HomeMy WebLinkAboutSUBMITTED PAPERSW4
. �FFIC1;yUSE ONLY:IR,
DATE FILED.
PLAN REVIEW FEE:
CONCURRENCY FEE:
c►
RECEIPT NO.:� 3 I PERMIT NUMBER:
RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
SCANNED . Pie ce, FL
Avenue
B Y Ft. Pierce, FL 1553 5652 i (1
St. LUCIfd Coun f , 772 462 1553 0
Y I a , n/
APPLICATION for BUILDING PERMIT["�IWCE
\ J
P]
CERTIFICATE ®f CAPACITY/ZONING COM
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: I ?S ES-0 4 LN,
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #: c LI �� �ZI(5 ' �C�c� q " 0() / _
4. LEGAL DESCRIPTION (attach extra sheets if necessary): �cJt t/ 2 �IM2���-��IV J �'� 1OC{C y� 4i " t I
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. _ I q 8. LOT NO. -j-_
9. PARCEL SIZE (ACRES/SQ FT.): , 3 (r- LOT DIMENSIONS: d D 7. ky�m-rr /3 d 6 F
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: }*n q sAayeack I'A
$`�9f�,E tJN, � � y C'��rUl a� �•�E� Sc�+�VmG
or
(ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE: 11�<;i�n /Est ti / I'Ad S -
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
SQ. FT OF CONSTRUCTION: %? 15. SF. FT 1 st FLOOR: •J Q
VALUE OF CONSTRUCTION: $ 49062)0 .
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 6/25/09
OWNER INFO18f@41ATOON
NAME: JM6 rig 11Mi�n 164W 1
ADDRESS: Z/r'i ro?L1(zWE 2-IV,
CITY: �(c (L► G G► STATE: A/ T ZIP: % S
PHONE (DAYTIME): &Z F %0 % Email:
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 (DAYTIME): U
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:
STATE:
ZIP:
ST. LUCIE COUNTY CERT #: a
BUSINESS NAME: cS0 6FLt . s" I c "Oz z L L G
QUALIFIERS NAME: �aw+ A S L ur►� r?,�
ADDRESS1% : 033-A P� FRr.TR&E (
``
CITY: r'r, STATE: r ZIP: �gS�
PHONE (DAYTIME): AJ Sag. 930,5-FAXNO. Email: -reNSE-iU-,41-F5e0
CLO I , Cc
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER: _
ADDRESS:
CITY:
STATE:
STATE:
STATE:
ZIP:
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.
I t 1 I 1
i } i
� f
,
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 pen -nit 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.
lefts Lit gg-r
OWNER OR CONTRACTOR SIGNATURE
STATE OF FLO!P�—
COUNTY OF
The foregoing instrument w s acknowledged before
me this �5 day
by
who is personally known or has produced
Signature ofTotary . .........f,
Bonded 17�re 5: Ater¢ 1¢ i! ro
Commission No.
fora ueq, ry,� <
CONTRACTOR SIGVATURE
STATE OF FLO&p_A t
COUNTY OF --Ti' Lk—r—1 e—
The foregoing instrument as acknowledged before
me this 5 day of 2013
who is personally known or has produced
) ,C,� , .� /'er. ;� II — C)
of
—,A4A f
r�
Bando" H�ed hr430 FUF� Sap
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZE " iPR ING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY AP - . .TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THV FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. '
For specific instructions see appropriate permit heckiist.
i i
OFFICE USE ONLY Bp #:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST 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
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
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 GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
Page 1 of 1
Property Appraiser - St.Lucie County, FL
Mohammed Gani Record: 1 of 1
Property Identification
Site Address:
185 Estia Ln
SectTown/Range:
28 :36S :40E
Map to:
34/28N
Zoning:
RSA
Ownership and Mailing
Owner:
Mohammed Gani
Address:
4449 Big Horn
Port St Lucie FL 34983
Sales Information
Date Price Code
Deed
7/18/2012
49900 0112
SP
2/9/2012
0 0112
CT
9/13/1991
100 01
QC
9/26/1990
0 01
QC
PROPERTY
RECORD CARD
«Prey
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Spec.Assmnt Taxes Exemptions
Permits Home Print
ParcellD:
3419-540-0039-000-6
-
Account #:
42716
�Q �•
Use Type:
SF Res
City/Cnty:
Saint Lucie County
Legal Description
RIVER PARK -UNIT 5 BLK 44 LOT 1 (MAP 34/28N)(OR 3421-27)
Assessment
2012 Total Land and Building
Book/Page
2012 Final:
50900 Land Value: 9800 Acres:
0.36
3421 / 0027
Assessed:
50900 Building Value: 41100
3363 / 0153
Ag.Credit:
0 Finished Area: 1304 SgFt
0755 / 1135
Exempt:
25900
0709/2664
Taxable:
25000
Taxes:
512.77
BUILDING INFORMATION
6;
Exterior Features
View:
RoofCover:
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtType:
HD+ - HD+
YearBlt:
1960
Frame:
Grade: -
D+- D+
EffYrBlt:
1977
PrimeWall:
BS - CB Stucco
StoryHght
0010 -1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
PF - PF
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
STD
1/2Bath:
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
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001 1 0100-SF Res
207 -Front Ft
120
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
Depth
130
http://www.paslc.org/pasle/prc.asp?prclid=341954000390006
8/5/2013