HomeMy WebLinkAboutSUBMITTED PAPERSI
DATE FILED I( ' - +
PLAN REVIEW FEE: RECEIPT NO.: �� PERMIT NUMBER: �p� • 00 6p
t
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
N St. Lucie County Building and Zoning
2300 Virginia Avenue �ORt04 . Ft. Pierce, FL 34982-5652 SC ANNED
772-462-1553 BY
St.
uC1e (--r)) t,n;
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: ` L113 SF).Strcne
2. PROJECT NAMES. N 0tA14 k.. Ea � 3 14Tr'i SITE PLAN NAME:
3. PROPERTY TAX ID #: _11 Got - L G 1- 6 G y 1- GC 0 - 2
4. LEGAL DESCRIPTION (attach extra sheets if necessary): I M DIAN RIVER t S Ii4T�S V Nt l 01
i�,11C ;.3 Lnis 21 RNA 3Q C�����/1�H)1 Ok tob?—aoc(,, ka l_�15
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 31 32
9. PARCEL SIZE (ACRES/SQ FT.): . tI tG LOT DIMENSIONS: / 60 X (2ti
10. 14 COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: o-. V'P C 4L-RI..1
R 6 o ZT A w G-A, A R,=,A � c0NC-k0-1i sf kay t N� t r qi k;.Th
11. SE BACKS (ACTUAL) FRONT: �� BACK: f Q / RIGHT SIDE: 47. /� LEFT SIDE: _
12. T PE OF CONSTRCCTION (Check a 1 app opn ores ��' L s� ��,
NEW CONSTRUCTION
RESIDENTIAL
OTHER (SPECIFY) _
[ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] COMMERCIAL [ ] INDUSTRIAL
13. % DESCRIPTION OF PROPOSED USE:
14. * SQ. FT OF CONSTRUCTION: 1 y
16. 4 VALUE OF CONSTRUCTION: $ 4 1 H O 0 J
FT
15. SF. FT 1 st 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 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
�J
/I q 9� 9�
63a-�
OWNER INFORMATION
NAME: CtliiC) L-UCC5 %N`Z� Ul \oQ;A l� LU' FPS
ADDRESS: 6,-1113 SPczc r'Qr
CITY: El. Rerce STATE: %L ZIP: 3`15k�2
PHONE (DAYTIME): (772 ) L/0- 233'/ 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
PHONE (DAYTIME): ()
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:
BUSINESS NAME: M,uu9
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME): (�
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): (, )
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
FAX NO,
STATE:
STATE:
STATE:
ST. LUCIE COUNTY CERT #:
Email:
ZIP:
ZIP:
ZIP:
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.
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, 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: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE.
AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS
PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and zoning.
OWNER OR R SIGNATURE
STATE OF FLORID
COUNTY OF
The foregoing instrument was acknowledged before
me this 6? day of 20%�,
by ✓l �J �UCN�
who is person a� known _ or has produced
as identification.
Signature of Notary %;,i�" ".; DAWN MILONE
g,, r MY COMMISSION If DO 952587
., EXPIRES: March 22, 2013
Commission No. „p }Seabed nw Notary Public Um"
,.: R SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
me this day
by
who is perXnally known
of Notary
Commission No.
acknowledged before
,20 ,
-or has produced
as identification.
(Seal)
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 BP #: / l X-2.001I
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1IT 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)
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
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
`p
FDATELETEDLS
St. Lucie Co—,
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even
though you do not have a license. You must provide direct, on -site supervision of the construction yourself. You
may build or improve farm outbuildings, a one -family or two-family residence or a commercial building at a cost of
under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially
improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building; it is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all apph ws,
ordinances, building codes, and zoning regulations. Intha fy
I understand that the building official and inspectors are not there to design or give advice on w to eet
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and li or he
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction project -
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relat i
cost, which could include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
Zo Department o the Florida State Department of Professional Regulation. Signed and acknowledged on this
13Vday of F r� of 20 �.
wner/Builder Signature ,
STATE OF FLORIDA
COUNTY OF
The oinj�}qs ment was acknowledged before me this day of , 20&—,
by Y v who is personally known to me, or who has
pve& ed as identification.
Signature of Notary Type or Print Name of Notary ; a �" �v"LNIMIAXdCThwu
DAWN ON D
Title: Notary Public Commission Number MMISSION 00 852587tAE S: March 22, 2013 Notary Public Und".1 era
CMG
ST. LUCIE
JL�E
COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
�0R1�P
561.462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
111 S_ PGG.(G,2t f)C I�,e,,e.c2 EL .
(Tax ID/Legal description/Address) j
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.
