HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:
DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.: 0 Q PERNHT NUMBER: `J
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
2.
3
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
SCANNED 772-462-1553
St• Lucie Count;
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: 1S J `7 G, LT/l
PROJECT NAME:
0--
PROPERTYTAXID#: 3 L ZS 7
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
SAMPAC k,L a 1-�Att 3
5. PLAT BOOK 2.,,6 6. PAGE NO. K fA 8D 7. BLOCK NO. Z 8. LOT NO. _
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: J(!"
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: AL•MtIV M I CT I
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[I NEW CONSTRUCTION [ J EXPANSIONIADDITION [ ] INTERIOR RENOVATION
(
SIDENTIAL (] COMNMRCIAL [ ] INDUSTRIAL J OTHER (SPECIFY) �� '✓4 �/1 �/ �tJ i4: ✓�
13. DESCRIPTION OF PROPOSED USE: }C A S
14. SQ. FT OF CONSTRUCTION: Z1 15. SF. FT 1st FLOOR:
16. VALUE OF CONSTRUCTION: $
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
OWNER INFORMATION
NAME: 3ob tj L4/ tj A - -),o &t-t f-f C
ADDRESS: -L
CITY: STATE: r ZIP:
PHONE AYTIlvIE): (_) S Ci Z '11q( Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): (_—)
CONTRACTOR INFORMATION
IT of FL REG.CERT #: ST. LUCIE COUNTY CERT #: ZS�O
BUSINESS NAME: �) fie. c� cc J 6/1(NC Cd-4
QUALIFIERS NAME: U c
ADDRESS:
CITY: b STATE: F
PHONE (DAYTDAE): esa _ 5 Z FAX NO. t9 cA Email:
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): U
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
STATE:
ZIP: J `f q L--
ZIP:
M'
ZIP:
0
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.
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.
OV NER OR OFNTRACTOR SIGNATURE
STATEOF LORIDA
COUNTY O 0\_241�
'0 TRAC OR SIGNATURE
TO: OFLORIDA
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this -3- day of 20_ / me this Aftday of V J f 20_U,
�`` b L� cdc" r\
by �P_ _) ur/ya n y
w is pe ally known or has roduced who is rsonally known or has produced
J
%� . / & as lae F cation. as identification.
Signature of Nota Si tare of lRo ary 1y FRgN
Hip
Commission No. Seal Commission No.
d
qDD 43466
•
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF Al!o$TlG,FORe.;
, Q
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEI
ST
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. io�y�»�'
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY B. 4:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
PT FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
LIBRARY
II4IPACT
FEE
PUBLIC BID
IMPACT FEE
CORRECTION
PUBIC BID
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS
S■T. LCICIE
COUNTY
F L O R I D �A
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the under s' ed, am the owner o the following described
Z--r,- iI
(Tax ID/Legal scription/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.
1-1
d w 0, 460� &iA,22 , 112r X,4,4z
Property Owner Name Pr perty Owner Signature Date
STATE OF FLORIDA, COUNTY of tAq " Lv L Y--C
ACKNOWLEDGED BEFORE ME THIS DAY OF 6L 20L(
BY,) 0) A D OUJ f\ iWHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
EL 0 L— AS IDENTIFICATION.
IrAv, � LGi&, VeAv\(fN FfAt\tc Icettvr
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE 0 04 1 � � COMMISSION NUMBER (SEAL)
��Y�RIYIIIfH1JJ �
FRgN
Hoary 6 -f,� • �
*� •. „� N�
;.: #DD 743466
%9A ;�p.mP�.ne d�;;•�Q���
��J1%fly9i11!11���
St Lode C:oUMN. 1nSP*c "s
2300 Vi rgxala A..1+emAe
Ft Pierce, FL 34082
(772) 462.2172,
CERTIFICATE CAE TERMITE 'JC'WE,A►,'TM.ENT
CONSTRUCTION 13011.. T"ATNMNT
WILDE
HEST C'U'N•t'a(ii, CON't'R.ACTO
AgG
MAN PEST
MANAGEMENT,' INC.
PESTCONTROL 1JC'EN$g, ##.,,_ .-
_ 5694.
TERMITE
— DACS LICENSE•#
We, ttxe ursdcrac> pled, hereby c.ertkfy that, we have Prelm%ted the abiwo-doscO eat constrtactian for
A;a bwrrancarn t:ernijUs In amord&nCe. with the at(akidards of the NatianW f4wt CG0tr0a ASWCitttlara.
squa rc feet of arou traatcld:. - . Chol1dcall used;
�er..r�x►t�ge of naltttlon: _ °`'t'� ` ` Tom) gajous imod ,
Date of t>ceartmont:
"ooli g
2 1s1 Trcatmant
Slab
ist Treatment
♦�G°'tTk'.3t
]driveway
151 TTivaatment
;�c"
Fools
14t Trctttilient
�. Re -treat
Other__-.--
Ll tat T'rewtamt
Q Rv.-crmt
BClQ4,�,6 Ct!1t�j dtto v!P Pmtactit�e 7�a Yt'Axeat for,prdrysWion of isnrt�rwa,c.
