HomeMy WebLinkAboutSUBMITTED PAPERSO FTCE, Uk 00: / (t �r op i �{l dQ 'r
r DATE FILED: J _ �J
PLAN REVIEW FEE: RECEIPT NO:: PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
1.
2.
3.
4.
0)-7 (4-cpt
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ALL INFO MUST BE COMPLETE & FILLED INTO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING. & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34992-5652
77242-1553C1�0e C°u,,,
y
APPLICATION -'for ][IVMDING'PERMIT
CERTIFICATE of CAPAMUZOlVING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: lS'O �c_/7--� �`S-ATr- 75 P—R
PROJECT NAME: SITE PLAN NAME:
PROPERTY TAX ID #: %Va.? - SOCO 672Z 7- QppQ
LEGAL DESCRIPTION (attach extra sheets if necessary):
5.
PLAT BOOK 6. PAGE NO.
7. BLOCK NO, -Z
8. LOT NO.
9.
PARCEL SIZE (ACRES/SQ FT.):
LOT DIMENSIONS:
10.. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
GOaiillg-G7'
1I. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
{ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [I INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF"CONSTRUCTION: 15. SF. FT 1st FLOOR:
:-r
16. VALUE OF CONSTRUCTION: $ low
The value of construction is used to determine the amount of permit fees to be assessed st Lucie County iemes the tight 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 withthis application.
SLCCDV Form No.: 001-02 ;r ,
UPDATED 6/25/09
1
OWNER INFORMATION
NAME: v �(� !�l//�LOi✓� L G L
ADDRESS: �i¢�ilCSTE/2
CITY• STATE: KY. ZIP:
PHONE (DAYTIME): 46 365 -3SS.5 Email: P1)1rny(P�� IV T
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED. ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER: SAME 45 A&3 Z14=
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): (__
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: - C� `5��C ST. LUCIE COUNTY CERT #:
BUSINESS NAME: e
QUALIFIERS NAME:• P k 0
ADDRESS: S ±AAAA71 n
CITY: M STATE: ZIP:
PHONE (DAYTIME): (bj all FAX NO. I') I- -- .�
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): (_)
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
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.
r
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 JSSUANCE 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. -
F��4 1 wo-,�
0 f SIG RE i—E.
STATE OF iCOUNTY OF I
n
OWNERORC6 TOR
The foregoing instrument was acknowledged before
me t WD day 201L__,
by I c7�
who is personally known or has produced
Of
Commission No.z,
•
y�, Y COMMISSION # DD973168
'�eF,, R6 EXPIRES March 21, 2014
CONTRAMR SIGNATURE
STATE OF FLORIDA ��G����•-- --
COUNTY OF
The foregoing instrument was acknowledged before
me this 1�� day of 20 r%
by�_AS a Y3
who is all or has produced
as identification.
of Nota olmll '' �a2
��`�am01,41
p.2012
in No. e3 + "�.L _r4i�►�EB CND SUIe`
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
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 OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE.
FIRM MAP #
i 9T FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 111990
LOT OF REC
After 111990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
AREA
FEE
FEE
LIBRARY
PUBLIC BID
PUBIC BID
PARKS
IMPACT
IMPACTFEE
BRACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y.
N
LAW.ENF
BRACT
BRACT
IMPACT
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
BRACT
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 ' :SEATURTLE- MANGROVE
COUNTER . - REVIEW REVIEW REVIEW REVIEW REVIEW - REVIEW
DATE
RECEIVED
COMPLETED r:
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3606164 OR BOOP )5 PAGE 1121, Recorded 07/01/2011 a, ,: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 of commencement.
1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: X03-sm •Mgp-Gi9'/
SUBDIMION—A&��13LOCK—_2_TRACT LOT. /N BLDG UNIT
2. GENERAL DESCRIPTION OF IMPROVEMENT: CIO—MALEZZ GA5 PIP/AIL. SC T 7"AAlk
3. OWNER INFORMATION: a. Name UM iil//4LJ'A.l, LLe-
b. Address99 44de.MTL' IP -, SrMAO&O., KY yM051 c. interest in property
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: IeOM 1 W1 S Ca / W-429A,1 [ CC.
14,609 67yw GT A4 4exdAl,4TG6�a, �57Q
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 (t)(a) 7.. Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:SCOTTGEwjjeou/S! PD BDIC.Z3yi PAtJ1Il�i[7RC/V fC 3 SKfP
g. In addition to himself or herself, Owner designates the following to receiveit copy of the trenor's Notice as provided in Section
713.13 (1)(b). Florida Statutes: A
NAME, ADDRESS AND PHONE NUMBER: S42 rf"'LE40ZS r�� SAIAs 4,74ye
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
Owner's �
�.,�,AM'i d% Al�riIRo'rl�f
Print Name and Provide Signatory's Title/me
State of Florida r
County of 57 ,(jruP/ �A�;
The foregoing instrument was acknowledged before me this " day of
By 1.3 f I,aft�Q, �
me G1 as WI/4A) 1
(Naof person) �— (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
For L4 Tb Udl K
(Naof party on behalf of wham instrument was executed) Personally Known_ or puFed�the fillo�wing type of ID:
me
i.
r AUDREY WILLMOT
_ MY COMMISSION # DD973188
f,
(Printed Name f otaryPublic) (Signature of iary Public) EXPIRES March 21, 2014
amisseotea FnrbeNois a.nim
Under penalties of perjury, I declare that I have read the foregoing and that the facts in i e t o my ow ge and
belief (section 92.525, Florida Statutes).
Sigoati re(s) of Owner(s) or Owner(s)' Authorized Ofticer/DirectorMartner/Man, r wbo signed above:
By: By i
V., asnm_mrtR—sar t.
;STATE OF FLOWA
ST. LWE C0i1RTY
THIS IS TO CERTI6Y THAT 11 IS If A
TRUE fl fl CO11HEC-i COP THE ri
OR G1W
H"PLEAK_
Date
Property Appraiser - St.Lucie C, ,-,ity, FL
Page 1 of 1
PROPERTY RECORD CARD
UTG Avalon LLC Record: 1 of 1
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Taxes Exemptions Permits Home Print
Property Identification
, co
Site Address: 150 Ocean Estates Dr
\\%lE
ParcellD: 1403-500-0027-000-0
Sec/Town/Range: 03:34S:40E
Map ID: 14/03N
Account #: 170003
Land Use: Vac Res
y`
Zoning: HIRD
City/Cnty: St Lucie County-k
Ownership and Mailing
Legal Description
Owner: UTG Avalon LLC
AVALON BEACH PUD (PB 55-19) BLK 2 LOT 11 (OR 3292-247)
Address: 99 Lancaster St
P O Box 328 Stanford KY 40484
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price Code Deed
Book/Page 2010 Final: 150000
Land Value: 150000 Acres: 0.14
5/9/2011 100 0311 CT
3292 / 0247 Assessed: 150000
Building Value: 0
1/23/2006 20500000 02 WD
2471 / 1213 Ag.Credit: 0
Finished Area: 0 SgFt
Exempt:
Taxable:
Taxes: 3117.69
BUILDING INFORMATION
No Sketch
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:
AvgHUFI:
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 0000-Vac Res N -Site 1 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/prc.asp?prclid=140350000270000 7/6/2011