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OFFICE USE ONL� ` a DATE FILED: �2 93? /, PLAN REVIEW FEE: RECEIPT NO.:y PERMIT NUMBER:/ �V '- 6 �J 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 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 SCANNED 772-462-1553 BY S1 ! ucie Cotirit, APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: Jf3%C) N Aik uei, T io! 2. PROJECT NAME:,Na1!4 t UA(1A -F SITE PLAN NAME: 3. PROPERTY TAX ID #: 1'4a 5— 905- --DO03 -ODo- 4 4. LEGAL DESCRIPTION (attach extra sheets if necessary): kib ise-os _gq- the -sF-.q Condo 131dj-t U,',r-/06-A s87o a.A/A (#,IT ri 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. & S 9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: t 4th �e o r2 e noyAmo on — See SCop e o (-�' v- < -- 1 I . SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL ] INDUSTRIAL [ ] OTHER (SPECIFY) Li. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1 st FLOOR: 16. VALUE OF CONSTRUCTION: $ 14, 7%U 10 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 Rrn UPDATED 6/25/09 it0 OWNER INFORMATION NAME: b,c y) A / sh i r bA,4 mef aytd ADDRESS: 2�1 D LL �,) y A l A Q l ' CITY: a Pit r -e _ STATE: ZIP: y34 (4,0/ K'ax PHONE (DAYTIME): (-ham) A4b � - 1;777 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 (DAYTIME): L_ CONTRACTOR INFORMATION ST. of FL REG.CERT #: C&-, 17l SO a 5 % ST. LUCIE COUNTY CERT #: ,2 7 I c - f BUSINESS NAME: _S n d l(z�"r\ (al li E12 Pro t {L i e �1417�tgC IM e f� 1 v QUALIFIERS NAME: �Qli t ko V/� 1,eS k 1 ADDRESS: I s L u I a 4- () CITY: jr--en &XVk STATE: ZIP: 3 a q (p O PHONE (DAYTIME): (_ 7" sb1 - �jE-'� FAXNO. !:2 ,,a- '56-1-30111 Email: K40A=2Pm c* c 0g%t L , eorv� ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTEAE): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: ZIP: STATE: ZIP: 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. 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 �N 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 OR CTOR SIGNATURE STATE OF FLORIDA COUNTYOF t I.00"_ The foregoing instrument was acknowledged before me this I day of J war by 201 , who is personally known ,/ or has produced SIGNATURE STATE OF FLORIDA COUNTY OF jrn d t,pla IZL J£tZ_ The foregoing instrument was acknowledged before me this Uday of 0_0y) , 20 1 ;)-, , by who is personally known ✓ or has produced as identification. as identification. Signal re of Notary Sigd4ture of Notary EOOMMISk,�N ��IL L. MCCLUREEAPRILLRLD01�9924 mmission No.= Commission No 1 x( MISSION N DD 779524 EXPIRES: A�D L1.Jr`� tt EXPIRES: April 15, 2012 Ad 1hlu Notuy e Bonded TMi Notary Pubic lhWenvAWrs 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 OWNFR/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY BP #: I20 Z -OD!iq SECTION TOWNSHIP J? (�S RAN( I : i10 c MAP NO. ZONING LAND USE K I 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 J q%} C /-� HABITABLE AREA (RADON) RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACT FEE CORRECTION PUBIC BLD IMPACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY 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 RECEIVED `�" /� `� ( A � I� — DATE COMPLETED p I �L INITIALS PLANNING & DEVELOPMENT SERVICES BUILDING & CODE COMPLIANCE DIVISION BUILDING PERMIT SUB -CONTRACTOR SUMMARY (id i ✓1 ✓1 t i E �2 ` �O ( c� 6�t �} r fc�c,�n ayj will be using the following sub -contractors for the (Company/Individual Name) ��, rr project located at 3SW I�l (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical Ij Lec+�—x Plumbing �� L-L c l40r 0 HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): EG13CDoI2(S _P3 S ELEL-7v2 �C I ) (\) en (Company Name/Individual Name) have agreed to be the sub -contractor for te dI Jcl2 Pro -ec-t (Yl IA✓�r eunen j (Type of Trade) (Primary Contractor) forthe project located at Ng9q 1\,i (4wE j A i A - Up IT lo5 al it Seas— by--M- - See, (Project Street Address or Property Tax [D #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) O7RIGI