HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:
DATE FFIED: O
PLAN REVIEW FEE: RECEIPT NO.: PERNIIT NUMBER: 11,01. 01
10
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUMDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553 �C•9�1/
st 4 &),
APPLICATION for BUILDING PERMIT ('10" 1
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: l 0 3 - L"'-Q.-
2. PROJECT NAME ,,P— G(114f,�, S SITE PLAN NAME:
3. PROPERTY TAX ID #: .3 i-// - So l - j%20 Z - 0 -?
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 1 Z 3 7 Li d
L 114 ) S !�7- cte-,re -s C� E %Z �- Iftk !d- 2- It% w 15—A E so 4 - 6 = 2_9 A0
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. _ ) S 8. LOT NO.
9.
10.
11.
PARCEL SIZE (ACRES/SQ FT.): 5- QC,,rC S LOT DIMENSIONS:
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
SETBACKS (ACTUAL) FRONT: BACK:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
13
14.
16.
[ ] NEW CONSTRUCTION
[ ] RESIDENTIAL
(] OTHER (SPECIFY)
RIGHT SIDE: LEFT SIDE:
[ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
(gyp COM�RCIAL [ ] INDUSTRIAL
M n 1 r �Y\-,, �' _cr- �, -<-
DESCRIPTION OF PROPOSED USE: C,'e.
SQ. FT OF CONSTRUCTION:
VALUE OF CONSTRUCTION: $ G��.�
15. SF. FT 1 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: V N -2— � IN L—
ADDRESS: _702 S +ki ,r - L.L C ( v
CITY: V c L.�l� STATE: / 1 . ZIP:
PHONE (DAYTH E): C?74Email:
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 (DAYTMffi): (�
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: t C 0 G 0 3 Y L' ST. LUCIE COUNTY CERT #: 'Zc '-o
BUSINESS NAME: , k GC S-f ►'x n -
QUALIFIERS NAME: k v t r\ S
-62
ADDRESS: -
CITY:
PHONE (DAYTIME): (2 Z7 ��� � oy 1 FAX NO. �/ S2 3 5— Email:
ARCHIT/ENGINEER
ADDRESS: \`Ionn 1z S �, Rpc d S - L,
CITY: �c� cti- S1- Z`C-Clle—
PHONE (DAYTR,4E): � S-N 012,7
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
W .
ZIP: 3 ' / S 3
STATE: R ZIP: 3119553
STATE:
STATE:
AV
ZIP:
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it wilt 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 llbll'ROVEMENTS 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
STATE OF
COUNTY(
SIGNATURE
The foregoing instrument was acknowledged before
me this day of 20 \\QS
,
by
who is personally known -.,_ or has produced
as identification.
CONTRACTORSI NATURE
STATE OF FLORID&JI. 'Vme
COUNTY OF
The foregoing instrument was acknowledged before
me this _aday of 20 /
by
who is personal) own or has p odueed
�
�5 S/ Y. 97 _TP 9- v
as identification.
am
I
Signature of NqiAry
/:................... ..........................
KARYN E. RIDGELY
Commission o.'h �`1 tsx ll� o`•��'ji��P eal)Comm# DD0715815 Commission No. -
AUDREY B. H Rc"Y
Expires 9118/2011 UMPH
p i M
1 Y COM D.,Fb
n��,Roma Notary Assn., Inc I MISSION h b 2G 1
;,.
EXPIRES: �rrl
NOTE: TWO (2) SIGNATURES BA�'• RE REQUIRED. EACH SIGNATURE MUST *4*6TARIZED. 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 by #: ) ] 01. O I I
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
I ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
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
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IWACT
FEE
GENERAL
PARKS
IWACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
MACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATfVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING: 1 /
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
- /
INITIALS
I-
07
VELCON GROUP, INC.
ENGINEERS & SURVEYORS
January 13, 2011
Mr. Kevin Paulsen
Building Contractor
License No. CBC060344
Re: VAZ Repairs on Lennard Road
Dear Kevin,
Please find enclosed a sketch depicting the repairs to be done to our modular unit on the VAZ site,
located at the intersection of Lennard Road and SE Melaleuca Blvd.
As discussed, these repairs are minor in nature and, from an engineering point of view, do not alter
the structural stability of the modular unit. In essence, the work consists of replacing rotted wood at
the corner of the unit. The cross section will consist of the following elements: T111 siding, a vapor
barrier (tyvek), insulation material (R11), '/2 " drywall, and 2X4 wood studs 16" on centers, attached
at the base of the unit (steel frame) with simpson straps (SP 4) with ND 10 DNDG nails.
