HomeMy WebLinkAboutSUBMITTED PAPERS.:.
OFFICE IJSE�I�F -
DATE FILED: -
PLAN REVIEW FEE: 47 D�?- • RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
17_.,
PERMIT NUMBER: �� S%• �}
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue ,,a!
oSC,q j Ft. Pierce, FL 34992-5652 0
�p LV e E® 772-462-1553
cis Co
APPLICATI01�1or BUILDING
PERMIT
C0-n 4 • a->7
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: ��� / j Q�7�� ZqA/a-
2. PROJECT NAME: �G,��//�i'� SITE PLAN NAME:
3. PROPERTY TAX ID #:
4. LEGAL, DESCRIPTION (attach extra sheets if-necessary):4k,, lA 4 ✓�1% / �De ��.�1,�3 9 )
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. S. LOT NO: _
9. PARCEL SIZE (ACRES/SQ FT.): LOT DBIENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: :14�Ae i a+e -7
11. -SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION ds]/INTERIOR RENOVATION
[tX RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
a
14. SQ. FT OF CONSTRUCTION. 15. SF. FT 1st FLOOR:
16. VALUE OF CONSTRUCTION: $ �/, dy� , 1w
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 ibis application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
FA
OWNER INFORMATION
NAME:
ADDRESS: 3qg'-5AaAgg -Iglva/
CITY• Z'&L!dL&1 STATE: A ZT : O.LZ;_.—
PHONE (DAYTIlyE):. &�Z- �'�' Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENTTROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY
PHONE (DAYTIME): (_ )
STATE:
R1
CONTRACTOR INFORMATION
ST. of FL REG.CERT"#:`CC C -- dV -,5y5f 3 ST. LUCIE COUNTY CERT #: V �,
BUSINESS NAME: L®1/4.4� 'e5/ /yVM5 ,C
QUALIFIERS NAME:•®�J�fci IC``
ADDRESS: 2Z qS S�i�shT,
CITY: �C�1� !'Jr� It Grr� /, cy
STATE: /r,% ZIP:a--
PHONE (DAYTIME): cZ�) 44.6 - Zz4L7 FAX N0.77Z �} 2S41- Email: d M o rt lil e-Aellsoltld .
ARCHIT/ENGINEER: 3 b� 1✓� �r 2'O'
ADDRESS:
CITY: 7-f STATE:
PHONE (DAYT ME):7� aD- 7 5
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE-,
STATE:
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
CERTMCA�TION:
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, BEATERS, 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: YOURFAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR iMIPROVEMENTS 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.
51a903.
OWNER ObS., .� �GTQR SI ATURE
u
ama .
STATE OF FLORIDA
zm=•
COUNTY OF C,1✓
The foregoing instrument was acknowledged before
a m p
me this ! day of 20—L;X1
by "AJ
.:
who is personal l no or has produced
C /
Qm-<:c>
as identification.
i H o
� CM.
Signature of Nota
" a
corn-o
m "C
Commission No. (Seal)
f. +: " h IGNATURE
STATE OF FLORIDA (1�
COUNTY OF `D"f • �CJL�
foregoing instrument was acknowledged before
this day of&4L 20
o is personall own or has produced
as identification.
Signature
Commission No.
(Seal)
NOTE: 2a Sit - NAr1i�QUAD 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.
i�
FICE USE ONLYON
F
0
TOWNSHIP
3 5s
RANGE
n
7
MAP NO.
� � 1-Q /
�� U
ZONING
�+�
V
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 111990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
,c,
U
HABITABLE
AREA
RADON.
FEE
PERMIT
FEE
LIBRARY
IlVIPACT
FEE
PUBLIC BID
BRACT FEE
CORRECTION
PUBIC BID
IMPACT
FEE
GENERAL
PARKS
DRACT
FEE
SCHOOL
IlVIPACT
FEE
ROAD
IlVIPACT
FEE
-
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIREBMS
IlViE'ACT
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 .
: ,"FRONT "'
`COUNT)R
., ZOIJING . , .
REVIEW
SUPERVISOR
"'REVIEW
PLANS
REVIEW
VEGETATION
REVIEW' "
'SEA' TURTLE
-REVIEW
MANGROVE
REVIEW
DATE"
RECEIVED
DATE
COMPLETED
INITIALS
MITH CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
JOSEPH E. S , ti`
FILE # 3701118 OR BO( 386 PAGE 2199, Recorded 05/07/2012)9:92 AM
NOTICE OF COMMENCEMENT V✓ hl-
r Permit No.
�fn;6 — YF � TaxFoiioNo. L3Z�+r�—OOI�- OGYJ— 3
,,_.�
State of Ffmtdr County of &--hucie
w G✓Qd •�t%"�
fJ e.j+co d r J6..,`
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.
..S/� �oCo• S�is�C�'oR j3'Jj�-99Z�
Leg Description of Property: (and street address if available): ,� /�
Bd('/QIe44
General description of improvement, 4AJ ^�' �QQJyriyln
Owner information or Lessee Information if the Lessee contracted for the Improvement:
Name y 2
Address
Interest in property:
Name and address of fee simple titleholder (if different from Owner listed above):
Cant. actor's Name: Ga Sti n + o 6 ln4ut rr ' �i9 phone Number 797 z2
Contractor Address: h 7�
Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ Phone number:
Name and address:
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
71 .13(1)(a)7., Florida Statutes: Phone Number:
In addition to himself or herself, Owner designates cf
Uenor'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 HE NOTICE OF
IMPROPER PAYMENTS UNDER CHAPTER h723 PART 1, SECTION 713.13, FLORIDA STATUTES, ADE BY THE OWNER AFTER THE EXPIRATION OF TCOMMENCEMENT
CAN RESULTNiYOUR PAYING TWICE FORERED
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING R NOTICE COMMEN EMENT
Under p nalty of per' ry, I decla a tha I have read t foregoing notice of commencement and that the facts stated therein are true to the best of
mykno ledgeand elief.
