HomeMy WebLinkAboutSUBMITTED PAPERSDate: Permit Numt�-, 50
SCANNED
PV
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F4 34982
Phone: (772) 462-1553 Pax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address:
Legal Description:
PropertyTax ID #: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side- ..'Left Side:
Mechanical GasTank Gas Pipin Shutters
9.
Electric. Plumbing Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:'
Cost of Construction: $ Utiliti es' Sewer Septic
Nam
city:
e- State:
Zip Code: Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Of icl-
Windows/Doors
Roof
Building Height
Company: PL"IP.& , - 6:;� ot-_6�1
Address: 2431 W) atX__
City: &I State:v__
Zip Code: Fax:
Phone No. <A - /K3 3
E-Mail: j6pfN
State or'County License:
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
DE5[GNER/ENGINEER: W_ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone: —
MORTGAGMOMPANY.-. Not Applicable
Name:
Address:
City:
state:
zip:,. Phone!,
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNE * R/ CONTRACTOR AFFIDVIT: Application is hereby made to . obtain a . permit to do the'work. and instaflation as indicated.
. U,6ce
I 6ertify now.otkotirisiahaelon''h'
_,ascorhmence" a e-iss rmit.
priQr.t th
St. Lucie jCounty makes no representation that is granting a permit will authorize, the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and. covenants that may. restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in. accordance with the approved plans, the Florida -Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency reView:.room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING 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 fin ancin& consu It with lender or an attom ey before
commencine work or reenrdingryntir Nntirp nf rnmmpnramant'
Signature of Owner/ Agent/ Lessee
Sigifature of eontractoe/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 'Vr - L
COUNTYOF 4.A. L%)ir_'%-R,
The fpsgoing instrument was acknowledged, before me
The forgoing instrument was acknowledged before me
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(Name of person ackrimblAdging)�3
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(Signature of Notary PLWlic- State of Florida
Personally Known 0114*61 e .106 da
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REVIEWS
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FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW.
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
COMPLETED I
1
16
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PREPARED BY:
Land Surveyors, Inc.
www.exactaland.com
Toll Free 866-735-1916 - F 866-744-2882
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PROPERTY ADDRESS: 5809 FORT PIERCE BOULEVARD FORT PIERCE, FLORIDA 34951
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FIELD WORK DATE: 1/16/2013 REVISION DATE(S): (REV.0 1/16/2013)
R 1301,1020
BOUNDARYSURVEY C-
ST LUCIE COUNTY R = 2 0, 00'(P*M)
L = 3 /. 4 2(P) 3 /. 541M
A =90000100"(P) 9002037"(M)
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3 44'50'5 E, 23.3 7(M)
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5 0'2 1'00" \A(35.00'(M) A
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In FCM 5 89'39'00" If 04.94'(M) 60
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LOT 15
BILK 45
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NOTE5:
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fINCE OWNER-91-111' NOT DETMIINED
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representation of a survey
-et forth by the Florida Board
in Chapter 5J- 17 of the
RICHARD S. SHOUN
State of Ronda Professional Surveyor and Mapper
License No. 6138
51GNED IIIG113
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40.0'
FI-1301.1020
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40 0 20 40
GRAPHIC SCALE (In Feet) N
I inch = 40' ft. 6
Use ofThis Survey for Purposes otherthan Intended, Without Written Verification, will beatthe User's Sole Risk and Without Liability to the Surveyor.
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified.
Nil
FLOOD INFORMATION: POINTS OF INTEREST
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING 1. FENCES OVER 10'DRAINAGE
MUNICIPALITY OR WV\IW.FEMA.GOV, THE PROPERTY APPEARS TO BE
LOCATED IN ZONE X. THIS PROPERTY WAS FOUND IN ST. LUCIE
COUNTY, COMMUNITY NUMBER 120285, DATED 08/19/91.
X11LIA AFFILIATE
CLIENT NUMBER: 01206-264, (16/2013
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r MEMBERS
BUYER: BETH A. VINER
SELLER: ANTOINETTE DUPREY
TITLE GUARANTY; HARBOR COMMUNITY BANK
CERTIFIED TO: BETH A. VINER; STEWART TITLE COMPANY; STEWART
W 'ctaland.com
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Land Surveyors, Inc. P (305)668-6W169- F(305)668.6325
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