJcal barrier method for termite pre�tWdn Is used, finale riorbeatmentshalJ
be comp prior to final &dkrng approval
-be placed ore
St Luce Zrity requires for the final inspection for COs a Permanent Sticker to
PLANNING & ]DEVELOMINT SERVICES DEPARTMENT
BUIL)7WG & CODE REGULATIONS f)I VISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652
(772)462,1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
g- 'f 1
(Parcel Id#/Legal descripflOWAddress) f'
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 communky WILL NO be adversely affected.
Ifurther acknowledge that in granting this permit for tht; 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.
Property
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLWOED BEFORE ME THIS __IQ_ DAY OF rY), , 20
r n n-&,- n �CcZyHo IS PERSONALLY KNOWN TO ME __ oR WH0 HAS
N AS IDENTIFICAnON.
OF OT UBLIC TYPE OR PFJNT NOTARY
�COMMLSSION NUNA)3ta
(SEAT.)
l
otPKy! „
,P�e�;.KIMBERLY ROBERSON
D kevisod08/24/20I0 r • « ° • Notary Public - State of Florida
=' ' • Q: My. Comm. Expires Feb 17, 2015
''•,',r� oF, o? Commission # EE 65843
Property
Russell T Bf
Property Ida
Site Addres�
Sec(rown/M
Map ID:
Zoning:
Ownership <
Owner:
Address:
Sales Inforn
Date
2/28/2013
8/24/2010
6/20/2003
1 /1 /1900
Exterior Fe
View:
ExtType:
Grade:
StoryHght:
Interior Fee
BedRooms:
FullBath:
1 /2Bath:
%A/C:
Special Fee
Type
THIS IN
- St.Luciel Cf)unty, FL Page 1 of 1
PROPERTY RECORD CARD
Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
fication
6655 Alemendra
ParcellD: 1306-500-0169-000-9
����CIECOG2
ie: 06 :34S :39E
Account #: 138049
�� <
13/06N
Use Type: SF Res
PUD
City/Cnty: Saint Lucie County
`
�\ F
Mailing
Legal Description
j Russell T Bornheimer
SPANISH LAKES FAIRWAYS BLK 50 LOT 21(OR
3608-2884)
6630 Gaviota Ct
Fort Pierce FI 34951
Price Code
65000 0139
1 57000 0116
100 01
0
Assessment 2013
Deed
Book/Page
2013 Final:
72600
LE
3608/2884
Assessed:
72600
LE
3224 / 1546
Ag.Credit:
0
LE
1743 / 2940
Exempt:
/
Taxable:
Taxes:
1470.29
BUILDING INFORMATION
Total Land and Building
Land Value: 15000 Acres: 0.14
Building Value: 57600
Finished Area: 1530 SgFt
-
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
HC - HC
YearBit:
2003
Frame:
-
i C - C
EffYrBlt:
2003
PrimeWall:
BS - CB Stucco
0010 - 1 Story
No.Units:
1
SecWall:
-
i
res
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
100
%Heated:
100
%Sprinkled:
0
res and Yard items
Land Information
S Qty. Units Qua[.
Cond. YrBlt.
No. Use Type
Type
Measure Depth
I
1 0100-SF Res
LFI -Flat
1
=ORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND
IS NOT WARRANTED.
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MASTER BEDROOM
13' X 15'
X
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uNEw H A/C
BEDROOM
12' X 12'
An Active Aduli
Golf Community
2 Bedroo,m / 2 Bath -
�o
COVERED SCREENED PATIO
10' X 26'
ENTRY
PORCH
LIVING ROOM
VAULTED CEILING
15, X 18'
DINING ROOM
11' X 14'
BREAKFAST NOOK
VAULTED CEILING
11' X 13'
�X-si
GARAGE/LAUNDRY
WORK 11' X 24'
AREA
4'X8' r---.—
I I
�I I
I I
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0
AREA SCHEDULE
AIR CONDITIONED 1500 SO. FT
GARAGE / LAUNDRY 320 SQ. FT. CONCRETE BL QNSTRUCTION
REAR PATIO 200 So. FT.
COVERED ENTRY / PORCH 30 SQ. FT.
