HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:
: 11
DATE FILED: 0�
PLAN REVIEW FEE: RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
PERMIT NUMBER: 110(p. 00a?
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 34982-5652 c'q/V��Q
M 462-1553 St (UC/eC�
(a
APPLICATION for BUILDING PERMIT
ntv
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION A
1. LOCATION/SITE ADDRESS:
2. PROJECT NAME: /7;o- A/W 9- (6—V d SITE PL,A�N NAME:
3. PROPERTY TAX ID #:� �r
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 042/1 1-4S /G
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9.
10.
11.
12.
13.
PARCEL SIZE (ACRES/SQ FT.): 0 LOT DIMENSIONS: J� L/
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
(AJl t_lr 4111y L/ ` d � A 1G Lr 'Tote-5. 170'oe �'Se
SETBACKS (ACTUAL) FRONT: /0 BACK: tr RIGHT SIDE: to LEFT SIDE:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION
RESIDENTIAL
OTHER (SPECIFY)
[ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] COMMERCIAL [ ] INDUSTRIAL
DESCRIPTION OF PROPOSED USE
Vo"t ve et/a; • 0/me
14. SQ. FT OF CONSTRUCTION: # ja0 15. SF. FT 1 st FLOOR:
16. VALUE OF CONSTRUCTION: $ 40 6
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 $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6125109
OWNER INFORMATION
NAME: wow 0— M
ADDRESS: "L 4 e le `,�--
CITY:$' STATE: �G ZIP: S/�V
PHONE (DAYTIME): 06 Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SEMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTEME): L_)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: � ° ST. LUCIE COUNTY CERT #:
BUSINESS NAME: G',i- // CC ,SA % �-
QUALIFIERS NAME: - h-- Z ce 9
ADDRESS: �� A E eO
CITY: STATE: ZIP:
PHONE (DAYTIME): FAX NO. Email:
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): �)
STATE: ZIP:
BONDING COMPANY:
ADDRESS:
CITY: STATE:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
ZIP:
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.
7
i
CERTIFICATION: , _1
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.
STATE OF FL A IV
COUNTY OF ,,,,
The foregoing instrument was acknowledged before
me this day � _ 20 14 ,
by
UlAlli Vl' 1'LVl A .,
COUNTY OF _
The foregoing instrument was acknowledged before
me this & day of 20A
by
who is personally known or has produced who is personally known or has produced
1� as identification. ��' L�'1b -syl -65- ��� as identification.
Signature of Notary p ligiaturDe of Notary
<�7••1;: LASHAHNA ING G � ) MY E Commission NOU ''
Commission No.C,`.' �`'6 1` 5`��1 CCMmtSSIONk E050558
OoidedlTry- cember20,2014
y.ru Noery Public Underwriters
LASHAHNAINGR&
( M�MMISSION H EE 050558
Bonded Th NoottaryPublcrUnderwuters
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDEIt, 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.
863-357-485D P.
11-0'
ASPHALT
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12450 HE 2BTN AVENUE
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663 763-0980
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St.RAU
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGMIAAVENUE
FORT PIERCE, FL 34982--5652
M2)462-1553
LED I. A"S A F IDAVT'
I, the undersigned, am the owner of the following described property,
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_ aclmowledge that in grawing_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.: adversely affect the immediate
community.
Property Owner Name (Please Print)
Property Owner Siguature e
STATE OF FLORIDA, COUNTY OF
AOI.4NOW\LEDGED,BEFORE ME THIS � � DAY OF
BY 6l')l()R� J v��l l�G WHO IS PERSONALLY K40WN TO A E `� OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE ORPRINTNOTARY
COM RSSIONNUMBER
~ (SEAL)
DIANE M. FRANK
Notary Public - State of Florida
My Comm. Expires Aug 26, 2015
Commission # EE 114050
SLCPDSDRmisod= 2010
''}•,����`'� Bonded Through National Notary Assn.
