HomeMy WebLinkAboutSUBMITTED PAPERS.OFFICE USE ONLY:
DATE FILED:
PLAN REVIEW FEE:
CGNCURhNCY FEE:
61
RECEIPT NO.: 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
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652 SC PgNED
772-462-1553
t. L41CIE' Lq0ty
APPLICATION for BUILDING PERMIT ,
CERTIFICATE E of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS:�'R, Iff 1%ujy q
W.
PROJECT NAME: SITE PLAN NAME:
PROPERTY TAX ID #: I 1 - �'c - ig I & I --y o o I
_LEGAL DESCRIPTION (attach extra sheets if necessary): No fid I ? �' SLQ '-P�, 4 Stf i— L,* 16,6
PLAT BOOK 7 6. PAGE NO. r} 7. BLOCK NO. 8. LOT NO,
9. PARCEUSIZE (ACRES/SQ FT.): % 3 ao0 5 i LOT DIMENSIONS: 1 oo i b
10, COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: %J �
e
12.
13.
14.
(ACTUAL) FRONT: BACK: RIGHT SIDE:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] CONSTRUCTION [ ] EXPANSION/ADDITION
[ RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE:
SQ. FT OF CONSTRUCTION: "9 s
� OD
16. VALUE OF CONSTRUCTION: $ �, Yo o
LEFT SIDE:
[ ] ` INTERIOR RENOVATION
[ ] INDUSTRIAL,
15. SF. FT 1st FLOOR:
14
Tlie 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. I f the value is $2500 or more, a
RECORDED Noticc of Commencement ;must be submitted with this application.
SLCCDV Forih No.:,001-02
UPDATED 6/25109
1
t
Ov NIER INFORIV A OON
FA
NAME: ! r I (Ar tf, c
ADDRESS: -1q 1):? n, ZA8_p,,2+k
CITY: El. Pie STATE: F( ZIP:
PHONE (DAYTIME): (___)
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): (�
STATE:
ZIP:
CONTRACTOR ONFORMATION
ST. of FL REG.CERT #: 1, f J 1 I ST. LUCIE COUNTY CERT #:
BUSINESS NAME: yjC�p r?y1 c q4,0
QUALIFIERS NAME: C v n i' 3!6 K i"' a
ADDRESS:' �2 51 l '7 A 31 g
CITY: �1.e r a STATE: ZIP:
PHONE (DAYTIME): (22 -9,,?!V` 7 FAX NO. %%2-'f# Z-ln if Email:
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): L_)
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
C n ��YdTIli' SLCA Y IGNO-
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 ?,pplicablu, 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 pen -nit 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 pen -nit 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.
OWNER OR CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF S T • /_ I/ ev
The foregoing instrument was acknowledged before
me this day of /G 20
by CDnioUS Vey
who is personally known A,`�or has produced
as identification.
Q
Signature of Notary
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before
me thiiss�0 t,\ day of 20-15,
by ( o r► 1' r, t 9 5 V PG,
who is personally known t or has produced
as identification.
Signature of Notar
Commission No. 0 N. Notary P(S )ate of Florida Commis e�a)
: Salomon Lee ��Y P° Notary . u i State of on
IM,
°�Solomon Lee
y �Q< My Commission EE130903 My CorfimiselonEE139903
Ex ires 11/16/2013 eve p Expires 11116/2016
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATUREING FOR
THIS BUILDING PERMIT AS AN OWNERBUILDER, 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 OWNERBUILDER APPLICANTS.
For specifae in' tructions see appropriate permit heeldisto
i I
OFFICE USE ONLY BP f o
SECTION
I �
TOWNSHIP
�
RANGE
L I �
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1 IT 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 111990
After 1/1990
REQUIRED
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
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
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS
i
5/14/13
-_
Property Appraiser--SLLucie Count, FL
PROPERTY RECORD CARD _
Marc R' Chesney
Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions
Permits Home Print
Property Identification
Site Address:
See/Town/Range: -
5903 NETTLE PATH DR
12 :34S :39E
ParcelID: 1312-500-0161-000-2
Account #: 4309
Map ID:
13/12S
Use Type: SF Res
j
Zoning:
RS-4
City/Cnty: St Lucie County
Ovs,nership and Mailing
Legal Description
Owner.
