HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:
DATE FILED:
PLAN REVIEW —FEE: RECEIPT NO.:ioz$(�—'d PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
I
2
3
// 0% C2 0 � (.
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
;;�' W.M—' -5652
Ft. Pierce, FL 34982
772-462-1553 SCAN/VED
St L By
APPLICATION for BUILDING PERMIT cio Countv
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1333 NW LANCEWOOD TERR PALM CITY FL
LAj%-tt 1 I%JIN/ 31 1 r, tiIJUN-1133:
PROJECTNAME: LANCEWOOD VILLAGE SITEPLANNAME:
PROPERTY TAX ID 4426-804-0023-000--
�s
HARBOUR RIDGE
4. LEGAL DESCRIPTION (attach extra sheets if necessary): HARBOUR RIDGE - PLAT 9 - LANCEWOOD VILLAGE
UNIT 13 (OR 1258-1199 OR 1553-178)
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS:
10
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: REMODEL MASTER
BATHROOM, DEMO,PLUMBING, ELECTRICAL, NEW CABINETS,TILE WORK, PAINTING
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE:
TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION EXPANSION/ADDITION
RESIDENTIAL COMMERCIAL
OTHER(SPECIFY)
DESCRIPTION OF PROPOSED USE:
SQ. FT OF CONSTRUCTION:
VALUE OF CONSTRUCTION: $ 18,550.0
LEFT SIDE:
P<1 INTERIOR RENOVATION
INDUSTRIAL
I
15. SF. FT I st FLOOR:
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: BRIAN K HEPBURN & ELIZABETH G HEPBURN
ADDRESS: 1333 NW LANCEWOOD
CITY- PALM CITY STATE: FL ZIP: 34990
PHONE (DAYTIME): (772) 343-0612 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: NA
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: CBC 047770 ST. LUCIE COUNTY CERT 10811
BUSINESSNAME: JEFFERY JAMES PAULY
QUALIFIERSNAME: JEFFERY J PAULY CONSTRUCTION INC.
ADDRESS: 2420 SW MAPLEWOOD
CITY: PALM CITY STATE: FL ZIP: 34990
PHONE (DAYTIME): (TZ2) 263-8268 FAX NO. 77p-ppj-pjrq Email: @-comcast.net
pcbc(
ARCHIT/ENGINEER: NA
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
NA
NA
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.
11
Property Appraiser - St.Lucie C,,'--,,,nty, FL
Page 1 of 1
PROPERTY RECORD
CARD
Brian K Hepburn
Record: I of I
<<Prev Next >> Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
0
Site Address:
1333 NW Lancewood Terr
ParcelID:
4426-804-0023-000-5
Sec/Town/Range:
Map ID:
26:37S:40E
44/26N
Account#: 127211
Land Use: SF Res
CT I. -
PUD
City/Cnty:
St Lucie County
Zoning:
Ownership and Mailing
Legal Description
Owner:
Brian K Hepburn Elizabeth G Hepburn
HARBOUR RIDGE -PLAT 9- LANCEWOOD VILLAGE UNIT 13 (OR
Address:
1333 NW Lancewood Terr
1258-1199:1553-178)
Palm City FL 34990
Sales Information
Assessment 2010 Final
Total Land and Building
Date
Price Code Deed
Book/Page
2010 Final: 388800
Land Value: 170000 Acres: 0.02
3/22/2002
100 01 WD
1553/0178
Assessed: 388800
Building Value: 218800
10/15/1999
350000 00 WD
1258/1199
Ag.Credit: 0
Finished Area: 2698 SqFt
3/2/1999
100 01 WD
1206/2308
Exempt: 50000
11/13/1993
100 01 WD
0873/2236
Taxable: 338800
6/18/1990
346000 00 WD
0696/0721
Taxes: 7246.1
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
TC - Clay Tile
RoofStruct:
HP - Hip
ExtType: HA - HA
YearBlt:
1991
Frame:
Grade: A -A
EffYrBIt:
1991
PrimeWall:
BS - CB Stucco
StoryHght: 0010-1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms: 3
Electric:
MX - MAXIMUM
PrmIntWalI:
DW - Drywall
FullBath: 3
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
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
SWAV - RES POOL AVG Y 1
450 AV
AV
1991
1 0 1 00-SF Res
BI -Site
1
PA01 - POOL DK-AVG Y 1
802 AV
AV
1991
ENC2 - POOL ENC-AVG Y 1
1334 AV
AV
1991
DWBP - Drive-BrkPav Y 1
720 AV
AV
1991
PHTR - POOL HEATER y 1
1 AV
AV
1991
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.pasle.org/prc.asp?prclid=442680400230005 7/8/2011
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB-CONTRACTO R SUMMARY
JEFFERY J PAULY CONSTRUCTION INC. will be using the following sub -contractors for the
(Company/Individual Name)
project located at 1333 NW LANCEWOOD TERR PALM CITY FL
(Street address or Property Tax I D #)
It is understood that it 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
EASTERN ELECTRIC SERVICE INC.