A wsrtthsr raslstarAt f oGx�ts posting board d joll be provOod to receive
dteplicam TmaMhamt Cerfocatex as each rayrttrod prwac4vs rreuortene it
vo)'V1410, providing a aop)' Jt}r the person the permit is issued w u,nd
another cop} for nc� Gµirding parrrriF,lrfr.,r. .rho lrean+ranF C'err¢Jlceua .r'half
pro tU she product te,,utci, ittontrty pf, hf,, applicator, et'rR.e and date of the
iradllmgltl, SYIC loccdipn• nrcA treurart, Ciigmig tl uteA percent roncrratrcahon
"(4 rrrfnrbar of gallot,s 109d, to esm.1,714h .a verilSable record of'protecrive
treatmialr 11 the ,pail clwthfcal bgrrier method for termite prevaruinn t.v tuv,ad,
flitul emeriar treatment ahutl he complelad prior to flanl batlhimg app-ovar.
9t Ltecie County req►tix*m foie the 411141 ik►apsata+rxu roe '41, ArntGctntdai
31UCkOf to ba ieletc W 0.0 ehe or1ec10011 pgaW box Cover, tlutirtg A the
4rertti:wnta a:lsdl d>wtae c►i Rppll�ctatlrl><ar.
Ll Perimeter for Final Inspection,
.:VOT
___&i! ��_
Signature of BJI���'1tk7�JCtRtg1•
rh•aro mdf,t;t be a comploOdform for each required trgatnaent or rye-trgatrrtartt viral thjs, farm mmet' be on
tho job sine to be picked up 4y the rirtspector qt l'lM$ Af teach: $Mp+ection or the scheduled insporc•tron.. will
J4U an4 a ra-trrslxura tiere�, fcer clur� erd
xavtraA atd10"7'tag
Property Appraiser - St.Lucie Cminty, FL
Page 1 of 1
PROPERTY RECORD CARD
John O Downham
Record: 1 of 1
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Property Identification
\,UCIE CO
Site Address
8392 GALLBERRY CIR
ParcellD
3425-703-0217-000-6 Gym
Sec/Town/Range.
25 :36S :40E
y�
Account #: 129085
Map ID:
34/25S
Land Use
Mob Homes
Zoning:
PUD
City/Cnty.
St Lucie County
Ownership and Mailing
Legal Description
Owner:
John O Downham Joanne C Downham
SAVANNA CLUB PLAT THREE BLK 25 LOT 7 (OR 1892-2760)
Address:
8392 Gallberry Cir
Port St Lucie FL 34952
Saes Information
Assessment 2010 Final Total Land and Building
Date Price
Code Deed
Book/Page
2010 Final: 90000 Land Value 21000 Acres 0.11
1/30/2004
149500 00 WD
1892 / 2760
Assessed: 90000 Building Value 69000
12/14/2001
90000 00 WD
1477 / 2364
Ag_Credit: 0 Finished Area 1800 SgFt
9/1/1998
88500 00 WD
1168 / 2930
Exempt: 75000
2/16/1994
90100 00 WD
0885 / 2447
Taxable: 15000
Taxes. 812.91
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
-
RoofStruct:
ExtType. MHA -
MHA
YearBlt:
1994
Frame
Grade: SAVC
- SAVC
EffYrBlt
1994
PrimeWall
StoryHght 0010 -
1 Story
No.Units:
1
SecWall
Interior Features
BedRooms- 0
Electric:
-
PrmintWall
FullBath: 0
HeatType'
FHA - FrcdHotAir
AvgHVFI: STD
1/2Bath: 0
HeatFuel
ELEC - Electric
Prm Fiors -
%A/C: 100
%Heated:
100
%Sprinkled. 0
Special Features and Yard Items
Land Information
Type
Y/S Qty.
Units Qual Cond.
YrBlt No Land Use
Tvr-°
CNC2, - CONCRETE LOW
Y 1
630 AV AV
1994 1 0200-Mob Homes
165 -Flat 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=342570302170006 2/3/2011
AL DESCRIPTION: LOT 7, BLOCK 25, SAVANNA CLUB PLAT NO. THREE AS RECORDED IN
, c.AT BOOK 28, PAGES 8, 8A-8D, PUBLIC RECORDS' ST. LUCIE COUNTY, FLORIDA,
.VEY NOTES:
1. LANUS SHOWN HEREON WERE NOT ABSTRACTED BY THE SURVEYOR FOR RIGHTS -OF -WAY AND/OR EASEMENTS OF RECORD OR
OWNERSHIP.
