Loading...
HomeMy WebLinkAboutSUBMITTED PAPERSOFFO USE'ONI X: DATE FILED: r7lV ` PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 1. 2. 3. 4. 61 ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICE& DEPARTMENT BUILDING & CODE REGULATIONS DIVISION: �� 2300 Virginia Avenue /zc V ENE® Ft. Pierce, FL 34082-5652 / a 772-462-1553Lucie KPnou`0,0 COUnty I APPLICATION for BUILDING PERMIT � CERTIFICATE of CAPACITY/ZONING COMPLIANCE r PROJECT INFORMATION LOCATION/SITE ADDRESS: // ©eZAA/ 1.=5 r21 -5 1,V , PROJECT NAME: SITE PLAN NAME: PROPERTY TAX ID #: yO 3 - 5-00 ^60 516 - ODD 9 LEGAL DESCRIPTION (attach extra sheets if necessary): PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. -30- 9. PARCEL SIZE (ACRES/SQ FT.): LOT DMIENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: %'k; /''G& r,- PEkA/T 61yw 1ji-Ek 0 70 9 - d/ l�l k Fob r�i�ls7�e�cTior�1®F l °�C'rds4 �Y u�i�G� AcALAIJ- - . GUOklc 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ J EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ J RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: 15. SF. FT Ist FLOOR: 16. VALUE OF CONSTRUCTION: $ -'- 0 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 with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 y OWNER INFORMATION NAME: VT6 A✓ALDx , L1S C, ADDRESS: 9 9 I-ANIC-4,1r1=e CITY: 5 «9 d fink D STATE: K ZIP: �i©ygy PHONE (DAYTROE): Email: �217! T 1�'b FS/V L3 NE% IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: .S4m5 L7 4S AzTal%L` ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIME): �) CONTRACTOR INFORMATION ST. of FL REG.CERT #: CGC /S D 7.5-5I y ST. LUCIE COUNTY CERT #: !F0 2 BUSINESS NAME: SGo i// l tcylS 4!2WS;;2e0C 220A_Z_, LL C QUALIFIERS NAME:• A` SC4 L cJ S ADDRESS: ��6 D 9' 7 rat GT .. A) . CITY: STATE: %c245,91aA ZIP: 3 3 `r7D PHONE (DAYTIME): (Ltb 779— 9a 6 d FAX %q 8 9 Email: Sco rT'LCwiSC�.Ury[i/��! .Caro ARCHIT/ENGINEER ADDRESS:,, CITY: STATE: ZIP: PHONE (DAYTIlVIE): �) BONDING COMPANY: :1j 13 CITY: STATE: r. _ MORTGAGE LENDER: D YAO 2 I G AZ E ADDRESS: CITY: 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 •4 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 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 CINU CTOR r TURE STATE OF FLO A COUNTY OF _ I �►P . The foregoing instrument was acknowledged before me this day of 20J by ylil I �rn ( .Cyl W who is personally known or has produced CONTRACTOR SIGNATURE STATE OF FLO A - COUNTY OF n. �C(� . The foregoing instrument was acknowledged before me this day of J nP_ , 20—LL by 4 SLTAJ LP.t 6S who is personally known or has produced L i 6en5 e as identification. ('en542, as identification. Signature of N tSignature of Commission 0V #WEY WILLMOT ' ;: Commission No. ••'�+. AU"" WILLMOT =•; •'c MY COMMISSION # DD973166 c-INICT :.. :•c ylY COMMISSION # D13973188 EXPIRES March 21, 2014 EXPIRES March 21, 2014 (!07)3u♦153 Florida NotaryServioo,00m ,7)39 407 38r! 0163 Floridallotor 9ervice.wm NOTE: TWO (2) SIGNATURES ARE REQUIRED. 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/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 # 1 ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCLTP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 111990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE LIBRARY PUBLIC BID PUBIC BID PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE FEE GENERAL SCHOOL ROAD. CREDIT - Y N--`� LAW ENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE -:FEE IMPACT REQUIRED FEE VARIANCE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC �Tf GAS LOT OF RECORD FEES REQUIRED " PLUMBING FEES DATE SENT TO ADDRESSING: / 1 REVIEWS