Loading...
HomeMy WebLinkAboutSUBMITTED PAPERSI OFFICE USE ONLY DATE FILED: (�-�I I I _� I �` J� `+�Q PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: 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 S CA N N E d 2300 Virginia Avenue BY R. Pierce, FL 34982-5652 St. Lucie COunfiy 772-462-1553 v APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: �zlt5- &W 2. PROJECT NAME: - SITE PLAN NAME: 3. PROPERTY TAX ID #: �� &Izo_ 4. LEGAL DESCRIPTION (attach a sheets if necessary): 1014- 7-"`0/? 5. PLAT BOOK 4b 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): /V LOT DIMENSIONS: 10. - COMPLETE DESCRIP ON OF CONSTRUCTION PROJECTOR WORK ACTIVITY: ��(s• v� !� ® oe � Ct.10 / Gil 11. RSETBACKS (ACTUAL) FRONT. BACK: RIGHT SIDE: LEFT SIDE: c') TYPE OF CONSTRUCTION (Check all appropriate boxes) A[ NEW CONSTRUCTION [ ] EXPANSION/ADDITION I RESIDENTIAL [ ] COMMERCIAL [ ] OTHER (SPECIFY) DESCRIPTION OF PROPOSED USE: t5 (Ct 0 +- OT [ ] INTERIOR RENOVATION [ ] INDUSTRIAL SQ. FT OF CONSTRUCTION: lFoo 15. SF. FT 1st FLOOR: VALUE OF CONSTRUCTION: $ 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 INFORMATION NAME: (� 0 / `(R M Aj � n (i T P 7 . - '66 ADDRESS: f e CITY: J-6/7 STATE: ZIP: 3�z?Lr// PHONE (DAYTIME): 9 ®9 1'�7'0 9 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: STATE: ZIP: PHONE (DAYTIME): (_ ) CONTRACTOR INFORMATION ST. of FL REG.CERT #: (� V ate' ( J 6-�G BUSINESS NAME: 1 j j&t i � a'-s !le c, f QUALIFIERS NAME: -- ADDRESS: ! ���� ©©U CITY: J/ C.6�d� t ipl f? (! /7 STATE: PHONE (DAYTIME): ( ) FAX NO. ARCHIT/ENGINEER ADDRESS: CITY: PHONE (DAYTIME): (_) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER ADDRESS: CITY: STATE: STATE: STATE: ST. LUCIE COUNTY CERT #: 0- Email: OR 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 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 CONTRACTOR SIGNATURE STATE OF FLO COUNTY OF TT The foregoing instrument was ,acknowledged before me this � U day of �A\Q—" , by 1 �A 01-k LQ:�� who is ersonally kno or has produce as identifit htion. Signature of Mary Rd - CONTRACTOR SIG STATE OF FLO COUNTY OF L,�+�C� The foregoing instrument was acknowledged before me this 3 day of� 2012� by wh as i entic tion. Signature of N qary ANGELA M. HUFF Co a EE 08353C(Se ) Co rg91P (Seal) EXPIRES: April 12, 2015 ram; ANGFLA M. HUFF aF.. Bonded Thru Notary Public Undenwiters a MY COMfv�gS10 ' Q EXPIRES: A N EE 083530 Bonded Thru prrl 12, 2015 Nofa Pu NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUS !wdt�, PPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSON PEAR 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. a OFFICE USE ONLY BP #: SECTION TOWNSHIP RANGE MAP NO. ZONING 1 LAND USE jj + I LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # I5T 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 v 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 DATE SENT TO ADDRESSING: REVIEWS FRO CO ZONING W SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED 1 I INITIALS 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, 'f® 2 (b/ 07 i0 06 0 / A IdWLegal-description/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. wt���L�� � Property Owner Name (Please Print) p Date STATE OF FLORIDA, COUNTY OF l ACKNOWLEDGED BEFORE ME THIS •- --/- --.DAY OF - - _ 20._ I , BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED------._..--.-----___._......__-----.--.----.---•-.---....._--_..............__......_.- _......_. -,._,_...