These repairs will be done as a replacement of unsuitable materials, exactly as the unit was
originally constructed, and will not alter the design or character of the modular unit. We cannot fill out
the County's Design Certification for Wind Load Compliance because we are not designing anything
new, nor are we changing the intended manufactured unit design criteria.
Please let me know if St. Lucie County will require anything else from our office to approve this
repair work.
Sincerely,
Ernesto Vetasco, P.E.
The Velcon group, Inc.
702 SW Port St. Lucie Blvd., - Port St. Lucie, Florida 34953 - Phone (772) 879-0477 - Fax (772) 871-6659
Contractor Certification Data
Building & Code Regulation Division Entry
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1673 Fax: (772) 462-1148
hftp://www.stiucieco.org/public—works/contract—licen.htm
http://airs.slcfl.vetrol.com/AIRSweb.php
Company Name KEVIN PAULSEN INC Phone (772) 879-4041 ext Fax (772) 344-5235
DBA I Mobile ( ) - Pager ( ) -
Address 667 SW BACON TER Email
City / State / Zip PORT ST LUCIE FL 34953
Ownership Type Trent Company Name
'Qualifier• •
Qualifier Nam
PAULSEN KEVIN T Cert # r r (County Registration/Certification Number
PAULSEN KEVIN T State # CBC060344
Address 667 SW BACON TER
City / State / Zip I PORT ST LUCIE FL 34953
Phone (772) 879-4041 Fax (772) 344-5235
❑ Email
Certification Comment Should Be Reviewed for Permit
Reg. Type Expiration Date Status Competency Card and Wallet Card
State Certificate
08/31/2012
Active
State Certificate
08/31/2012
Active
County Certificate
08/31/2011
Active
Comment
Class Code Building — Certified
Date Applied 10/07/2004
Date Start 10/01/2006
Date Renewed
Renewal ❑ active Fee Applied ❑
5.25.05 CHANGED INFORMATION TO KEVIN PAULSEN INC BECAUSE RECEIVED INC DOCUMENTS. as
0
Cam//�Do?-t//��`��� ST�P.4�/�% •
.� Co e,/'---
Property Appraiser - St.Lucie C-1rity, FL
Page 1 of 1
PROPERTY RECORD CARD
VAZ Inc Record 1 of 5 <<Prev Next »
Spec.Assmnt Taxes
Exemptions Permits Home PrnT
Property Identification
Site Address: 10331 LENNARD RD
Sec/Town/Range 12 :37S :40E
ParcellD
Account #
4+4
¢ - - <<_..
\�UCIECpG�
'
Map ID 44/12N
Zoning IL
Land Use.
City/Cnty
LMBR YRDS
St Lucie County
Q�
�i
Ownership and Mailing
Owner. VAZ Inc
Address. 702 SW Port St Lucie Blvd
Port St Lucie FL 34953
Sales Information
Caw
Price
Code
12/11/2003
500000
00
10/2/2002
1000
01
4/15/1993
100
01
6/1/1988
275000
00
6/1/1987
110000
00
11/1/1985
0
01
8/1/1983
45000
01
Deed
WD
CT
WD
CV
CV
CV
CV
Legal Description
more...
Assessment
2010 Final
Total Land and Building
Book;Page
2010 Final
542300
Land Value 504600 Acres 4.29
1862 / 0155
Assessed
542300
Building Value. 37700
1589 / 1460
Ag.Credit
0
Finished Area 10369 SgFt
0840 / 0293
Exempt:
0593 / 1511
Taxable
0549 / 0818
Taxes
11271.27
0483 / 0271
0410 / 1050
BUILDING INFORMATION
Exterior Features
View
RoofCover
ExtType.
INDW - INDUS-
YearBlt
WRHSE
Grade
Y_D - Commer D
EffYrBlt
StoryHght
0010 - 1 Story
No.Units
Interior Features
BeclRooms.
0
Electric.
FullBath:
0
HeatType:
1/2Bath.
0
HeatFuel
%A/C:
0
%Heated:
Special Features and
Yard Items
Type
Y/S City. Units
Qual. Cond. YrBlt.
ASP2 - ASP2 LOW
Y 1 7000
AV AV 1989
SA - Asph Shingle RoofStruct. GA - Gable
1988 Frame
1950 PnmeWall WN - Wood no Sh
SecWall
MX - MAXIMUM PrmintWall UN - UNFINISHED
AvgHUFI STD
- Prm.Flors RC - Raised Conc
0 %Sprinkled 0
Land Information
No. Land Use Type
1 4300-LMBR YRDS XI -Sq Feet 186872
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
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