HomeMy WebLinkAboutSUBMITTED PAPERS4n
Fee Duet-1--/ Rece!Dt#� V2,J- 1.7 --�-TPermit #
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Planning & Development Services
Building &Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553.
SCA�Jv . e
St. t sy
4cie C01Jnty
SPECIALTY PERMIT APPLICATION
1:1 Electrical 0 Plumbing OHVAC 13 Fence
0 Shed 11 Demolition El Gas 0 Siding
See page 2for instructions and additionalpaperwork requiredfor specialty permits
1. Location/Site Address: 0 c �e &-in Of, 41 Cl 31
2. Parcel ED Number: 3 6 61- 0 6.4 3 -e) co 0
0fJ11ce Use
Only
Section
Township
Range
1411�5-
Map Page
Zoning
Land Use
Initials
3=
3. Complete Description of Project or Work: / < 94 (of C
k �e- .1for Z-' k 4e-
4. Owners Information 5. Contractors Information
Name: Lia �e- ty FL Reg/Cert #: C;t
Address: JOC-e a tj 1-)r, -dq,?/County Cert#: Coo 1?13?06
City: 71-elo!�t-tl P)eaC State: Business Name: Af I -10(�
5-6/
Zip: Phone.? 7-7-1--74-7 Phone: '7,f-3-95-1* Fax: -7 —2-,S87
6. Value of Construction: $ e& 9,
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
compliance NVith all applicable laws regulating construction and zoning.
PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF
I
ACKNOWLEDGED BEFORE ME THIS
WHO IS PERSONALLY KNOWN TO ME
AS IDENTIFICATION.
I SIGNATURE OF NOTARY
COMMISSION NUMBER
DAY OF 20� BY
OR WHO HAS PRODUCED
(seal)
TYPE OR PRINT NAME OF NOTARY
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.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
4
Revised 04/26/2010
NOTICE TO OWNER: FAILURE T(, �CORD A NOTICE OF COMNfENCEMENT MAV,, AULT IN YOUR PAYING TWICE FOR
INPROVEMEENTS TO YOUR PROPERTY. IF YOU INTEND TO _ OBTAIN FINANCING" CONSULT WrrH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONSENCEMENT.
EXEMEPT: A/C -HEAT REPLACENIENT WITH CONTRACT UNDER $5,000.
INSTRUCTIQNS(A\,�";�"
Please corplet' in the space provided. All information must be printed (use black or blue ink
only) or typed.,TM91'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
Indicate the street address or general location of
property where the building activity is taking place.
2. Parcel IUD Number
Indicate the tax identification number of the
property where the building activity is taking place.
3. Description of Project or Work Activity
Fully describe the activity to take place.
4. Owner Information
Indicate the name and address of the owner of the
property on which activ,ity-is taking place.
5. Contractor Information
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work.
6. Value'of Construction
Indicate thetotal value of the work to take place.
Total cost of construction include"s' all current retail
material and labor costs as s*oc'iated 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 figbres are not consistent with
similar types -of construction.
0 Gas -,Attach 2 piping schematics with tank size,location, and BTU of each�applia'fice
0 Shed: Attach 2 plot plans, 2 copies
of DCA letter and -plans, 2 anchor specifications
0 Fence Attach 2 plot plans showing location of fence height of fence and type of fence
0 Siding Attach 2 copies of manufactures specifications
0 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 perforined after 3:00 PM without
special arrangements and additional fee paid.
Upon issuance of this permit, required inspections can be scheduled. by calling (772) 462-126 1.
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.
. . . . . . . . . . .
r$00241? 61? (50-VTIOW'1097SIGNATURE CON R_SIGNAT_VkE----'_
STATE OF FLORIDA STATE OF FLWDA
X-I
COUNTY OF �L�_,COVN COUNTY OF f-�r_-Cxcin
The foregoing instrument was acknowledged before The foregoing instrument was acknowledged before
me this k-2-Y—day of 20 0- me this N-2Y' day ofl_��C)Okg_kA 20-12—,
by by
who is personally known X or hasproduced who is personally known or hasproduced
—as i e * ation. as identific "on.
�kffgn�ature of Notam N ING ure of Notary
�Ao ISSION IN
f
Commission No.— ea Y 013 Commission No. MYCOMMISSIONOD
taty i1c ndendem
Bonded ru Robry EXPIRES: July 21,
Fit Bonded Thru Notaq Nbk U
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNERIBUILDER, 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.
