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r V v �► F E �QNLY: I ..s,,,�,,,,,�,,,, � - - n�'1D: 1. - �: i '� C C�EW FEE: RECEIPT NO.: PERMITNUMBER; ENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED A r gUP PLANNING & DEVELOPMENT SERVICES`DEPARTMENT BUILDING & CODE REGULATIONS DIVISION o � 2300 Virginia Avenue., SC Ft: Pierce, FL 34982-5652 772462-1553 a . - UC% .COUh� APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: /5"0 bC E 41V 13-sT �I r0s PW IOIC 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX JD #: l y03 -Spp. pD2 % DoeO 4.. LEGAL DESCRIPTION (attach extra sheets ifnecessary): . 5. PLAT BOOK 6. PAGE NO. 9. PARCEL -SIZE, (ACRES/SOFT.): 7. BLOCK NO. LOT DIMENSIONS: 8. LOTNO. 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: AL t>avl/ill r%Hil )9RclCL- 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. SQ. FT OF CONSTRUCTION: 15. SF. FT 1st FLOOR 16. VALUE OF CONSTRUCTION: $ O O© The value of construction is used to determine the amount ofpermit 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. Ifthe value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 �j UPDATED 6/25/09 n OWNER INFORMATION NAME: u T & &114 L OA1 , L L ' a ADDRESS: 9 9/Ui SI-E� CITY: _S%�il(�iE'!7. .. STATE: ZIP: PHONE (DAYTIME): Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER.LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE sImPLE TTTLEHOLDER' s/41'1�L S �UL ADDRESS: Cry_ STATE: ZIP: PHONE (DAYTIME): (_) CONTRACTOR INFORMATION ST. of -FL REG.CERT #: c CMG Z5 o %4E5!�z ST. LUCIE COUNTY CERT #: '52- 6 go 2 BUSINESS NAME: 5co rT L,'cJ/ S l!W1:6T2yC 7-1CZJ L L QUALIFIERS NAME:- /J 5' c© T1— W / S ADDRESS: l DI9 47 rg c% IV, CITY: / ok,'/lA STATE: ' FzAet ZIP: 33y7o PHONE (DAYTIME): ( U 7 79- 4z 6 o FAX NO.,g/- 3 33 - 2c7?2 Email: SCo7r-�wl5 co,AsreEcl-(C I ARCHITIENGINEER: ADDRESS: i CITY: PHONE (DAYTIlVIE): I I BONDING COMPANYt 'i ADDRESS: CITY: STATE: STATE: i MORTGAGE LENDER: i ADDRESS: CITY: I STATE: ZIP: i IMPORTANT NOTICE: When a permit is issued and it is not picked up within 64 days after notification it will be voided. a d 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, 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 boding 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. COMIVIENCEMENT.MAY RESULT IN YOUR PAYING TWICE FOR APROVEM ENTS TO YOUR PROPERTY. A NOTICE OF C.0NVIENCEMENT 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 TT 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. OWNER OR CO CTO ATURE STATE OF FLO , COUNTY OF e' The foregoing instrument was acknowledged' before me thQ day otu t� 20 i by '�6'ffl_ CONTRACTOR SIGNA STATE OF COUNTY OF . LAC I' The foregoing instrument was acknowledged before me this-D _day of 20, by I a r " i Y: Ytil I U-) who is personally known or has produced who is personally known or .has -produced - ' 7-�k1.-2/749P aside ' cation. �� �Cil Li(4 as identification. Signature of N �ig!ae, f ry Commission N "J� DREY (WaMOT Commission `,... AUDREY ( -MOT . •'- MY COMMISSION # DD973168 =': MY COMMISSION # DD973188 A ; EXPIRES Mardi21, 2014 EXPIRES March 21, 2014 ' 407 395 0153 Floridallotarygervice.wm (407) 39"153 FloridarmaryService.com NOTE: TWO ( ARE REQUIRED:' EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUE LDER, 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. 7 OFFICE USE ONLY Ll • SECTION :. TOWNSHIP RANGE MAP NO. j ZONING LAND USE LOT CVG % ' TAZ NO. FLOOD ZONE. FIRM MAP # IST FLRELV -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 After I/1990 .. REQUIRED.. APPROVED REPORT HABITABLE RADON' PERMIT CODE AREA FEE IME LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT RIAPACT FEE IMPACT IMPACT FEE CORRECTION FEE GENERAL FEE SCHOOL ROAD'- CREDIT y I+I: ,,LAW ENF:' IMPACT IMPACT •IMPACT'''' _ FEE FEE x. FEE.