Cj
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Sj . LUc;,o
ACKNOWLEDGED BEFORE ME THIS DAY OF �—�L .20 k4
BYWHO IS PERSONAI LY KNOWN TO ME OR WHO HAS PRODUCED
- C AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE �� �L�r_OMMISSION NUMBER (SEAL)
me" O"Ok
Nwer PIMO • 111" QrFb lr
� GIIwIMIR &PONSMf41 31
CaMWMNM N 00 low
�IIINI ��Mw)r
Property Appraiser - St.Lucie C-inty, FL
Page 1 of I
PROPERTY RECORD CARD
David Lucas Record: 1 of 1
Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
u1ClE
Site Address 5413 SEAGRAPE DR
ParcellD: 3402-609-0044-000-2�Ooy
Sec/Town/Range 11:36S :40E
Account #: 37613 (T
Map ID 34/11N
Land Use- SF Res
Zoning. RS-4
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner: David Lucas Victoria O Lucas INDIAN RIVER ESTATES -UNIT 08- BILK 23 LOTS 31 AND 32 (MAP
Address: 5413 Seagrape Dr
0411IN) (OR 1067-2006: 1281-2588) ,
Fort Pierce FL 34982-7407
Sales Information
Assessment 2010 Final Total Land and Building
Date Price Code Deed
Book/Page 2010 Final 101000 Land Value: 20800 Acres:
3/21/1997 104000 00 WD
1067 / 2006 Assessed: 101000 Building Value: 80200
6/1/1996 7000 01 WD
1026 / 0627 Ag.Credit: 0 Finished Area 1624 SgFt
11/1/1982 0 01 CV
0389 / 0748 Exempt: 50500
10/1/1972 900 00 CV
0207 / 2768 Taxable 50500
Taxes: 1254.01
BUILDING INFORMATION
I
Exterior Features
I
-
View:
RoofCover
SD - Dim Shingle
RoofStruct
HP - Hip
ExtType
HC - HC
YearBIL
1997
Frame
Grade,
C - C
EffYrBlt:
1997
PrimeWall:
BS - CB Stucco
StoryHght
0010 - 1 Story
No Units
1
SecWall:
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall.
DW - Drywall
FullBath
2
HeatType:
FHA - FrcdHotAir
AvgHUFl
1/213ath
0
HeatFuel
ELEC - Electric
Prm.Flors
CU - Carpet
%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
Type
DWC - Driv-Concret
Y 1
720 AV AV
1997 1 0100-SF Res
BI -Front Ft
60 5
FEN4 - CHAINLINK 4'
Y 1
380 AV AV
1997
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=340260900440002 1 /5/2011
BOUNDARY SURVEY
SITE PLAN
r: HOWARD STREET
q '
LOT
t�
p O
O C
O
BLOCK323 c
yi
N90000'00 "E
5' C.L.F.
LOT 31
BLOCK 23
125.00'
30.00
:P.P.
jto2�V06
ST Lt"(JE COUNTI d1 n IS 6"N
REVi MD FOR COS' CE
REVIEWE Y
DATE
PLANS AND P I V I UST BE li EPT ON J1 B
O
—
45.00'
_.
O
p
PROPOSED 0� c
CONC. SLAB ?
cp
F.F.E.= 18.50
c�iq
5' C.L.F. J
5.00' li108.00,
14
o
❑
�
O
PROPOSE
CONC. SLAB
$ 0.
O
O
Vj m 4.0'
U-
u
LOT 32
a a N PAVERS
BLOCK 23
H PQ z2.5'
tf1
>u
a0 � �'
Cqi
N
32.6' Ll 54.6'
®w ❑
S90000'00 "E 125.00'
P
LOT BLOCK323 _
DESCRIPTION: I•.,,�, a�
LOT 31 & 32, BLOCK 23 INDIAN RIVER ESTATES UNIT 8, 3�re��1' °� ' � �'� � � 4
AS RECORDED IN PLAT BOOK 10, PAGE 73, FRONT
—'-�
PUBLIC RECORDS OF ST.LUCIE COUNTY, FLORIDA : RON M S
SURVEYOR'S NOTES:
I. THIS SURVEY IS PREPARED FOR: DAVID & VICTORIA LUCAS C:' 9 011DES
2. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS AND/OR RIGHTS —OF 6,:
OF RECORD.
3. VISIBLE ENCROACHMENTS ARE AS SHOWN. ;
4. ELEVATIONS SHOWN HEREON ARE BASED ON N.G.V.D. OF 1929.
5. NOTICE: THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT RECORDED ON THIS R4r1'~/-l:
THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. - - ' -' - --•--------'_ ,,.;,_,..CERTIFIED TO:
6. THIS SKETCH IS THE PROPERTY OF TERRY L. MACDEVITT AND SHALL NOT BED
REPRODUCED IN WHOLE OR PART WITHOUT THE PERMISSION OF TERRY L. MACDEVITT
N WRITINDAVID &VICTORIA LUCAS
IG.
7. BEARINGS SHOWN HEREON ARE BASED ON THE CENTER LINE OF SEAGRAPE DRIVE.
WHICH BEARS S.00e00'00"E. ALL BEARINGS ARE RELATIVE THERETO.
8. BOUNDARY DIMENSIONS SHOWN ARE PER PLAT AND FIELD MEASUREMENT UNLESS OTHERWISE
NOTED.
