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HomeMy WebLinkAboutSUBMITTED PAPERSDATE FILED: / •�• �a PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: PERMIT NUMBER: CERT. CAP. NO.: ALL.INFO MUST BE:COMPLETE & FILLED IN TO BE ACCEPTED N �-� St. Lucie County Building and honing 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 SCAN/VED 772-462-1553 BY st. LGCIg COUl1 ty APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION ., I ` 4-1 1. LOCATION/SITE `ADDRESS: 4�?� -n&\-* �., v�� �0�0J' 3� / 2. PROJECT NAME: h&� �� ha�c SITE PLAN NAME: 3. PROPERTY TAX ID #: _ ���•c3— 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5 ©���" 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): y S`h LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: fl--Cty, o.•.U\ 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: P '�� LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [U EW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) .n 13. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: �J �� 1 F. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: 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 -011 kel— OWNER INFORMATION NAME: z�wnr, - 1��r.. 3Jioo -9)V ,t��j ADDRESS: (� J : �✓A ar , Ct.cv �. 1? yyln %) eSo�CJ r CITY:`'''2�^ STATE: `/ L ZIP: 3 q � 1-71 PHONE (DAYTIME): ltiV I 1 3�'� `�� y Email: V;? `= 0 A'r s ' b'z'— 3r ' 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 (DAYTIME): (_) CONTRACTOR INFORMATION '1 ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: BUSINESS NAME:. 0 �v 'V�1e,er, GEC-(- -_ 1 QUALIFIERS NAME: , A ADDRESS: t�L`G� Uy r'Ld61a S " STATE: T n-- PHONE (DAYTIME): FAX NO. S Ph- _ Email: ARCHIT/BNGINEER: ADDRESS: CITY: PHONE (DAYTIME): (__) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY• ZIP: 9 L( STATE: ZIP: STATE: ZIP: STATE: ZIP: RWORTANT NOTICE: When a permit is issued and it is not picked up within 60 'days affer`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, 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: 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. NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. L OI E OR CONTRACT SIGNATURE NT TOR SIGNATJE STATE OF FLO STATE OF FLORIDA COUNTY OF .t�G°lt� COUNTY OF. The foregoing instrument was acknowIedged before me this J/ day of 20 / -0 , by = �. who is personally known or has prgd4ced OF"ff11��"mod p •//(o as identification. Signature of Notar The foregoing instrument was acknowledged before me this day of A,'), 20 �, by who is personally known or has produced 49/5 pe0, .ei11 _ :7-)".>_i/- .. ..... .. Commission Y _*. • on N+ddAREYB u— ", (Seal) AUDREY B. HUMPHREY ;* MY COMMISSION # DI) 633047 MY COMMISSION # DD 633047i�%Rf, .�' Bonded PIRES: March 6 <° EXPIRES: March 6, 2011 Thru Note 2011 BonodlfimNotaryPubncUndem ters ryPublicUndenvri,er5 NOTE: TW # D. EACH SIGNATURE MUST BE NOTA 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 BP SECTION D TOWNSHIP RANGE MAP NO. ZONING m LAND USE u LOT CVG % TAZ NO. FLOOD ZONE D FIRM MAP # 1"�r FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER RINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 111990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE (RADON) LIBRARY PUBLIC BID PUBIC BLD S IMPACT IMPACT FEE IMPACT IMPACT T FEE CORRECTION FEE FEE GENERAL SCHOOL ROAD TT Y N LAW ENF IMPACT IMPACT IMPACT FEE FEE FEE FIRE/EMS DRIVE `: Y N DRIVEWAY ADMINISTRATIVE IMPACT D FEE VARIANCE FEE FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: —J—J