HomeMy WebLinkAboutSUBMITTED PAPERS1
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OFFICE USE ONLY:
DATE FILED:
PLAN REVIEW FEP,: 101 . 50 RECEIPT NO.: °� 55O PERMIT NUMBER: \3'O
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue 'SC
Ft. Pierce, FL 34982-5652 q�NED
772462-1553 fit, kUC� County
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 422 Dusk Wa
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #: 2308-601-0131-000-3
4. LEGAL DESCRIPTION (attach extra sheets if necessary): Tropical Acres BLK B Lots 72 and 73(0.70 ACC
(OR 3547-2805)
5. PLAT BOOK 3547 6. PAGE NO. 2805 7. BLOCK NO. B 8. LOT NO.72 and 73
9. PARCEL SIZE (ACRES/SQ FT.): .70 AC LOT DIMENSIONS: • 200 x 302.5
10. COMPLETE DESCRIPTION OF CONSTRU—CTION PROJE TOR WORK ACTIVITY:
Renovation to include: Int. & fees, % ,flooring, new drywall in all baths
kitchen and age, new cabinets, counter tops and file bathroom showers.
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [x] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[x] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: SFR
14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1st FLOOR: 128
16. VALUE OF CONSTRUCTION: $ 25000
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 cqPI ction 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 INFORMATION
NAME: James Trefelner
ADDRESS: 1760 Copenhaver Rd
CITY: Ft. Pierce STATE:
F1 ZIP: 34945
PHONE (DAYTIME): ( 772) 201-9833
Email: trefelnerj@bellsouth.net
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: STATE:
ZIP:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: CRC1330685
ST. LUCIE COUNTY CERT #: 'Q' N00
BUSINESS NAME: Trefelner Construction Inc
QUALIFIERS NAME: James D. Trefelner
ADDRESS: 1760 Copenhaver Rd
CITY: Ft. Pierce STATE:
Fl ZIP: 34945
PHONE (DAYTIME): 7( 72) 201-9833 FAX NO.
772-460-0527 Email:
ARCHIT/ENGINEER:
ADDRESS:
CITY: STATE:
ZIP:
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY: STATE:
ZIP:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE:
ZIP:
IWORTANT 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.
^u
J
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 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.
OR
STATE OF FLORIDA
COUNTY OF 6 'r , L. c
TUBE
The foregoing instrument was acknowledged before
me this 'D day of 20
byeaw,1ks 'C t��r��A Ir
who is personally known or has produced
:� C91 H , TA A — Tb ' a,1 d - O as identification.
Signature of No DEANNA GMNt l
State of Florida
•`•Pa ° otary Public 16, 2016
Commission No. comm(4ftfs Dec
Jr• • o`c Commission # EE 858761
P ••
Bonded Through National NotaryAssn
.
CO CTOR SIG60URE
STATE OF FLORIDA
COUNTY OF Gr ' , 1—y C Z-
The foregoing instrument was acknowledged before
})N
me this 5day of S It . , 2013 ,
by5agN
who is personally known or has produced
'S CQ 1 y ' `� "1 �' 3'j d "d as identification.
NI
Signature of No ,,,wY P�/./ ut""""
•�o`P °<<'I Notary Public - State of Florida
Commission No. « ' A Corn 6res Dec 16, 2016
com N# EE 858
761
Bonded Through National Notary ssn.
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, 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.
OFFICE USE ONLY
SECTION
6 d
TOWNSHII'
^� 5 S
RANGE
3 Q
MAP NO.
ZONING
�. rJ
LAND USE
r
J
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
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
APPROVED
REPORT
L
HABITABLE
RADON
PERMIT
CODE
O
AREA
FEE
FEE
(RADON)
LIBRARY
PUBLIC BLD
PUBIC BLD
PARKS
IMPACT
IMPACT FEE
IMPACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED
FEE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
' si13
RECEIVED
DATE
�15113
COMPLETED
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE C TY
FILE # 3873333 OR W556 PAGE 934, Recorded 09/06/201qW1:10 PM
NOTICE OF COMMENCEMENT
11.01. 005I
Permit No ►309- 60$ A Tax Folio No. 2308-601-0131-000-3
State of Florida County of St. Lucie .
The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following Information is provided In this Notice of Commencement.
