HomeMy WebLinkAboutSUBMITTED PAPERS(a -:77.) o
Date: I Fee Due:
Permit #
Planning & Development Services
Building & Code Regulations Division SC,q
2300 Virginia Ave /VNED
Fort
772}162-1553rce, FL 982 S't �uCleCo
Unty.
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 joryyii�nstrucct))ions and additional paperworit �trlfiW paMW
�J 1. Location/Site Address: 9 I `4 PLA C t� LAKE ee-7-1 I CEL-E.
2. Parcel ID Number: I�Ia�SO�-DD9CO-OOO ��
Office tlse
Only
Secdon
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work:
4. Owners Information j' 5. Contractors Information
Name:
Address: nl t? PLACr LHXE Z),e
City: (kl- PlEfCC St>tte: L
Zip: 1,3 9 9.5) Phone: q& r' 3 5 �/
C. �tiS
6. Value of Construction: S GDc)
FL Reg/Cert #:—
County Cert#:
Business Name:
Phone: ff Fas-
OWN*FR'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all v.'ork «ill be done in
` compliance with all applicable laws regulating construction and zoning.
PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF S L°Y1) I nG Ie (�
ACKNOWLEDGED BEFORE ME THIS DAY OF PeQ" � P ( ,20 i / . BY ) t.I e r G r
/n� t
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED L Yr. % 1 L r t f r S e
AS IDENTIF;CATIO
;�
SIG�ATURE OFFOTARY
COMMISSION NUMBER 0n 99 r 7
NOTICE TO OWNER
EXEMPT
TYPE OR PRINT NAME OF NOTARY
=o0��^ Notary(l?aW State of Florida
Randall Thornton
` My Commission DD988117
'corn° Expires05/03/2014
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.
A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00
Revised 04/2612010
W-
NOTICE TO OWNER: FAILURE I KECORD A NOTICE OF COMMENCEMENT MAY r-ESULT 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.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
under a primary building permit. This application may not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction
Indicate the street address or general location of
property where the building activity is taking place.
Indicate the tax identification number of the
property where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work.
Indicate the total value of the work to take place.
Total cost of construction includes all current retail
material and labor costs associated with the
building/construction activity. Construction value is
used to determine the permit fee. 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.
❑ Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
0 Fence Attach 2 plot plans showing location of fence height of fence and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for
new system or full replacement
This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications will be
accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772)
462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
NOTE: Emergency electric service change out inspections will not be performed after 3: 00 PM without
special arrangements and additional fee paid.
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261
://Isrfcht/LOcalweblink/ElectroniCFile.aspx?docid=146294&dbid=0 - Microsoft Internet Explorer provided by St. Lucie GIS U
.. iii��PtDperty AppraisN - St.l... ;� SL Luce -County Florida ... A; Property Appraiser - St... 'a e - ;akcr - Tads-
I ' / 1 s7 66.7Me I i I —- -- -----
NOTES BOLN FvARD _ �apf1' A• _ rob
FN/ —
OIES RIGHT-Or-BAl"
O TES DEED BOOK No >,
NOTES P K. WAIT AND USK
'ENOIES RATAAt 10t / / '9LC)
{{ fN0
1
E5 CORRECTED METAL PIPE /
f� IEN07ES REmORCtD CONCRETE PIPE / LIAH 15 Of
h
-EMOTES NO �NWKAnON NUMBER / PLAT
F -:NOTES PERMANENT "MRENCE MONUMENT / FJ• \
,EKOtES SET i aN' CONCRETE MONUMENT
(PRM LU 4786)p..p .
-{NOTES PER!.IANEW CONTROL POINT (PCP) x
%.NOTES NA''�
:.;NOTES GPEN SPACE TRACT rJ�
-- ;P MANAGEMENT `PAC1
�q
/ e Ty l\ •. ,,oyo° (`'� auc.{•�.'" sew" �Q.9
s� 3 �9
79
C.
