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HomeMy WebLinkAboutSUBMITTED PAPERSDATE FILED: PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: J oC U CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 2. 3 ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie County Building and Zoning ' 2300 Virginia Avenue uAlvNEo <OFt Pierce, FL 34982-5652 By 772-462-1553 st. �ucle County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDRESS: l d 9.5 I S- CS c. G *-.-.r o m, J'C. N s c N F 1-, 3 `( 4 s% PROJECT NAME: T% K3 'R -tI- oC-L SITE PLAN NAME: PROPERTY TAX ID #: y S I 1-$ 1 d - 0 14 (- 0 oa �- 8 4. LEGAL DESCRIPTION (attach extra sheets if necessary): W iN oMm-t V «-L fo-E 13,1-T-We- SC7A Cosy+ o o "o A. lam" + ^r 13 `( Pr v P 2 c r v -- } i .v c c, ru r- o N i t E M C-N r5 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO 9. 10. 11. 12. 13. 14. 16. PARCEL SIZE (ACRES/SQ FT.): 8. LOT NO. LOT DIMENSIONS: 30 X (a TM 9- ?- ?', Z�L X 8 Z, `19 _ COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: R E S UriF-A-c.'-- r�-a N-r D C t tc EL 1 w3 5 r>a r` N � S rz� R ✓� t c u cr S GsV i�R- es �/ r r fL crr-r� n Cct� s SETBACKS (ACTUAL) FRONT: BACK: S " RIGHT SIDE: g LEFT SIDE: 6 10 TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ J INDUSTRIAL [ OTHER (SPECIFY) 4 f� o z te- 6x i 5 r-svG— AcY/c G DESCRIPTION OF PROPOSED USE: 0 ZC K SQ. FT OF CONSTRUCTION: ID d 0 VALUE OF CONSTRUCTION: $ 3I O 0. o-d 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 with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER INFORMATION NAME: H *—' , -Q � D ?-> 54 ses A ADDRESS: l 6 S S 1 S 0 C- CC-y"N T- 1 3 `% CITY: <S C N S C STATE: L- ZIP: PHONE (DAYTIME): a!-2J c, 9 ( - 6 S S © Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY PHONE (DAYTIME): STATE: ZIP: CONTRACTOR INFORMATION // / ST. of FL REG.CERT #: C GZ C- S '7 Zt3 (o cST. LUCIE COUNTY CERT #: h h BUSINESS NAME: 1 t +<' 2& L..tti M V A Y%'\t-k R C 10 A-) yt- QUALIFIERS NAME: RIG It n-,r- 0 Yh v 2 M ram+ ADDRESS: 1 Z 9 xj E- s s P /'ram IBC �-c CITY: T-E N S fir-+ STATE: r L ZIP: 3 PHONE (DAYTIME): ( "7P 3 3 `( - c( 3? K FAX NO. 7 ? L-3 ? `( 4 3 ? S Email: r ARCHIT/ENGINEER: P A--V L- w C Z C. 14 1 N C-. ADDRESS: ( q$ `i S w (3 I L. T o Y. T- CITY: p 0 VLY 5 7', I.- U G f e- STATE: f ZIP: -3 y 9 Q K PHONE (DAYTIME): ("1_ '? IS - 9 %T- BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: 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. 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, BEATERS, 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 CONTRACTOR SIGNATURE CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF S T L. u C t The foregoing instrument was acknowledged before me this L Q day of F C 15 20 11 by 'R t C« A o—n wt v n re rr or has produced identification. STATE OF FLORIDA COUNTY OF S' r. L t, c+ t The foregoing instrument was acknowledged before me this 16 h"--day of t= e n , 20 11 , by it i CN n-n. 4 r- - 2 eT^/ who is personally know or has produced as identification. Signature of Notary Signature of Notary NOTARY PUBLIC•STATE OF FLORMA NOTARY PUBLIq-STATE OF FLORIDA Commi, �o "A,1o. Brent R. Stith (Seal) C sion & ice_ (Seal) • Commission 52255 Commission # DD752255 Expires: MAR.11, 2012 Expires: MAR.11, 2012 BONDED THRU ATLANTIC BONDING CO., INC. BONDED TMU A71 AMIIC BONDING CO., INC, 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 #: /Aa SECTION j TOWNSHIP �'J RANGE L MAP NO. ZONING L1 LAND USE �` F./LL. LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE OCCUP # OF FLRS •i WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE `� AREA FEE FEE (RADON) LIBRARY PUBLIC BLD IC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE FEE GENERAL SCHOOL AD CREDIT Y N LAW ENF IMPACT IMPACT IMPACT FEE FEE 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 DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED I DATE COMPLETED 3 P4 INITIALS Property Appraiser - Nt.Lucie t;ounry, rL r GIgG i V l 1 Helen D Bundy Record: 1 of 1 Property Identification Site Address: 10851 S OCEAN DR 134 Sec/Town/Range: 11 :37S :41 E Map ID: 45/11H Zoning: HIRD Ownership and Mailing Owner: Address: Box 134 Sales Information Date Price 6/1/1972 7500 PROPERTY RECORD CARD «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 4511-810-0141-000-8 1&VSCIE CO G� Account #: 124708 y� Land Use: Mob Homes City/Cnty: St Lucie County Legal Description Helen D Bundy WINDMILL VILLAGE BY -THE -SEA CONDOMINIUM NO 1 UNIT 134 10851 S Ocean Dr AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 203- Jensen Beach FL 34957-2685 More... Assessment 2010 Final Total Land and Building Code Deed Book/Page 2010 Final: 69100 Land Value: 60000 Acres: 0.06 00 CV 0203 / 2595 Assessed: 56300 Building Value: 9100 Ag.Credit: 0 Finished Area: 710 SgFt Exempt: 31300 Taxable: 25000 Taxes: 571.13 BUILDING INFORMATION 11W Exterior Features View: RoofCover: RoofStruct. ExtType: MHH - MHH YearBlt: 1985 Frame: Grade: MHTT - MHTT EffYrBlt: 1985 PrimeWall: StoryHght: 0010 -1 Story No.Units: 1 SecWall: Interior Features BedRooms: 0 Electric: - PrmintWall: - FullBath: 0 HeatType: FHA - FrcdHotAir AvgHUFI: 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: - %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 Measure DOK2 - WOOD DOCK Y 1 80 AV AV 2006 1 0200-Mob Homes 166 -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED Depth http://www.paslc.org/prc.asp?prclid=451181001410008 2/9/2011