SIGNATURES ARE REQUIRED ( `TC� Bliet c, -� NATURE PRINT NAME Business Name: P� 5 Address: City/State/Zip: Phone: OFFICE USE ONLY: IVl.1I.p email:-SE2UrCceP(�e`CEc-rrzIC,CU/M PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES (Company/Individual Name) project located at BUILDING & CODE COMPLIANCE DIVISION BUILDING PERMIT SUB -CONTRACTOR SUMMARY will be using the following sub -contractors for the (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical Plumbing HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Numb (If applicable): Cr C©syd7T have agreed to be the (Company Name/Wi'vidual Name) sub -contractor for - E 1 V- &vea (_` vgnn. rv,e_n i (Type of Tr�j) (Primary Contractor) Ili for the project located at � �} �� �I� t.�Yl1� (�`�� r 0kSC_,�)S :--th,e-sesq (Project Street Add ess or Property Tax ID #) �1 It is understood that, if there is any change of status regarding our participation. with the above mentioned project. I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED Awl 4fp -a16 /2 � -1 __z SIG ATURE PRINT NANM DATE Business Name: 14tLaT/h2 /��l�1hi'//rid/' /i�/C Address. 2vo q `— 4."— City/State/Zip: _�/. 8, rGL Jksg e Phone: 2 7W SIG// email Q!/-� '%�/v,•�6�ry� C� Pti/�i/A/�,n OFFICE USE ONLY: NOTICE OF COMMENCEMENT TO BE COMPLETED WHEN CONSTRUCTION VALUE EXCEEDS $2,500.00 PERMIT #: TAX FOLIO #: I L4a 7J'-&- —[xx,3 — ca --`'f State of Florida, County of Indian River, the undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with chapter 713, Florida statutes, the following information is provided in this notice of Commencement. 1. LEGAL DESCRIPTION OF PROPERTY (AND STREET ADDRESS IF AVAILABLE): '; Sjo }4 ifOV A LA-0-t05- 011D r je-o bq-Tkc- Seg d,,)c4o f3id j 1 L)A,T i0s- 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. WOWNER INFORMATION or ❑LESSEE INFORMATION (If Lessee contracted for the improvement) a. Name: (4y)A / SY)irbe,- Brrz)+-�ci T- Address: Sg-io N 4w. A114 14ibleus-bA-+he-SeA E' Eecc-e F1 b. Interest in property: Dt-yrl C VL 3 �i4 8S1 a c. Name and address of fee simple title holder (if other than owner): 4. CONTRACTOR: ,/� T- a. Name:.LY1d"Q" Kly-I- PgCQ Address: Iftf i -lit - Pk c-N q( �ejlP0 b. Phone number: `71DL- 5Cr1 -�.cqn 5. SURETY COMPANY (IF Applicable, o copy of the payment bond is attached): a. Name & Address: b. Phone number: Bond amount: 6. LENDER/MORTGAGE COMPANY: a. Name & Address: b. Phone number: 7. PERSONS WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS MAY BE SERVED AS PROVIDED BY SECTION 713.13 (1) (a) 7., FLORIDA STATUTES: a. Name & Address: b. Phone number: fax number: 8. IN ADDITION TO HIMSELF OR HERSELF, a. Owner designates of to receive a copy of the lienor's notice as provided in section 713.13(1) (b), Florida statues. b. Phone number: 9. EXPIRATION DATE OF NOTICE OF COMMENCEMENT: (THE EXPIRATION DATE IS ONE (1) YEAR FROM THE DATE OF RECORDING UNLESS A DIFFERENT DATE IS SPECIFIED). WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE Of COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF (SECTION 92.525, FLORIDA STATUTES ,-%, r IV SIGNATURE OF OY9tfR or LESSEE or OWNER'S AUTHORIZED OFFICER/DIRECTOR/PARTNER/MANAGER SIGNATORY'S TITLE/OFFICE -04 THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF 201 BY: t7e-,t,("— NAME OF PERSON TYPE OF AUTHORITY NAME OF PARTY ON BEHALF OF WHOM INSTRUMENT WAS EXECUTED RSONALLY KNOWN OR ❑PRODUCED IDENTIFICATION TYPE OF IDENTIFICATION PRODUCED NOTAY SIGNATURE NOTARY PRINTED NAME NOTARY SEAL a �' ••• APRIL L MCCLURE AMY GOMMISSION t DD 779524 EXPIRES: April 15, 2012 �%Rf fl Baled Thru Notary Public Underwritws Ilk INDIAN "IVER PROJECT MANAGEMENT Certified Building Contractor CkC #12F,n257 1816 1911, Place • Vero Beach, FL 32960 Office (772) 567-3099 • Fax (772) 567-3097 F1JOB CONTRACT LL' Date- January 2, 2012 Client name- Mr. & Mrs. Dana Brandt Job Address: 3879 North Hwy A1A Fort Pierce, Florida Billing Address.