REVIEWS.. FRONT ZONING SUPERVISOR'' PLANS VEGETATION SEA TURTLE -MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE / RECEIVED DATE COMPLETED INITIALS i Un �" - ST. LUCIE COUNTY BUILDING & ZONING • i- r F�ORIO� 23DO VIRGINIA AVENUE FORT PIERCE. FL 34982-5652 -462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: r --o 4-s-o`t 8v,K-- coo 3-F J (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. Property Owner Name.Property Owner Signature Date STATE OF FLORIDA. COUNTY OF /f ACKNOWLEDGED BEFORE ME THIS . =, t DAY OF 20(v BY I�� - 2> J.WHO IS P ONALLY KNOWN TO ME OR WHO HAS PRODUCED • � • AS IDENTIFICATION. SIGNATURE O NOTARY TYPE OR PRINTNA/ME OF NOTARY (SEAL) NOTARY PUBLIC TITLE COMMISSION NUMBER ------------ ei' •, AUDREY B. HUMPHREY MY COMMISSION # DD 633047 EXPIRES; March 6, 201'I Bonded Thru Notary Pubte Underwriters File Edit View Bookmarks Tools Window Heip El 55�7 Layers u, R County Boundary EB 0 Overlay Zones g) L] Historic Structures S E-11 Address Master al 0 Misc Addresses El El Hydrology Names (D [I Road ROW Dimens-iod 0, 11 Lot Lines I El Block Numbers Arno 10 [1 Parcel Dimension An 0 El Managed Care Faci rJ [I Hydrology aa, El Annexations Jensen BeachX, RU Parcels RU Flood Zones El AirportRunway RU 2, [a Future Land Use orfing Winclzones (IJ El Mobile Home Parks ffEl El Subdivisions ff� 0 Solid Waste Service uF! R Major Hydrology Ft, [:1 Utlity Service Areas Eq R Zip Codes it] El Municipalities CfEl Aerials 2009 Change markup width and transparency 1903850.45 1,366587.27Feet ~ - ~ , , - � —` ^ � , � ` ~ ` Property Appraiser - St.Lucie County, FL 0 Page 1 of 1 PROPERTY RECORD CARD Bernard J Dera Jr Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �V11CIE��G Site Address: 13827 S INDIAN RIVER DR ParcellD: 4509-805-0034-000-2 Sec/Town/Range: 09:37SAIE Account#: 130484 vZ Map ID: 45/09S Land Use: VacRes Coop Zoning: RMH-5 City/Cnty: St Lucie County ' Ownership and Mailing Legal Description Owner: Bernard J Dera Jr LAKE MANOR PARK COOPERATIVE SITE34 (OR 3107-1710) Address: 3200 Bayshore Rd Cape May NJ 08204 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 18000 Land Value: 18000 Acres: 0.03 4/24/2009 0111 AF 3107 / 1710 Assessed: 18000 Building Value: 0 1/19/1993 26000 01 AF 0894 / 0904 Ag.Credit: 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes: 349.97 BUILDING INFORMATION INIO Sketch Available ..No- Image Available Exterior Features View: RoofCover: - RoofStruct: ExtType: YearBlt: Frame: Grade: - EffYrBlt: PrimeWall: - StoryHght: No.Units: SecWall: Interior Features BedRooms: Electric: - PrmintWall: FuliBath: HeatType: - AvgHt/FI: 1/2Bath: HeatFuel: - Prm.Flors: %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0005-VacRes Coop 135 -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasle.org/pre.asp?prelid=450980500340002 1/21/2010 Lake Manor properties InO 13827 �. Indian River Dr. #711 Jensin Beach, FL 349671 'ONZ HV38 s3aiS HN MIS j.NO'dA .03H NOVS13SNIn vc MmP' � ............ # NINE, lq EMERSON of one mom I low N ME ME oaue Jol%mcr) 'l'-t-:W- l col -CAI-i „, � � :;,tea r�,����' •'� � z v MENEM mop room )Owl r-- Zxere..' A ;r LA K MAtvORI P.Al�K '�.�. ibSN-7 S, IftIAW RIVQ, VV, iE96EW 13ERc.tA.. ri NOT -ro SCALF— I ' tol l r �y` ].14�b rFb,S �4b�r► '}b' ,fig' '/,4" y�,' ;I G� y16 Q�S'� ��' � � � r o o � ,; �k8' �' ►}t�' t{.�,.5 µ b ' r 46 20 lox IVI LAKE ��, i.�l. ycj, bS� 69•l� i to.9�11 seq 54 E D 41 Sr Sr sl 51 70' 85 ` 5 q W — . \Ie,\ at' 9101 25 S/ Sri RM Sri 9a ,p/ toLF-l."� LkS 81 " 5+ E