FRONT! ZONING SUPERVISOR PLANS i VEGETATION , , SEA TURTLE MANGROVE' COUNTER REVIEW REVIEW REVIEW REVIEW l REVIEW REVIEW DATE RECEIVED - DATE COMPLETED INITIALS _ ....... -'w-... Property Appraiser - St.Lucie County, FL PROPERTY RECORD CARD UTG Avalon LLC Record: 1 of 1 <<Prev Next» Spec.Assmnt Property Identification Site Address: 111 Ocean Estates Dr ParcellD: Sec/Town/Range: 03:34S:40E Account # Map ID: 14/03N Land Use: Zoning: HIRD City/Cnty: 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 View: ExtType: Grade: - StoryHght: - Interior Features Page 1 of 1 Taxes Exemptions Permits Home Print ,\,\�CIE CO 1403-500-0046-000-9 170021 Vac Res St Lucie County �•Q��`';',�'�` �F 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 RoofCover: YearBlt: EffYrBlt: No.Units: BedRooms: 0 Electric: PrmintWall: FullBath: 0 HeatType: - AvgHt/Fl: 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 RoofStruct: Frame: - PrimeWall: - SecWall: - 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=140350000460009 7/7/2011 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3606169 OR BOOK."Y)5 PAGE 1126, Recorded 07/01/2011 ay'AM t � J NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to attain teal property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice ofcommencement. 1. DESCRIPTION OF PROPERTY (Legal dee�sscription and street address) TAX FOLIO NUMBER:, SUBDIVISION&&AW BLOCtt,__TRACT LOT 3V aLDG UNIT 2.GENERALDESCRIPTIONOFIMPROVEMENT: t'A'111ACY WfiU /41Wrh1liJ t'Wf- 3. OWNER INFORMATION: a. Name LIM 6li(l4&Aj L L r- b. Address IC, —A. 1411APD_ /(y DS/ ► c. interest in property d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: Scm7Ttb7vis OWSZ2TI* i0 tcG 4io Aar M L01f) man-iEE, rC 32317O 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: NAMEE, ADDRESS AND PHONE NUMBER: SYWEI.Si✓rs &VIFE P B 8D/C.Z�ri�i Ai4L� BFJkf'F Fi 33S16f� 8. In addition to himself or herself. Owner designates the following to receive a copy of the Lienar s Notice as provided in Section 713.13 (1)(b), Florida Statutes: _ NAME, ADDRESS AND PHONE NUMBER: '5CB 9TLARal 60ALs% S.4�1i A'S At 4 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 of Owner or Print Name and Provide Signatory's Title/Ortice Owner's Authorized Of icer/Dlrector/Partner/Manager State of Florida County of �+}�. The foregmn instrument was acknowledged before me this yday of �\ li:� 20�_. By_(d1e�Ltl9m d2' � � as (Namofperson) '� '��• (Type of authori...e.g. Owner, officer, trustee, attorney in fact) For�lLi 21 (Name of party on behalf of whom instrument was executed) Personally Known or prodvefo o vtCtype of ID: ,�lfog_ #10 AUDREY WILLMOT :•I , ' MY COMMISSION # DD973165 (Printed N of Notary Public) (Signature of N tazy Public) EXPIRES March 21, 2014 t F .can Under penalties of pedury. I declare that I have read the foreg g and that the facts in it belief (section 92.525. Florida Statutes). tature(s) ne s) or Owner(s)' Authorized ORlcer/Director/Partner/IVlaoager who signed above: By: By Rn. atAM31at1auaWN1 STATE OF FLORIDA ST. LUCIE COUNTY THIS IS TO CERTIFY THAT TRUE A,UD CORRECT COP' EPH Date. L — l IS 66 A ZHE ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 772-462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: y03 5- 019 51 G - ©©v (Tax ID/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Av At-0 ij l.- Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS St" DAY OF V , 20 ,/ BY WHO IS PERSONALLY KNOWN TO 1, m•A..n W G SIGNATURE OTARY TYPE OR PRINT NAME OF NOTARY (SEAL) NOTARY PUBLIC TITLE COMMISSION NUMBER E AUDREY WILLMOT MY COMMISSION 0 DD973108 EXPIRES March 31, 2014 F1o4daH0W! 6@fVi§@-M i