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Home My WebLink AboutSUBMITTED PAPERSq0L 3# OFFICE USE ONLY: DATE FP ED: — I' i t U' 11 1 , / PLAN REVIEW FEE: RECEIPT NO.: -;tjj ---? PERMIT NUMBER: II L CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUDDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue SCANNED 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: `00 <<--�:) E 1�11y F- 2. It PROJECT NAME: L1RK£t.�7�_ SITE PLAN NAME: 3. 1# PROPERTY TAX ID #: N-�)0\ - Coocl - 4. M LEGAL DESCRIPTION (attach extra sheets if necessary): C�a-� �31o�s� �oZ. �01 — 19y•�i.olo- lq�z 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. _L 8. LOT NO. _ 9. PARCEL SIZE (ACRES/SQ FT.): 10.3I LOT DIMENSIONS: 0 \ C::(Dr )< \ 3 to d ♦ COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: Co�c>✓ whr� 11. SETBACKS (ACTUAL) FRONT: .S BACK: -1 b / RIGHT SIDE: LEFT SIDE: t 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) A NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: _ 14. 40 SQ. FT OF CONSTRUCTION: 3 C"C�' 16. %* VALUE OF CONSTRUCTION: $ l90o IV 15. SF. FT I 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 UPDATED 6/25/09 OWNER INFORMATION NAME: # L , ADDRESS: CITY: STATE: L ZIP: PHONE (DAYTMffi): CM 310 r L-3ci 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: STATE: ZIP: PHONE (DAYTRAE): CONTRACTOR INFORMATION ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: BUSINESS NAME:�N eFc QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIlVIE): ARCHIT/BNGINEER. ADDRESS: CITY: PHONE (DAYTEAE): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: FAX NO. STATE: STATE: STATE: Email: ZIP: 0 LI 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. Cou tvTfiy'"'� £_ St. Lucie Cou___, Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER 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 applic ble laws, ordinances, building codes, and zoning regulations. Initi�_ I understand that the building official and inspectors are not there to design or give advice on how to.ltteet the minimum code. Initial QQMN 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�l•� 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 1'a le fqr the 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 related\med'cal cost, which could include loss of wages during recovery from their injury. Initial �J 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 owneribuilder exemption shall be reported by the Building and Zoning Depart nt to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20/ wner1V er g ature STATE OF FLORIDA COUNTY OF The �Wra ng in ment was acknowledged me this � day of 20_ —, by 2 N/ $� is personally known to me, or who has pro ed as identification. / , 7;� '�L` Signature o_11Notar pe or Pri ame of Notary (Seal) t �r Title: Notary Public Commission Number / jo1Y Py�� AUDREY B. HUM HP REY *= MY COMMISSION k DD 633047 EXPIRES: March 6, 2011 I j,,,, Bonded Thru _Notary p„dtio Undewmem J ST. LUCIE COUNTY BUILDING & ZONING y 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 0R�Op 462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: I ax IurLegal descrrpttorlji0oms) 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. Property Owner Name Property Owner Sijna re Date STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS _DAY OF , 20 BY V lA) I l,S I Ae MIHO IS P SONALLY KNOWN TO ME OR WHO HAS PRODUCED �AS IDENTIFICATION. �tii 2� MP Ma y SIGNATURE