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OFFICE USE ONLY- DATE FILED: `i PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: N6.1 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 I 'SCAN Er) 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 Lucie, 772462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITEADDRESS: $520'7 re aj-hex Crek -f->�Pt�e f. 1 . c-ce' 2. PROJECT NAME: Pr Rfe 55 R25iC� Q na . SITE PLAN NAME: 3. PROPERTY TAX ID #: 1312- -- '601 -- 02 y3 000 —`1 4. LEGAL DESCRIPTION (attach extra sheets if necessary): E}©LI D& P1 AI ES S/%2 - P4ASG 11— a - t-07 42.D CMPrP 1'��tZs)(1��2 ���i3-llo�l� 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. &f 20 9. . � PARCEL SIZE (ACRES/SQ FT.): 0. 3 2-091 LOT DIMENSIONS: 10. 11. 12. TYPE OF COM51RUCTION (Check all appropriate boxes) [I NEW CONSTRUCTION [vr EXPANSION/ADDITION [ ] INTERIOR RENOVATION [�?] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: 8r',vCALA a AM mom.01 �A4 Lencit" P ®A1 Li 14. SQ. FT OF CONSTRUCTION: -f- lq cr7 zi &^trde cn (/ 15. SR FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ LA 15 r 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 6125109 OWNER INFORMATION NAME: `j'a mfes Enaness ADDREss: 52pq CtA4 fir C xgje= b-. CITY: P4-. STATE: (^L— ZIP: PHONE (DAYTIME): (5%. U 34 - I I $lp Email: e- o-ba n a a. @ cornea5 -, ne+ 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 (DAYTDAF-): C__) CONTRACTOR INFORMATION STATE: ZIP: ST. of FL REG.CERT #: (' (a C I C 09 1 S <1 ST. LUCIE COUNTY CERT #: BUSINESS NAME: QUALIFIERS NAME: 1J�W ADDRESS: 3togo VlS 'Iu. I CITY: STATE: ZIP: 3q0 4(p PHONE (DAYTIME): (772) 2I to -Co Co 12 FAX NO. Email: ARCHI T/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): �) BONDING COMPANY: ADDRESS: STATE: ZIP: CITY: STATE: 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. OWNER OR CONTRACTOR SIGNATURE STATE OF FLORIDA 4 COUNTY OF The foregoing instrument was acknowledged before me this day of 20 l _V, byA, k-t who is personallown or has produced as identification. Signature of try Commission No. (Seal) d/ S CONTRACTOR SI NATURE 2 77 y 22 STATE OF FLO 3 COUNTY OF C N o = Cn The foregoing instrument was acknowledged before a is day of . 2W V , °i &Kh is personally own or has produced No. as identification. (Seal) 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. 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 BLD IMPACT FEE CORRECTION PUBIC BLD IMPACT FE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD ACT 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 S PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: / REVIEWS FRONT COUN ER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED 9 INITIALS 9-FEB-2014 05:50 FROM:SOUTH COAST— 772344GO42 41 r"p-10—ft rmlb 7i2-4611. n"l PW 7 PERmrr 11 ElUUDEWC0WrRA=R: PEsr CONMOL COWM4CMR.- PEST CONTROL U1MENS11 li vft do WWN**4 hwow M" wl! pwawftga of ITM —10 NOW vwdm�tbv a 1= 1p6b I Ara* MAWA IkAwAi W'p pmwu W-momommmkiamml wfw.f GME ff" #NFMW VMPMWW43F W.PVWWWMM St Luck ft L 'L l"ff I* af * WNW woffla bdw" A 0" i TO: 4G26443 P. 1/1 *Wd*AnmnxmrAvcw4WJvb , It-, MwAfaw#np*apm;m ON &a~.