Property Appraiser - St.Luce County, FL
Page 1 of 1
PROPERTY RECORD CARD
Edward Gahn Record: 1 of 1 <<Prev Next Spec.Assmnt Taxes Exemptions Permits
Home Print
Property Identification
Site Address: 172 NETTLES BV
ParcellD: 4502-501-0358-000-5
j�CIE�
Sec/Town/Range: 02 :37S :41 E
Account #: 119946
Map ID: 45/02G
Zoning: HIRD
Use Type: Mob Homes
City/Cnty: Saint Lucie County
Ownership and Mailing
Legal Description
Owner: Edward Gahn
NETTLES ISLAND INC, A CONDO -SECTION II
Address: 172 Nettles Blvd
PARCEL 172 AND PRO-RATA SHARE IN COMMON
Jensen Beach FL
34957-3309 ELEMENTS (OR 2854-156
More...
Sales Information
Date
Price
Code
7/23/2007
129000
00
8/12/2005
143000
00
4/1/1996
45000
00
4/1/1978
25000
00
1/1/1977
8500
00
Assessment 2013
Total Land and Building
Deed
Book/Page
2013 Final:
59600
Land Value: 57000 Acres: 0.05
WD
2854 / 1568
Assessed:
57927
Building 2600
WD
2337 / 0466
Value:
WD
1009 / 0076
Ag.Credit:
0
Finished
682 SgFt
CV
0285 / 1338
Area:
CV
0263 / 0434
Exempt:
32927
Taxable:
25000
Taxes:
563.83
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
-
RoofStruct: -
ExtType:
MHH - MHH
YearBlt:
1983
Frame: -
Grade:
MHTT - MHTT
EffYrBlt:
1983
PrimeWall: -
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall: -
Interior Features
BedRooms:
0
Electric:
-
PrmintWall: -
FullBath:
0
HeatType:
FHA - FrcdHotAir AvgHt/FI:
1/2Bath:
0
HeatFuel:
ELEC - Electric
Prm.Flors: -
%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
1 0200-Mob BCO -Unit 1
Homes
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=450250103580005 6/2/2014
Nettles island Inc., a condominium -
pm South Ocean ®ride, Jensen Beach, FL. 34495.7
(772) 229-2930
FAX (172) 22979901
May 27, 2014
Edward Gahn -
172 Nettles Blvd.
Jensen Beach-, Fl 34957
RE: 172. Nettles Blvd
The review of your Adjacent Property Protection Plan for lot #172 is complete. We
approve of the renovation of the existing slab. Please comply with Nettles Island
Procedures Governing Contractor.and Building Activity on Nettles Island, and provide us
with a copy of the permit.
Respectfully
,f
Frank" Fishe
Architectural Chairperson
CC: Laura Jones, LOAM, File
FF/bh
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� CC .F RETE DISPATCHERS:
-11 MIAMI-DADE: (305) 264-7101
0 �Xm +, DEERFIELD: (954) 480-9333
., BLOCK PLANT: (305) 805-3226
i4 `The On Time Concrete Company"O WWW.SUPERMIX.COM
-� CENTRAL CONCRETE SUPERMIX, INC: 111111111111111111111111 ��EQ
LARGEST INDEPENDENT READYMIX E
CONCRETE PRODUCER IN FLORIDA CUSTOMER NO. DELIVERY TICKET DATE
MAIN OFFICE: 4300 S.W. 74thAve. • Miami, FL33155
PHONE: (305) 262-3250 - FAX: (305) 267-0698
SERVING MIAMI-DADE, BROWARD, PALM BEACH,,MARTIN & ST. LUCIE COUNTIES
SOLD TO DELIVERY ADDRESS
I*i(1F•R i:i•4C 1 l�2' NETTLE'; BI.VD PSL
HPII_IP..iEEN CT VAR l 0t.193 J0 -IA S'
I� iDE.R441 165 ' _ I~'Irl_�•_) 1.`:.I .. I rl' c tkil';,':j U?
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QUANTITY DESCRIPTION PRICE UNIT EXTENSION"
E,a L%1+1 y °;+7iFil:, li+,l ?it1 I :;rx+Clt''t N OUL-AR,
MINUTES — . ALLOWABLE TIME' — PER MINUTE —
EXTRA UNLOADING TIME CHARGE X $1:00
*6 MINUTES PER CU.'YD. ALLOWED SHORT LOAD CHARGE No
SLUMP G. 0Uf__ AMOUNT
THIS DELIVERY TOTAL CU. YDS.