- 1935 6th Ave Vero Beach, Florida 32962 Contact Information: Kitchen Renovation: L4(o 81-7-7 �.._.._ / 20:7--Uu S ZT. LUCIE COUNTY � 9UILDING DIVISION rEvIIIEws® plop, 001A. /' REV!EVIED BY DATE _ L PLANS ND PERMIT PAUST BE KEPT ON JOB OR NO INSPECTION WILL BE MADE Remove and dispose of the existing cabinets, counters, sink & faucet. CONTRACTOR WILL SAVE THE REFRIDGERATOR, RANGE AND DISPOSE OF-. dishwasher microwave and W/D. Supply and Install Executive Solid Maple cabinets per the proposed layout. Door Style: Harvest raised panel arch Drawer Style: Slab Finish.- White painted maple Construction: Frameless plywood dove tail drawers with full extension soft close guides. Hardware- Brushed nickel knobs on all doors & pulls on all drawers. Fabricate supply and install granite counters with a Y4 beveled edge. Bar top will match the size of the existing bar top. Standard 4" backsplash is included. Kinawa White. Supply and install a stainless steel under mount sink double bowl 50/50 split and new Brushed Aluminum Faucet. Contractor will replace all water shut off valves and hook up the existing disposal. Contractor will supply and install under cabinet lighting. This proposal includes any necessary drywall work to complete the work and painting of all disturbed areas. We hereby propose to furnish labor and materials- complete in accordance with the above specifications, for the sum of: $14, 700 Fourteen Thousand Seven Hundred Dollars. Deposits are non-refundable. Any expenses, legal or otherwise, that are incurred due to collecting this debt will be at the customer's expense. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. Indian River Project Management, Inc. Guarantees all workmanship for a period of one year from the date of completion. This does not include damage caused from expansion, contraction of natural causes. All work is to be completed in a professional manner and according to manufactures specifications. This proposal is subject to acceptance within 30 days and is void thereafter at the option of Indian River Project Management, Inc. Authorized Representative: ACCEPTANCE OF PROPOSAL Date: o' ltr _ UNLESS OTHER ARRANGEMENTS ERE MADE IN ADVANCE PAYMENT TO BE MADE AS FOLLOWS: 50% to start and the balance is due upon completion. I am the legal owner or owner's representative. Indian River Project management, Inc. is authorized to do the work as specified. This proposal becomes a legal binding contract when signed. Owner Signature:. ✓t Date:�� Additional work and change: Add shelving to left side of washer and dryer Add two glass doors on cabinets besides refrigerator $ Property Appraiser - St.Lucie r--rity, FL Page 1 of 1 PROPERTY RECORD CARD Dana P Brandt Record: 1 of 1 <<Prev Next» Spec.Assmnt Property Identification Site Address: 3870 N A1A 105 ParcellD: Sec/Town/Range: 23 :34S :40E Account # Map ID 14/23S Land Use: Zoning: City/CntT Ownership and Mailing Owner: Dana P Brandt Shirley M Brandt Address: 3870 N Highway A1A Apt 103 Fort Pierce FL 34949-8512 Sales Information Date Price Code 2/23/2011 180000 0001 5/29/1992 105000 00 wv1r » <un� 13 Taxes Exemptions Permits Home Print, 4 \)PE 0" 1423-805-0003-000-4 133834 Condo St Lucie County Q� Legal Description HIBISCUS -BY -THE -SEA CONDOMINIUM BLDG 1 UNIT 105 (OR 3277-2360) Assessment 2011 Final Total Land and Building Deed Book/Page 2011 Final: 151700 Land Value: 0 Acres: 0.02 WD 3277 / 2360 Assessed: 151700 Building Value: 151700 WD 0793 / 0700 Ag.Credit: 0 Finished Area 1187 SgFt Exempt: Taxable: Taxes: 3086.45 BUILDING INFORMATION Exterior Features 3900 View: RoofCover: - RoofStruct: Ocean View ExtType: X056 - HBTSecConBl1 YearBlt: 1993 Frame: Grade: UD - UD EffYrBlt: 1993 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: - PrmintWall: FullBath: 2 HeatType: - AvgHUFI: STD 1/28ath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0400-Condo OF -Unit 0 0 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. kn KM'( http://www.paslc.org/prc.asp?prclid=142380500030004 2/9/2012