18563
ECO00226
Plumbing
CLASSIC PLUMBING ENTERPRISES INC.
933 �_
CFC04416
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:�t
PERMIT ISSUE DATE:
NUMBER:
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 18563
State of Florida Certification Number (if applicable): ECO002263
EASTERN ELECTRIC SERVICE INC. have agreed to be the
(Company Name/Individual Name)
ELECTRCAL
(Type of Trade)
for the project located at
sub -contractor for JEFFERY J PAULY CONSTRUCTION INC.
(Primary Contractor)
(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. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES A" REQUIRED,
— '� e /—) / D I I,(
49AL44n KEVIN L SMITH
SIGAATURE PRINT NANM
Business Name: EASTERN ELECTRIC SERVICE INC.
Address: 2221 NW SUNSET BLVD
City/Staie/Zip: JENSEN BEACH FL, 34957
Phone: 772-692-8658 email:
n1I?1FTirF. TTqF nNY.V-
PERMITO ISSUE DATE
PLANNING & DEVE LOPMENT SERVICES DE PARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGRE EMENT
St. Lucie County Contractor Certification Number: 9332
State of Florida Certification Number (ifappncabic): CFCO"166
CLASSIC PLUMBING ENTERPRISES INC.
(Company Name/Individual Name)
PLUMBING
(Type of Trade)
have agreed to be the
sub -contractor for JEFFERY J PAULY CONSRTUCTION INC.
(Primary Contractor)
9-/ L-111 _T_ef�
for the project located at N A W ��V\
L J
(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. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual -shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
ROBERT SHELTRA
SIGNATURE PRINTNAME
Business Name:
Address:
City/State/Zip:
Phone -
CLASSIC PLUMBING ENTERPRISES INC.
P.O. BOX 1654
PALM CITY FL 34991-1654
772-221-1558 email:
nFFWF. 'FTqF. (INI.V-
/� —I— (�
DATE
I PERMrr# I I ISSUE DATE 1_ I
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3607924 OR BOO71--";106 PAGE 2196, Recorded 07/08/2011 2:43 PM
AFMIL �--00RDINQ-R1---TURNT0,
L1-RMffNUM1I1 It
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713.
Florida statutes the following information is provided in the Notice of commencement.
4426-804-0023-000-5
1. DESCRIPTION OF PROPERTY (Legal description andstrect address) TAX FOLIO NUMBER: — --
SUBDIVISION—BLOCK—TRACT—LOT�--BLDG_UNIT
HARBOUR RIDGE - PLAT 9 - LANCEWOOD VILLAGE UNIT 13 (OR 1258-1199: 1553-17B)
2. GENERAL DESCRIPTION OF IMPROVEMENT: REMODEL MASTER BATHROOM
3. OWNER INFORMATION: . N;,,,_ BRIAN K HEPBURN & ELIZABETH G
b. Address 1333 NW LANCEWOOD TER R PALM CITY FL 34990 —c.interestinproperty_QMVER
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: JEFFERY J PAULY CONSTRUCTION INC.
2420 SW MAPLEWOOD DR PALM CITY FL 34990 772-263-8268
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: NA
7. 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, ADDRESS AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713-13 (1)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is
specified) — 20—.
Signature of Owner or Print Name and Provide Signatory's Title/0 race
Owner's Authorized Ofricer/Director/Partner/Manager
State of Florida
County of -< —11 �,
The foregoing instrument was acknowledged befQre me this 30 ayof- 7L4 V,�F 20
y 6i-iFma A. as Mo —M 1K Y
(Name of person) (Type ofauthority ... e.g. Owner, officer. trustee, attorney in fact)
For HiOPY K 149reaqA1
(Name of party on behalf of whom instrument was executed) Personally Known —�-<oyq4p��e gfID:
e111'
P_'P- N0t-rYPut9lcStA1.ofF1oW.
