HomeMy WebLinkAboutSUBMITTED PAPERSDate:(— Fee Due: Recei t# Permit #
Planning & Development Services
J ' � t: Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC Fence
❑ Shed ❑ Demolition ❑ Gas � SidingS
t.
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 3�LV,�� C�rC� LJ1 C-1`-►�� .
2. Parcel ID Number:
�o. Uf,I�il
�QO�Sti°rh �r�--
SC4 V IV
�UCie CoQnty
Office Use
Section
Township
Range
Map Page
Zoning
Land Ilse
Initials
Only
3. Complete Description of Project or Work:
4. Owners Information 5. Contractors Information
Name: Gnerc'-Jr1 FL Reg/Cent #: n I G -
Address: %C- c1c(' lAD 01- , County Cert#:
City: F-� . Pierce State: Business Name: C`'�rCL}� f e,LLC
y0S-03-1D
Zip: c�-la�-I� Phone: Phone: �Sla-c2�3 Fax:
6. Value of Construction: $ Ir
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct an at all work will be
compliance with all applicable laws regulating constru and zo
PRINT OWNER OR CONTRACTOR NA SIGNATURE OF 011FAR OR CONTRA OR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFO E THIS �_ DAY OF , 20 J.Z . BY
WHO IS PERSON Y KNO TO ME OR WHO HAS PRODUCED
AS ID NTIFICATION.
S ATUR TARY TYPE OR PRINT NA OF NOTARY J/
COMMISSION NUMBER
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAN' 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.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
Revised 04/26/2010
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY rk SULT 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.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
under a primary building permit. This application may not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction
Indicate the street address or general location of
property where the building activity is taking place.
Indicate the tax identification number of the
property where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work.
Indicate the total value of the work to take place.
Total cost of construction includes all current retail
material and labor costs associated with the
building/construction activity. Construction value is
used to determine the permit fee. 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.
❑ Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
® Fence Attach 2 plot plans showing location of fence height of fence and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for
new system or full replacement
This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications will be
accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772)
462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
NOTE. Emergency electric service change out inspections will not be performed after 3: 00 PM without
special arrangements and additional fee paid.
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261.
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130 x 23.97 in
PREPARED AY,
MICHAEL T. OWEN, PSM NO. 5556
CULPEPPER do TERPENING, INC.
2980 SOUTH 25th STREET
FORT PIERCE, FLORIDA 34982
This document was sent to the printer
Document: Printed from humphreya
Printer. Code Permit Front Window HPU 4000T PCL6
on C... - - -
ta. Unkrtca;n Zone I P Timc 3:54:19 PM 2/8/2012
Total pages:I
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►:
ForYPierce, FL
nesday, Feb 08, 2012 03:54 PM
Property Appraiser - St.Lucie Cnty, FL
Page 1 of 1
PROPERTY RECORD CARD
Farrah Peterson Record: 1 of 1
Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
�LUCIE�0G�
Site Address: 120 Blue Grotto Dr
ParcellD:
2310-500-0105-000-9
Sec/Town/Range. 10:35S:39E
Account #: 166308 y� * <
Map ID. 23/10N
Land Use:
SF Res .
Zoning:
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner: Farrah Peterson
PALM BREEZES CLUB (PB 49-32) BILK 4 LOT 11 (OR 2931-786)
Address: 120 Blue Grotto Dr
Fort Pierce FL 34945
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page
2011 Final: 84300 Land Value: 6000 Acres 0.09
1/18/2008 154500 00 WD
2931 / 0786
Assessed: 84300 Building Value: 78300
8/1/2005 13000000 02 WD
2324 / 2712
Ag.CrediY 0 Finished Area: 1751 SgFt
5/20/2004 2910000 02 WD
1973 / 1499
Exempt:
Taxable:
Taxes: 1715.14
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
ExtType:
HC+ - HC+
YearBlt:
2007
Frame:
Grade:
C+ - C+
EffYrBlt:
2007
PrimeWall:
BS - CB Stucco
StoryHght:
0020 - 2 Story
No.Units:
1
SecWall:
FS - Frm Stucco
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
1/2Bath:
1
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type
Y/S Oty
Units Qual Cond.
