HomeMy WebLinkAboutSUBMITTED PAPERS1��§ i.- ' -.- .
U E'ONLY-
DATE FILED I PERART NUMBER://() rl -6 12-
RLAN RLIVIEW FEE: RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
I.
2.
3.
4.
5.
9.
10.
11.
ALL INFO MUST BE COMPLETE & FILLED IN TO BE, ACCEPTED
PLANNING & PEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DWISION
2300 Virginia Avenue ' 8
Ft Pierce, FL 34982-5652 Qq
772462-1553
4/c/e catjtml
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PRORCT INFORMATION
LOCATION/SITE ADDRESS: 3 / 2-1 5 .9,W±
PROJECT NAMM: SITE PLAN NAME:
PROPERTY TAXm#:
LEGAL DESCRIPTION
PLAT BOOK Z-f to 6.
041. 7M7a,
'0-0 -? 4
PARCEL SIZE (ACRES/SQ FT.):
& -7 60--eOT DRAENSIONS:
COM[PLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
e-
1yCft.,-iAor- 15yz5"- 1�aq-r PA-p
omnrt7re Ariv'e
SETBACKS (ACTUAL) FRONT: BACK:
NO.1j,
3 000 F(
.-- - - 1. 1 1 J ..
t.3 '�� -
RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Cheok afl appropriate boxes)
[ ] NEW CONSTRUCTION. EXPANSION/ADDITION
P4 RESIDENTIAL COMAERCIAL
OTBER(SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION: 3
16. VALUE OF CONSTRUCTION: S 16 '90L
INTERIOR RENOVATION
INDUSTRIAL
WA
15. SF. FT I A FLOOR.
V
The value of coonstruction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question andlor modify the indicated
value of constru�fion if it is demonstmted that the submitted figarcs arenot consistent with similar types of construction activities. If the value is $2500 or more� a
RECORDED Notice ofCommencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25109
OWNER INFORMATION
NAME:
ADDRESS: J*
CITY: F 7- STATE: ZIP:
PHONE (DAYTHAE)'.., t1, Z? Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FELL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTHUE):
CONTRACTOR INFORMATIOR
ST.ofFLREG.CtRT4#: ST. LUCEE COUNTY CERT #:
DO
BUSINESS NAME:.:
QUALIFIERS'NAME:'
ADDRESS: O)-c2)\ 7Snnt-�
CITY: 'V�Ylmf_ STATE: — r�L ZIP:
PHONE (DAYTIME): DZI a�tD Y FAX NO.-n4 4 1p� -B�6_7 Email:
I
j
AR&11T/ENGIN`EER_
ADDRESS:-.—j,,
CITY: STATE: 21P:
PHONE (DAYTTME): C__)
BONDING COMPANY:
ADDRESS,
CITY-.,
MORTGAGE LENDER.
ADDRESS:
CITY:
AT
%ST E:
STATE:
ZIP:
ZIP:
IMPORTANT NOTICE: When a permit is issued and ft is not picked u' within 60'days after notification
p
it wiH be voided and returned to you by maiL'
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, PLUMEBING, 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
COMAMNCENENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE TBE
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 TBE CONSTRUCT16N LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER OR CONTRACTOR SIGATURE
STATE OF FLOPI!�t
COUNTY OF
The foregoing instrument was acknowledged before
we this R— day of Ir 20
e-71
by & (Jn
who or has produced
as identification.
&de�vz� � ��,
Siin'ature of Notary
ONTRACTOR SIGNATURE
STATE OF FLORID+�J
COUNWOF , L t,,c
The foregoing instrument was acknowledged before
e—
me this day of i LC .20
by Lov-,,
wh is personally known or has produced
as identification.
Signature of Notary
Commission No. Notary tate of Florida
Commission No. P
nd lores
m is
'Go � Sion DD720442
ire
930 11
/20L
.0 CIV'--- M, imutdly Public State of Florida
u 'ic S
Evelinda Flores
,% Eveillind a Flores 020442-
� M Comm, So 0 MY Commission DD720442
y Commission DD720442
s 09/ 0/ 0 11
OF Expires 09/30/2011
�.Expires 09/30/2011
NOTE: TWO (2) SIGNAT NATURE MUST BE NOTARIZED. IF A"F
THIS BUILDING PERMIT AS AN OWNERIBUILDER, 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 OWNERIBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY
SECTION
TOWNSHIP
RANGE
MAPNO.
ZONING
LAND USE
LOT CVG %'
TAZNO.
FLOODZONE
FIRM MAP #
I ST FIR ELV
MAX HGT
CONST TYPE
OCCUPTYPE
MAX OCCUP
OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER.