-AS IDENTIFICATION. sio&ATuRE OF N TARY UBLIC TYPE OR PRINT NOTARY �-�—&—' 5Z COMMIS SION NUMBER SLCPDSD-Revised.08/24/2010 DIANE M. FRAN[E `v ; Notary Public - State of Florida •�: : • e My Comm. Expires Aug 26, 2015 Commission # EE 114050 Bonded Through National Notary Assn. Property Appraiser - St.Lucie County, FL Page 1 of 1 ( _-) PROPERTY RECORD CARD William J Buff III (TR) Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CIEn„G2 Site Address: 524 NETTLES BV ParcellD: 4502-501-0710-000-1 Sec/Town/Range: 02 :37S :41 E Account*: 120298 Map ID: 45/02F Use Type: Mob Homes r Zoning: HIRD City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: William J Buff III JR) Cynthia R Buff JR) NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 524 Address: 1066 Nettles Blvd ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 3517-287 Jensen Beach FL 34957 More... Sales Information Assessment 2012 Total Land and Building Date Price Code Deed Book/Page 2012 Final: 50100 Land Value: 48000 Acres: 0.04 5/9/2013 45000 0001 WD 3517 / 2872 Assessed: 50100 Building Value: 2100 6/24/1992 42000 00 WD 0798 / 0290 Ag.Credit: 0 Finished Area: 570 SgFt 6/1/1980 20000 00 CV 0334 / 0719 Exempt: 11/1/1976 8000 00 CV 0262 / 2079 Taxable: Taxes: 1013.59 BUILDING INFORMATION Exterior Features View: - RoofCover: - RoofStruct: - E TType: MHH - MHH YearBlt: 1980 Frame: - Grade: MHTT - MHTT EffYrBlt: 1979 PrimeWall: - StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWall: - FullBath: 0 HeatType: - AvgHt/FI: 1/213ath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %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 Homes BI -Unit 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasle.org/paslc/prc.asp?prclid=450250107100001 6/3/2013 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL. 34982 Phone:(772)462-2172 Fax:(772)462-6443 PROPERTY INFORMATION Address: 524 Nettles Blvd City / State / Zip: Jensen Beach, FI 34957 Parcel #: 4502-501-0710-000/1 Zoning: HIRD APPLICATION INFORMATION Permit Number: 1306-0032 Permit Type: Slab Only CONTRACTOR INFORMATION Contractor Name: Lashley Mark A Business Name: Mark Lashley Inc Business Addr: 1562 N E Maureen Ct City / State / Zip: Jensen Beach, FI 34957 REVIEWS AND COMMENTS REVIEW COMMENTS Page 1 Owner(s): Cynthia R Buff (Tr) / William J Buff lii (Tr) Jurisdiction: St Lucie County Lot#: Stories: Block: Automatic Sprinkler System? No Fax Number: 772-232-1235 Email: Mlincl01 @Gmail.Com Review Type Status Reviewed By Date Started Date Completed Date Released Documents Missing Pending Angela Huff 6/3/2013 6/3/2013 6/3/2013 Comment: LIABILITY INSURANCE EXPIRED Front Counter Review Pending Angela Huff 6/3/2013 6/3/2013 6/3/2013 Comment: To be reviewed by Plans Pending 6/4/2013 Examiner Comment: To be reviewed by Zoning Complete 6/4/2013 6l3/2013 Comment: Zoning Review Pending Lydia Galbraith 6l4/2013 Comment: PLEASE BE AWARE THAT THIS PERMIT ONLY REFLECTS THE CONCRETE. ANY VARIANCES AND PARKING 6/4/2013 WILL BE REVIEWED AT TIME OF SUBMITTAL PERMIT FOR MH. St Lucie County 1 Iections 2300 Virginia Avenue Ft Pierce; FL 34982 (772)462-2172 CERTIFICATE OF TERMITE TREATMENT . CONSTRUCTION SOIL TREATMENT PERMIT # I ► 30� o e3 a JOB ADDRESS_ `/ �1 {-E I - S l3 l u C 1 k -L. A s PEST CONTROL CONTRACTOR`?nrt t2 LK PEST CONTROL LICENSE .# `I --6 Co �I We, the undersigned, hereby certify that we have pretreated the above -described construction for subterranean termites in accordance with the standards of the National Pest Control Association. - Square feet of area treated: ' '5 O c, Percentage of solution: a rl'S Date of treatment: -? - a-- -- , '3 ❑ Footing ❑ 1st Treatment ❑ Re -treat D Slab st Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat D Pools ❑ ist Treatment ❑ Re -treat D Other ❑ 1st Treatment ❑ Re -treat Chemicals used: —i--> R Total gallons used: tFo Time of Treatment: 'S % dG c-,, r— FBC104.2.6 Certificate of FrOtective Treatmentforprevention of termites_ A weather resistantiobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy far the person the permit is issued to and another copy for the building permit files The Treatment Certificate shall Provide the product used identity of the applicator, time and date of the treatment, site location, area treated chemical used percent concentration and number of gallons useg