YrBlt. No. Land Use
Type
Measure Depth
DWBP - Drive-BrkPav
Y 1
360 AV AV
2007 1 0100-SF Res
535 -Site
1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.pasIc.org/prc.asp?prclid=231050001050009 2/8/2012
MAP OFBOUNDAR Y SURVEY
FOR: CENTEX HOMES
LEGAL DESCRIPTION:
Lot 11, Block 4, Palm Breezes Club, according to the Plat thereof as recorded in Plat
Book 49, Page 32 through 35, of the Public Records of St. Lucie County, Florida.
Said lands situate, lying and being in St. Lucie County, Florida. Containing 3,800 square
feet more or less.
STREET ADDRESS: 120 BLUE GROTTO DRIVE
FORT PIERCE, FLORIDA
LEGEND
a R B.
OFFICIAL RECORD BEC(
P. C. P.
PERMANENT CONTROL POINT
U. E.
UTILITY EASEMENT
P. C.
POINT OF CURVATURE
A E.
DRAINAGE EASEMENT
P. R. C.
POINT OF REVERSE CURVATURE
P. A
PLAT BECK
P. C. G
POINT OF INTERSECTION
PG
PAGE
I/P
IRON PIPE
T. EL B
TOP OF BAN(
P. P.
POWER POLE
E. D. W.
EDGE OF WATER
S/T
SWING TIE
N. G. V. A
NATIONAL GEODETIC VERTICAL DATUM
a H
OVERHEAD
S0. FT.
SQUARE FEET
STR.
STRADDLED
R/W
RIGHT OF WAY
F,PLL
FLORIDA POWER L LIGHT
CVRA
COVERED
0/S
OFFSET
FNIL
FOUND
ELEC.
ELECTRIC
I/R
IRON ROD
RES.
RESIDENCE
N/D
NAIL IN DISK
REF.
REFERENCE
N/T
NAIL IN TAB
CONST.
CONSTRUCTION
CONC.
CONCRETE
(C)
CALCULATED
(MO
MEASURED
EL.
ELEVATION
(P)
PLAT
P. R. M.
PERMANENT REFERENCE MONUMENT
101
MONUMENT
K HI
HAND M
CENTERLINE
D. W. E.
DESIGN WATER ELEVATION
L. K E.
LAKE NA AND MAINTENCE EASEMENT
(K R•)
NOI--RADIAL
N.V. A L.
NO -VEHICULAR ACCESS LINE
R C.R.
BROWARD COUNTY RECORDS
S. S. E.
SAFE SIGHT EASEMENT
P. A E.
PEDESTRIAN ACCESS EASEMENT
L A E
LIMITED ACCESS EASEMENT
®
EXISTING WATER SERVICE
ON
OVERHEAD UTILITY LINES
z;i
EXISTING LIGHT POLE
EXISTING SANITARY COMECTION
EXISTING FIRE HYDRANT
EXISTING ELECTRICAL SERVICE
O
EXISTING DRAINAGE
EXISTING CABLE SERVICE
MAN HOLE0
pd
EXISTING WATER VALVE
EXISTING CATCH BASIN
®
EXISTING FPL PAD
Q5
EXISTING SANITARY MAN HOLE
•
EXISTING CLEAN OUT
O
EXISTING BELLSOBITH RISER
FLOW ARROWS
�Xa_
**PROPOSED
EXISTING ELEVATION
ELEVATION
SURVEY NOTES:
1. BEARINGS SHOWN HEREON ARE BASED ON THE PLAT OF PALM BREEZES CLUB, (P.B 49.
PGS. 32-35, S.LC.R.)