9. LANDS SHOWN HEREON LIE WITHIN ZONE "AH" ACCORDING TO THE FLOOD INSURANCE RATE MAP
PANEL. NO. 12111CO281F, DATED AUGUST 19, 1991
10. CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL SITE PLAN INFORMATION PRIOR TO CONSTRUCTION
REVISIONS
DESCRIPTION T DATE I BY
TERRY L. MACDEVITT
PROFESSIONAL
LAND SURVEYOR
„RAIN Er:
MAILING ADDRESS.- 1810 S.A. CYCLE STREET MJM
PORT ST. LUCIE, FLORIDA 34953 P= BWL.
VOICE (772)-528-7192 FAX (772)-344-2473 G3law BY. TLM
JOB Np.10-006
G\LeM PraJecta ]\l0-Jma\10-006\G.p\10-006.tl.p 11/10/E010 IOQT]1 N1 ESL
NOT VALID WITHOUT THE SIGNATURE
AND THE ORIGINAL RAISED SEAL OF A
FLORIDA LICENSED SURVEYOR AND MAPPER.
0
11 10 10 "� L
PAGE: —
o�ra JN rr�• 11109110 TERRY L. MACDEVITT
EEaar 1 or 1 PROFESSIONAL SURVEYOR & MAPPER
FLORIDA LICENSE no. 4557
BOUNDARY SURVEY
SITE PLAN
r. HOWARD STREET
w
0
oa
LOT 30 c wi
0
BLOCK 23 0
.� 1 'S
N90000'00 "E `b 125. 00' .� _
N90.00'0
30.00,
W.P.P.
5' C.L.F.
m
V
w
LOT 31
BLOCK 23
10.00' 70.00'
45.00'
O c PROPOSED Nt.
CONC. SLAB c
�p F.F.E.= 18.50
,'
5' C.L.F. x W
5.00, 108.00'
W ❑ W cCQ
m
0 o w W
o se.1'
O PROPOSED x
CONC. SLAB c�a O
O m 4.0
Z � � .: q O CHI
LOT 32 y. a PAVERSCc
Z
BLOCK 23
v F W W
�o m xw
to
N U
O
32.8' S4.B' 28.1'
WELL a`
S90000'00 "E 125.00' W.P.P.
5' C.L.F.
LOT 33
DESCRIPTION: BLOCK 23
LOT 31 & 32, BLOCK 23 INDIAN RIVER ESTATES UNIT 8,
AS RECORDED IN PLAT BOOK 10, PAGE 73,
PUBLIC RECORDS OF ST.LUCIE COUNTY, FLORIDA a
SURVEYOR'S NOTES:
1. THIS SURVEY IS PREPARED FOR: DAVID & VICTORIA LUCAS
2. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS AND/OR RIGHTS -OF -WAY
OF RECORD.
3. VISIBLE ENCROACHMENTS ARE AS SHOWN.
4. ELEVATIONS SHOWN HEREON ARE BASED ON N.G.V.D. OF 1929.
5. NOTICE: THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT RECORDED ON THIS SURVEY
THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY. CERTIFIED TO:
6. THIS SKETCH IS THE PROPERTY OF TERRY L. MACDEVITT AND SHALL NOT BE
REPRODUCED IN WHOLE OR PART WITHOUT THE PERMISSION OF TERRY L. MACDEVITT DAVID & VICTORIA LUCAS
IN WRITING.
7. BEARINGS SHOWN HEREON ARE BASED ON THE CENTER LINE OF SEAGRAPE DRIVE.
WHICH BEARS S.00'00'00"E. ALL BEARINGS ARE RELATIVE THERETO.
8. BOUNDARY DIMENSIONS SHOWN ARE PER PLAT AND FIELD MEASUREMENT UNLESS OTHERWISE , p�
NOTED.
9. LANDS SHOWN HEREON LIE WITHIN ZONE "All" ACCORDING TO THE FLOOD INSURANCE RATE MAP $ j `
Imo`."
PANEL N0. 12111CO281F, DATED AUGUST 19, 1991
10. CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL SITE PLAN INFORMATION PRIOR TO CONSTRUCTION
REVISIONS NOT VALID WITHOUT THE SIGNATURE
AND THE ORIGINAL RAISED SEAL OF A
DESCRIPTION DATE BY FLORIDA LICENSED SURVEYOR AND MAPPER.
TERRY L. MACDEVITT
PROFESSIONAL A
LAND SURVEYOR
IuwN MJM ma
MAILING ADDRESS: 1810 S.W. CYCLE STREET D 11 10 10 LPORT ST. LUCIE, FLORIDA 34953 rm� B00s rats:
VOICE (772)-528-7192 FAX (772)-344-2473 cEawm sr: T LM " rffin:
11 09 10 TERRY I.. MACDEVITT
Jos No. sir "' PROFESSIONAL SURVEYOR & MAPPER
oua,w rla,p=cs quo-Jon.�ia-ms�a.pvo-rose.o uimi2o10 lOQT3. An EST 10-006' 1 1 FLORIDA LICENSE No. 4557