HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONL
DATE -FILED ziaN
PLAN REVIEW FE pCi RECEIPTNO.: l5 ; .
PERMIT NUMBER y b �" o. Alt
CONCURRENCY.FEE:: ' RECEIPT NO.:: : CERT. CAP::NO.;
ALL INFO.-MUSYBE-COMPLETE:-& FILLED:IN TO.BE.ACCEPTED.
...,PLAN ING -&- DEVELOPMENT. SERVICES DEPARTMENT.
�.J. BUILDING &. CODE'REGULATIONS DIVISION
2300 Virginia Avenue
Cq�NE.� Ft. Pierce,• FL34982-5652.
B Y 772=462-1553.
Lucid GOunfy:
APPLICATION for. BUILDING PERMIT
CERTIFICATE: of CAPACITY/ZONING COMPLIANCE
------------
PROJECCT-IINFORMATION::'�
1..: LOCATION/SITE. ADDRESS:: 'UGJY1 .1�
.2.. PROJECT NAME: SITE.PLAN NAME:.
: 3. PROPERTY TAX ID
.4: =- . LEGAL:DESCRIPTION.(attach.extra sheets ifnecessary):.
.
5. PLAT.BOO 6:. PAGE NO.. ' 7.. BLOCK NO:." 8. LOT NO.'
9.:. ..:PARCEL SIZE.(ACRES/SQTT.):LOTDINIENSIONS:
. ...
10' . COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
�C°i`1 t X UIQV' LWCI Q�l 4 �1�l� lipe '�A LA
.- ...
1-1, - - - . SETBACKS (ACTUAL)' FRONT:. . BACK:-. . - .RIGHT SIDE:. -- . LEFT SIDE: -.
12.' TYPE -OF -CONSTRUCTION (Check all appropriate.boxes)
W CONSTRUCTION : [. ] . EXPANSION/ADDITXON-. [ ].: INTERIOR RENOVATION:
[- y':n�SIDENTIAL .. :. :. :. [ ] .: COMMERCIAL : G ] .-INDUSTRIAL-
"
:.
[ :]_ O .HER (SPECIFY)
13. DES.CRIPTION.OF' PROPOSED USE: (.
. ...,
..14.. - . SQ.. FT OF. CONSTRUCTION:. 15. SF.. FT' -1st FLOOR:. .
�.
16. VALUE OF CONSTRUCTION $ (J`
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 if 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 submittedwith this application.
SLCCDV Form:N6.:.001.02 .
.... . .... .... UPDATED 6/25/09
OWNER jjI��N��FORMATION I
NAME: �E,l. vx. '�— L3
CITY: i / STATE: ZIP: " Y %K
PHONE (DAYTIMlJ
E): � 1 %9 — �Email: q —
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BEL W.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:
BUSINESS NAME: L< r�x�.Ql► I.UVI.1
r�
PHONE r ,,
ARCHIT/ENGlNEER
CITY: K ' VUA U
PHONE (DAYTIME): (�2}
BONDING COMPANY
ADDRESS:
CITY:
MORTGAGE LENDER: /
STATE:
FAX NO.
STATE:
STATE:
ST. LUCIE COUNTY CERT #: G �ZI
Email:
ZIP:
ZIP:
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.
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.
TUBE
STATE OF FLORJMA
COUNTY OF LLLC. j
The foregoing instrument was acknowledged before
me this 4 day of 6"o 20 'T ,
by J&A,J L Ill 2 �
who is person liv known
'gnature of Notary
Commission No.
or has produced
as
l ft%C. BLA%FORD
6WSSION # EE201372
1XP1RF_%- AWn 14, 2016
STATE OF ffORIQA'��
COUNTY OF 01--
The foregoing instrument was acknowledged before
me this 4 day of 20,
by
who is personally known
Signature of Notary
Commission No.
or has produced
as
N110A C. BLANDFOF
MY c6massION 0 EE2013
EXPIRES: AU9W 14, 2016
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 instructions see appropriate permit checklist.
0
OFFICE USE ONLY BP #: l as a 1
SECTION
TOWNSHIP
C 5
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MAP NO.
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LAND USE
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TAZ NO.
