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HomeMy WebLinkAboutSUBMITTED PAPERS{ OFPICE USE Q Y.- DATE FILED:7I • [a ... PLAN REVIEW FEE: �, � RECEIPTNO.: CONCURRENCY FEE: RECEIPT•NO.: PERMIT NUMBER: I I Q o© g CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED - PLANNING & DEVELOPMENT SEVICES DEPARTMENT RTMENT BUILDING & CODE REGULATIONS DIVISION CA 2300 Virginia Avenue 55 �NED Ft. Pierce, FL 34992-5652 BY .772-462-1553 St. Lucie County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPAMUZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: _ 6 yGD A( A J A aR7 l�I�RGE /=L, 3�(9y� 2. PROJECT NAME: , 04 L OA) SITE PLAN NAME: 3. -PROPERTY TAX ID #: f `/03 - 5220 - QDp 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8.... LOT N0. 9. PARCEL SIZE (ACRES/SQ FT): LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: /yl/T 5'O D-25"9 �v�C tit toi<<rio,� o= 5 R 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ - ] COMMERCIAL [ ] INDUSTRIAL [ } OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: 14. 16. SQ. FT OF CONSTRUCTION: VALUE OF CONSTRUCTION: $ 15. SF. FT 1 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 $2500 or more, a RECORDED Notice of Commencement must be submitted withtlus application. SLCCDV Form No.: 001-02 UPDATED 6125/09 OWNER INFORMATION NAME: Q/ 7- /`} VA L C A/ , L I- C g� / an/n A c �rcA • ADDRESS: / / 1- / . ,. S %/4itl FDie (� STATE: K ZIP: CITY PHONE (DAYTIME): (�Q 3� `J - .35.E �3 Email: � J�% !7-� � G�•S/U L3. �e IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER; ADDRESS: CITY: PHONE (DAYTIME): L—) CONTRACTOR INFORMATION STATE: ZIP: ST. of FL REG.CERT #: CG C / �� 75 11/ ST. LUCIE COUNTY CERT #: 0264-10 o2. BUSINESS NAME: -6C-10'W/S G'�itlSii2l�G1 /Dic( L LC QUALIFIERS NAME: A/ SC 67-7- LA-c—'/ S ADDRESS: _�,�fl 0 4 7 r-4 C---: AA CITY: - CITY: STATE: ZIP: PHONE (DAYTIla): J( �Y) 772- 29,Ko FAX NO. tRZ ?33.7? Email:SCDTTy=G►%/$ca+lSik�JG7%�,� ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): C--) BONDING COMPANY: ADDRESS: STATE: CITY: STATE: MORTGAGE LENDER ADDRESS: CITY: STATE: VAI AV 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 ' CER7MCATI0N:.;w .., This application is.hereby made to ob4't ,_, �pemmit to do thdwork amld:installations as ind __._-:J, 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 he performed to meet the standards of all laves regulating construction in this jurisdiction. I undersiand 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 matte -no representation that its granting of a permit,wiil 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 fall 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 BIPROVEMENTS 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. OWNERORCUNIZRACTOR SVWTURE r STATE OF FLO A' COUNTY OF L _1i_(_ P� The foregoing instrument was acknowledged before me thi_ 0 day of by who is personally, known or has produced CONTRACTOR SIGNATURE, STATE OF FLORU* r ; ' COUNTY OF The foregoing instrument was acknowledged before >me thisLLday.of -J O by who is personally known„ or. has produced, as identiticafion. ��C��e�' (_tCeftGP-_ as idea ' cation..... Signature of NoWiji_ :. .. afore of No _ .. . Commission No. AUDFf�IPl)NILLMOT Commission No .