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On•
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37.68 x 26.40 in 4 i
IASUMS
EASEMENT
U. R.BOOK t]91,
PAGE 1518,_. —
%�j Urtl7mn Zone
UMirs Of PU
Nay, Dec 27, 2010 01:34 PM
Portofino Shores Property Owners Association, Inc.
Architectural Review
5720 Spanish River Road .Ft. Pierce, FL 34951 Phone (772) 460-1660
12/16/2010 412
Sue Elliot
5419 Place Lake Dr
Fort Pierce, FL 34951
Regarding: 6' white vinyl fence 6' gate.
Contractor Owner
This notice serves as the Architectural Committee's response to your
reauest as referred above. Please note anv comments made by the
committee as listed below.
If you have any questions regarding this matter, please do not hesitate
to contact the office at (772)-460-1660.
Status: Conditional Approval
Comments:
Conditional approval has been granted to begin the work. The owner must
call upon completion for a final inspection. Check #1024 in the amount of
$200.00 is on hand.
Signed By: Portofino Shores Property Owners Association Board of Director
ORIGIN."_'.
cO�Ct=FMI'l"
t .
St. Lucie Coua...,
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 applicable laws,
ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on how o 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 liab i r the
cost of the license. jai
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 related_,medical
cost, which could include loss of wages during recovery from their injury. Initial LA_�,
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
Zoning Departweent to the Florida State Department of Professional Regulation. Signed and acknowledged on this
0;2. day of of 20 /0.
Owner/BiAder Signature
STATE OF FLOW
COUNTY OF 7
gforeoinggr nt was acknowledged before me this day of 20
who is personally known to me, or who has
as identification.1014
Type Print Name of Not (Seal)
Title: Notary Public Commission Numbu
, ;}Y ry; silDRE O APHREY ;nr' P - AIIDR
.
MY COPo1h90 J.V # DD 633047 -
:g= EXPIREI Aarch 6, 2011 ••
BondedIm h.'<;'-iryPublicUn4cnvnar• iw Q EXPIRES-
jS Bonded Thru Nola, r
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
Sue F. Elliot, hereinafter referred to as PRINCIPAL, in the County of Seminole State of Florida, being of
sound mind, do appoint Cheryl L. Chatam as her true and lawful attorney -in -fact.
Any and all general powers of attorney that previously have been signed by principal are hereby revoked.
However, the preceding sentence shall not have the effect of revoking any powers of attorney that are
directly related to principal's health care that previously have been signed by principal.
In the principal's name, and for the principal's use and benefit, said attorney -in -fact is authorized hereby:
(1) Maintain, repair, improve, or perform any other act with respect to the property currently owned by
principal located at 5419 Place Lake Drive, Fort Pierce, Florida (Parcel ID #1312-502-0096-000-1).
(a) Enter into binding contracts on behalf of principal
(b) Employ professional assistance as may be appropriate on behalf of principal
(c) Prepare, sign, and file documents with any governmental body or agency on behalf of the principal
(d) Obtain information or documents from any government or its agencies, and negotiate, compromise,
or settle any matter with such government or agency (including tax matters).
(e) Prepare applications, provide information, and perform any other act reasonably requested by any
government or its agencies in connection with governmental benefits (including military and social
security benefits).
Said attorney -in -fact shall not be liable for any loss that results from a judgment error that was made in
good faith. However, said attorney shall be liable for willful misconduct or the failure to act in good faith
while acting under the authority of this Power of Attorney.
Principal authorizes said attorney to indemnify and hold harmless any third party who accepts and acts
under this document.
Giving and granting to said attorney full power and authority to do all and every act and thing whatsoever
requisite and necessary to be done relative to any of the foregoing as fully to all intents and purposes as
principal might or could do if personally present.
All that said attorney shall lawfully do or cause to be done under the authority of this power of attorney is
expressly improved.
