HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:
DATE FILED:
PLAN REVIEW FE 1E 0o d 1b RECEIPT NO.: l O PERMIT NUMBER CIO °Z I3
CONCURRENCY FEE: ! RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue s
_ Ft. Pierce, FL 34982-5652 C
-■® 772-462-1553
i
CO
APPLICATION for BUILDING PERMIT `'''fy
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: _T550 5. OCeo•n Dr, -- �?SJ(o, -J rn i�e.c`n, '�I- 3`►1 5 7
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #: L1 5JU`L - 6b 1 - (} f W - 000 ' J
i
4. LEGAL DESCRIPTION (attach extra sheets if necessary): T6 larnd. q ' i anaa m i 0n i-
00`L
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.):
LOT DIMENSIONS:
10. COMI��TE DESCRIPTION � CONS�UCTION�PROJEC� R W�OJRK ACTIVITY:
rw G /.. /
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL I [ ] COMMERCIAL
13
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE:
I
LEFT SIDE:
[ INTERIOR RENOVATION
[ ] INDUSTRIAL
14. . SQ. FT OF CONSTRUCTION: 15. SF. FT I st FLOOR:
16. VALUE OF CONSTRUCTION: $ 6�D'Cyv �
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 ofCommencemerit must be submitted with this application.
SLCCDV Form No.: 001-02 11
UPDATED 6/25/09
OWNER INFORMA
ADDRESS: S4,5 rn 9-A
CITY: YYl u n -PC (Ax./ i lie i STATE: V13 ZIP: 4 L � �CJ
PHONE (DAYTIME): U Email:
I
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:
PHONE (DAYTIME): ( )
I
CONTRACTOR INFORMATION
i
ST. of FL REG.CERT #: C i3L 12. r:�9 50 6—
BUSINESS NAME:
QUALIFIERS NAME: 3- Jai i r> "I-1.;
STATE:
ST. LUCIE COUNTY CERT #:
ZIP:
ADDRESS: -L3 40 5C.' �l�r1r1�5 kn 5�r.
CITY: 12o{4- S+. Lu Li e- STATE: FL zIP: 3 LI 9 5 L
PHONE (DAYTIME): ( 2) (o $ - G L 1 C\ FAX NO. Email: , '14h i er V i k h (�_g mct i� . CCxh
1 1.
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): (_)
BONDING COMPANY: '7U re- -1 ec— Tr
ADDRESS: 1330 Ros4oc' V, G I val
CITY: Ha✓s F
STATE:
STATE: -N
MORTGAGE LENDER:
ADDRESS:
CITY: STATE:
ZIP:
ZIP: -�L --T 0 17 (0
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 iwork. 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.
i
i
OWNE O ONTRACTOR
SIGNATURE
STATE OF FLO IDA
COUNTY OF
C_
The foregoing instrument was acknowledged before
me this / b day of
20—Wr—
by ►> 5? �. 1
W i �/` `7
who is personally known or has produced
aIFLIr, Vr rLViVlltl
COUNTY OF 5 k ,1. V c, �
The foregoing instrument was acknowledged before
me this A) day of V't- b , 20 � 4 ,
by 'S usA Z,n N"n � k T y
who is personally known or has produced
as identification.
� HAP
Signature of Notao`P °9 -; DEANNA GIVENS
+� Notary Public - State of Florida
Commission No. ', �p ires Dec 16, 2016
Co mission # EE 858761
Bonded Through National Notary Assn.,
NOTE: TWO (2) SIGNXI[MS"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.
- A0I ,r.
OFFICE USE ONLY
SECTION
O Q),
TOWNSHIP
�1 5
RANGE
1 �.
MAP NO.
y S A l
ZONING
LAND USE
p
LOT CVG %
TAZ NO.
FLOOD ZONE.
FIRM MAP #
I ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FIRS
WATER
I
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
cs L�
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
LIBRARY
BRACT
FEE
PUBLIC BID
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
BRACT
FEE
SCHOOL
BRACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
BRACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC
ELECTRIC
PLUMBING
ROOF
GAS
I
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
cxv•
DATE
COMPLETED
10A11
0? OG
INITIALS
��
i
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 39235251 OR BOOK : PAGE 2009, Recorded 02/10/2014 at 29 PM
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.. H 5 2 - (001-012-o- 000 - S
State of Florida County of St. Lucie
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following Information is provided in this Notice of Commencement.