•'' `�"AUDREtSejILLMOT =` *" MY COMMISSION # DD973168 MY COMMISSION # DD973168 ,. EXPIRES March 21, 2014 '?;,des; EXPIRES March 21,'2014 7 398.0153 FloridallotaryServicexom - (407) 398-0153 FloridallotaryService.com NOTE:, TWO' (Z) S D. EACH -SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNEWBUILDER, 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 speck instructions see appropriate permit checklist, OFFICE USE ONLY BT� �" s: SECTION TOWNSHIP : RANGE ZONING LAND USE LOT CVG %' " TAZ NO. ° FLOOD ZONE. FIRM MAP # 1STFLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUR • • # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT, ' LOT SPLIT Befoie 111996 After 1/1990 REQUIRED' APPROVED REPORT 'HABITABLE RADON = PERMIT CODE ° AREA ' ' FEE FEE LIBRARY PUBLIC BID PUBIC BID PARKS AVACT AVACTFEE - - IMPACT.. IMPACT, FEE CORRECTION FEE GENERAL FEE SCHOOL ROAD CREDIT Y - N LAW ENF - Il4II'ACT .IlbiPACT. IL19P FEE FEE FIIZE/EMS DRIVEWAY.%.:•. Y ' N DRIVEWAY ADMINISTRATTla_ MPACT REQUIRED;, FEE VARIANCE'FEE`; FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS `ELECTRIC .GAS .� "LOT OF RECORD t'r f FEES REQUII2ED PLUMBING FEES { DATE SENTTOADDRESSINGs / REVIEWS ' f FRONT ZONING `. SUPERVISOW PLANS VEGETATION' , ' t SEA TURTLE ' MANGROVE COUNThR REVIEW '. Y" :' REVIEWr` " REVIEW REVIEW REVIEW REVIEW DATE RECE1VEDw • _. i_._.. _-M ......_.__.___r_ DATE , t ,:. y •„ ]NrnALS - - ' ` ...'4 Property Appraiser - St.Lucie 1--,,,nty, FL .4 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt UTG Avalon LLC Record: 1 of 1 Property Identification Site Address: TBD Sec/Town/Range: 03:34S:40E Map ID: 14/03N Zoning: HIRD Ownership and Mailing Owner: UTG Avalon LLC Address: 99 Lancaster St P O Box 328 Stanford KY 40484 Sales Information Date Price Code Deed 5/9/2011 100 0311 CT No Sketch Available -_� Page 1 of 1 Taxes Exemptions Permits Home Print A CIE CO ParcellD: 1403-500-0001-000-2 y�! �G2< Account #: 169977 _ Land Use: R/W ST RDS ' City/Cnty: St Lucie County Legal Description AVALON BEACH PUD (PB 55-19) ROAD R/W (OCEAN ESTATES CT) (0.29 AC) (OR 3292-247) Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 0 Land Value: 0 Acres: 0.29 3292 / 0247 Assessed: 0 Building Value: 0 Ag.Credit: 0 Finished Area: 0 SgFt Exempt: 0 Taxable: 0 Taxes: 0 BUILDING INFORMATION No Image Available Exterior Features View: RoofCover: RoofStruct: - ExtType: YearBlt: Frame: - Grade: EffYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: PrmintWall: - FullBath: 0 HeatType: AvgHt/FI: 1/2Bath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty, Units Qua]. Cond. YrBlt. No. Land Use Type Measure Depth 1 9400-R/W ST RDS N -Acres 0.29 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=140350000010002 7/1/2011 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 46271553 Fax: (772) 462-1678 Permit 1 Address 6400 N A 1 A PROJECT Owner(s) UTG AVALON LLC FORT PIERCE 34949 Historic I No Jurisdiction St. Lucie County Parcel # 1403-500-0000-000/5 S/D Avalon Beach PUD - Block Lot # FLU RS Zoning 1PUD Flood MaF I Flood Elevation Flood Zone L:. Date Voided Please explain in Additional Comme. Job Address 6400"N=A 1 A PROJECT OONTACT INFORMATION Add Application Contact s Category Type C t t r "'Property Owner roperty Owner on rac o Name Business Address Email THE SAND DOLLAR GROUP 4900 CANDACRAY ALPHARETTA GI I A 30022 Open Contractor . Registration