TOTAL SQUARE FEET 2050 SO, FT. FILE C1
W y
GUARANTEED LIFETIME LOT RENTAL ()07�
s of the floor plans are approximate. Developer reserves the right to make modifications on plans and specifications.
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Iaa SET I.R. & CAP -TRACT B R. &CAP II
N0002'21 "E 55.00'
- GRAPHIC SCALE IN FEET
.�o 0
10' UTILITY EASEMENT
g
� .0 41.00' °
0 7.0' c
LOT 22 w LOT 20
BLOCK 6 3 o LOT 21 o>I BLOCK 50 F
M BLOCK 50to
n
1� PROPOSED UNIT 1
PROPOSED F.F.E. 25.32
CO U)
Z
7.0' WITNESS CORNER
NE GARAGE
SET I.R. &CAP
WITNESS CO -------------
IR J 10' UTILITY_ EASEMENT M--�
SET I.R. & CAP MIN. SETBACK REQ.
O FRONTui
�j___
— N SIDES S! I
O O
EDGE OF PAVEMENT I CNR SIDES
o �,� SOM2921 "W 55.00' o h� RJR l� o
ATRMAX RA o: ��. ZN29 '
� ' u-l� F.73AC 0 R Q . TECH.
f
o _
FOUND P.C.P.
:71
EDGE OF PAVEMENT
SIDES FILE
CNR SIDECOPY
� REARLEGEND
ZNG.
CENTERLINE TES:
n a CENTRAIL ANG TEQ:H' 1. DATE OF LAST FIELD WORK 11-10-2001,
�eL
R. RADIUS BEARINGS BASED ON CENTERLINE OF ALEMANDRA, AS SHOWN,
L. ARC LENGTH HAVING A BEARING OF S00'02'21"W PER PLAT.
P.L.S.
PRO
ESSIONAL LAND SURVEYOR
3. ALL INFORMATION SHOWN HEREON IS BASED ON BOTH
CAP
PLA
TIC CAP STAMPED LB#4286
PLATTED & FIELD MEASURED INFORMATION.
EL.
ELEVATION
4. ELEVATIONS SHOWN ARE BASED ON N.G.V.D. 1929.
I.R.
5/8
IRON ROD
DESCRIPTION
q
EXISTING
ELEVATION
LOT 21, BLOCK 50 OF SPANISH LAKES FAIRWAYS — NORTHEAST
PHASE ACCORDING TO THE PLAT THEREOF AS RECORDED IN
P.C.
POINT
;OF CURVATURE
PLAT BOOK 35, PAGES 5 & 5A — 5C, OF THE PUBLIC RECORDS
P.C.P.
P.R:M.
PERMANENT .CONTROL POINT
PER�ANENT
OF ST. LUCIE COUNTY, FLORIDA.
REFERENCE MONUMENT
FLOOD "X" PER F.I.R.M.
F.F.E.
FINI H IFLOOR ELEVATION
.ZONE
MAP NUMBER 12111CO175F.
NO.
NUM
ER
EFFECTIVE DATE:. AUG. .19, 1991
LB
LICENSED
BUSINESS
LANDS SHOWN HEREON
RE NOT ABSTRACTED FOR RIGHT OF WAY,
RESERVATIONS,AGREEMEN'
AND/OR EASEMENTS OF RECORD. SUCH
BY:
INFORMATION, IF
DESIRED
SHOULD BE OBTAINED AND CONFIRMED BY
MICHAEL T. OWEN, P.S.M. FLORIDA CERTIFICATE NO. 5556 DATE
OTHERS THROUGH APPR
RIATE TITLE VERIFICATION.
TERMING, INC.
CONSULTING EINGIOEERS & LAND SURVEYORS
2980'SOUTH 25th STREET
FORT PIERCE, FLORIDA 34981
61-464-3537
CERTIFIC TON NO. L.B. 4286
NOT VALID UNLESS SIGNED, DATED AND; EMBOSSED WITH SEAL OF SIGNING SURVEYOR
BOUNDARY SURVEY
WYNNE BUILDING CORPORATION
REF. JOB NO. I DRAWN BY I DATE I SURVEY NO.
96-02 D.F. 11-13-2001 2166-21-50
F.B.,PG. CALCULATED B ' SCALE SHEET NO.
D.F. 1 "=20' 1 OF 1