to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, {tnal exterior treatment shaU be completed prior to final building approval St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. ❑ Perimeter for Final Inspection NOTE: Signature of exterminator There must be a completed form for each required treatment or re -treatment and thisform must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will Revised 6/73/03 dmg fail and a re -inspection fee charged. klo, ST LUCIE COUNTY BUILDING DIVISION FOR C®miP CE REVIEWED BY DATE 6 - PLANS AND PtRMIT MUST BE KEPT ON JOB OR NO INSPECTION WILL BE MADE (Ai l 000 P51 I.. . /1*1 t5 6 c-f ek ac,6 qz� FIN. SET6AGK R7EQ, SIDES CNIq SIDS, 7 ZNG, I TEC I 3�, (,,4 THESE PLAWS AND A!]. PrN1Pr\,1,';n WORK ARE SUBJECT M AXY CORREC710 M REGURED BY MELD INSPECTORS THAT MAYBE RECENARY IN OSDER TO COMM WITH ALL APPLICABLE CODES, �s C) 1R\ 1:y4awk- Room �\Fm OE Re '1J�T - ell COPY.... . ..... i A - 16 \ bill .60l'7or JS 06 00 ( P ONCR�TE, DPATCHERS: AMI-[IkDE: (305) 264-7101 Wd I DEEPIRLD: (954) 480-9333 4 "The On Time Concrete Company"o BLOCK LANT: (305) 805-3226 WWW. PERMIX.COM -� CENTRAL CONCRETE SUPERMIX, INC. f LARGEST INDEPENDENT,READY MIX, CONCRETE PRODUCER IN FLORIDA CUSTOMER NO. DEL' DATE ;,I4i.i I►,'N )i"�Y li'_'. '_ �I, �.+1 ,'�(';. [..�',er ,, .t LL �. .9 a MAIN OFFICE: 4300 S.W. 74th Ave. • Miami, FL 331'55 PHONE: (305) 262-3250 FAX: (305) 267-0698►;,, ,a SERVING MIAMI-DADE, BROWARD, PALM BEACH; MARTIN ST. LUCIE COUNTIES SOLD TO DELIV.RY ADDRESS (I....!'`. I_4L.�:1.1 :I.'��i�„�: !''•!{=_ C'rif-�i_.f i?f;f`i''J t_: i' k+l;';€ i �� L3{.tr'�. ! I�al..'�'�i .I"ll��i':..{til F:,`., �`I_ .'��}'_`{. 4+I.1 5i';" - � ' • ' -. i-•c;;t if'.I. i' .��a}�� 'I;lil(i:.il�l Lff! rZI_t{{.:i'•, 111fi is%%Ir, r .$ QUANTITY DESCRIPTION PRICE' f; ,UNIT EXTENSION , L , EXTRA UNLOADING TIME CHARGE MINUTES — ALLOWABLE TIME` _ PER MINUTE — X $1.00 *6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE» SLUMP I ! THIS DELIVERY TOTAL CU. YDS. AMOUNT OF YOUR ORDER FOR CU. YDS. TAX CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR -WHEN • WATER IS ADDED. WATER ADDED ❑ YES ❑ NO GLS. i TIME ARRIVED ON JOB STARTED UNLOADING FINISHED UNLOADING LEAVING IH JOB TOTAL TIME SUBJECT TO THE TERMS, CONDITIONS -AND "CAUTION" WARNIN� LISTED ON BOTH THE FRONT AND BACK OF THIS TICKET. TRUCK DRIVER I aCknowle�tg that I have received and accepteItf understand and agree to the terms on both the n i•� �;!a 7. +.: ft,• .S +.!.1 '? RECEIVED BY: X materials listed. on this ticket. I and back of this -ticket. L 20 LOADING POINTS AT 15 LOCATIONS TO SEMY oP\OA coNc, W MIAMI • DOWNTOWN MIAMI • AIRPORT • OPA LOCKA • MEDLEY • PERRINE 57 BOCA RATON • RIVIERA BEACH • STUART • W. BROWARD • FT. PIER( PRODUCERS AND SUPPLIERS OF QUALITY READY MDCED CONCf nFl niFav rnpv E OU BETTER EMBROKE PINES • DEERFIELD E. BROWARD • DELRAY 'Ayp,,CONCRETE BLOCK NRMP CAUTION11 F'F-SHLY MIXED CEMENT, MORTAR, CONCRETE OR GROUT MAY CAUSE SKIN INJURY AVOID CONTACT WITH EYES WHERE POSSIBLE AND WiSH EXPOSED ESIKINIAREAS, PROMPTLY WITH WATER. IF ANY CEMNT N, XTUR EYES, RINSE IMMEDIATELY AND REPEATEDLY WI PROMPT MEDICAL TREATMENT SAWING, OR GRIN, -1 E MASONRY UNITS MAY RESULT IN THE RELEASE V. J': ES WHICH WITHOUT THE USE OF PROPER EYE OR ESPP't"."Tok' OTECTION, COULD CAUSE EYE OR N08.E IRRITAFION� THE" MATE'_ "":IAL SAFETY DATA SHEETS FOR THE PRODUCTS S0LUBY.Qi5NTIT CONCRETE SUPERMIX, INC. ARE AVAILABLE UPON R [EQUEST. UNLOADING- blikilt tnS-' ARE P-R-OHiBITED FROM. DELIVERING CONCRETE EXCEPT TH'E TRUCK'S OWN POWER, AND WHERE TTHE SAFE ANUPROPER OPERATION SITED NDITIOW'_,' -OF HIS EQUIPMENT. DRIVERS ARE NOT PERMITTED TO ADD WATER TO THE M I -A"N OR T 0 - 6 0- - 7 0 _ND Ti-i-EE G U R- B LINE, E X C EP T 'u'* *'P 0 N T H E AUTHORIZATION OF THE PURCHASER/PURCHASER'S AGENTAND HIS ACCEPTANCE OF RISK FOR ANY LOSS OR DAMAGE. MAI I ivi - 67, 2 M'l 9 6-1 m mix owl