Phone ( ) - ext Fax ( ) - Mobile ( ) Pager ( ) - SUB TRADE PERMITS Attach Sub Trade Permit >> l Units1;.OQ Floors 1 Buildings 1 # Bedrooms # Bathrooms } Total Sq. Ft. 90.00 Min Flood Elevation Flood Map Flood Zone FCC 645 Demo Single Family House NOC Required ❑ NOC Received ❑ NOC Expiration Setbacks Front Back Left Side Right Side Job Description Additional Info DEMOLITION OF SINGLE FAMILY HOME Please include the date and your name when adding information. JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3606160 OR B(,— M5 PAGE 1117, Recorded 07/01/2011 11:10 AM 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 ofcemmencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER.�3` SOO••G% SUBDIVISIONA&W BLOLDG UNIT jNAP V. ALA /577 R - �� 2. GENERAL DESCRIPTION OF IMPROVEMENT: f)F.rsni . 12VW 4C AMAZ 696I&Y RCTZIWi� 3. OWNER INFORMATION: a. Name LM ALIALAW/ <[G b. Addtess99 4/VCf%SZ&e s'. `�04�5� c. interest in property d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACI'OR'SNAME, ADDRESS AND PHONE NUMBER: Sco rr Lam/ s C-W-V AIAZ U7 , 6[G /LA,09 /- 7 rd G.T.' Al. 16Y-AA1Ar1nAA,c-c - FC 33Y70 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER 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 S%07rZA a.r9 =W-Si PD Aft123yG P/O..#,&P CN J' K 33S^�!D S. 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. SCOT T AA5WZT C&41 i-V4iYli= AS 0 s30gE 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) , 20 Signature of O*wr i Owner's Authorized Print Name and Provide Slgoa 's Titldt)Qice State of Florida County of-,Ti The foregoir instrument was acknowledged before me this 30 day of 20�. BY_�i d-A, C2, COO as (Name of person) r t (Type of rutthority... e.g. Owner, officer, trustee, attorney in fact) For L�� VA /� cn . 1 (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the 'following, Ctype of li7�— r/ AUDREY WILLMOT 1I MY COMMISSION # OD973168 (Printed Nance f Notary Public) (Signature of No Public) EXPIRES March 21, 2014 Under penalties of perjury,l declare that f have read the foregor g and that the facts twq' !ge ant belief (section 92.525, Florida Statutes). Signature(s) of Own" r Owner(s)' Authorbed Olficer/Director/Partner/Martager who signed above: By: BY aP..aennmmrse. a:ror 4TATE OF FLDAIDA 5T. LUCIE COUPI_TY THIS IS TO CERTI�'I'THAT i�1IS K A TRUE AND CORRECT COPY THE V 111 GINAL. PH E. S JOIT,L E R K I ut 'Date, ' Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 i Phone: (772) 462-2172 Fax: (772) 462-6443 Inspections Online address: http://www.stlucieco.org/planning/permitting.htm Quick Links Permit Status Lookup Online Building Inspection System — T07-00n091� lob Address 6400 N A 1 A PROJECT'ermit Type Demolition ..----.... ..................... ...... . .-------------............. ' 1pplication Type I Over the Counter Permit , Other ( __................ .. .........(—�._.......... , Pending Activity Type I ( Stories L'I Inspection Area Job Description COMPLETE DEMOLITION OF A SINGLE FAMILY RESIDENCE Property Owner Name NEIL S LEWIS Phone (561) 779-9260 j' ontractor Business Name SCOTT LEWIS CONSTRUCTION LLC ,L_ �r.spection Notes i Date Scheduled Prioritl Status Max Expiration Date Inspector (Code) Inspector Date Inspected ;i 999 Final Inspection 1 se;y 999 Final Inspection 1 �1 I � l f lyy: Inspector Comment: