HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPV. 3 FORAP%"P9N TO BE ACCEPTED
Date: D —1� 5 BY Permit Number:
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: P
To Select from dro box, click arrow at the end of line
Address: 57%�j C@.Ss.1Q ��r1 r-e
Legal Description: r 0 2 y 1 G �� 2 �,, i n d, a n r i --c r S� a it- S. F v h i
Property Tax ID #: �.d a --�o l� -• �5�1. �a �Q-' Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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y'I htc� cdnc>-"e 3,000
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Aaaitional work to t) rtormea unaer tnis permit- a
aHVAC LJ Gas Tank ❑Gas Piping
Electric El PlumbingSprinklers
Total Sq. Ft of Construction: Z 0
Cost of Construction: $ 1 V ' O Q
UShutters ❑ Windows/Doors
❑ Generator ❑ Roof'
S�' FFttj of First Floor: _
utilities: Ft
Septic
Building Height:
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Name
Name:✓G� �'11%erra
Address: 57 CdSSl a lip i'v a
Company: S � F coojl c ll 'fl'' I._v_i c
City: j2bKp) ev ce I State: LL
Address: 67412 An ow-e /6 ft✓
Zip Code: '3 '-/4 8L Fax:
L
City: rI erW Stater
Phone No.
Zip Code: 2) Fax:
E-Mail:
Phone No. WZ
Fill in fee simple Title Holder on next page ( if different
E-Mail:
from the Owner listed above)
State or County License: 2'J 7'JS
If value of construction is $2500 or more, a RECORDED Notice of commencement is requires.
in
DESIGNER/ENGINEER:
—,Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:. State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:.
City:
Zip: Phone:
.Zip:Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County 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 financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIQA STATE OF FLORIDA ,
COUNTY OF ��CC • L �c t COUNTY OF_ Sk, 1-u z %'k
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of MA_
r . 20 A by this Co . day of 7SA-�(\ , 20� by
'S�-:1. 9--cCA
(Name of person acknowledging) (Name.of person acknowledging)'
(Signature of Notary Pu c- State of Florida) (Signature of Notary Pu c- State of Florida )
Personally Known OR Produced Id ti Personally Known . OR ProducedJAw
Type of Identification Produced NNP G� F� Type of Identification Produe�;. tip
Commission No.
Revised 07/15/2014
Commission No. L
My ��m�ssion # EE aCotasy Pssn.
Nwna
Notary PoOEvp�cesQeo IaI61
My (300 n # EE 6 obacy Assn'
°mmY_„�n W�C�ona�sl
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
LEGAL DESCRIPTION, ALL. OF LOT 29. BLOCK 78
INDIAN . RIVER ESTATES: UNIT NINE
ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BOOK 10. PAGE 74 OF THE PUBLIC RECORDS
OF ST. LUCIE GO.. FLORIDA. SAID.. LANDS LYING
IN 5T. LUCIE CO.. FLORIDA.
CONTAINING 0.23 ACRES MORE OR LESS.
FLOOD. ZONE, X. PANEL NO. 12111CO281J .
MICHAEL VOLCHKO
LOT 10
FND. CAP
C4945),
4' Cl.F.—
O.G' NORTH
3' WOOD
FENGE-
0.4' NORTH
LOT 30
FND.. 3'2 PIP.,E
0.,4' SOUTH
LOT 9
500.9001000E
50.00,
LEGEND. OF SURVEY 'ABBREVIATIONS
D&U E 'DRAINAGE L UTITLTY EASEMENT.
MM. ASBUILT ELEVATION C.L.F. CHAIN LINK FENCE
D DELTA FND FOUND
A/C AIR CONDITIONER I.P. IRON PIPE
BLK BLOCK I.R. IRON ROD
SURVEY NOTESs
1. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR
RIGHTS —OF —WAY AND/OR EASEMENTS OF RECORD.
2. NORTH ARROW SHOWN HEREON 15 BASED ON
RECORD PLAT.
3. THIS SURVEY 15 CERTIFIED ONLY TO THE BELOW
NAMED INDIVIDUALS..
4. ELEVATIONS. CIF SHOWN) HEREON -ARE BASED ON
N.A.VD. C1988). UNLESS OTHERWISE NOTED.
5. BEARING BASE ON NORTH LINE OF LOT 29.
G. LEGAL .DESCRIPTION SUPPLIED BY CLIENT.
7. NO STRUCTURES OR UTWTIES THAT ARE BENEATH
THE SURFACE HAVE BEEN LOCATED.
8. ORIGINAL BA. 'ROD' EL.=15.73' NAVD
I LOT 8/4
FND. CAPC4945)
0.5'W.
4' C.L.F.
0.2' NORTH
LOT 28
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END: REBAR
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6�i5.0',
B.M. BENCHMARK
L
'LENGTH
B.H. BEARING BASE
M
MEASURED
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NLD
NAIL S DISK
CB CHORD BEARING
OHW.
OVERHEAD WIRES
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CD CHORD DISTANCE.
C.B.S. CONCRETE BLOCK
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PRM
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PERMANENT REFERENCE MONUMENT
.1
WIL.LIAM E: H HURSZ'. lobo l3
STRUCTURE
PP'
POWER POLE
PROP asa:oxAL avR, OR .ee. L[APPIDR
CENTERLINE
R
RADIUS
srt.oRmA REOIBTRAT Ox kTo, "is DATE SIGNCD
CLR CLEAR
CONC. CONCRETE
R/W.
WM
RIGHT OF WAY '
WATER METER . ALL SET CAPS earl rn '� —
ARE � WITH ANU � LUNG
THIS: SURVEY MAP ANDIEPQRT OR COPIES THEREOF ARE
NOT VALID. WITHOUT `THE,_ SdGATURE AND ORIGINAL
Ca
.COMBINED LOTS 5 �� RAISE]
,
SEAL OF. A FLORIDA`LTCENSED SURVEYOR AND MAPPER.
I
SURVEY TYPEi ,
BOUNDARY
D:�T�:,gREVISIONSt'
;
-HAyHLJRST
LAND SURVEYING ING
DRAWN Hri -
CERTIFICATE OF. AUTHORIZATION NUMBER (LB. 7364) ' J'D•J•
SURVEYING .I- MAPPING COMPANY CHECKED BY, h w.E.
445 9TH ST. S.W. Unlit-7 FIELD Boo—
OO324 I
VCRO 6EAGM. FL. 329G2 fPriu 54.
DATE- 10/9/13
PHONE: (772) 569-6680 FAX: (772) 770-3446 1'=3C
- NOi _n 1-19