(Signatur Owner or Lessee, or ner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing/ instrument was acknowledged before me this±� day of��0 ( Z
By�CW'tx /"tC(1111/C as (�IJY�Q�" for
Namq'.of person` Type of authority (e.g.officer,trustee) Party on behalf of whom instrument was exec`utieedd
ttne 1 Personally known_or produced Identification".
4 Si nature ul N6ta hlic -State off 1(4 i-1 ae-f')J u H
t (. g Type of Identification produced
(print;Type,%4.gmp Commissioned Name of Notary Public) YP
!�f iQ MANEKSHA Notary Public
N{j fYoin�hissron Eseirc-� Ocr;; fi• 9p,
STeTF Uf FLOgIOA
S1
T'
T
PLANNING & DEVELOPMENT SERVICES DIVISION
ID BUILDING & CODE REGULATIONS DIVISION
X 2300 Virginia Ave
— — -- — — - Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
/_0(%i, �TD/I�.QS , �l e_ will be using the following sub -contractors for the
(Company/� ual am )
project located at 4:7yZ Ak/erA M A A4,az i
(Street address or roperty 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
X ,U G
Z3
Plumbing
oke /�/rt�� f`
Z/z7Z
ef�d 9
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT _f ISSUE DATE:
NUMBER:
Rpr 24 2012 8:45RM
DON MURRY
772 335 9847
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DMSIIIN
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lueie.Cn,nty Contractor Certification Number:
State. of Florida Certification Number (If Wplimble);
have agreed to be the
)�(C any 1,6nidlndividiml Name)
sub-contractor for
(Type of T e) (Primary Contractor)
for the project located at _232-5 -- Xo — ao 14 — 000 — 3
(Project Street Address or Property. 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. (FDrm: SLCCDV
No. 004-00)
BUSINESS QUALEFEER (Name ofthe Individual shown on the Contractor's License)
HNAL SIGNATURES ARE REQUIRED
SIG PRINT NAME
Business Name:
Address:
City/State/Zip:
Phone:
OFFICE USE OrZY:
PERMT tl ISSUE DATE
v
DA
Apr 24 2012 8:43AM DON MURRY
r
772 335 9847
p.I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
WILDING & CODE REGULATIONS IDIVISIOIN
BUILDING PERMIT
SLB-CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: J, I
State of Florida Certification Number (ifapplicabie): C`r'G
_N"I?OLQ'f-o � N C-- have agreed to be the
(Company Name/Individual Name)
"L.0 t*-%1e> I N (7-
(Type of Trade)
sub-contractorfor Lo\,tZ,t_, 1`4\V Ror_,r)zs
(Primary Contractor) k
for the project located at
(Project Street Address or Property Tux ID 4)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I urill. immediately advise the Building and Zoning Department
of St. Lucie Count}by personally filing a Change of Contractor notice. (Form.: SL.CCDV
No. 004-00)
13USINE SS QUALIFIER (Name of the lndhti dual shown on the Cemtractor's License)
ORR.( 'AL SIGNATLTRES ARE REQUIRED
SIGNATURE PRINT NAME llA l E
Business Name: VAY 1OLVYGoR.:bCr- t N c—
Address: 1.3 _CAST' CA A4ST .A-J E
City/State7,ip:-�hi1/�1�1 Phone: SCaI-53�—� email i1 iV no e�mLaS{,�•n�e'
— `�.
OFFICE USE ONLY:
Property Appraiser - St.Lucie, 'mty,
FL
Page 1 of I;
PROPERTY RECORD
CARD
David McIntire Record: 1 of 1
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Spec.Assmnt Taxes
Exemptions Permits Home Print
Property Identification
��UCIE CO
Site Address: 5712 Briargate Ln
ParcellD:
2325-501-0014-000-3
G2
Sec/Town/Range: 25 :35S :39E
Account*:
14329
�� L
Map ID: 23/25N
Land Use:
SF Res
Zoning: RS-2
City/Cnty:
St Lucie County
Ownership and Mailing Legal Description
Owner: David McIntire BRIARGATE S/D LOT 14 (0.84 AC) (OR 3379-922)
Address: 398 Shaker Blvd
Enfield NH 03748
Sales Information
Assessment 2011 Final
Total Land and Building
Date Price Code
Deed Book/Page
2011 Final:
117100
Land Value: 46000 Acres: 0.84
4/7/2012 94500 0001
WD 3379 / 0922
Assessed:
109774
Building Value: 71100
7/1/2011 0 0111
PB 3306 / 0608
Ag.Credit:
0
Finished Area: 1799 SgFt
1/1/1900 0
/
Exempt:
50000
Taxable:
59774
Taxes:
1413.09
BUILDING INFORMATION
undtwiti.au..G
PD-
PD1:090
Exterior Features
View:
RoofCover:
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtType:
HC- -HC-
YearBlt:
1967
Frame:
-
Grade:
C- - C-
EffYrBit:
1977
PrimeWall:
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:
STD
1/2Bath:
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.
YrBit.
No. Land Use
Type
Measure Depth
SWAV - RES POOL AVG Y
1
450
AV AV
1977
1 0100-SF Res
210 -Front Ft
185 198
PA01 - POOL DK-AVG
Y
1
550
AV AV
1977
3CHT - 3CHT
S
1
1
AV AV
1977
3CHT -3CHT
S
1
1
AV AV
1977
SDSF - SITE DEV S-F
Y
1
1
AV AV
2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.paslc.org/prc.asp?prclid=232550100140003 4/27/2012