Legal Description of Property: TROPICAL ACRES BLK BLOTS 72 AND 73 (0.70 AC) (OR 3547-2805) 422 Dusk Way
General description of Improvement: Renovation to Include: Int. & Ext. doors, windows, flooring, drywall/ paint, kitchen cabinets and counter
tops, the bathroom showers and demolition of existing pool,
Owner information or lessee information if the Lessee contracted for the improvement:
Name JamesTrefelner
Address 1760 Cooenhaver Rd. Ft. Pierce. F1.34945 Interest In property: Owner
Name and address of fee simple titleholder (if different from Owner listed above):
Contractoes Name: Trefelner Construction Inc
Contractor Address _ 1760 Cooenhaver Rd. Ft. Pierce. FI.34945 Phone Number: (772)2019833
Surety (if applicable, a copy of the payment bond Is attached): Amount of bond: $ N/A
Name and address: N/A Phone number: N/A
Lender Name: N/A Phone Number: N/A
Lender's address: N/A
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1) (a)7., Florida Statutes:
Name: N/A Phone Number: - N/A
Address: N/A
In addition to himself or herself, Owner designates N/A of N/A to receive a copy of
the Uenors Notice as provided In Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner. N/A
Expiration date of notice of commencement: (the exp)rdtion date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date Is specified) N/A
WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNER AFTER THE EXPIRATION OFTHE NOTICE OF COMMENCEMENTARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare /that'lave read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowle ge and belief. _
v
(Sign t of Owner or Lessee, ojKwnees or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office) 1-'4
The foregoing Instrumentwasacknowledged before me this 5 day of � , 2013,
By -So,Yv\ A as 4W A4L for (—
Name of Person Type of aut (e.g. ment was executed
DEANNA GIVENS
Notary Public - 8tah 0 ]RIodda Personally known_or produced Identification
(Signature of Notaryubllc-State of FI ib ' %'E My Comm. ExplNs Dec 1(Print, Type, or Stamp Commissioned N net ' PA1,7misslon EEE 858Type of Identification produceclT'ptik • yN `i "j'5- 'r0BondeddThrouph N.tbml Nou
STATE OF FLORIDA
ST. LUCIE COUNTY
iH15 ISTO CrRTIFV i H aTTF110It "
T'RUEAND RRECTCOPY OFTR
ORIGINAL
JOS �. SMITH, CLERK
n & S 'f S("2�013�
,TOSEPH E. SMITH, CLERK, OF THE CIRCUIT COURT — SAINT LUCIE CO►"^ Y
FILE # 3873333 T 8 ) 3556 PAGE 934, Recorded 09/06/'?^-'-� )01:10 PM
NOTICE OF COMMENCEMENT
laol•oo5�
Permit No. L . 00 - Tax Folio No. 2308-601-0131-00D-3
State of Florida County of St. Lucie
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information Is provided in this Notice of Commencement.
Legal Description of Property: TROPICAL ACRES BLK BLOTS 72 AND 73 (0.70 AC) (OR 3647-2805) 422 Dusk Way
General description of Improvement: Renovation to Include: Int. & Ext. doors, windows, flooring, drywall/ paint, kitchen cabinets and counter
tops, file bathroom showers and demolition of existing pool.
Owner information or lessee information If the Lessee contracted for the improvement:
Name James Trefelner
Address 1760 Cooenhaver Rd, Ft Pierce F13494S _ Interest In property: Owner
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: Trefelner Construction Inc
Contractor Address 1760 Cooenhaver Rd Ft Pierce. FI 945 Phone Number (77212019833
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ N/A
Name and address: N/A Phone number. N/A
Lender Name: _ N/A Phone Number. N/A
Lender's address: N/A
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1) (0)7., Florida Statutes -
Name: N/A Phone Number. N/A
Address: N/A
In addition to himself or herself, Owner designates N/A of N/A
the Lienor's Notice as provided In Section 713.13(1) (b), Florida Statutes, to receive a copy of
Phone number of person or entity designated by owner. N/A
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be i year from the date of retarding unless a different date is specified) N/A
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 723, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECFION. IF YOU INTENDTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,) declare that Iyave read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowleAge and belief. 7
— (9— 7—��—
(Signyt m or owner or Lessee, o)Qwnees or Lessee's Authorized Officer/Director/Partner/Manager
t-%----i y a I we)umce) _ The foregoing Instrument was acknowledged before me this 5"'day of. , Z013,
By �arwRs'Ci tc�,n�!' as Ow for �( Qar-kj OWV%k e -
Name of Person Type of a (e.g. ment was executed
DEANNA GIVENS
o+ • •�; Notary Public - Still of Florida Personally known —or produced IdentiRcation_
(Signature of Notaryblic -State of FI in E My Camm. ExpUaa Oat 16. 2016
(Print Type, or Stamp Commissioned N e n..---putfiAipmission t BE 858761 Type of Identification producedT61 q•`1N ri''t3• a'(�� 0 Ronde ThrouphNttiand9cluliAnn.
STATE OF FLORIDA
S . U.I :IE Cc-UNT
fIllSiS 0CIRTI'�Y�14,TT14ls%IZn
TALlEANo COfv LrF E
ORIGINAL
,loS Ui &,
Date; $)
Page 1 of 1
12 SP4
( 466 )
14 38
'A
(1289)
UnSketched SubFreas:
SPA 36,
SW2: 460,
POI: 723,
SE7: 1173,
9
12 jM (oJ9
21 1 R6 20
2 8 2 7 4�/ (420)
0$
(3 ) 21
THESE PLANS AND ALL PROPOSED WORK
AND SUBJECT TO ANY CORRECTION1
REQUIRED BY FIELD INSPECTORS 14
MAY BE NECESSARY IN ORDER TO
COMPLY WITH ALL APPLICABLE COD98.
CONCEALED FASTENERS OR ATTACH
ARE THE RESPONSIBILITY OF THE
CONTRACTOR OF RECORD
P�
ST. UCIE CO
BUILDING DI
VIE
FOR COM ua
DATE
PLANS ND PERMIT
MUST B EPT ON JOB OR
NO INSPECTION WILL BE MADE
http://www.paslc.org/bldgsketch/13000/189001 jpg 9/5/2013