OF NOT Y E OR PRINT NAME OF N TARY NOTARY PUBLIC TITLE (SEAL) COMMISSION NUMBER "air Pi' •,, Al DREY B. HUMPHREY MY COMMISSION # DD 633047 EXPIRES: March 6, 2011 `8'„ e ,ej 8ondod Thru Notary Public Underwriters 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 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. ..... .. Ai: TRACTOR SIGNATURE ' �= STATE OF FLORID COUNTY OF I g m -,vac The foregoing instrument was acknowledged before C zoo. me this day of 20 / _ _� o= fwQ Y J who is personally known // or has produced Lim— Z, X) 1& o!/G^!r/ as identification. Signature of No CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument me this day by _ who is acknowledged before 20 , known or has produced of Notary as identification. Commission No. (Seal) / Commission No. (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 OWNERBUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY #: it c l .y o- _ SECTION TOWNSHIP 2 RANGE MAP NO. ZONING •-�/ LAND USE LOT CVG % � TAZ NO. FLOOD ZONE r• FIRM MAP # — IT FLR ELV MAX HGT CONST TYPE OCCUP TYPE i MAX OCCUP # OF FLRS � WATER r SEWER -- SPRINKLERS f STORMWATER LOT OF REC Before 1/1990 �� LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA RADON FEE PERMIT FEE LIBRARY MACT FEE PUBLIC BID IlNPACT FEE CORRECTION UBIC BLD ACT FEE GENE PARKS IMPACT FEE SCHOOL MACT FEE ROAD IMPACT FEE N LAW ENF Ilv1PACT FEE FIRE/EMS MACT FEE DRIVEWAY REQUIRED Y N DRIVEW Y 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 /_ f DATE COMPLETED INITIALS - - --- -6 — - _ w - --, Ca - --. - - _ LA rk- L — - LcrrCo - Iw 16.1 - - dill -�-- - -- i _LLC REV! TIE TE - . « TV P ti rLN O ,ti IT i v ---- j --- N JOB --- 1us r BA I I PT _j �I Property Appraiser - St.Lucie County, FL 1 PROPERTY RECORD CARD Harry L Wilson Record: 1 of 1 >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CO Site Address: 8604 Deland Ave ParcellD: 1301 609-0044-000 6 !L SeclTown/Range: 02 :34S :39E �a Account #: 2296 Map ID: 13/02S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailin{, Legal Description Owner: Harry L Wilson LAKEWOOD PARK -UNIT 8-A- BLK 4 LOT 10 (MAP 13/02S) (OR 807- Address: 8604 Deland Ave 194; 2606-1922) Fort Pierce FL 34951-1323 Sales Information Assessmer, nal Total Land and B. Date Price Code _ Book/Page 2010 Final: 91900 Land Value: 11300 - 0.31 7/26/1998 100 01 QC 2606 / 1922 Assessed: 74189 Building Value: 80600 9/14/1992 78200 00 WD 0807 / 1942 Ag.Credit: 0 Finished Area: 2046 SgFt 11/1/1977 55000 00 CV 0277 / 0932 Exempt: 49189 11/1/1977 55000 00 CV 0277 / 0932 Taxable: 25000 4/1/1974 49900 00 CV 0226 / 1708 Taxes: 717.4 BUILDING INFORMATION Exterior Features View: RoofCover: FS - Fibrgiss Shg ExtType: HD+ - HD+ YearBlt: 1973 Grade: D+ - D+ EffYrBlt: 1977 StoryHght: 0010 - 1 Story No.Units: 1 Interior Features BedRooms: 3 Electric: MX - MAXIMUM FullBath: 2 HeatType: FHA - FrcdHotAir 1/2Bath: 0 HeatFuel: ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use SWAV - RES POOL AVG Y 1 392 AV AV 1977 1 0100-SF Res PA01 - POOL DK-AVG Y 1 594 AV AV 1977 ENC2 - POOL ENC-AVG Y 1 986 AV AV 2005 RoofStruct: HP - Hip Frame: - PrimeWall: BS - CB Stucco SecWall: PrmintWall: DW - Drywall AvgHVFI: Prm.Flors: CU - Carpet %Sprinkled: 0 Type Measure Depth BI -Front Ft 100.62 136 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. A5-� �V-' http://www.paslc.org/prc.asp?prclid=130160900440006 1 /13/2011 Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Harry L Wilson Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 4� �\)jCIE00 Site Address. 