HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY- I
DATE FILED: ]�
PLAN REVIEW FEE: -50 _ RECEIPT NO.: DPERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2Pie Virginia Avenue
SCANNEG Ft. Pierce, FL 34982-5652
Bl, 772462-1553 jv)
Wit. Lurie Cnlrnf,
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
I. LOCATION/SITE ADDRESS: X 9 /-n " �vn1 end s wA' t
2. PROJECT NAME: .fl J r Jc. WA SITE PLAN NAME:
3. PROPERTY TAX ID #:
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
0
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): S 17 $ . d -�> LOT DINlENSIONS:
10.
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: as er�o�rG s���a
s0%l t/%'JG F ��PIG Er WA 3C)CO Pss Core f� Q!7'rrG �>
' 1
1, «k
11.
SETBACKS (ACTUAL) FRONT:
BACK: RIGHTS
E: s 1 LEFT SIDE:
12.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [
] EXPANSION/ADDITION
[ ] INTERIOR RENOVATION
[ J RESIDENTIAL [
] COM IERC�qL
[. ] INDUSTRIAL
OTHER (SPECIFY) $p
p Fl o f On uP w,a
rye �s
13.
DESCRIPTION OF PROPOSED USE:
z
14.
SQ. FT OF CONSTRUCTION: T
1,600 15. SF. 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
t
OWNER INFORMATION �/% /
NAME: vu n Lea ) l i a*g re 1 dt IA ,S
ADDRESS: _-� _ _ ;� I Lve(ee-� �f"
CITY: /`� k 4 �?S 3� �5�� STATE: /P� �S ZIP: 3 $gSa
PHONE (DAYTIME): V),) 4 66-,2a5":6 Email: x � K� 6e2
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: e--
CITY:
STATE:
ZIP:
PHONE (DAYTIME): (___)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: �(�(�O �I,�
ST. LUCIE COUNTY CERT #:
BUSINESS NAME: w n FiQ �.
Swcs
QUALIFIERS NAME: c /�n
ADDRESS: lR� �c1G�
sfe
�D
CITY: �s� U`ro Be"
"
STATE:
ZIP: 329,9 3
PHONE (DAYTIME): M-Zl( lP 6 A
""
FAX NO.
10Z# Email: �xuT , K k c, � aC orn
ARCHIT/BNGINEEIL- fy A
ADDRESS:
CITY:
STATE:
ZIP:
PHONE (DAYT ME): (___)
BONDING COMPANY: N
ADDRESS:
CITY:
STATE:
ZIP:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE: 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
OFFICE USE ONLY B k�
SECTION
I f 1
TOWNSHIP
3 q
RANGE
MAP NO.
I/ /a's
ZONING
LAND USE
pol
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
I ST FIR 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
RMTF
FEE
M
LIBRARY
PUBLIC BLD
P C BLD
PARKS
IMPACT
IMPACTFEE
IMPACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
IMPACT
ROAD
IMPACT
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FEE
FEE
FIRE/EMS
IMPACT
WAY
?A—
REQLMED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
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
DATE
COMPLETED
INTf IALS
'
e
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.
OR CONTRACTOR SIGNATURE
STATE OF FLOI!" ,
COUNTY OF �J/I
The foregoing instrument was acknowledged before
me this "? day of Y-� 20 /, ,
by 6JIJ 4 4L �Z/
who is personally known or has produced
as identification.
Signature of Notary `
.
DAWN MIL
p
Commission f��.
PA
MY GOMM6SION p
' ��a. EXPIRES: March 22, 2013
...... Bonded Thru Notary Public Underwriters
ec"z
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before
me this e day of , 20
by
who is personally known or has produced
as identification.
DAWN MKONE
MY COMMISSION N DD 852587
EXPIRES: March ON*
"0 1 mu Rot8ry Public Underwriters
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 OWNERBUELDER APPLICANTS.
For speck instructions see appropriate permit checklist.
