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HomeMy WebLinkAboutSUBMITTED PAPERSBP #: - - OFFICE USE ONLY SECTION TOWNSHIP 3 y) RANGE ` 16 MAP NO. ZONING LAND USE p LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1 sT 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 HABITABLE RADON PERMIT CODE u/ AREA FEE FEE (RADON) LIBRARY PUBLIC BI-D PUBIC BID 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 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 RECEIVED DATE COMPLETED U •�� `N ► T" INITIALS 1yl' I OFFICE USE ONLY: DATE FILED: J PERMIT NUMBER: PLAN REVIEW FEE: 0 RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 12. 13. 14. ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue G SCAN Ft. Pierce, FL 34982-5652 St 13y E� 772-462-1553 v Lucie County Ud- J�r APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE LOCATIONfSITE ADI,IRE� PROJECT NAME: PROPERTY TAX ID #: PLAT PROJECT INFORMATION 6. PAGE NO. PARCEL SIZE (ACRES/SQ FT.): OF 7. BLOCK NO. 3 LOT DIMENSIONS: SETBACKS (ACTbAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] RESIDENTIAL j ] COMNIERCIAL [ ] OTHER (SPECIFY) DESCRIPTION OF PROPOSED USE:�I(11 QX�L ll�t:i SQ. FT OF CONSTRUCTION: 16. VALUE OF CONSTRUCTION: $ 0 INTERIOR RENOVATION [ ] INDUSTRIAL 15. SF. FT 1st FLOOR c0l 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 ADDR CITY: PHONE (DAYTitvm): 3YL1 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 (DAYTR E): (U CONTRACTOR INFORMATION ST. of FL REG.CERT #: ' BUSINESS NAME: QUALIFIERS NAME: ADDRESS CITY: lA✓C�t T 1 �il7L� PHONE (DAYTIME): ARCHIT/ENGINEER ADDRESS: CITY: PHONE (DAYTIME): L� BONDING COMPANY: _ ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: STATE: ZIP: ST. LUCIE COUNTY CERT #: vI l CA ZIP: "Ar ZIP: DWORTANT 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. OWNER OR CONTRACTOR SIGNATURE STATE OF FLORPA COUNTY OF The foregoing instrument was acknowledged �blefore me this_2day ofJ(oc. 20 , by � R�6 who is personally known ✓ or has prodgeed Sure of Notary 22�� Commission No. 50 (Seal) ©o� n �a2s�46�^197�O�2� ONTRACTOR SIGNATURE STATE OF FLO!I h 1 COUNTY OF �0 1 v The foregoing instrumen was acknowledged before met ' day f 20� by whAa91*rsonaffr)wwn V or has produced of Notary Commission No. ,230 identification. (Sc°�����P� ciol­%0,`sgoq p d1o�a� crOb�^�O oP -• u' NOTE: TWO (2) SIGNATURES ARE REQUIRED. E TURE MUST BE NOTARIZED. IF APPL THIS BUILDING PERMIT AS AN� OWNERBU E THE OWNER MUST PERSONALLY APPEAR THIS APPLICATION IN THE OFFICE LISTED O HE FRONT OF THIS APPLICATION., OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERBUILDER APPLICANTS. For specific instructions see appropriate permit checklist. \ NOTICE OF COMMENCEMENT Permit No. Tax Folio No. gLUO 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. General description of improvement: Owner i if/2yailgble): the Lessee contracted for the improvement: Name T_ - 1 Address I w rKv Interest in p 6pperty Name and address of fee simple titleholder (if different from Owner listed above): Contractor's Name: l i I r+x+' Contractor Address: Phone Number: Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Name and address: Phone number: _ Lender Name: Phone Number: Lender's address: 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 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 I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. ^ U— (Signature of Owner or Lessee, or Owner's of Lessee's Authorized Officer/Director/Partner/Manager Qr_IZ (Signatory's Title/Office) The fore oing instrum nt was acknowledged before me thisA_ day of 20I �/ By UA� as for Name of Person Type of authority (e.g.officer,trustee) Party on behalf of whom instrument was executied (Signat re of otary Publ ) o (Print, Type, or Stamp Commissioned Name of Notary �.