AffWAStalniil
-2 MY Comminion DDS20060
IV ExPims 1211212012
kr-7ieD A. S-Fg/14 -�-- "o—, I
(Printed Name of Notary Public) (Signanife of Notaty PubTi-c
Under penalties of perjury. I declare that I have read the foregoing and that [he facts in it are true to the best of my knowledge and
belief (section 92.525, Florida Statutes).
Signiture(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above:
By: BY CA"AA j
H- 01OWNW1 R-rdinp
f
TY
P-11
TRI
Z
M
Property Appraiser - St.Lucie C-,jl,,nty, FL
Page 1 of I
PROPERTY RECORD
CARD
Brian K Hepburn
Record: 1 of I
<<Prev Next >> Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
."\,\�CIE 00
Site Address:
1333 NW Lancewood Terr
ParcellD:
4426-804-0023-000-5
Sec[Town/Range:
26:37S:40E
Account 127211
'T -k
Map ID:
44/26N
Land Use:
SF Res
Zoning:
PUD
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner:
Brian K Hepburn Elizabeth
G Hepburn
HARBOUR RIDGE -PLAT 9- LANCEWOOD VILLAGE UNIT 13 (OR
Address:
1333 NW Lancewood Terr
1258-1199:1553-178)
Palm City FL 34990
Sales Information
Assessment 2010 Final
Total Land and Building
Date
Price Code Deed
Book/Page
2010 Final: 388800
Land Value: 170000 Acres: 0.02
3/22/2002
100 01 WD
1553/0178
Assessed: 388800
Building Value: 218800
10/15/1999
350000 00 WD
1258/1199
Ag.Credit: 0
Finished Area: 2698 SqFt
3/2/1999
100 01 WD
1206/2308
Exempt: 50000
11/13/1993
100 01 WD
0873/2236
Taxable: 338800
6/18/1990
346000 00 WD
0696/0721
Taxes: 7246.1
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
TC - Clay Tile
RoofStruct:
HP - Hip
ExtType: HA - HA
YearBlt:
1991
Frame:
Grade: A -A
EffYrBlt:
1991
PrimeWall:
BS - CB Stucco
StoryHght: 0010-1 Story
No.Units:
1
SecWall:
Interior Features
BeclRooms: 3
Electric:
MX - MAXIMUM
PrmlntWall:
DW - Drywall
FullBath: 3
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
112Bath: 0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C: 100
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type YIS Qty.
Units Qual. Cond.
YrBlt.
No. Land Use
Type
Measure Depth
SWAV - RES POOL AVG Y 1
450 AV
AV
1991
1 0100-SF Res
BI -Site
1
PA01 - POOL DK-AVG Y 1
802 AV
AV
1991
ENC2 - POOL ENC-AVG Y 1
1334 AV
AV
1991
DWBP - Drive-BrkPav Y 1
720 AV
AV
1991
PHTR - POOL HEATER y 1
1 AV
AV
1991
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=44268040023 0005 7/8/2011
CERT IF I CAT ION:
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
maybe required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
A N D A I R C 0 N D I T 10 N E R S, F E N C E S, E T C., 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.
"E
WES Z g
W
� �R
f 'r "Ado'TORSIGNA
OW 4? V
6
STATE OF FLORID
COUNTY OF —
The foregoing instrument was acknowledged before
me this j— day of gu-4.4- 20 11
by
a K
-M -< >
>,4 -
C OeM T(a Se5 A ZR E
D 8
2 Hi 3: =J
.g ji Ln p,
fl�T
STATE OF FLORIDA A
4c4/
-0
COUNTY OF
M
M
0.
The foregoing instrument was acknowledged before
me this —Lday of I-VA13— _, 20
by
who is personal lyqn!!�n)_ or hdyproduced who is personallQ�11-own_or hasproduced
-as identification. 9 M -as identification.
2.1 w h 0 is p 0'
a 55
Kilm-D)7A �0,//) 9:0?M-T Si 4Z &11�u -
g
Signature of yotary OE- Signatu of Notary
R M
C= M C
Commission No. (Seal) R C12 ?3 Commission No. (Seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. 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.
OFFICE USE ONLY B P #: I/ o7, o
SECTION
(a
TOWNSHIP
RANGE
Yoe
MAP NO.
ZONING
iAl ��
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
IlT FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
_<_0_cCUP
OF FLRS
WATER
SEW!�E��
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF RFC
LOTSPLIT
LOT SPLIT
Before 1/1990
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
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
Xv
DATE
COMPLETED
71
-7
INITIA S