2. THE LAND DESCRIPTION AND. EASEMENTS SHOWN HEREON ARE IN ACCORD WITH THE DESCRIPTION PROVIDED BY THE CLIENT.
3. BEARINGS REFER TO THE PLAT UNLESS OTHERWISE NOTED.
4. ALL DISTANCES/ANGLES ARE PER PLAT UNLESS OTHERWISE SHOWN.
5. FLOOD ZONE: 'X' 120285 0295 F, 8-19-91.
6. THERE ARE NO WELLS OR SEPTIC TANKS EXCEPT AS SHOWN.
LEGEND:
&-DELTA
CP-CONCRETE PAD
P -PER PLAT
•PRC-POINT Of REVERSE
F.F.-FINISH FLOOR
FD-FOUND
R-RADIUS
CM -CONCRETE WONUMENT
M -AS MEASURED
CURVATURE
ELEVATION
IR-IRON ROO
L-ARC LENGTH
PCP -PERMANENT CON IROL
C -AS CALCULATED
SOT -SOUTHERN BELL
PRM-PERMANENT REFERENCE
IP-IRON PIPE
B.R.-BEARING REFERENCE
POINT
0 -PER DEED
TELEPHONE
MONUMENT
RlC--ROD A CAP
U.E.-UTIUTY EASEMENT
PC -POINT OF CURVATURE
EC -ELECTRIC SERVICE
W.M.-WAVER METER
X-EXISTING ELEVATION
PiC-PIPE It CAP
O.E.-DRAINAGE EASEMENT
RAW -RIGHT OF WAY
PP -POWER POLE
CTV-CABLE TELEVISION
X_-PROPOSED ELEVATION
TRACT A-3(2)
WATER ELEVATION - 9.8in
+�1� S 00'05'42" E 52.00'
SET R&C
#3366
1 "= 2 0'
LOT 6
OCCUPIED
F.F.=13.20'
x
FIL'E' COP.,,
FD. R&C
#4416
WM E.
t` 10' U.E.
C.,S.
LOT 7 + 7.5'
26.7'
10.3'
0
SCREENED
ROOM
PROPOSED 1 STORY
SF1ED
PREMANUFACTUREU
STRUCTURE
m
1
5'
v; No
/7.8
0
Y
PROPOSED
F.F.- +> CARPORT
00
10' U.E.
N 00'05'42" W
(B A?.)
01
FD. P.C.P. e o
3 39.52' J r�
1 7.0'
a
0
-- N
PROPOSED
CONCRETE
DRIVE
LJ FD. R&C
CTV #4416
O SBT
O
0
O
O
d'
if )
Ch
00
a
O
NO.
52.00' FD. R&C
#4416
P.C.
GALLBERRY CIRCLE
BLOCK 25
LOT 8
OCCUPIED
F.F.=13.00'
J
Q
PROPOSED PLOT PLAN
SUBJECT TO HEALTH DEPT., BUILDING DEPT. AND CONTRACTOR APPROVAL
RTIFICATE:
IEREBY CERTIFY THAT THE SKETCH OF SURVEY HEREON IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AS
RVEYED UNDER MY DIRECTION. I FURTHER CERTIFY THAT THIS SURVEY MEETS UM IECHNICAL STANDARDS SET FORTH IN
11 21HH-6 ADOPTED BY THE FLORIDA BOARD OF LAND SURVEYORS, PURA�CT
F RID TUTE 472.027. THERE ARE NO
OVF "ROUND ENCROACHMENTS OTHER THAN THOSE SHOWN HEREON. SUB E O j CATIONS NOTED HEREON. NOT VALID
'LE=ALED WITH AN EMBOSSED SURVEYORS SEAL.
RTIFIED TO: SAVANNA CLUB CORPORATION B '
RICHA D. ADAMS
ITLANTIC LAND DESIGN, INC. FLORIDA EGISTRATION NI
PROFESSIONAL LAND SURVEYING BOUN ARY SURVEY -7-93
West. Monument Ave. 201 S.W. Port St. Lucie Blvd., Ste. 107 SITE PLAN
ielmmee, Florida 34741 Port St. Lucie, Fl. 34983 _
(407) 931-1544 Tel.(407) 871-1183
x. 931-1589 FAX 871-1164 AS
SURVEY
DATE: If. 7 _
3366
JOB NUMBER
93-2.90
L