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HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE INFO MUST BE COMFLEi ED FOR APPLICATION TO BE ACCEPTED Date: ` ��o— � � �C Permit Number: 1WC% • �. ANN�® BY St. Lucie County h • r 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 F•' L� pp ;. Address: 590& nrn YRTL iF Legal Description: Z Al 10TON A.1.y' _, /Z EST ,42 9!5 - rrN-rT 08 - (3 L h 6 t LOT 15 (MA103111i14(og ioiq-2ro)) T Property Tax ID #: 3 4 0A -60q -0333— 000-5 Lot No. i5 Site Plan Name: Block No. (01 Project Name: Setbacks Front Back: Right Side: Left Side: e/o/act 9' x 20" l h,'e- wi�ti 3000 ASS w; � h onal work to be pe _Mechanical _ Gas Tank Electric _ Plumbing Total Sq. Ft of Construction: �0 Cost of Construction: $ s 1 permit — cnecK aii tnat a Gas Piping Shutters _ Windows/Doors Sprinklers = Generator _ Roof Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: Name no-r-em 3 V e-Ie.t Address: a 507 L e, z Nam A OC � �h City: F= - A'&-Ce' State: LL Zip Code: 3 4 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company: Address: '5W 0 .L a/m Or - City: Ft loilerc-e— State: FL. Zip Code: 3� 164 Fax: Phone No. C77&5 E-Mail: State or County License: If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. L E t. QNS1'R. fiI 1. .1:A�' N 4 0 T QI\I '� 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: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 co venantsFthat-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 rec'nested permit; I -do hereby agree that I will; in all respects; perforrrr' 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 concucrency review: room additions, accessoiry structures, swimming pools, fences, walls, signs, screen rooms and''acceswry uses to another hon-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 Owner/ Agent/'Lessee, - Sign ure of.Contractor/License Holder,q �= -,,,,, '`��_ STATE OF FLORID _ STATE OF FLORIDA COUNTY OF COUNTY OF m The forgoing instru ent was acknowledged befog aie The forgoing instrument was acknowledged bef o this day of 20 by 2 5 8 - this day of f -�-� 20 by N rnm� error^= /!All%� (Name of p on acknowledging) �' (Name of person ac no edging) �zi � C, Signature of6libtary Public- State of Florida) (Signature of Not Public- State'pf Florida Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Seal) Commission No. (Seal)',, 4 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE' MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2014 PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, -5yd !Pot L, (Parcel Id#/Legal descripti Address) 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. roe Owner Name (Please r nt) roperty Owner Signature \ / Date a STATE OF FLORIDA, COUNTY OFC 4 ACKNO EDGED BEFORE ME THI v DAY OF "`y/�' 20— WHO IS PERSONALLY KNOWN TO ME OR WHO HAS P ODUCED AS IDENTIFICATION. SIGNATURE1/jOOFrN�OTARY PUBLIC TYPE OR PRINT NOTARY ✓ / LMISSION NUMBER n .•, x, (SEAL) " P1l6LISSA'C;9�FORD Iv�Y CONQd1SSI0N_ "16 , 8�4: A> w 14.201 ,. 1. SLCPDSD Revised 08/24/2010-,. Property Appraiser - St.Lucie !7 ��nty, FL Page 1 of 1 13110130t+Y RECORD CARD Karen S Gelety Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 5806 MYRTLE DR ��UCIE�0 ParcellD: 3402-609-0333-000-5 �G,L Secrrown/Range: 11:36S :40E Map ID: 34/11S Zoning: RS-4 Account #: 37866 yet Use Type: SF Res, .� City/Cnty: Saint Lucie County Ownership and Mailing Legal Description Owner: Karen S Gelety INDIAN RIVER ESTATES -UNIT 08- BLK 61 LOT 15 (MAP 34/11S) (OR Address: 2507 Lazy Hammock Ln 1049-2101) Fort Pierce FL 34981 Sales Information Assessment 2014 Total Land and Building Date Price Code Deed Book/Page 2014 TRIM: 61600 Land Value: 7700 Acres: 0.23 12/4/1996 73500 00 WD 1049 / 2101 Assessed: 59510 Building Value: 53900 5/30/1990 12000 00 WD 0693 / 1079 Ag.Credit: 0 Finished Area: 1527 SgFt 3/23/1990 12000 00 WD 0684 / 1689 Exempt: 8/1/1976 2000 00 CV 0257 / 0769 Taxable: Taxes: 1095.67 BUILDING INFORMATION/0 -> -) 51 Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC - HC YearBlt: 1990 Frame: Grade: C - C EffYrBlt: 1990 PrimeWall: FS - Frm Stucco StoryHght: 0010 -1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: 1/26ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Use Type Type Measure Depth DWC - Driv-Concret Y 1 720 AV AV 1990 1 0100-SF Res 215 -Front Ft 80 125 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/paslc/prc.asp?prclid=340260903330005 9/16/2014 Tuesday, Sep 16, 2014 03:59 PM PLANNING AND DEVELOPMENT SERVICES DEPARTMENT BUILDING AND CODE REGULATIONS DIVISION 2300 VIRGMIA AVE FORT PIERCE, FL 34982 (772) 462-1553 Fax (772) 462-1578 PERMIT RENEWAL REQUEST PERMIT NUMBER: I U I —0 2 ` ADDRESS: �806 V4 rile I, ILq,m G�i�iltiam requesting that the above permit be renewed. I understand that I must schedule and pass all required inspections for the permit to be finaled. Further, I understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a passing inspection during any six month period during the renewal period. (� i Justification Co rr4- Cl l'-tit/ ' 1 v tC��" (l i d, (�;�t OWNER/BLDR OR CONpTfe'hl RAACT R SIGNATURE DATE k�cve � ClL Print Name STATE OF FLORIDA COUNTY OF c J l ACKN �ILEDGED BEFORE ME THIS DAY OF 20� gy��-C,�l IS PERSONALLY KNOWN TO ME , OR HAS PROVIDED STATE OF FLORIDA, County of SIGNATURE OF NOTARY FOR OFFICE USE ONLY: Number of Open Inspections: Total Inspections: (Divide open by total to get % of open inspections) Percentage: Original permit fee: x % open = $ Renewal fee AS IDENTIFICATION. SEAL Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee) Revised 7/21/2014 fised NO-st=tni',r- iny easement c), ervAse approved.