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OFFICE USE ONLY BP ##:
SECTION
TOWNSHIP
3
RANGE
Zm
MAP NO.
ZONING
UD
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
FEE
PERMIT
FEE
ON)
LIBRARY
IMPACT.
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BID
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
,ACT
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
FEE
SPECIFY
SUBS
MECHANIC ROOF
ELECTRIC GAS
NON -CONFORMING
LOT OF RECORD
MISCELLANEOUS
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING: 1 /
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
/
DATE
COMPLETED
l J
INITIALS
OFFICE USE ONLY:
DATE FILED: l3 g
PLAN REVIEW FEE: � RECEIPT NO.:�S�% PERNUT CERT. CAP.MNBO.R
CONCURRENCY FEE: RECEIPT NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
SCANNED 2300 Virginia Avenue 1 ��
�� Ft. Pierce, FL 34982-5652
772-462-1553
St, LUdo County
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
I. LOCATION/SITE ADD
2. PROJECT NAME:-j
3. PROPERTY TAX ID #:
4. L GA1L DESCRIPTIOr
i
1�&
5. PLAT BOOK
PROJECT INFORMATION
'5%
(attach extra sheets if i
6. PAGE NO.
SITE PLAN NAME:
;K. 1),o1r),q
7. BLOCK NO.
PARCEL SIZE (ACRESISQ FT.): LOT DRvIENSIONS:
8. LOT NO.
SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: L>1rr J1t�!✓:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL j ] COMMERCIAL
[ ] OTHER (SPECIFY) n
DESCRIPTION OF PROPOSED USE:
SQ. FT OF CONSTRUCTION:
16. VALUE OF CONSTRUCTION:
] INTERIOR RENOVATION
[ ] INDUSTRIAL
15. SF. FT 1st FLOOR: !-I.`7g
The value of construction is used to determine the amount of permit fees to be assesse(L 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
. 1
OWNER INFORMATION
NAME:
CITY:
PHONE (DAYTIME):
Li 1rd
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): L—)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:
BUSINESS NAME:
QUALIFIERS NAME: _
ADDRE Z05
CITY:
PHONE (DAYTIME):
ARCHIT/ENGINEER:
7ADDRE ��
CITY:
PHONE (DAYTIME):()
BONDING COMPANY:
ADDRESS-
CITY -
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
ZIP:
ST. LUCIE COUNTY CERT #: ;Mo ` a LQ
STATE: ZIP:
FAX NO.01
i
STATE:
STATE:
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 avail.
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.
WNER OR CONTRACTOR SIGNATURE
STATE OF FLO A
COUNTY OF 1A. ,I P_
The foregoing instrument was acknowledged before
me this 0 day of
by �k_\(L 'Il1C�►�1
who is personally known V_`or has rq„, ced
(INTRACTOR SIGNATURE
STATE OF FLO
COUNTY OF lA
The foregoing instrument was acknowledged before
me this day of 20-I ,
by SleW fIIA 1t��
whp4s—&rsonally known V or has produced
Si re of Notary ro'Liure of Notary e;,P'
Commission No. 23 (Seal) '"duo ��f '� ��Lj Commission No.
o d. A i
O �
Zno Y2O2"0s ayol�OAk
C", �k
�, 72 9 Lso 60, <
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EA GNATURE MUST BE NOTARIZED. IF APPLY °F+
THIS BUILDING PERMIT AS AN OWNERBUIL ER, THE OWNER MUST PERSONALLY APPEAR T c I
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.
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No. 44«*' 0V,n ' 0ov)5- 000' r
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.
Le al D scri 'on Pro e Tenkseet acli!lr-aft,
,4
aj
10 Y1 f5—S1&eA22U V[110-W� W44 IL(C09A
General description of improvement:-V�l
U
Owner
Name
Add res:
Interest
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name:
Contractor Address:
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address:
Lender Name: _
Lender's address:
Number:
Phone Number:
hone number:
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: Phone Number:
Address:
In addition to himself or herself, Owner designates of
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
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 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTSTO 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.
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Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knfwlec"e aryd belief. n
of Owner &lessee, or Owner'sffir Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The
By
(Sigaawfe of Notary Public - State of
(Print, Type, or Stamp Commissioned
before me this day of MOU , 20L
/as for
Type of authority (e.g. officer, trustee) Party on behalf of whom instrument was executed
r Personally known � or produced Identification
Y hI RRI REMY
Ufa 8' ublfc) 1
n;�(Y COl�lj ISICiN # OD623069
%��� - " EXPI , S ociober 04, 2012
of Identification produced
53
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
_1A�fi oslfw AhV6 will be using the following sub -contractors for the
(Company/Individual Name) �I %q
project located at { b KW � w
(Street addrestfir Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
q 1
Plumbing
J'( W
a �04�
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
ME
BUILDING PERMIT
M-1-1 SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number afapplicable):
umk 0e4r-1 eff have agreed to be the
(Company Name/Individual Name)
eIe6h=A sub -contractor for K WWI
(Type of Trade) (Primary Contractor)
for the project located at 15v
(Project Street Address or Propertq Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIG SIGI°dA S ARE REQUIRED
SIG ATURE PRINT NAME
Business Name:
Address:
City/State/Zip:
Phone:
192—WI X—CI I I . email:
OFFTrF. ITSE ONLY:
PERMIT# ISSUE DATE
6/g(-
DATE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
258 b W
-T Woond f ?Iurabi'w have agreed to be the
(Company Name/Individual Name)
w6 inA sub -contractor for kkb"Ln C AD Ak �6
(Type of Trade (Primary Contractor)
for the project located at �
(Project Street Address or Propero Tax ID #
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
1, IZ
DATE
City/State/Zip: III II - 9,11 40!1 email:
OFFIC'F. TTSF ONLY:
Property Appraiser - St.Lucie County, FL
i
Page 1 of 1
M Marilyn Buckley
Record: 1 of 1
Property Identification
Site Address:
1578 NW SWEETBAY CIR
SecJTown/Range:
26 :37S :40E
Map ID:
44/26N
Zoning:
PUD
Ownership and Mailing
Owner: M Marilyn Buckley
Address: 1578 NW Sweetbay Cir
Palm City FL 34990-8054
PROPERTY RECORD CARD
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
ParcellD: 4426-803-0035-000-9�EC
Account #: 119424
Land Use: SF Res {
City/Cnty: St Lucie County'
Legal Description
HARBOUR RIDGE -PLAT 8- SWEETBAY VILLAGE UNIT 12 (OR 883-
1317)
Sales Information Assessment 2011 Final
Total Land and Building
Date Price Code Deed Book/Page 2011 Final:
315900
Land Value: 150000 Acres: 0.02
1/28/1994 278500 00 WD 0883 / 1317 Assessed:
315900
Building Value: 165900
Ag.Credit:
0
Finished Area: 2198 SgFt
Exempt:
50500
Taxable:
265400
Taxes:
5596.71
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
TC - Clay Tile
RoofStruct:
HP - Hip
ExtType:
HA - HA
YearBlt:
1994
Frame:
-
Grade:
A - A
EffYrBlt:
1994
PdmeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/2Bath:
1
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and
Yard Items
Land Information
Type
Y/S City. Units
Qual. Cond.
YrBlt. No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1 720
AV AV
1994 1 0100-SF Res
BIRR-Site
1
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=442680300350009 6/8/2012