Property Appraiser - St.Lucie FL
Page I of I
FA
Walter A Brett Record: I of 1
Property Identification
Site Address: 8750 S OCEAN DR 931
Sec/Town/Range: 35 :36S :41 E
Map ID: 35/34N
Zoning:
Ownership and Mailing
Owner: Walter A Brett Cheryl L Brett
Address: 8750 S Ocean Dr #931
Jensen Beach FL 34957
PROPERTY RECORD CARD
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Spec.Assmnt Taxes
Exemptions Permits Home Print
0
ParcelID:
3535-601-0043-000-0
Account
116614
OF
Land Use:
Condo
City/Cnty:
St Lucie County
Legal Description
ADMIRAL CONDOMINIUM UNIT 931 (OR 3351-801)
Sales Information
Assessment 2011 Final
Total Land and
Building
Date Price
Code
Deed
Book/Page
2011 Final:
395700
Land Value:
0 Acres: 0.02
12/20/2011 395000
0001
WD
3351 /0801
Assessed:
395700
Building Value:
395700
2/24/1999 400000
01
WD
1209/2274
Ag.Credit:
0
Finished Area:
1922 SqFt
2/24/1999 100
01
WD
1209/2272
Exempt:
5/1/1985 243000
00
CV
0475/0418
Taxable:
.1
Taxes:
8050.8
BUILDING INFORMATION___________
L X
X
n
13
11
Exterior Features
3900
View:
-
RoofCover: -
RoofStruct:
Ocean
View
ExtType:
X067 - AdmiralCondo
YearBIt: 1983
Frame:
Grade:
X67D - AdmiralsD
EffYrBIt: 1983
PrimeW211: BS - CB Stucco
StoryHght:
0010- 1 Story
No.Units: I
SecWall:
Interior Features
BedRooms: 3
Electric:
PrmlntWall:
FullBath: 2
HeatType:
AvgHt/Fl:
STD
1/213ath: 1
HeatFuel: -
Prm.Flors:
-
%A/C: 0
%Heated: 0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty. Units
Qual. Cond. YrBIt. 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
http://www.paslc.org/pre.asp?prelid=353560100430000
1/12/2012
IF -
OFFICE USE ONLY BP #:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST 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)
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BLD
IMPACTFEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
ROAD
1IMPACT
CREDIT
Y
I -
N
�
LAW ENF
�IMPACT
OWNER INFORMATION
NAME: Naev-\'i � �� Y-.e A;L�
ADDRESS: G�& '-, - 0 C -P - 0-- — Q'-' 9 ?> t
CITY: -S -e��CN VD -e uc:� STATE: ZIP: -7
PHONE (DAYTIME): (13'
4 Z -2- 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:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST.ofFLREG.CERT#:
BUSINESSNAME: �5vconcn V-'- dcv)nLA
ZIP:
ST. LUCIE COUNTY CERT #: IU6 7
QUALIFIERSNAME: Z)-LC-'VC
ADDRESS:
CITY: STATE: FL- ZIP: 354,5s
PHONE (DAYTIME): (,-qpb 145-9554 FAX NO. ?581 Email: 'i�;M QZ
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGELENDER:
ADDRESS:
CITY:
STATE:
STATE:
STATE:
ZIP:
am
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:
DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
PERMIT NUMBER:
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
V,
St. Lucie County Building and Zoning
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 816c) S. Ocea-t-�'Dy^.
2. PROJECT NAME: -ey-cb,— SITE PLAN NAME:
91
3. PROPERTYTAXID#:
4. LEGAL DESCRIPTION (attach extra sheets if necessary): GA—miroA emo-n M " -ko00-) L) rv,-�- co
5. PLAT BOOK '3 *551 6. PAGENO. ��Qk 7. BLOCK NO. 8. LOT NO.
I q 0-1 Acre.a,
9. PARCEL SIZE (ACRESISQ FF.): LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: )CC?�6L(-f—
Oea1 'PWCAq tofAh yNiff W V�AA-eaA"C-1vks-P -
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION EXPANSIONIADDITION INTERIOR RENOVATION
RESIDENTIAL COMMERCIAL INDUSTRIAL
OTHER(SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION: 1012-2- 15. SF. FF 1 st FLOOR:
16. VALUE OF CONSTRUCTION: $ U q, Q 6 -
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