HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY: (
DATE FILED: '�`k % % l i
PLAN REVIEW FEE: 1Zjb'tit RECEIPT NO.:" 9 3 PERMIT NUMBER:
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
Ft. Pierce,
FL 34 82-5652 SC V N�o
C'Cie
co,"
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: UdXi S. OGeac� ,7r--*(d_Yo ', J�men Rear -VI, FL 349 S-'F-
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #:5 3�i - SrJz - DC%3U ^-mot
4. LEGAL DESCRIPTION (attach extra sheets if necessary): j2 C'Ge1 1Cy t ickrG1 'DLne-S '1 v-jc-, LA-6 '-
Lot
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:
10. COMPL TE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
r�/h' Newcf / vM✓� ltf'1 , Sm 6_%Pffner, (. All) &&;v �Qs (ilt
11. SETBACKS (ACTUAL) FRONT: BACK: v RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION C J INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION: Z Ce b 15. SF. FT 1 st FLOOR:
16. VALUE OF CONSTRUCTION: $ 16, OOd
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 $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
OWNER INFORMATION
NAME: F1'Qn V— T. Acco rd i rno `she',1a m Acc cYr9 i �o
ADDRESS: �(,gDO `J - C�C-Mr)
CITY: ) er,,�,en .3 c-tae h STATE: f mil^ - - - / ZIP: 3�L of
PHONE (DAYTIME): (___)
Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY:
PHONE (DAYTIME): (__)
CONTRACTOR INFORMATION
STATE:
ST. of FL REG.CERT #: CC(, f25q 50 &- ST. LUCIE COUNTY CERT #:
ZIP:
BUSINESS NAME: 1 S4tjmA -I-c rn ter-. 1�
QUALIFIERS NAME: j -j�ya ;
ADDRESS: Z 3')D Sc—
CITY: l�0�-1 �-1 /L-)Cie, STATE: %mot ZIP: �(Z
PHONE (DAYTIME): C7 J 17-1' i FAX NO. Email: li�q JZfL$ @gyyiaj l -Oa1
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): (__)
STATE: ZIP:
BONDING COMPANY: S ra Tec. T-nSLX-0ylce COnv�n.y
ADDRESS: 133U I�o�}- 04 V_ J-�>I\g,(
CITY: - kit) STATE: 7 X 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.
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.
WNE C TRACT SIGNATURE
ATE OF FLORIDA
COUNTY OF ST. L v C i �—
The foregoing instrument was acknowledged before
me i v day of ��-6 201�/,
who is personally known ✓�or has produced
;of Notary
(}tARGARET M. LEONARD
ary Pu!R�a4ate of Florida
c My Comm. Expires Jul 17, 2015
Commission # EE 77881
Bonded Through National Notary Assn.
ATURE
STATE OF FLORIDA
COUNTY OF Sk .y c � 'k,
The foregoing instrument was acknowledged before �c me this i day of 00 , 20 1 ! ,
byS-�•I, Y' "AN-R.
who is personally known or has produced
as identification.
Signature X to « �- Notary Public -State of Florida
My Co m. Aires Dec 16, 2016
Commissi Nq o, 'Q8sirn OkaA8761
onoed Through National Notary Assn.
NOTE: TWO IftED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNERBUILDER, 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 OWNERBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
P;EU,E O LY � � � BI' e Iv►a-ai 33�
q
TOWNSHIP
36 5
RANGE
1 S .
MAP NO.
�� 3
ZONING
` R
LAND USE
p
LOT CVG %
TAZ NO.
FLOOD ZONE.
FIRM MAP #
1 ST 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
�� 1
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
LIBRARY
BRACT
FEE
PUBLIC BID
BRACT FEE
CORRECTION
PUBIC BID
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
BRACT
FEE
ROAD
BRACT
FEE
CREDIT
Y
N
LAW ENF
BRACT
FEE
FIRE/EMS
BRACT
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 TD ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
d i
og.06'
DATE
COMPLETED
� 1 � �
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3923894 OR BOOK 36- PAGE 226, Recorded 02/11/2014 at 12 PM
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida County of St. Lurie
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.