& PM v t mpg wp~jjm MOMWOW A wouslo SMA AD 8 am sm*wwbopbwfin RECEIVED FEB 1`0 2014 vo1- 03 `The On Time Concrete Company CENTRAL CONCRETE SUPERiI IM INC. LARGEST INDEPENDENT READY -MIX CONCRETE PRODUCER IN FLORIDA MAIN OFFICE: 4300 S.W. 74th Ave. - Miami, FL 33155 PHONE: (305) 262-3250 ^ FAX: (305) 267-0698 SERVING MIAMI-DADE, BROWARD,'PALM BEACH, MARTIN & ST. LUCIE COUNTIES CONCRETE DISPATCHERS: MIAMI-DADE:.(305) 264-7101 DEERFIELD: (954) 480-9333 BLOCK PLANT: (305) 805-3226 {', !!){ WW IW.(SI1 }U(i11PE€{€{ qR�?�}� {MIX.COM :li„P{i: i 1�di �it� III$ 111114 1fli; 11,I[{; I I CUSTOh11ER NO. - *"5ELIVERYuTICKET DATE SOLD TO DELIVERY ADDRESS, i(: �:-i. Ft-.�t.i i.l.{{•,.i Iti..�l�1• t. t',�i._i f_.. ,.�i �t. �i.' i'!I{{i'. ,`. {.•L:. i'-c. 'i '.. :. .� ...,.. QUANTITY DESCRIPTION PRICE UNIT EXTENSION ' . , is .. �i' . _�,�:'•{Fn?� i! . MINUTES ALLOWABLE TIME'NU PER MITE EXTRA UNLOADING TIME CHARGE _ = X S1.00 '6 MINUTES PER CU. YD, ALLOWED SHORT LOAD CHARGE SLUMP THIS DELIVERY TOTAL CU. YDS. t1r, AMOUNT OF YOUR ORDER FOR ~ '{ `-t1-' CU. YDS. TAX CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR WHEN A WATER IS ADDED. WATER ADDED ❑ YES ❑ NO GLS. TIME.ARRIVED ON JOB_ STARTED UNLOADING FINISHED UNLOADIN!f LEAVING THIS JOBt TOTAL TIME f il f?y Fl 1 �' C: r 3. t ::7.�❑ r. i l: d / / , l 1J �• SUBJECT TO THE TERMS, CONDITIONS AND "CAUTION" WARNING LISTED ON BOTH THE FRONT AND BACK OF THIS TICKET. TRUCK DRIVER I acknowledge that I have received and accepted the materials listed on this ticket. I understand and agree to the terms on both the front and back of this ticket. RECEIVED BY: X CONTROL 19 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER Co *v: c to�rr' MIAMI • AIRPORT <)PA:LOCKA - MEDLEY • PERRINE - PEMBROKE PINES • DEERFIELD - BOCA RATON �� 4- fS " RIVIERA BEACH - STUART', W. BROWARD - Ff. PIERCE - E. BROWARD - DELRAY - LOXAHATCHEE �' t `3 T PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK H�tW. NRNiCA DELIVERY COPY RECEIVED FrQ 12 M14 5207 FEATHER CREEK DRIVE, FORT PIERCE, FLORIDA SURVEY DATE 01 \22\2014 LOT 421 OCCUPIED FND 4%4" M SHEET 2 OF 2 0-) (M)170.28 (P) 7.00' ASEMENT WEST STCCKCA� FE — �` ND 1 ' I . cn w 20.000OVERED POOL 20.00 �.( L 173 a W o cca Lj Z: LLJ w o�r� 32.- 0' 40 0 �' o — +, o A o 5 7 4 6. 71 a a Q O 3. ®� ry1199W ,. rN 16.00' �, o o ° o= ,;: a, V 0 5 WIDE SID WALK O o c p o N 0o 16.00' LOT 420 Ocl a E N 0 0 co V) >- I k� SINGLE STORM 3 z > o .f . w HOM o O Q y} ,~ o IN 0 WIDE =WAY w 1 0 0' w 67.41 AC AD 4 15.00 w ry \ EX. 6 HIGH STOCKCADE. W p m .00ENT 7' WIDE EASEMENT `��, m f— ~ M 17 0. 02 1, C3 Q EAST I ❑ L- FND 3/8" I.R. M P OF BOUNDARY SURVEY FND 1" I.P. LOT 419 OCCUPIED oD{4r, PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772) 462-i553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, 1_-"5I2-- 16CI -022 - (Parcel Id#/Legal 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 community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the 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. j A rt-, QS ltiJ G N CPR 2 SS erty Owner Name (Please Prin Proptrty Owner Signature Date STATE OF FLORIDA, COUNTY OF 3n d i 0-K Ri Ve ✓ t� ACKNOO�W77--LEDGED BEFORE METM DAY OF JLLR,L� _O r q BY �1G.i-ri LS I.I� . ��/n 1'P_ 55 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED R Ifl SIGNATURE QF NOTARY PUBLIC// C E 4 3� 9 COMMisSION (/NUMBER SLCPDSD Revised 08/24/2010 AS IDENTIFICATION. eA'V0) u ti L . 