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 111990
REQUIRED
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
AREA
(RADON)
FEE
FEE
LIBRARY
PUBLIC BID
PUBIC BID
PARKS
IMPACT
IMPACTFEE
IMPACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y
N
LAWXNF�,-
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
zo
SUPERVISOR
PLANS
VEGETATION
SEA -TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
-COWLETED
INITIALS
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PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations. Division
2300 VIRGENJA AVE.
FORT PIIERCE, FL 34982
(772)4612-1553
PERMIT RENEWAL REQUEST
ADDRESS: PERMIT NUMBER:' Lo z 0 ��2-
1, a(f, 9 (O-,� ltpej�— AM REQUESTING THAT THE ABOVE PERMIT IS
t
RENEWED FOR 18 MONTHS. I UNDERSTAND THAT I MUST SCHEDULE AND PASS ALL
REQUIREI? INSPECTIONS FOR TIRE PERMIT TO BE FINALED. FURTIHER, I UNDERSTAND THAT
THIS IS A ONE TIME RENEWAL AND THE PERMIT SHALL EXPIRE SHOULD I NOT RECEIVE A
PASSING INSPECTION DURING ANY SIX MONTHS PERIOD DURING THE RENEWAL PERIOD.
1.
OWNER/BLDR,OR CONTRACTOR SIGNATUR DATE
STATE OF FLORIDA, County of eVa.
ACKN EDGED BEF E THIS D 20
BY7 7;� AY OF
WHO IS (!!�66NALLY KNO"T ME��, OR
HAS PROVIDED 74, -Y AS IDENTIFICATION.
STANE OF
FOR OFFICE USE ONLY:
RENEWAL FEE: $ 1-7
No. of Open Inspections
Original Permit Fee $
* Total No. of Inspections
x Open Inspections (%)
LISA L. WHITE
NUMBER P Notary Public - State of Florida
Ai`
My comm. Expires Dec B. 2014
# EE 48013
Commission
�OFFfell Bonded Through National Notary Assn.
(% of Open Inspections).
$ (Renewal Fee).
Example: [15 -- 23 =.65(%)] $175.00(permit fee) x.65(%) = $113.75 (Renewal Fee)
SLCPDSD REV 4/11/2011
P. 4
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property,
'Zq 2-6 — Go 3 - 00 1 000
(Parcel ld#/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.
X J46-w � E. C L; /J
Property Oviier NameA
ik.
_ - C-45.
Proper—ty-6wrier DO
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 1 ( I
BY WHO ise!E�RS707NALLY K1,10 / IN TO OR WHO HAS
PRODUCED
TIGNATURE OF NOTARY PUBLIC
L)b-72oqLt2 COMMISSION NUMBER
SLCPDSD Revised 08/24/20 10
AS IDENTIFICATION.
J�Vch4da Flores
TYPE OR PRINT NOTARY
y pp"' A
Notary Publjffiagt,L�f Flonid.
as
Evelinda Flor
IV MY commission DD720442
ssi'
sog/ 01 1
(OF F%,d1 Expires 09/30/2011
Property Appraiser - St.Lucie Couj�ty_, FL
Page I of I
James E Childs Record: I of I
Property Identification
Site Address:
3121 S 24th St
Sec/Town/Range:
28:35S:40E
Map ID:
24/28N
Zoning:
RS-4
Ownership and Mailing
Owner: James E Childs
Address: 3121 S 24th St
Fort Pierce FL 34982-6441
PROPERTY RECORD CARD
"Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print
cl
ParcelID: 2428-603,-0016-000-6
Account#: 32426
Land Use: SF Res
City/Cnty: St Lucie County
Legal Description
EDGEWOOD ACRES BLK I LOTS 16,17 AND 18 (0.25 AC) (OR 916-
532; 2412-2453; 2481-1422)
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price
Code
Deed
Book/Page
2010 Final:
138300
Land Value: 26600 Acres: 0.75
11/7/2005
02
FJ
2412/2453
Assessed:
138300
Building Value: 111700
8/17/1994 12000
02
WD
0916/0532
Ag,Credit:
0
Finished Area: 2020 SqFt
11/17/1993 100
02
PR
0872/1459
Exempt:
50000
Taxable:
88300
Taxes:
2039.67
ME
En
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
ExtType: HC- - HC-
YearBlt:
1997
Frame:
Grade: C_ - C_
EffYrBlt:
1997
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/Fl;
112Bath: I
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.
YrBIt-
No. Land Use
Type
Measure Depth
ENC2 - POOL ENC-AVG Y 1
988
AV AV
1997
1 0100-SF Res
215 -Front Ft
222 150
SWAV - RES POOL AVG Y 1
420
AV AV
1997
PA01 - POOL DK-AVG Y 1
568
AV AV
1997
DWC - Driv-Concret Y 1
920
AV AV
1997
PHTR - POOL HEATER Y 1
1
AV AV
1997
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=242860300160006
7/12/2011