Legal Description of Property: (and street address if avallable):
T6tandio, t Condor,,,nlurn � ',-t- t30(c �UR 35012-2;�3�
General description of Improvement:_
Owner Information or Lessee Information if the Lessee contracted for the Improvement:
Name -Mart I Q ir_hrrdscn ?'i na IZ V-4r n
Address SCSI YYler d1+h Qd rYt• •f'�,�+y 11 IL�I 147_+(o5
Interest In property: Q wner-
Name and address of fee simple titleholder (if different from Owner listed above):
Contractors
Phone Number: "I-' 6-+5 - Y Li9
Surety (if applicable, a copy of the payment bond Is attached): Amount of bond: $ 10f000
Name and address: ISureT'tL nSurarue (OyY�(76ny Phone number:
133U Pesra4K Si�d�rtowaw i�C
Lender Name: Phone Number:
Lenders address:
Persons within theState of Florida designated by Owner upon whom notices or other documents may be served as provided bySection
713.13(1) (a)7., Florida Statutes:
Name: Phone Number:
In addition to him
Uenors Notice as
Phone number of
herself, Owner designates of
ad In Section 713.13(1) (b), Florida Statutes.
i 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. IFYOU 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 knowlgdge and bellgf.
(Signature of Owner or Lessee, or
or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/office)
The foregoing Instrument was acknowledged before me this-Loday of_ , 20�
a of authority(e g, officer, trustee) Party on behalf of whom Instrument was executed
Jy
� �a,, AJtsraRET M, lE0NAR6 Personally knowtd/or produced Identification_.
Try Public - State of FI i¢ ` c;; Notary Publi tiforka
imp Commissioned NJC a %Wl4mm. Expires Jul 17, 2015 Type of Identification produced
Commission I EE 17681
Bonded Through Nslbnd Notify Assn.
STATE 4F FLORM
ST. LUCIE COUNTY
THIS ISTOCERTIFYTHATTHISIBA
TRUE ANQ CORRECT O Y OFTHE�
ORIGINAL.
Date:
1 s tavtcl IC�'d
project located at
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE COMPLIANCE DIVISION
BUILDING PERMIT
SUBCONTRACTOR SUMMARY
Qrtc( P—Se'.' y ' l will be using the following sub -contractors for the
I Name)
4 50'L - ( 01 - 0120 — () 00 —
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
7rovrno 61er_+ric.,rne_
13005('0c-t4
Plumbing
Pipe- -con necp o-'
HVAC/
Mechanical
Roofing
Gas
I
OFFICE USE ONLY:;
PERMIT
NUMBER:
1 q0 2 " 3l
ISSUE DATE:
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County'Contractor Certification Number:
State of Florida Certification Number (If applicable):
.4 00 . ' a f c.e� Aot o"i o h have agreed to be the
(Comply Name/Individual Name)
1Umbi MS sub-contractorfor
(Type of Trade) (Primary Contractor)
for the project located at y 50z- (oDl -- O 120 - 000 - S
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS IQUALIFIER (Name of the Individual shown on the Contractor's License)
A
Business Name:
Address:
City/State/Zip-
Phone:
ATURES ARE REQUIRED
Zei� Maelopl _746/194—
PRINT NAME DATE'
777— — Zdv .57L.-rk email: 4e64 lar,1'i on 6Q 0moo,1 Ca,tJ
�40Z-C)11 I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County' Contractor Certification Number: //��
State of Florida Certification Number (If applicable): �� l.J��//'' kn I
7vWvK01 I = IrIytc, LLC have agreed to be the
(Company Name/Individual Name)
e I ec+r i c' a 1 sub=contractor for --TS 16M VW--► �--yyn GLrC� QAJA(l
(Type of Trade) (Primary Contractor)
for the project located at y 50(,0 i — C) 1 ZG -- UGC, — .
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
Business Name:
Address:
City/State/Zip:
Phone:
-:116mIsL.J
a —71 3uo—lq
PRINT NAME DATE
vmo tc LLC
Rco SCE 6f, �'.
-al Im�. QL V "
n srnZ I email: I/L+l®a eats �Cr►� f - CW
OFFICE USE ONLY:
1,
t t &I oov a L �p
r juimam.
�Q,rJyc,IJe-A •1
t,zo,y.t.--
�Ayfz V\ J�2W 3
.t\tea! 0 4'_.•.nAP. -'Q- ri{n
u/" �2 i �t FCnelCiitn�. � J J
J
S ' �.
e.
THES PLANS ARID ALL PROPOSED WORK
ARE SUBJECT TO ANY CORRECTIONS
.REOL RED BY MELD INSPECTORS THAT
MA' BE NECESSARY IN ORDER T®
e,-, am Cna-z-
CONCEALED FASTENERS OR ATTACHMENTS
ARE THE RESPONSIBILITY OF THE
CONTRACTOR OF RECORD