Dated: ��rylE:? � a�, 2010 at 4as0 ALAFA-1�i �P—�, a lob. OV i Epp FL
By:
STATE OF Florida COUNTY OF 9f m " "o l e
BEFORE ME, the undersigned authority, on this )- )-Ad day of LOC16 Bel-, 20 10 , personally
appeared Sue F. Elliot to me well known to be the person described in and who
signed the foregoing providing Florida Driver's License P `r7V -7 y 7- i i - Sg i- -and acknowledged
to me that she executed the same freely and voluntarily for the uses and purposes therein a d.
WITNESS my hand and official seal the date aforesaid. S/.
NOTARY PUBLIC
My Commission Expires:
LkyNota p
ry uT1C State of Florida
Randall Thomfon _.......
.......E- ires rribsionDD9881'17
-111-f4—
ExP�ros 05/03/2014
OST--1
S 00'09'43• W
-- 6' D.E.
LOT 195
O
COL NS 1A7D'
O
COVERED m
PATIO
LOT 194
OCCUPIED
EXISTING
CBS R S1ISTORY
DENCE
a
<
COVERED
PAVER
^ ENTRY
\
Z
_
Boundary Survey (finaQ for:
SET %- IRAC
(T11r) Prime Jf6me i3uiCderS
LEGAL DESCRIPTION
Being all of Lot 195, according to the plat of 21
P PORTOFINO SHORES -PHASE TWO as recorded In GRAPHIC SCALE IN FEET
Plat Book 43, Page 33 of the Public Records of
St. Lucie County, Florida.
FILE COPY STREET ADDRESS
5419 PLACE LAKE DRIVE
LOT 196 LEGEND & ABBREVIATIONS
DdNa OEMOTE4 co'c"'TE P.B. DENOTES PUT BD01f
OCCUPIED DENPenMAHdT roNTad_ vooa aM. DENOTES CONCRETE MONUMENT
' ^ ' A -•� ��.� OTES
C-JJ� V p DENOh3 RAT DATA O.R. DENOTES DMOAL RECORDS BOOK
a DENOTES CALCULATED Mo, nnD MEASLRIDA9M R k C DENOTES IRON ROD k CAP
DENOTES PROPERTY LINE OEN.IEI PACE
DENOTES RADIAL OFTiOTES _,`IFR
Z a) DENOTES IDEMTInGTIDN NUMBER P.O.B. GEND% POINT OF ffdNMHG
DkNOIFs PdNr OF Cd/NENCENFNr
K
g
CLEAN
CUTS
M�
(3)
• .� -�- --
CA
�
10' U.E. oa
`BST
LT
R/W
R
CONE.. s 00%s'43" W 60.00 ;
.: .
SDEWALK
RECWIA
WATER "ol
VALVE N
IN
rn
R=150.00' (50' RIGHT-OF-WAY)
p
L=23.95' ASPHALT PAVEMENT
n
6-9'08'56" _- 36.15' -'
380.00'
_
— --- S DO.09'43" W
416.15
PLACE LAKE DRIVE
R=150.00'
_ L=117.26'
A=44 2720'
VALLEY CURB
AUE
CERTIFIED TO: /
Portofino Shores Builders, Inc.;
Prime Homes at Portofino Shores, Ltd.;
SunTrust Bank, ISAOA;
Steven B. Greenfield, P.A.; and
Attorneys' Title Insurance Fund, Inc.
DENOTES ROW LINE P.O.a
DENOTES LOP OF BANK LP. OENDTES IRON ME
TTP. DENOTES TYPICAL LR. DENOTES IRON ROD
END. DEN0ITS E D U.E. DENOTES UTHjTY EASEMENT
LB. DEMOTES LICENSED 9UTT, NE55 Pl DENOTES PdNi OF MTEASET:Mx1
F.FP. DENOTES FINISHED FLOOR GIEVATION W. .T. DENOTES WATER MANA(IEMINT TRACT
IN DEW WATER METER DENOTES ELEVATION QT CAL)
/DENOTES RIGHT -OF- AY OST DMOTES OPEN SPACE TRACT
BST D Dws eETLSOUTH METHONE D.E. DENOTES --A. FAiEATENT
CATV DENOTES CABLE TDUn`I%ON
GENERAL NOTES
1. The bearings shown hereon are referenced to the centerline of Place Lake Drive
having a bearing of S00'09'43"W. according to the plat of
PORTOFINO SHORES -PHASE TWO as recorded In Plat Book 43, Page 33 of the
Public Records of St. Lucie County. Florida.
