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Home My WebLink AboutSUBMITTED PAPERSOFFICE USE ONLY: I• IV DATE FILED: PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: -7 % #744a< PERMIT NUMBER: CERT. CAP. NO.: 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 440400 �� 1 t'c ® f�(1 n / �� 772-462-1553 � V J APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCT PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: %s -CE W 1 d aC e-rc-:�•�L- 2. PROJECT NAMEe0/aC'/c71C Gar ; wG✓aoITE PLAN NAME: 3. PROPERTY TAX ID 64 � /�•S� D �� 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. S. LOT NO. -2— j 9. PARCEL SIZE (ACRES/SQ FT.): LOT DMNSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: Re,?ndi2 C'LE' 11. SETBACKS (AC ) FRONT: BACK: RIGHT SIDE: 3 O FT SIDE: S S_ 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION (] INTERIOR RENOVATION [� RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL 13. 14. [ ] OTHER (SPECIFY.)' ' 4 O f DESCRIPTION OF PROPOSED [7,$E: SQ. FT OF CONSTRUCTION' " 16. VALUE OF CONSTRUCTION; kO /27�� 06 r J //G 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 UPDATED 6/25/09 OWNER INFORMATION NAME: ADDRESS: CITY: �0 x L STATE: FL ZIP: PHONE (DAYTRAE): (77-1- C-7 ,? - 7 fL 4 S Email: n--z A -- 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 (DAYTIIbIE): (� CONTRACTOR INFORMATION ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: .2 Set 30 BUSINESS NAME: O.S' L' a !2C /Z'lc QUALIFIERS NAME: J-a x G C f' ADDRESS: J 83 s e l N. - 'k o /r- gl k-4 CITY:. -�' L- STATE: FL- ZIP: % PHONE (DAYTIME): -( %' kL FAX NO.77p,&A-? Q76 "'Email: Of BC OfzC �C�C ARCHIT/ENGINEER ADDRESS: CITY: PHONE (DAYTHVIE): �) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: ZIP: ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notif'ication- it will be voided and returned to you by mail. ST. LUCIE COUNTY ,.; BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 F�0 R1Q� 462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: (Tax ID/Legal description/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. �N�d / r�► �D cuf�S x [ � �3/� o P"ropr�e 1, Owneer:Narne m,Property Owner S ria atur�� iD:aie '' STATE OF FLORIDA, COUNTY OF 5�tr Lo c-, r ACKN QWLEDGEDBEFOREMETHIS DAYOF Q.e0,_nkQ ,20_LD BYCL N o wQ C S WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. *SIGNATEF NOTARY TYPE OR PRINT NAME OF NOTARY JAIME ORTIZ .� Q Florida NOTARY PUBLIC TITLE �fl 't 1 COMMISSION NUMBER '. • ; Notary Public - State of My Comm. Expires Jun 1, 2014 Commission # DO 979641 Bonded Through National Notary Assn. -r,,r,S.stlucieco.c3ov,- eb; i,7,E e:7ofl I 152-'.db d=,-, R61 SC hg, F,!e Edit Go To Favorites Help Favorites Suggested Sites - Web Slice Gallery [I-] (.qD Page - Safety - Tools iiitp:/Idocuments.Audeco.gov/ro'��eblink7MectronicFiI... f f18. Ix. Htt IF,:--.d N HIDDEN RIVER ESTATES" L !I-F X z j J. Unknown Zone Jan 10, 2011 04:11 PM 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 CONM ENCEM ENT 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. OWNER OR C"CTOR SIGNATURE STATE OF FLO!T COUNTY OF. �jjfi� U� The foregoing instrument was acknowledged before me this � -- day of ; UntAaVbl 20 , by �DSL V� cLes who is personally known or has produced "Floncta bi y65 Lamy, as identification. of N I — � � M 11d �4 CONTRA OR SIGNAYURE STATE OF FLORID COUNTY OF . tuoy- The foregoing instrument was acknowledged before me this '�'� day of J &n UQLg 20 , by VI f,US who is personally known or has produced FjOyn d -bil & S 1149IF-' as identification. Sig re of ry Awme-- i�fi0irila Commission No. .��'''a ( MANt1ANM0 Commission No. ' Notary POW - two of pow w a'' My Comm. Expires Feb 12. 2013 My Comm. Expires Fob 12, 2011 CHI I .•� Commission N DD 8128e6 L% ►L Commission OD M2N8 # $ Its NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE 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. RX cmu' E0;162 i%p is, la y `;,r.in see*` lYl�4�K!l�Niilk3�flfQ w+3 ' A &Jlpjc - e.,%6 Qf kit m, Fill 0 Y 1 N OFFICE USE ONLY k, . � BR: /I 0/° b d � SECTION � TOWNSHIP RANGE MAP NO. ZONING C c� LAND USE �y� / LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1 sT FLR ELV MAX HGT CONST TYPE OCCUP TYPE 0CCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 111990 % -LOT O REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BID IMPACT FEE CORRECTION PUBIC BLD BRACT FEE GENERAL PARKS BRACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF BRACT FEE FIRE/EMS IMPACT DRIVEWAY REQUIRED Y N DRIVEWAY FEE' ADMINISTRATIVE VARIANCE FEE FEE SPECIFY SUBS MECHANIC ROOF ELECTRIC GAS NON -CONFORMING LOT OF RECORD MISCELLANEOUS FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: .REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED J COMPLETED I 1 1 INITIALS ° nx"1-EA RECORDING-RECURN70: 6073 PBRhUT NUMBER: NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAIL FOLIO NUMBER: SDBDINISION BLOCK _TRACT LOT U)\TI 2• GERTERAL DESCRIPTION OF 1MPRONEIVIENT-. 