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MAX HGT
CONST TYPE
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MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
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APPROVED
REPORT
CODE
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(RADON)
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IMPACT
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IMPACT FEE
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IMPACT
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PARKS
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IMPACT
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IMPACT
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Y
N
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Y
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SUBS
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DATE SENT TO ADDRESSING:
REVIEWS
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REVIEW
SUPERVISOR
REVIEW
PLANS
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VEGETATION
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SEA TURTLE
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DATE
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DATE
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INUTIALS
OFFICE USE ONLY 13P # o
SECTION
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5
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# OF FLRS
WATER
SEWER
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LOT OF REC
LOT OF REC
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LOT SPLIT
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REQUIRED
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RADON
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FEE
FEE
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IMPACT
IMPACT
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ROAD
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Y
N
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IMPACT
IMPACT
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FEE
FEE
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N
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SPECIFY
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FEES
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FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
/
INITIALS
Design' Windload' Information
Code:.FBC 2010/0 .ASCE.74
.. Porfions of the t2010 E=E3,C andCo.r the 2008,' .
Wi d 5 eed: n p 170 MPH' 3 Second Gust NEC, Whicireveris More.Stringent'
Fxposure : D
Ir►iportance Factor'fO
' Internal Pressure Coeff : 0.00 " ' • ' ' '
Heigh .
• EXISTING FENCE',
t: 4 Ft.. Mean: '
FASTENED W'2 PCS. HDG .
4' X 8".PILE.2.5CCA. TREATED. NAILS:@ 247 O.C.. MAX :'
MARINE PILE'
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heet
KAREN.. SMITH
S3
— J ates, Inc. '
erner e? Associ Date: ti11/14
�. i -
1655 BROCKSMI TH ROAD ,, . _ Environmental Consulting
4 i 2537SEA1gwAve- Port St. Lucie,:FL'34952
Ph(72)283-2950.
F --
T PIERCE ��:,� ._���=��
jerner@bellsbuth.net
jerner &Associates,:Inc.
Environmental Consulting
2537 SE Alfonso Ave. PortSt: Lucie, FL 34952
Ph.(772)283-2950
jet ner bellsouth.net
Sheet 1
Date: 2111/14
Design Windload lnfoahatiori '..All Construction Must:Maet Applicable' ... '
.Code: FBC 2010/.ASCE:7-10 :Portions of the 2010 'FBG and/ or the 2008. ,
' Wind- Speed: 1.70 MPH; 3 Second Gust NEC, :Whichever is •Mon; .Stringent
Exposure "D". • .
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Internal Pressure Coeff.: 0.00 • ' --
• Height: 4' Ft.. Mdan:
EXISTING.FENCE
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J . Date: 2/9'1/14' ,
"Eiiviroritnental : Consultin
1.655 BROCKSMITH.ROAD 1- =� g.
r T- 2537SEAlfonsoAve.'PortSt. Lucie;FL34952
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Ph(772)M 2950:
jerner@bellsbuth:net
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE C( -T i
FILE # 3929717 OR BiI> _ 3608 PAGE 497, Recorded 02/28/2014 08:47 AM
NOTICE OF COMMENCEMENT
Permit No. Tax Follo No.
State of Florida County of St. Lurie
The undersigned herebygives notice that Improvement will be made to certaln real property, and In accordance with Chapter 713, Florida Statutes,
the following Information is provided In this Notice of Commencement
legelDeescr!RtIOW Property: (and street address if available):
General description of
Owner Info tlon or
Name
Address
Interest in property:_
Name and address of fi
Contractor's Name:
Contractor Address:
Surety (If applicable, a
Name and address:
ifshe Lessee contracted for the Improvement:
(if different from Owner listed above):
Phone Number:
of bond: $
Phone number:
Lender Name: Phone Number:
Lender's address:
� AM t/q
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
7=L) (a)7., Florida Statutes:
Name: Address: Phone Number:
In addition to himself or herself, Owner designates of
Uenor'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)
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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN FOR
IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED ND POSTED ON THE JOB T IN YOUR SfTE BEFOINGIRE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDINGYOU NOTICEOOFMMENCEMENT.
Under pen of ruMIe that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my know) e i d belief.
(Signature of Owner or Lesse , or Owner' or Lessee's Authorized Officer/Dlrector/Partner/Manager
W wR SA C.8LANDFORD
(Signatory s Tltie/office) # My COWSs1ON r UM1372
ECPWM: AM* 11, 2016
/
The foregoing Instrument was acknowledged before me this "f day oj�o , 201q' 4
11Y f OW all as
aI/JU�
me of Person for v
Type of authority (e.g. officer, trustee) Party on behalf of�whom Instrument was executed
(Signature of Notary Public -State of FI der) Personally known ✓r produced Identification
(Print, Type, or Stamp Commissioned a e of Notary Public)
Type of Identification produced
STATE OF FLORIDA
ST. LUCIE COUNT`(
THIS IS C't; CEI'tTIFYTHAT THIS ISA
TRUE ANI"'111"El"I'COPY OFT MI:
0�16MIIA All