Marc W Chesney Leigh A Chesney HOLIDAY PINES S/D-PHASE I- LOT 160 (MAP 13/12S) (OR 1447-2143)
Address:
5903 Nettle Path Dr
Fort Pierce FL 34951-2319
Sales fnformation
Assessment 2012 Total Land and Building
Date
Price Code Deed
Book/Page 2012 Final: 78700 Land Value: 16100 Acres: 0.3
10/18/2001
118000 00 WD
1447 / 2143 Assessed: 75889 Building Value: 62600
3/14/1991
80000 00 WD
0731 / 2142 Ag.Credif: 0 Finished Area: 1492 SgFt
12/1/1979
8900 01 CV
0323 / 0599 Exempt: 25000
7/1/1979,
8500 00 CV
0314 / 0021 Taxable: 50889
Taxes: 1029.56
BUILDING INFORMATION
Exterior Features
View: -
RoofCover.
SA - Asph Shingle
RoofStnrct:
HP - Hip
ExtType: HC - HC
YcarBlt:
1979
Frame:
-
Grade: C - C
EfiYrBlt:
1979
PrimeWall:
BS - CB Stucco
StoryHght: 0010 - 1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms: 2
Electric:
MX - MAXIMUM
PnnlntWall:
DW - Drywall
FullBath: 2
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
STD
I12Bath: 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
SDSF - SITE DEV S-F Y 1
1 AV AV
2001 1 0100-SF Res
230 -Front Ft
100 130
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
r
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
t,,l
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal 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.
Pj ((Art-
Property Owner Name (Please Print
-2 ,3
Property O r Signature Date
STATE OF FLORIDA, COUNTY OF ��• ZZI&I
ACKNOWLEDGED -BEFORE MET DAY OF , 20,
By /C�/-diWHO IS PERSONALLY KNOWN TO MEVHO HAS
PRODUCED AS IDENTIFICATION.
SLCPDSD Revised 09/24/2010
ARY PUBLIC
CONMSSION NUMBER
OR PRINT NOTARY
Ey °PeiNotary Public State of Florida
Solomon Lee
My Commission EE139903
r�o° Expires 11/15/2015
'�UN-10-2013 07:
03/21/2003
38A FROM:PRODUCTIONS
11:05 / "4b ' 70
TO:4621148
P.1 .
St Lucie County Inspections
2300 Vilrgittia Avenue
co Ft Fierce, FL 34982
(772) 462-2172
CERTMCA.TE OF RMITE TREATMENT
CONSTRUCTION
PERMIT #i. �- O JOB ADDRESS ri �- —
iv
BUILDER
PEST CONTROL CONTRAU ]"
PEST CONTROL LICENSE #
ction W
We, the undersigned, hereby certify that we a sttinave dards of tlxehented te Na#oral Peat�Contirol Abed ssociation•
subterranean termites in accordance with ell .�
Square test of area treated: „3 �s ()
Percentage of solution.,6 ° �
Date of treatment: lQ '7
Chemicals used:
Total gallons used:
Time of Treatment: �
[.,Footing
1 st Treatment
FB Cartj�icQte 4f Frot"W" rrra""ns forpntveeeton of ttrrnim.
hoard shall be provided to receive
❑ Re -treat
e'llN.2.d
A weather reriatant Jobsire posting
duplicate Treatent Ceriificares as each regrdred protective treatment is
tiro is issued to and
❑ Slab
completed, previding a copy for the parson permit
another copy for the building permit Jiles. ?Ira Treatment Certificate shall
� the op plicatoq tine and daze of. tide
❑ 1. et Trcatatent
❑ Re -treat
provide the product used, identify o
p
the location, area treated, chemical used percent.. concentration
a verifdable record of protective
DrtVCW ay
and number of gallons used, to tstablish
and
treatment..erioshe soil chamica ier
to final building approval..
i
Cl 1st Treatment
treatment shall be cornp1etcd p►ia
13Re-treat
St Lucie county regalr" for the titaal irmspecHon for CO, a Permanent
Sticker to be placed on the eketriml punnl box cover, lifting pit the
❑ �OOIS
treatments and darted of applications.
❑ 1st Treatment
❑ Re -treat
❑ Other '
❑ 1st Treatment
❑ Ra-treat
❑ perimeter for Final Inspection
NOTE;
There reuse be a coneptetedform for each required treatment or re-tte°tmf� ar!d thiiz form must be on .
the job site to be picked up by the Inspulim of each
fsc clp do or the scheduled inspection will
fail sd a re -
Revered 6118162 din je -
a
FkT'-'