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HomeMy WebLinkAboutSUBMITTED PAPERS-QSL P I I l le / f '-- DATE FILED: 1 i 11-3 1 PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICESDEPARTMENT BUILDING & CODE REGULATIONS DIVISIONY. 2300 Virginia Avenue Ft. Pierce, FL 34992-5652 �� 772-462-1553 �t Ajjt ,, "C/A CCVhi` APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITUZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: /// Oc4EA/V ESTX %-S 'Dk., 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: 1 yb 3 - Si2o - FQD 5r6 - oee 2 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. oZ ,.8.. LOT NO. -3D 9. PARCEL SIZE "(ACRES/SQ FT.): LOT DROENSIONS: 0. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: _ lAtS74LL ALyM11I!0M PeOL JCCAlCC ��/�RO fC z�� LF. 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [xJ 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: $ gOD 15. SF. FT 1st 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 wM.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 6125/09 OWNER INFORMATION NAME: U T'G 4041-6A/ , L L _C ADDRESS: 92 AAA16 457-ER CITY: S' AmF--Ok D STATE: ZIP: o ys-Y PHONE (DAYMM): (606j .36 6- 3�s'S Email: DOI 7-r6 6 E,5Af 6, /Vlz IF THE FEE SBRLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE I. FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: Ste! E AT Aeoa ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): �) CONTRACTOR INFORMATION - ST. of FL REG.CERT #: C6 c 15'0 7 5 iW ST. LUCIE COUNTY CERT #: BUSINESS NAME: SCO =1 7-A) G i /D j L I- C_ QUALIFIERS NAMEA J SGO 77" L EW/.S ADDRESS: 14402 9777' GE, A/ CITY: 16,KA.diQ-i C/-1EC --_- STATE: FL©1e!p14 ZIP: 3.3"1749 PHONE (DAYTIME): ( ) 77 i- !?2 6 D FAX NO-M- 333 - %2 Email: Se-e r 4E-y.S CoAIsr1?oe � G I'►'1�4lL ,C BM ARCHIT/ENGINEER ADDRESS: CITY: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: STATE: STATE: ag ZIP: MORTGAQE LENDER: AM M ©4 7-614 G ADDRESS: CITY: STATE: ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it wilt be voided and returned to you by mail V) 'CERTIFICATION:,'- This application is hereby made. to obtain a permit todo.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 jurisdiWon.'�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 Associatiow,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. 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 Olt AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT:. , _ IF IT IS NOT YOUR RIGHT,,TITIE, 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. f OWNER. OR C C GNATURE, CONTRACTOR SIGNATURE, ' STATE OF FLO A " - STATE OF FLORMA COUNTY OF ; L 1' e l e COUNTY OF_ 12, The foregoing instrument was acknowledged before The foregoing instrument was acknowledged -before _ I me this �ay of 20� une this allay ofzia , 20 l' I by by 1 V J� � . kLkA S who is personally known or has produced who is personally known or.., has produced [,�cerl5e_ as identification. 4 xiyef Lic-26ae. - as rencation. Signature of N ry- -.. Signature of Ndt#Y Commission o. 6q.;4;(Se911VDREY WILLMOT Commission No. p(19QBjEY WILLMOT MY COMMISSION # DD973168 :•: :+` MY COMMISSION # DD97316 A*': r� EXPIRES March 21, 2014 r EXPIRES March 21, 2014 (�07)3880153 FloridallotaryService.wm (107)too 398.0153 FloridallotaryService.com, NOTE:--TWO-(2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST,BE N ED. 1F 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. UIE USE ONLY -° #. SECTION , TOWNSHIP RANGE MAP NO. ZONING LAND USE LOTCV % TAZ NO: H OOD ZONE. FIRM MAP # ISr FER ELV ,, MAX HGT CONST TYPE OCCUP TYPE;, MAX OCCUP # OF;FLRS. WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT .. LOT SPLIT Before 1/1990 Auer 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA'a FEE FEE (RADON) LIBRARY PUBLIC BLD PUBIC BLD PARKS WACT IMPACT.FEE _ IMPACT IMPACT FEE CORRECTION FEE FEE GENERAL SCHOOL ROAD, CREDIT Y N LAW ENF' ' IMPACT IMPACT = IMPACT" FEE FEE FIRE/EMS DRIVEWAY- Y _N' DRIVEWAY ADMINISTRATIVE. IMPACT ^REQUi$ED FEE VARIhANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS T-',i ' LOT OF RECORD FEES, REQUIRED PLUMBING "� FEES , s r. it 77, -� ,:,.'