1'e-014' d TYPE OR PRINTMOTARY .� ar otP o;r., CAROLYN L. LEDFORD Notary Public - State o1 Florida N : My Comm. Expires Nov 6, 2015 �iFOF F�OP� Commission # EE 143999 Illllll ►® JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3918910 OR Bf,'` 3598 PAGE 2052, Recorded 01/27/2014 01:27 PM Permit No. State of Florida County of St. Luce NOTICE OF COMMENCEMENT Tax FoHo The undersigned hereby gives notice that Improvement will be made to certain real Property, and In accordance with Chapter 713, Florida Statutes, the follaMng information is provided In this Notice of Commencement saip wescrWoaa of Preparty: (and street address if avallable): _lrietu QiA/t S f D - toITA� Ir 6 LQr 42A MAP 1-6 Itz�4i (fit 359a Its 71i 52o'T Fed+her Cremk Dr. , F+. P.e.rca- Ganerafdasc4tlonoFJmprovs.rwrnC �.rr.. and Hour dCiYt_=�, e— .11.DA p — S - � d —�.rr.. srn _ern Pad Name=J0_vfla5 w�elrse. - - Address �797 Fe +k r C CeelC �r �� Pi ere r PL 3yf� Interest in Property: _Q d ne-r Name and address of fee simple titleholder (If deferent from Owner listed above): ConiractoesName•�Bk 4 1Contractor Address: !t 11� µ„ 1 r i Ct�PhoneNumber./2 Suretr(ifapplicable, a copy ofthe payment bond is attached): Amount of bond: $ Name and address: Phone number. lender mow:— Phone Number. Lenders address Patinas " Idtht the State of Florida designated by Oamar upon whom notices or other documents may be sawed Z1 L 2) (a)7., Florida Statutes: Y as provided bySeetlon N° Phone Number. In addition to himself or herself, Owner designates Uenoes 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 data 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 COMMENCUUNT MUST BE RECORDED AND POSTED ON THE JDB SiTE BEFORE THE FIRST INSPECTION. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR REODRDINGYOUR 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 trueto the best of knowledge and belief. (� (Si re ot Owner or Lessee, or Owners or Lessee's Authorized Officer/Director/Partner/Manager (Signatery'S Title/Office) The foregoing Instrument was acknowledged before elme thk ,2.3': day oF"� 20fI, as SSki a I (.err ILev for n m e-5 S $ Name of Person V y Type of authority (e g. officer, trustee) Party on behalf of whom Instrument was exerted •",'"� erson ly knowrL_ or produced rdentif catk,n ✓ . (Signature otary P lic- tat f Florida �o� a, CAROLYN L. LEDFORD (Print, Type, or5tamp Commissloned Name of Notary Public •Stale of 5' t;,Ch . •i •- t*Wb entification produced M / clef v �- �?F My Comm. Expires Nov 6� 2015 Commission X EE 143999 STATE OF FLORIDA ST. LUCIE COUNTY THIS ISTOCERTIFYTHATTHIMA RUE.4—RiRcCTGOPYOfTHE GRICIfdC.i� JOOFft E. WITH,XLCRK