27-MAR-2012 — 44 FROM:SOUTH COAST 77F-"-6042 T0: 4'R* P.1/1
vLr ��r , yLMf,.l f f LtVLVR'fJ rJLV 11.7r�1..L1WIY� rmm 17l/ 01
�..T � • � f 'ii i
1 � �
II2300 Virginia Agee
i Fart Pierce, FL 34902
772-462-2172 Fox 772-462-6443
CERTIFICATE OF TERMITE TR. TINENT
I
CONSTRUCTION SOIL. TREA ENT
PERMIT JOB ADDRESS: J�cDUi/,U S L�
BUIL.DER/CONTRAcrOR: `t
PEST CONTROL. CONTRAMR.
PEST CONTROL LICENSE:
We, the undersigned, hereby cerefy that we have pretreated the a described construction for
subterranean termites in accordance with the standards of the National Pest cantrOl AssodStian.
j
Square feet if area treated: /.,T Chemicals used:
Percv Ttage of solution: Total gallorLs
4
Date of Treatment: ��` ~ / Time of Treatrne
3=ooting � 'J Slab
I" '(relent 1'4 Tr ent
Rc Treat —ReTr
Driveway
.111 Treatment i _JA tri trnent
Re -Treat Re-;
Other Ndmeter fpr Final rnspedlon
14 Treatment
Re -Treat -�—
'"� ; Signature,af Bcterminatw
/VtXe: on t *Job
S& to be puiw up by the kxwae at dme of each lavebbn dr Mae -Zfe ui' klYped P 7 W#J lZ:fi 87
o re-i
rive drayexsG
PaC LO&LB Cav/ka ~ of ftu cm a nagment /hr pv d t8►7JiJiCf. iA / M&W11 yRS v baud
sa`►a� be am wed to /ew" dt/pAA* TrwvM rft cl as loco "&S ovnp eW,
prmW*r a cVy far ft person byre prmlt,& d to and andtaer CWY /b " 9 p 7m? ft& 77* 7?evbna*
Ge/t7kmAOmz ie die prodW ,+da�W of ft 44a(Mr�r,I Brad of ft brr+yb.,?ly:./►1��, , kratkn, aw
amp ftmft rrt: 17 the wd CiaG Amt banes medico' kr h71T ft prewC/*v 4 cts* 19W ' biAih7em .5J'W
be p*r tv fibs/ bu&SV a ipmW.
St Luck County requires fior the final inspection for CO, a ParmOent Sticw to be mawd an
HL �. ',
MA 2 u 2012
V� PU N" Works
�t. !__:,., _�Ity. FL
u �, hCS MQrI, C
Pa X. @�
r II)t Ip6WAcr'eco. of
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
0
(Parcel 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 la 2Q0g 0 , 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.
2OSCEE ' C� U/2NS
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OFM ( rCSi*1Y OF F
ME T^S DAY OF "A (:Ix 20-
BY
UCED IC;�
P
SIGNATURE O' NOT Y PUBLIC
CO SSION NUMBER
SLCPDSD Revised 08/24/2010
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
NOTARY PUBLIC
10 NO 7gg06
CO+ rrr spires
�NOYember 16. 2013
<C,OQnr rr✓? .