3. OWNER INFORMATION: a. Name/ b. Address d. Dame and address of fee simple titleholder (if other than 4. CONTRACTOR'S NAI)'1E, ADDRESS AND PHONE Ail 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND HO D AMOUNT: 6. LENDER'S NANIE, ADDRESS AND PHONE NUMBER: 0 c. interest in property r'� 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the Following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) . 20 Signature of Owner or Owner's Authorized Officer/Director/PartnerlManager State of Florida Notary Public - State of Florida My Comm. Expires Jun 1, 2014 COMMISSIOR # DO 979641 Bonded Through National Wary Assn. County of (� The fore oin4 instrument was acknowledged�lebefore me this day of tN �� $ 7r12�St rJ 1�Qt S 25 0 %,- - N4.� y— s (Name of person) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) For (Name of party on behalf of whom instrument was executed) Personally Known• or produced the following type of ID. r}�G+ -C_. (Printed Name of Notary Public) (Signature Notary Public) Under penalties of perjury, I declare that 1 have read the foregoing and that the facts in it are true to the best of my knowledge and belief (section 92525, Florida Statutes). Signature(s) of Owner(s) or Owner(s)' Authorized OiRcerMirectorlPartner/Nlanager who signed above: ? JOSEPH E. SFAITH, CLERK OF THE CIRCUIT COURT y By— SAINT LUCIE COUNTY �y: FILE # 3565245 02'23i2011 at 02:46 Ptv1 OR BOOK 3271 PAGE 1680 - 1680 Occ Type: PIC Aev.QB/?0.:0(/7lReeordmg} RECORMNG: $'o.00 2a 0 Z'd 0000-000-000 U01109 Od 818aOU00 8sOr 139 V90 6 6 6 6 JP -A 0 V) Poa St Lucie Building Deparjrr>enT WS-FORM IS TO BE FILLED OUT - BY PEST CONTROL COMPANY certificate Of 4Comfillance [This is a partial treatment only and not a guarantee or warraniyj PERMIT NUMBEER12WOW LOCATION OF PROPERTY: �' R LEGAL DESCRIPT[ON: SECTION: PEST CONTROL C OMPW, e COMPANY OWNER-.- PLEASE PRINT SIGNATURE- ( l `DATE TITLE SOIL TREATMENr COMPAW INFORMA11C e 01f SOIL TREATMENT COMPANY NAME ADDRESS ' 9�� SO11-TREATMENTIDACA LICENSE The building has received a complete treatmentfor the Prevention of subterranean termites. Treatment is in Accordance with the rules and laws established by the Florida Department o;Agriculture and Consumer Services. A second treatment was done on [Date) 1 1 as per Manufacturers specification. If the second treatment is not e iii e a coov Iy7 Tile S 1i i vdl is 'llabe1 hall be In � ,..c�,r�d. � s r r�ILtnari• ��it,^ This Certficat� BLOCK: LOT: 2-3 TIRFATMENT INFORMATION a DATE OF I REATMEN-1 CHEMICAL USED CONCENTRAi[ON . 0 GALLONS USED iv1 D OF APPLICATIONIRodded, BOB Mixed, ETC.) -7 Z, LINEAR FOOTAGE FAREATREATED SECOND TIREMMENT NFOREON i DATE OF TREATMENT CHEMICAL USED _ a =- I CONCENTRATION GALLONS USED I . I METHOD OF APPUCATiON['Fe'tea, soil Mixed, EiC1 ¢ LINEAR FOOTAGE -OF AREA .1REATEE) Ill __ i tease tkie: I he C..ill i it i Oi t St. r-iRCle duas not guaranies or ware ar'rty the preconsir uc ta-'n soil trealri pnt c?,i B'Sled In in the above. The purpose of this document is to show that to the best of this Department's knowledge, the builder has qM: 1z Prii thp renrriramrrintc nj ihP �twanrrarrl Building f`n�la crr'} the t(/1�'� nI �.!]� 1 r p } the`+ M One and iTtry 7 (`.11r 111J �fi-1�yl,rng--re-tVl �i 41Y1rliL aQ31n5ti2rfrijlL'S_ This form must be rerurne t to the #3uliding Departrment before your final Irtspec iO� Is sct �eduled. E j. "• 3 Z-d 0000-000-000 uoI}oa}aad 919aou00 esor d I,Z:t,O 6 6 91, qe j Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREA71 MEN T SS` PERMIT #: //' �'ao�� _JOB ADDRESS: - S BUILDER/CONTRACTOR: t-e e PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE #: s�`� We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated: Percentage of solution: Date of Treatment: Footing _I � Treatment Re-Treat Driveway lst Treatment Re -Treat � Other. 15t Treatment Re -Treat Chemicals used: �F ' Total gallons used: Time of Treatment:- 2, P Ahe Slab 15t-Treatment Re -Treat Pools 15t.Treatm ent Re -Treat Perimeter for Final Inspection __ — �Z�_ -*--- Signature of Exterrninator 0 Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fall and a re -inspection fee charged. FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board shell be provided to receive duplicate Treatment Certi,Icates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of protective treatment. if the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to Final building approval. St Lucie County requires for the final inspection for CO, a Permanent Stucker to be placed on the electrical oanel box cover, listing all the treatments and dates of applications. - l•'d 0000-000-000 uoi}ea}aad 818Jou00 8sor d �Z;vo l � g l qe=l