8604 Deland Ave ParcellD: - Sec/Town/Range: 02 :34S :39E Account #: 2296 Map ID. 13/02S Land Use: SF Res Zoning RS-4 City/Cnty: St Lucie County ' Ownership and Mailing Lejga�I D�e�sccripti in Owner: Harry L Wilson MUD PARK -UNIT 8-A- BLK 4 LOT 10 (MAP 13/02S) (OR 807- Address: 8604 Deland Ave 194; 2606-1922) Fort Pierce FL 34951-1323 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 91900 Land Value: 11300 Acres!01 7/26/1998 100 01 QC 2606 / 1922 Assessed: 74189 Building Value 80600 9/14/1992 78200 00 WD 0807 / 1942 Ag.Credit. 0 Finished Area 2046 SgFt 11/1/1977 55000 00 CV 0277 / 0932 Exempt: 49189 11/1/1977 55000 00 CV 0277 / 0932 Taxable 25000 4/1/1974 49900 00 CV 0226 / 1708 Taxes. 717.4 BUILDING INFORMATION Exterior Features View RoofCover. ExtType. HD+ - HD+ YearBlt: Grade: D+ - D+ EffYrBlt: StoryHght: 0010 - 1 Story No.Units: Interior Features BedRooms: 3 Electric: FullBath 2 HeatType: 1/2Bath 0 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qual. Cond. YrBlt. SWA', - RES POOL AVG Y 1 392 AV AV 1977 PA01 - POOL DK-AVG Y 1 594 AV AV 1977 F^1C - POOL ENC-AVG Y 1 986 AV AV 2005 FS - Fibrglss Shg 1973 1977 1 MX - MAXIMUM FHA - FrcdHotAir ELEC - Electric 100 Land Information No. Land Use 1 0100-SF Res RoofStruct Frame: PrimeWall. SecWall: PrmintWall: AvgHt/Fl. Prm.Flors: %Sprinkled HP - Hip BS - CB Stucco DW - Drywall CU - Carpet 0 Type Measure Depth BI -Front Ft 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=l30160900440006 1/3/2011 11 DELAND AVE Ado. wS Le2T / FT A/ 199& .39 " Rio w q'xle M t\ -- B.% z9-7' 4 0 'Y1 1.% O " S�R6E.VE0 �� te�it• Ut L/! N yo.o' n M of r r \ 0 >2,.��' t1: 6%'03%z' M n L- 31.99' Q 1 I o /O W oZ U WHIZ Int 10, Slack 4 , in de 91-divlsicn of Ialaewrad FWR Chit 8-A as remrdad in Plat Lax* 11, IAgo 47, of the Pd3lic Poaxds of St. r 1 H Quit-y, Fluida. S w,yar's Nam; 1. l rds sham hereon v.Te rrjt abstracted RK riots of aay anWcr easaNaAz cf reared by this office. 2. Ill clxrrirtim wL� siplied by c-liet. 3. Flmd 2rne X Pa t-A # 12111CO070 F /IVz/VU6' 7- 9-,V rlani W I iz.o' h Z.417- 9 Z JJ 90. x -& ' -n �o h 0 0 2 CERTIFIED TO: Treasure Coast Mortgage Corporation Stewart Title of St. Lucie County Harry L. & Ellen M. Wilson Ali TRII CRRTINICATION IN NADI ONLT TO APO►■ RAMED TARIM IDS IDACNRIR AND10E IIORTOAOE Of 110910 DBLINEATIO PROBITY IT KEY: RAN10 ►UIICEAsso. RO 1R1►011B1E1LITT OR LIRIILIlt IE RIIUNIC FHD-FOUND IURVIIOR f0E 0I0 Of BOOM FOR All 01512 FURf01E INCLUDING I.R. -IRON ROD R01 LIMITED TO, OSE Of •UMVIT TOR SOME AFFIDAVIT L R11AL1 I.P.:IRON PIPE ►NO►EETT, 04 TO ANT oTr1R ►/RS011 NOT LIStEO 11 CERTi►ICAtt It/N �RICIIT OF MAT E1111M DIRT 02 INDIRECTLY. C.II..MNCRETE MONUMENT T N1RtIT CERTIFY THAT TON ATTACHED mic" Of SURVEY or TNt MEREoN yCt.AUG1]LIN LAND SURVEYING INC. DtlCRIS[D ►ROttllTt Is TRUE AND CORRECT TO THE Best or MI IIIONLEDOt ANO SWEF AS SURVEYED UNDER MY DIRECTION. I fUNTHER CERTIFY THAT TMII SURREY MELT! f111 MININUN TICIIMICAL ITANDARD! FOR LAND 8 V111110 IN Tfl[ ITATt OF FLORIDA (CHAPTER 11R11-/ F.A.C.) IUI/DANi TO SECTION 412.021, FLORIDA STATUTES. SUBJECT TO INN QUALI►ICATION@ NOTED Ntaton. 314 St. James Boulevard l7'7/ 'Z."� Ft. Pierce, Florida 34982 MICMARL I. MCLAU011LIN /RnFESSIDNAL LAND SURretaN 4 6 5 — C FLORIDA NEOISTRATION Ito. 3960 DATE! %.. // 91 SCALE: /' _ lh' DNN. BY: /rJ/'isi. JOB NO. .41319.2