�_ r :s.:. i s DATE SENT TO ADDRESSING: REVIEWS FRONT ' ZONING `l. ; 'SUPERVISOR PLANS VEGETATION ... ' "SEA TURTLE ' ,; t, MANGROVE;. COUNTER: REVIEW REVIEW : l , REVIEW REVIEW ; REVIEW t REVIEW DATE ��+� RELG1 Y, llJ .,� '"` ... _ ... _ i`•si' 'i L. ..__.. ..,._,._ _._.. .. __ _ _ .____} y, ` ' COMPLETED f s v �I•y INITIALS' -'— - .,4 - i;t1 .... ..,....,_,.. ... .._. ,....,.".. .__ a trOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY, FILE # 3606170 OR BOON — ")5 PAGE 1127, Recorded 07/01/2011 aT :11 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 strut address) TAR FOLIO NUMBER, 6L403 Sad-ai'i/6 -/key SUBDMSION&A&mBLOCK--2—TRAcT LOT—�a—BLDG UNIT 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION: . a. Name—YOTCz c, interest in property d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: S69TT LWZ 123411 RtkT/O ., LLe- 111QQ L7r"1 LS /fit/ LCMA11s1TCA05F FL 3.?Y70 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 (I)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER' SGATT.LL-1J5 CL'A PD SW2,3 fFi MAAffAka F, 3�yB9 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: I _ NAME, ADDRESS AND PHONE NUMBER: SCO MLEw/S (19.US/ Si�IN� AS I¢BM 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_. Slgnatt re of Iter or Print Name and Provide Signatory's Tid go race Owner's Authorized Officer/Director/Partner/Manager State of Florida ' County of The foregoinginstrument was+ a�ck�no/wl—edg-ed before me this 3� day of 20_ By�lllLis�Y�ii%1S.�LLGCV .as %y%B'tlkCst t (Name of person) 7 (Type of authority...e.g. Owner, officer, trustee, attorney in fact) For U-M dr4'LD/ (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID-)—' i. Zar►v`crS LicQn�e-. i I AUDREY WILIMOT I. W '•c MY COMM18310N # OD87318E (Printed Name f Notary Public) (Signature of N tttry Public) EXPIRES March 21, 2014 cam �Or)raA-0163 F Under penalties of perjury, I declare that I have read the foregoing and that the facts inDO belief (section 92.525. Florida Statutes). ` i Signatures) of. O s) or Owner's)' Authorized Of icer/Director/Partmr/Maoager who slgaed above: By: By s : a.+. axnarsoa+tanom�nf ' } STATE Of FORM ST, LUCIE COUNTY TF}ISIS OCEIaTISYTHAT ISO t N C0lIREG'T THE PNIE. SMITH CL R Date' a.. Property Appraiser - St.Lucie Cpgnty, FL Page 1 of 1 UTG Avalon LLC Record: 1 of 1 Property Identification Site Address: 111 Ocean Estates Dr 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 1/23/2006 20500000 02 WD No Sketch Available Exterior Features PROPERTY RECORD CARD «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 1403-500-0046-000-9 Account #: 170021 Land Use: Vac Res City/Cnty: St Lucie County �'• , •,. Legal Description AVALON BEACH PUD (PB 55-19) BLK 2 LOT 30 (OR 3292-247) Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 250000 Land Value: 250000 Acres: 0.1 3292 / 0247 Assessed: 250000 Building Value: 0 2471 / 1213 Ag.Credit: 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes: 5196.11 BUILDING INFORMATION View: - RoofCover: RoofStruct: ExtType: - YearBlt: Frame: Grade: - EffYrBlt: PrimeWall: StoryHght: - No.Units: SecWall: Interior Features BedRooms: 0 Electric: PrmintWall: - FullBafh: 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. 19 http://www.paslc.org/prc.asp?prclid=140350000460009 7/6/2011