HomeMy WebLinkAboutSUBMITTED PAPERSCE USE.bNLY: a Oa O`
o DATE FILED:_C�
CCONCULAN VFW FEE: 1 '.RECEIPT NO::- PERMIT NUMBER �f
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MI
BE COMPLETE & FILLED IN TO BE
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VngWa Avenue
R Pierce, FL 34982-5652 S'C 1
M 462-1553. !q/'/n/�D
• �'t � UCIg
APPLICATION for BUII.DING PERMIT . cOU I ty
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: _ Z 7,99.,
2. PROJECT NAME: SITE PLAN NAME:
3. PROPERTY TAX ID #: L`7/O -.SOD - Qp .?Cd OO
4. LEGAL DESCRIPTION (attach extra, sheets if necessary): -
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. a 8. LOT NO.1�
9.. PARCEL SIZE (ACRES/SQ FT.): 'LOT DI114ENSIONS:"
10: COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY.-
C oM,PL , i Pl f /W G s/= T Ti4itl_
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Cheek all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] - COMMERCIAL
[ ] OTHER (SPECIFY) _ (l INDUSTRIAL
13. DESCRIPTION OF PROPOSED USE:
a
14. SQ. FT OF CONSTRUCTION. 15. SF. FT 1st FLOOR
16. VALUE OF CONSTRUCTION: $ %0C)0"'
The value of construgion 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 ofeanstruction activities. Ifthe value is $2500 or more, a
WMRDED Notice ofCommencemeat must be submitted with this application.
3LCCDV Form No.: 001-02
II
UPDATED W5109
OWNER INFORMATION
NAME: U 7-G A I%d Z-OAJ� L L C
ADDRESS:
CITY: STA/ 1677eO. D STATE: _ Jc ZIP:
PHONE (DAynME): (406) Email: jZ 1 %Ta 0 ?c itk�.Ll/� f
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DI:TLEENI' FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER SAME -Ad A L'7311 V E
ADDRESS:
CITY: STATE: aP:
PHONE (DAYTIME): L_)
CONTRACTOR INFORMATION
ST. ofFL REG.CERT #: 0 5 Sq. ST. LUCIE COUNTY CERT #: 2 Z-Z& y-
BUSINESS NAME: A& ^Q A%�--
QUALIFIERS NAME:- aw m
ADDRESS: S
CITY: n alf Ph C1f lk STATE: ZT: . 3 i
PHONE (DAYMVIE): (� fit L 9CO FAX NO. i -It - ��?- ��l(0 � Email: COah vl5 i (�1el t` C , �m
ARCHITIENGINEER
ADDRESS:
CITY:
PHONE (DAYTIlVlE): (_)
BONDING COMPANY:
ADDRESS:
CITY:
3
MORTGAGE LENDER
ADDRESS:
CITY:
STATE:
STATE:
STATE:
MpORTANT 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 inat
.C=ERTMeAT'ION: r
This application is hereby made to obtak , ,,_ crmit to do the work and installations as indic_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 concurreney review:. room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility, substations & accessory use_ s 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 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 THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
%IFS
W i T
STATE OF nO'RIUDA.
COUNTY1
The foregoing instr>oment was acknowledged before
me this3O day of 20i ) ,
by
rI Q rn�J
who is personally known 0_rls produced
CONTRA SIGNATURE
STATE OF FLORIDA�j,,
COUNTY OF . s r 7
The foregoing instrument was acknowledged before
me this day of .'20 l /
by
who is ovally Iwo or:.has produced
as identification.
Commission No. AUDRAa�lLLMOT ilt °rr�r
*" MY COMMISSION # DD973168*q ,*T My Comrnl+sion Ezplrea t t•30-2012
2' �; ��� �q�tfp„fi r eonded Through CNA WOW
, � ' EXPIRES March 21, 2014 ,rr�rpit
rr'9 FloridallotaryService.com
NOTE: TWO (2) D. 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/BUH.DER APPLICANTS.
For specific instructions see appropriate permit checklist.
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JOSEPH E. SMITH, CLERK_nF' THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3606168. OR BOI, i305 PAGE 1125, Recorded 07/01/2011 T-`11:11 AM'
i
AFTER RECORmNO•REPURN TO: ,
I
PERMITNUMBER:
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. ����//
I. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER:/3/a-- _62W,9W-
SUBDIVISION kOZ LOCK 2 TRACT LOT_ IL—BLDG UNIT
j50 DC4~.4N E2 r - Doe
2. GENERAL DESCRIPTION OF IMPROVEMENT: /AW456r4l&CLLA/C5, $Er ZAyA
3.OWNER INFORMATION: a. Name (.)M o4 .d 2t * 4 GG
b. Addmss2 9 1-4A-1eATr9e', 57A•NFO9/7, IzY 'X01 'i c. interest in property
d. Name and address of fee simple titleholder (if other than owner)
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: SCt97T 4EAcj/5 ceA/4l.Pf1677d L e G
IX,4,99 X71* GT Al, LDXAs1AT�.rlr�� �=G 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: &0777Lei ff &OWST Po aK 2356 A&W Awcd!e ..�.3�
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienoes Notice as provided in Section
713.13 (1)(b), Florida Statutes: c
NAME, ADDRESS AND PHONE NUMBER: �+��L��✓�-s ��«�' —5419E AS &R20E
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_
� V�1(�� b C.,�Ge�. 1►?��2
Signature of Owner or Print Name and Provide Signatory's Title/Ofnca
Owner's Authorized Officer/Director/Partner/Maneger
State of Florida .. ,
CountyofST. L,uu'G
The foregoing instrument was�atcknno�wlle�dg�ed before me this day of � 20 /
By \JUII J,OIAX D CObr,61 A/A%G
(Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact)
Yo(Name of party on behalf of whom instrument was executed) Personally Known_
or p u ed,h f Cowin t of ID
i.
►YL
AUDREY WILLMOT
MY COMMISSION # DD973188
EXPIRES March 21, 2014
'
(Printed N of Notary Public) (Signature of
Public)
4a aSsatsa rwdaaN sanr..00m
C
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
S
belief (section 92.525, Florida Statutes).
Signature(s) of Ow ) or Owner(s)' Authorized ODicer/Director/Partner/Monager who signed above:
By: By
R�..OBrlW2007tRremdiny> �' 1
t
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I
'PATEO# FLORIDA
r CUEIE COUNTY
T IS IS TO CERTI&YTHAT MCA
TR E 9 C�REGT C4P
ORI, I L, E
4 ,
S IT LE K
Date � .rf. =' `- —
Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERTY RECORD CARD
UTG Avalon LLC Record: 1 of 1
<<Prev Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
,,V\3CIE CO
Site Address: 172 Ocean Estates Dr
ParcellD: 1403-500-0030-000-4
Sec/Town/Range: 03:34S:40E
Map ID: 14/03N
Account #: 170006
Land Use: Vac Res
HIRD
City/Cnty: St Lucie County
Zoning:
Ownership and Mailing
Legal Description
Owner: UTG Avalon LLC
AVALON BEACH PUD (PB 55-19) BLK 2 LOT 14 (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: 300000
Land Value: 300000 Acres: 0.13
5/9/2011 100 0311 CT
3292 / 0247 Assessed: 300000
Building Value: 0
1/23/2006 20500000 02 WD
2471 / 1213 Ag.Credit: 0
Finished Area: 0 SgFt
Exempt:
Taxable:
Taxes: 6235.26
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
Qual. 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=140350000300004 7/6/2011