2. BELOW GROUND IMPROVEMENTS AND/OR ENCROACHMENTS IF ANY, WERE NOT LOCATED.
3. ELEVATIONS SHOWN HEREON ARE BASED ON THE NATIONAL GEODETIC VERTICAL
DATUM (N.G.V.D.) OF 1929. '
4. THE UNDERSIGNED AND DAVID & GERCHAR, INC. MAKE NO REPRESENTATIONS OR GUARANTEES
AS TO THE INFORMATION REFLECTED HEREON PERTAINING TO EASEMENTS, RIGHTS OF WAY,
SETBACK LINES, AGREEMENTS AND OTHER MATTERS, AND FURTHER, THIS INSTRUMENT IS NOT
INTENDED TO REFLECT OR SET FORTH ALL SUCH MATTERS. SUCH INFORMATION SHOULD BE
OBTAINED AND CONFIRMED BY OTHERS THROUGH APPROPRIATE TITLE VERIFICATION. LANDS
SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS OF WAY AND OR EASEMENTS OF RECORD.
5 THERE HAS BWt NO SEARCH OF THE PUBLIC RECORDS PERFORMED BY THIS FIRM.
S. THIS SURVEY IS CLASSIFIED A BOUNDARY SURVEY BY CHAPTER 61G17-6, FLORIDA ADMINISTRATIVE CODE,
PURSUANT TO CHAPTER 472.027, FLORIDA STATUTES, AS AMENDED.
7. THIS MAP OF BOUNDARY SURVEY IS NOT VALID WITHOUT A SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER.
B. ALL PROPERTY CORNERS ARE SET 1/2- IRON ROD WITH CAP STAMPED-06935- UNLESS OTHERWISE NOTED.
9. BENCHMARK OF ORIGIN: ST. LUCIE COUNTY BENCHMARK LN. & A.: ELEVATION= 45.251
10. THE N.F.I.P. FLOOD MAPS HAVE DESIGNATED THE HEREON DESCRIBED PROPERTY LIE WITHIN FLOOD ZONE 'X BASE
FLOOD ELEVATION N/A, COMMUNITY No. 120285, PANEL 0175-F WITH A FIRM EFFECTIVE DATE OF 8/19/91.
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REVISIONS DATE BY CK 2KdD CKD FB PG
LOT 11, BLOCK
PALM BREE
ADD CERTIFICATION (NOT AN UPDATE) 1/17/OB AC -RR FILE CL U—
FINAL SURVEY 08/30/07 EC AC FILE (P,B 49, PAGES 32-35, S.L.C.
FORMBOARD SURVEY 06/04/07 SN I TJD FILE
CERTIFY TO:
FARRAH PETERSON;
CTX MORGAGE CO., LLC,
IT'S SUCCESSORS AND/OR ASSIGNS, ATIMA;
COMMERCE TITLE CO.,
COMMERCE TITLE INSURANCE CO.
LOT I2
BLOCK 4
S8953287- 95.00'
70.78'
PAVER WALKWAY o
21.42'
z
rT�
q
8 Iq
10.77' i
,�„�
R�5
S
i f
2 STORY n
RESIDENCE
FWM ED FLOOR E--23.44
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1. 1( Yg
GARAGE FLOOR EL-2SD4 a02g
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95.00
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LOT 10
BLOCK 4
It, (-Y-n I -e-
FILE COPY
1 Ica - ON �
TYPICAL LOT LAYOUT
FRONT BLDG SETBACK
12.50 FEET
REAR BLDG SETBACK
10 FEET
SIDE BLDG SETBACK
6 FEET
L OCA TION MAP (N. T S
U)
i
r
SEA!
3'
T AVID FOR THE FI
PROFESSIONAL SURVEYOR AND MAPPER
FLORIDA REGISTRATION NO. 5821
DAVID & GERCHAR, INC. L.B. # 6935
.-,
SIGNATURE DATE: / ?�YS
DATE OF LAST
FIELD SURVEY: °8/29/07
SCALE:
1' = 30'
JOB N0:
06-170
AVID &
ERCHAR INC.
,
__R_
SURVEYORS AND MAPPERS
FB/PG:
N/A
CAD. FILE:
F: \cent-\Pdmbr zm\Blodu
9lock4�l Dell
DRAWN BY:
EC
DATE:
02/26/07
12075 N.W. 40th Street, Bay 1
Coral Springs, Florida 33065
(954) 340-4025 • Fax: (954) 340-9584
CKD 1ST
BY:
SN
CKD 2ND
BY;
SN
PROJ. FILE:
PALMBREZ