2. All above ground fixed improvements, If any, have been located and shown hereon.
3. Underground utilities and utility services have not been located on this survey.
to the
4. Flood rlaod In ure aBo graphic M-PloCting nmmanity Pan property
rN of t?0115C 070 F . effctiIs In 7one wX", vend to Jun.
30. 1999. The exact designation can only be determinad by an elevation certificate.
5. Reproductions of this map are not valid without the signature and original raised seal
of a Florida Licensed Surveyor & Mapper.
6. Lands shown hereon were not abstracted by this office for rights -of -way easements
of record, ownership, abandonment's deed restrictions, or Murphy Act Deeds.
7. Additions or deletions to survey maps or reports by other than the signing party
or parties is prohibited without written consent of the signing party or parties.
AREA SUMMARY B. Last date of field work was March 4, 2005.
SOD ....... 4348t ADDED FINAL 3/7105 cxL
DRIVEWAY.....734t ADDED FORMBOARDS 6/31/04 OLL
Boundary Survey (fina9 for.
3/7/05 Prime Home 232tiCde7
RI and W. Busseli Signature Date
Professional Surveyor & Mapper st. L1A.CLe County, Florida
Florida Certificate No. 3858
File:FINAL LOT 195CONSULTING
ENGINEERS
Date: 11/05/03
&
�T_YM5
03-032/19E
G_jjffR-pEq,—NQ—
ER A LAND SURVEYORS
Scale: l"=2L,
2980 SWTH 25thS7AEET
Nc FORT PIEAGE FLORIDA 14902
Drawn b . GLL
y
Galllo Lt. (42)
(772) 4e4-3537
L'_d BW,a No. 4286
Property Appraiser - St.Lucie r-linty, FL
Page 1 of 1
Sue F Elliot Record: 1 of 1
Property Identification
Site Address
5419 Place Lake Dr
Sec/Town/Range
12:34S:39E
Map ID
13/12N
Zoning:
PUD
Ownership and Mailing
Owner Sue F Elliot
Address. 578 Carrigan Woods Tr
Oviedo FL 32765
Sales Information
Date
Price
Code
10/29/2009
116000
0001
8/20/2009
81400
0001
10/2/2008
100
01
11 /2/2005
100
01
5/18/2005
100
01
4/22/2005
199900
00
2/7/2003
1911000
02
PROPERTY RECORD CARD
•- Frev NextTaxes Exemptions Permits Horne Print
Parcel l D: 1312-502-0096-000-1 � y UCIE CpG2
Account #: 154552 �� <
Land Use: SF Res
City/Cnty St Lucie County
Legal Description
PORTOFINO SHORES -PHASE TWO- (PB 43-33) LOT 195 (OR 3141-
2516)
Assessment 2010 Final
Total Land and Building
Deed
Book/Page
2010 Final:
93500
Land Value 10000 Acres: 0.16
WD
3141 / 2516
Assessed:
93500
Building Value 83500
WD
3125 / 2718
Ag.CrediL
0
Finished Area: 1766 SgFt
QC
3021 / 2349
Exempt:
QC
2409 / 2721
Taxable:
QC
2290 / 1585
Taxes:
1943.32
WD
2226 / 2313
SP
1658 / 2244
BUILDING
INFORMATION
Exterior Features
View
RoofCover
CT - Conc Tile
RoofStruct:
HP - Hip
ExtType.
HB- -HB-
YearBlt.
2005
Frame:
Grade.
B- - B-
EffYrBlt.
2005
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
AvgHt/FI:
STD
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CT - Tile -Ceramic
%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
1 0100-SF Res
N -Site
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=131250200960001 12/27/2010