- FIRE/EMS DRIVEWAY _ Y N DRIVEWAY , ADMINISTRATIVE IMPACT REQUIRED ' FEE VARIANCE FEE' FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS -SUBS ELECTRIC : , GAS. `LOT OF RECORD FEES REQUIRED PLUMBING FEES I DATE SENT TO ADDRESSING: ! / REVIEWS FRONT ;: -ZONING .f ;SUPERVISOR PLANS VEGETATION,: ,. ';i SEA<TURTLE 'MANGROVE:' 'COUNTERS' REVIEW REVIEW, ` REVIEW REVIEW " REVIEW REVIEW - DATE - RECEIVED e,: 9 :,; k' •, ii,''ir �•,, . • „�-'. -__.._ __. ` __ _ _ .. _ _ ,_ DATE COMPLETED _ . ,-. , , _ �',' - `;.....,_..:... .....:... r INITIALS JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3606167 OR BO(,`— --305 PAGE 1124, Recorded 07/01/2011 i� 1:11 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. I. DESCRIPTION OF PROPERTY (Legal description and street address) TAR FOLIO NUMBER: Z" — 00'QW7- 600 SUBDIVISION,QDY.Q&LBLOCK, = --TRACT LOT Z BLDG uNIT 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3.OWNER INFORMATION: a Name (IT( /t}Ili4G0it1 b. Address 1e% LAAIeA.-AMaQ . S V+A FCRb', KY_ yev ip!K c. interest in property d. Name and address of fee simple titleholder fuf other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: S&Vrr LASk&5 L'�"•� ��Y7/ONr LLe /6609 /Pn` �. Al. .L0u.4hf.4rcNr�, a- 33V70 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 docurnents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE MJIMIER—,J 1R u%Is QC•iV4. P. Q ft M 84 M-ffk14 8. in addition to himself or herself. Owner designates the following to receive a copy of the Liences Noticeas provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: = S OT EI SWIS 40A10— -TAAAE AX /F&WE 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_. Owner's Authorized OfticedDitedot/PartnedManager State of Florida County of SD!�/,�u G � The foregoin instrument wass acknowledged before me this _30 day of e 2o__I�__. By (4Jf //F1V/ C.o�LA! as M"A&6A (Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For, u-r& AMI&J) (Name of party on behalf of whom instrument was executed) Personally Known_ or prgducod the following type of 1D: r AUDREY WILLMOT COMMISSION # D13973186 MY (Printed Name of Mt.. Public) (signature ofCary Public) EXPIRES Match 21. 2014 Under penalties of perjury, I declare that I have read the foregoing and that the 40 i5l F1WWW8 rvxsmm int of it are true to a hesmy knowledge and belief (section 92.525. Florida Statutes). Signatures) of Ow ) or Owner(s)' Authorised Officer/D)rectorMartneriMamuger who signed above: By: By R... ar,m mrcrtawomtgt Y ATE Of FLORIDA T. LKIE COUNTY T141S IS TO CERT15YTHAT. IS MA TRO AND COREGT COiP7THE Date- Property Appraiser - St.Lucie C^?�nty, FL Page 1 of 1 UTG Avalon LLC Record: 1 of 1 Property Identification Site Address: 150 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 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ,\%IE CO ParcellD: 1403-500-0027-000-0 Account #: 170003 Land Use: Vac Res City/Cnty: St Lucie County Legal Description AVALON BEACH PUD (PB 55-19) BLK 2 LOT 11 (OR 3292-247) Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 150000 Land Value: 150000 Acres: 0.14 3292 / 0247 Assessed: 150000 Building Value: 0 2471 / 1213 Ag.Credit: 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes: 3117.69 BUILDING INFORMATION Exterior Features View: RoofCover: - RoofStruct: ExtType: Year[3lt: Frame: Grade: EffYrBlt: PrimeWall: StoryHght: - No.Units: SecWall: Interior Features BedRooms: 0 Electric: - PrmintWall: - FullBath: 0 HeatType: - AvgHt/FI: 1/213ath: 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.pasle.org/pre.asp?prclid=140350000270000 7/6/2011