Planning lk Developmen (ices
Building & Code Regulation urvision
Permitting Department
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PROPERTY INFORMATION
Address: 5288 FOURWINDS WAY
City/State/Zip FORT PIERCE
Parcel # : 1410-502-0078-000/0
Zoning: HIRD
APPLICATION INFORMATION
Permit Number: 1202-0080
Activity Type: Other
Permit Type: Building (Miscellaneous)
Review Comments
FL 34949
Jurisdiction: St. Lucie County
Lot # : Block:
CONTRACTOR INFORMATION
Contractor Name: PAUL KUHN JR
Business Name: HERITAGE CONTRACTING SERVICES INC
Business Addr: 1945 22ND AVE
City / State / Zil
REVIEWS AND COMMENTS
Review Tvpg Status
Documents Missing Pending
02/082012 1
02/082012 2
Front Counter Review
Zoning Review
02/092012 1
02/092012 2
VERO BEACH, FL 3296C
Comment: NEED DEMO PERMIT
Page 1
Owner(s):
Robert K Bums
Margaret M Bums
Application Type: Building Permit w/o subs
Other Activity: CONCRETE
Stories: 1 Automatic Sprinkler System i 1
Fax Number 772-567-9785
Reviewed By
Dawn Milone
Comment: NEED FILLED LANDS AFFIDAVIT
Complete Dawn Milone
Incomplete Irvie Saunders
Date Started Date Complete Date Released
02108/2012
02/08/2012 02/08/2012
02/08/2012
Comment: PLOT PLANS ARE COPIES AND DO NOT HAVE AN ORIGINAL STAMP FROM OCEAN RESORTS
Comment: NO PHONE NUMBER OR FAX NUMBER LISTED FOR CONTRACTOR
Planning & Development Se►vicPs
Building & Code Regulation Division
Permitting Department
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
THIS IS NOT A RECEIPT
Permit Number: SLC- 1202-0080
Contacts: Property Owner
Contractor
Property Owner
Job Address: 5288 FOURWINDS WAY
Fee Description:
Payment Slip
Permit Date: 09 February 2012
Building (Miscellaneous)
MARGARET M BURNS
Fax
PAUL KUHN JR
Fax
ROBERT K BURNS
Fax
BIMS651
06-BIMS
BPSur918
06-BP Surcharge - Permi691 -
Concrete/Slab
BPTru977
06-BP Trust Surcharge - Permi691 -
Concrete/Slab
Permi691
06-Permit Fee - Concrete / Slab
(772) 466-2256
(772) 216-6612
(772) 567-9785
(772)466-2256
Amount Due:
$5.00
$2.00
$2.00
$75.00
Total Unpaid Fees: C_ $ 84.00
Property Appraiser - St.Lucie County, FL
Page I of 1
PROPERTY RECORD CARD
Robert K Burns Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address: 5288 Fourwinds Way
CIE
ParcellD: 1410-502-0078-000-0 aNX
�3
Sec/Town/Range: 10 :34S :40E
Account #: 6674
Map ID: 14/10S
Land Use: MobHome-Coop
Zoning.
City/Cnty St Lucie County
Ownership and Mailing
Legal Description
Owner: Robert K Burns Margaret
M Burns OCEAN RESORTS COOPERATIVE SITE 78 (OR 1369-672)
Address: 29 Everett Easement
luka MS 38852-6447
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page 2011 Final: 64900 Land Value: 62000 Acres: 34.14
2/27/2001 40000 00 AF
1369 / 0672 Assessed: 63580 Building Value: 2900
8/9/1994 36000 00 AF
0984 / 0606 Ag.Credit: 0 Finished Area: 400 SgFt
Exempt:
Taxable:
Taxes: 1303.98
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
-
RoofStruct:
ExtType:
MHH - MHH
YearBlt'.
1982
Frame: -
Grade:
MHTT - MHTT
EffYrBlt:
1982
PrimeWall:
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall: -
Interior Features
BedRooms:
0
Electric:
-
PrmintWall:
FullBath:
0
HeatType
FHA - FrcdHotAir
AvgHUFI:
1/28ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors: -
%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 0205-MobHome-Coop
136 -Site 1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
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http://www.paslc.org/prc.asp?prclid=141050200780000
2/8/2012
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BE APPROVED BY OCEAN RESOR v�
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)ERAL MA AGE 4 OCEAN RESORTS
16
DAY OF L�L�GS�-------, 1994 a !' \
19
Approved by
Manager �'�•• � �� `� ,/ �a
h�
I 3 a�>• �` `,�/ � vfie '`�•�
BAN
Ocean Resorts Co-op Inc. °
5101 North Al A GO
Q F ��• � j
FL 34949 9'
Fort Pierce, i 00
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