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Home My WebLink AboutSUBMITTED PAPERSOFFICE USE ONL •: A) //��j 77 %� DATE FILED: 3, PLAN REVIEW RECEIPT NO.: PERMIT NUMBER: /(/.�G� ✓ V / CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL Ili FO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED j - ,.. PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUIILDING & CODE REGULATIONS DIVISION SCgIVIVEC 2300Pierce, FL 34982-56 Avenue b Ft. Pierce, FL 34982-5652 BY 772-462-1553 St. Lucie County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: a972 t:--:l d")1 el 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: -3 t%pi S -% D 2^ O 189 - 0 0 0' i 4. LEGAL DESCRIPTION (attach extra sheets if necessary): �A✓4�''' A �L J g - �` %W O ^ QL-/C 5. PLAT BOOK _ 6. PAGE NO. ��-I5C°7. BLOCK NO._ 8. LOT NO. �3 a — 9. PARCEL SIZE (ACRES/SQ FT.): Z i LOT DIMENSIONS: DO' S� 2J �G ' 2 • �1� 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: 11. SETBACKS (ACTUAL) FRONT: ;ZS I BACK: I_ RIGHT SIDE: LEFT SIDE: %• .S r 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) n 13. DESCRIPTION OF PROPOSED USE: X;,a ('o c F C/9Q i A0' Q,Cirr � 14. SQ. FT OF CONSTRUCTION: - -? 22 15. SF. FT Ist FLOOR: 16. VALUE OF CONSTRUCTION: $ _ �// 960 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 , n, ` ��C �J UPDATED 6/25/09 V / PQ�v /- OWNER INFORMATION NAME: L 44 /T ( -& K ADDRESS: , 1�� m . �i Eya t �%�✓ v `, �� v u� I •� ► �.tu i CITY: ^ C7�f� �'; N STATE: /YI /i' ZIP:I Obi -17 PHONE (DAYTIME): (6n 1(0 - (v V 2 Email: r N IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER laSTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY PHONE (DAYTIME): (___) CONTRACTOR INFORMATION ST. of FL REG.CERT #: STATE: "AP ST. LUCIE COUNTY CERT #: e20 q io? BUSINESS NAME: /24cO-ta fez / L QUALIFIERS NAME: r 030e ADDRESS: LL A= 2 CITY: _ - STATE: ZIP: PHONE (DAYTIlAE): (722 ) 9/ s FAX NO. ARCHIT/ENGINEER. ADDRESS: Email: CITY: STATE: ZIP: PHONE (DAYTIME): C_ ) BONDING COMPANY: ADDRESS: CITY: STATE: ZIP: MORTGAGE LENDER: ADDRESS: CITY: STATE: 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, 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 70BSITE 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. i� OWN OR CONTRACTOR SIGNATURE O CTOR SIGNATURE STATE OF FLORIDSTATE OF FLORIDAS j COUNTY OF ,�>, 0,� COUNTY OF The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before me this day of 20 ( c me this �_ day of ) tC , 20(0, by V riV\ C C 4-- by C-0 0 �-- who is personally known or has produced NOTE: who is personally known or has produced S-� as identification. ��//�/�///JASON HENDRY G io a (u:.......... ................../..../, �� o (D Xo(n JASON HENDRY • Sion No. (SeJ;o is ion No. Comm# DD( aor r`'% Comm# DD0626078 Y E 2011 xpires 2/2 �� Expires 2I231 Florida Notary O�Ro!�% Florida Notary Assn., Ina S n� Fa°.� n TWO (2) SIGNATURES D. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERIBUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WELL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. in �E COGy ST. LUCIE COUNTY `J BUILDING & ZONING , 2300 VIRGINIA AVENUE FORT PIERCE, FL 34902-5652 F�ORIOP 462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following descAed property: a97) F r e (Tax ID/Legal description/Addfess) 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. 4 L Property Owner Name Property Owner Signature Date STATE OF FLORIDA. COUNTY OF � ACKNOWLEDGED BEFORE ME THIS , _DAY OF %�o� ' . 20L, BY 17 641--d WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. �Ille%U L 1'30 Gt Ae�%rP SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY NOTARY PUBLIC -STATE OF FLORIDA s'eu) Ellen L. Boulette NOTARY PUBLIC TITLE DO 703yOb COMMISSION NUMBER Co;,lmission #DD703460 Expires, SER 25, 2011 BONDED TH RL' ATl.4.NT1C RONDING CO.,1IM Property Appraiser - St.Lucie County Page 1 of 1 PROPERTY RECORD CARD Linda A Graul JR) Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address 2977 Fiddlewood Cir ParcellD: 3425-702-0189-000-7 Sec/Town/Range: 25 :36S :40E Account #: 115386 Map ID 34/25S Land Use: City/Cnty. Mob Homes' St Lucie County �'�'; ;• Zoning PUD --, Ownership and Mailing Legal Description Owner. Linda A Graul JR) SAVANNA CLUB -PLAT TWO- BLK 18 LOT 32 (OR 3233-1074) Address: 153 M St Apt 2 Boston MA 02127 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 68000 Land Value: 18000 Acres 0.12 9/16/2010 110000 0001 WD 3233 / 1074 Assessed: 68000 Building Value: 50000 4/20/2009 115000 0002 WD 3082 / 0920 Ag.Credit 0 Finished Area: 1652 SgFt 5/31/2001 89500 00 WD 1403 / 0074 Exempt: 4/12/2001 100 01 WD 1384 / 0051 Taxable: 7/1/1988 18000 00 CV 0596 / 1613 Taxes: 1413.32 BUILDING INFORMATION Exterior Features View: RoofCovev - RoofStruct ExtType: MHA - MHA YearBlt: 1988 Frame - Grade: SAVC - SAVC EffYrBlt: 1988 PrimeWall StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 0 Electric: - PrmintWall: - FullBath: 0 HeatType: FHA - FrcdHotAir AvgHUFI: STD 1/28ath: 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. YrBIt. No. Land Use Type Measure Depth CNC2 - CONCRETE LOW Y 1 506 AV AV 1988 1 0200-Mob Homes 152 -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=342570201890007 12/ 13/2010 51 I k /0' UT/L/TY j EASEMENT J j BLK. 18 "" LOT 32 °N 28' PROPOSED PREMA NUFACTURED HOME W , t� MODEL No. 00 SER. No. 3 28' N /O' DRAINAGE UT/L /T Y EASEMENT 25.38' v F/DDL E-WOOD H4 WP I RAISED SCREEN 75� A PORCH A UT/L. Q RM. o I W 75, I J IQ OR� I� h PRPto N w. P GONG OR��E C/RCL E FIC" Cp�SY