TAX
OF YOUR ORDER FOR CU. YDS.
CUSTOMER OR HIS AGENTASSUMES FULL RESPONSIBILITY FOR STREAIGTH AND/OR
PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN UMP OR WHEN • �� {i: a'
WATER IS ADDED. WATER ADDED C►]"YES ❑ NO S -}.' GLS. `
'TIME ARRIVED ON JOB-'y STARTED UNLOADING FINISHED UNLOADING LEAVING THIS JOB TOTAL TIME
SUBJECT TO THE TERMS, ,CONDITIONS,AND "CAUTION" WARNING LISTED ON BOTH THE I,
FRONT AND BACK OF THIS TICKET.
TRUCK DRIVER I acknowled a that I have recglved and accepted t/VP materials listed on this ticket..,)
understand and agree to the �rms o 'both the fro' t and Zak of this ticket.
RECEIVED BY: Xi
CONTROL 20 LOADING POINTS AT 15 LOCATIONS TO SERVE YOU BETTER
14-12 4 0 9 �,%" "`9- MIAMI - DOWNTOWN MIAMI • AIRPORT • OPA LOCKA • MEDLEY - PERRINE - PEMBROKE PINES - DEERFIELD
BOCA RATON • RIVIERA BEACH • STUART - W. BROWARD - FT. PIERCE - E. BROWARD • DELRAY
PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK NRMCA
ISSOn>
DELIVERY COPY l- ,
CAUTI • NH FRESHLY MIXED CEMENT, MORTAR, CONCRETE OR
GROUT MAY CAUSE SKIN INJURY. AVOID CONTACT WITH EYES WHERE
POSSIBLE AND WASH EXPOSED SKIN AREAS PROMPTLY WITH WATER.
IF ANY CEMENT MIXTURES GET INTO EYES, RINSE IMMEDIATELY AND
REPEATEDLY WITH WATER AND GET PROMPT MEDICAL TREATMENT.
SAWING; OR GRINDING OF CONCRETE MASONRY UNITS MAY RESULT
IN THE RELEASE OF DUST PARTICLES WHICH, WITHOUT THE USE OF
PROPER EYE OR RESPIRATORY PROTECTION, COULD CAUSE EYE OR
NOSE IRRITATION. THE MATERIAL SAFETY DATA SHEETS FOR THE
PRODUCTS SOLD BY CENTRAL CONCRETE SUPERMIX, INC. ARE
,AVAILABLE UPON REQUEST
UNLOADINGDRIVERS ARE PROHIBITED FROM DELIVERING
CONCRETE EXCEPT UNDER THE TRUCK'S OWN POWER, AND WHERE
SITE CONDITIONS PERMITTHE SAFE AND PROPER OPERATION -OF HIS
.EQUIPMENT DRIVERS ARE NOT PERMITTED TO ADD WATER TO THE
MIX NOR TO GO BEYOND THE CURB LINE, EXCEPT UPON- THE
AI)THORIZATION OF THE PURCHASER/PURCHASER'S AGENTAND HIS
-ACCEPT/-ONCE OF RISK FOR -ANY LOSS OR DAMAGE.
BUYER; OR HIS -AGENT, AGREES TO ASSUME RESPONSIBILITY FOR
CONCRETE, AND ANY PROPERTY DAMAGE RESULTING FROM TRUCK
MAKING DELIVERY BEYOND CURB LINE. ALL CLAIMS MUST BE MADE
.AT TIME OF DELIVERY.
IF IT BECOMES NECESSARY TO BRkr-aG f��`IjY ACTION TO COLLECT
"AMOUNTS1 `�iAi I P.
DUE ON THIS INVOICE, PUR(. t.. `�� RESPONSIBLE
FOR REASONABLE ATTORNEYS FEES° "''-' �� �. _ r;'ED
BY VENDOR IN SECURING COLLECTI(� e V:�►. ' ,, .�
AT 1 1 /2®/o PER MONTH ON OUTSTANDING BA L,s'�
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