• R�q ,o% Personally known/or produced Identification ffType of Identification produced NOTgRY � h! 1as ._ My CoMMHOW lam; AVPW k SK3 NO, PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 19 6A State of Florida Certification Number of applicable): G. e �a W 7, kr—pre-ak,E' Ghave agreed to be the (Company Name/Individual Name) &6crk (CA- sub -contractor for (Type of Trade) (Primary Contractor) for the project located at (Project Street Address or Property Vx 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) ORI SIGN URES ARE REQUIRED 447,Ml)k �� Jarl -1/ -AJ i1 /P G TURE PRINT�NAME % %' DATE Business Name: 4cco? f6 f 2cc; t 6q' + `el2h( rAV6) C Address: ,,��7300 Gd &177 City/State/Zip: IOreT .57- LD(' %L- Phone: 77A �'7� 9�7I email: t9 C 1/Je fiNCfi/ a(��71/lr' OFFIC'F IT.qF ONLY: 2'' 6" x 6'8' Shower AYCI DO I IPAALM CITY, FLTHOMPSON RESIDENCE �DA 34990E x to x N / N Closet m Closet <D x � x N i N ExkOng Floo�Plen •�ti! _ � � a it f'/ ,,• ar e ' 2' 6'x 6'-8' <;,Q- QAZ T ,t 2, I I i Lf 2� ST. LUCIE COUNTY BUU DING D ION REVIEWED FOR CO L CE REVIEWED BY DATE PLANS PE. T MUST BE I�PT -JOB OR NO INSPECTION WILL BE MADE. Gue Proposed Floor Plan cv VN p R u�f+rh I WN,I. SCaJF1i �o Ott TNOMPSON RESIDENCE 1569 NW SWEETBAYCIRCLE PALM CITY, FLORIDA 34990 PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT &bV_ SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the (Company/Individual Name) project located at (Street address or Pt§perty 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 kqaA �� �P , Plumbing HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: r PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State ofFlorida Certification r (If applicable): Jk W ougl Kark ' have agreed to be the (Company Name/Individual Name) sub -contractor for (Type of Trade)) (Primary Contractor) =I, for the project located at l � I (?�� (Project Street Address or Prokefty 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) ORIGINAL Business Name: Address: City/State/Zip: Phone: OFFICF. TTSF ONLY: email: Property Appraiser - St.Lucie County, FL Page 1 of 1 Ellen D Thompson (TR) Record: 1 of 1 Property Identification Site Address: 1589 NW SWEETBAY CIR Sec/Town/Range: 26 :37S :40E Map ID: 44/26N Zoning: PUD Ownership and Mailing Owner: Ellen D Thompson (TR) Address: 19 Malibu Ct Ruxton MD 21204 PROPERTY RECORD CARD «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 4426-803-0053-000-1 Account #: 119442 Land Use: SF Res City/Cnty: St Lucie County Legal Description HARBOUR RIDGE -PLAT 8- SWEETBAY VILLAGE UNIT 30 (OR 3213- 634) Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 311400 Land Value: 160000 Acres: 0.3 6/14/2010 355000 0001 DE 3213 / 0634 Assessed: 311400 Building Value: 161400 11/30/2004 100 01 WD 2120 / 0480 Ag.Credit: 0 Finished Area: 2178 SgFt 11/30/2004 100 01 WD 2120 / 0478 Exempt: 6/18/1996 245000 00 WD 1021 / 1303 Taxable: 1/31/1996 100 01 WD 0998 / 1545 Taxes: 6336.66 9/15/1995 133000 04 WD 0977 / 0542 10/31/1994 132100 01 PR 0934 / 0747 3/1/1988 270000 00 CV 0682 / 1840 BUILDING INFORMATION Exterior Features View: - RoofCover: TC - Clay Tile RoofStruct: GA - Gable ExtType: HA - HA YearBlt: 1989 Frame: - Grade: A - A EftYrBit: 1989 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: 1/213ath: 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. Land Use Type Measure Depth DWC - Driv-Concret Y 1 720 AV AV 1989 1 0100-SF Res GFI -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=442680300530001 6/8/2012