Description of Property: (and street address if
General description of Improvement: `
Owner Information or lessee Information if the Lessee contracted for the Improvement:
Name iron rdir�0 6he;t SclO
Address _Van() g. C r-, Dr &- (o + T�n-Pn r2tmh r CI- 3�IQ �
Interest in property. �_ IAXWr
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: UeeJ:4rrl 7-hiGry
Contractor Address: 7. S40 St C 1 ylr v140-1 D- 2A, 414K2 Phone Number. 3-47 - / �x -'eLt -(
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ 10 COO
Name and address: �L-erer T Phone number:
1330Pcs+ [ao�111VA, +1uJa}cnri,TX
Lender Name: Phone Number:
lenders address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided bySectlon
jr,$ =1) (a)7., Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself, Owner designates of to receive a copy of the
Uenor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
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 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 knowle Stand tJel
t
�f/'J 1
(Sig ture of Owner or Lessee, or Owners or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing Instrument was
11acknowledged before methis dayof 20_,
By %_ram OC td. as for
Na of Pers Type of authority (e.g. officer, trustee) Party on behalf of whom Instrument was executed
ARGARET M. LEONARD Personally known or produced Identlftcatlon_
gna re NotaryPublic- State of F : rry Public - Stale of Florida
(Print, T Stamp Commissioned Ff RdJopjmlir . Etr api[ s Jul 17, 2015 Type of Identification produced
d= Commission 0 E IIi
�AG1; Sanded Through NrlioMl Notay Assn.
STATE DF FLORIDA
ST. LUCIE COUNTY
THIS ISTO CERTiFYTHATTHIS M
TRl;E " CORRECT COPY U T14E
OH1GIi?�
JO�E►�tt. E SMITH CLE ,1
By:
Date 1 2014
I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: I I
State of Florida Certification Number (If applicable): ` L 0338 Z
h4_ 6064_41— . ��c Lem /�%,�, q o ti have agreed to be the
(Company Nam ndividual Name)
ILv-nbi riq sub -contractor for
(Type of Trade) (Primary Contractor)
for the project located at 35 3q - 50-L- Goy - c-cao
(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
_Lee Atgvton
IGN TURF PRINT NAME DATE'
Business Name:
Address:
City/State/Zip:
Phone:
/,-7ZA- z*0- 5::T_Cr
OFFICE USE ONLY:
email: _LC Goa ✓� vi1 S 6rD 9.31a i /. CoA4
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
S,UB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (icappGbable): P 4
T�CAV(rl�"I11 �� (_ (� _, have,agreed to be the
(Company Name/Individual Name)
�cxa sub=contractor for 3 6 rd V- I Ourl and )13a+h
(Type. of Trade) (Primary Contractor)'
for the project located at
(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
GNAT
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE ONLY:
ARE REQUIRED
NAME
'PERMIT# ISSUE DATE
DATE
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE COMPLIANCE DIVISION
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
06lakid arcL ia.--tq
will be using the following sub -contractors for the
(Company/Individual Name)
project located at 3 5,3 y -507- — C030— oCC)
(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
I ro, V mo E Iec-_4 + 4, L L C.
G,C. 1 3 00 S cL 4-
Plumbing
pe - CanneG-a-ion, .Tr-lt
IWC033 0Z f
HVAC/
Mechanical
Roofing
Gas
IFFICE USE ONLY:
PERMIT O L^0133 ISSUE DATE:
NUMBER:
THESE PLANS AND ALL PROPOSED WORK
ARE SUBJECT TO ANY CORRECTIONS
REQUIRED BY FIELD INSPECTORS THAT
MAY BE NECESSARY IN ORDER TO
COMPLY WITH ALL APPLICABLE CODES.
CON09JED FASTENERS OR ATTACHMENTS
ARE THE RESPONSIBluTy OF THE
GOW(RACTOR OF RECORD
i%■■u P.,\
�
THESE PLANS AND ALL PROPOSED WORK
■■■■■.II ARE SUBJECT TO ANY CORRECTIONS
Master Bedroom REQUIRED BY FIELD
COMPLY WITH ALL APPLICABLE CODES.
Terrace
Great Room
FILt L . aundlr�
et Bar Z—
Entry
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Ref -
■tea■■■■■ -
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KitTerraci■�i �� BedroomDen/Bedroom
uii�oi■ o■ - - -poi -'- -- _ -
Terrace
0' 6" x 5' 6'
iA
Place . S�ivuec- VwlV�.
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