HomeMy WebLinkAboutSUBMITTED PAPERS6AT'_E FiLEDI__��'_
PLAN REVIEW FEE: RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
PERMIT NUMBER: J00 7 �(Q
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning
2300 Virginia Avenue
SCANNED Ft. Pierce, FL 34982-5652 -ca-�q
BY � 772-462-1553 ID? 1 oc)�
St. Lucie Cbunty
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: -5 01C e6117 7' 16 47
2. PROJECT NAME:—/i?/ SITE PLAN NAME:
3. PROPERTY TAX ID #: Q0j!?! 00e)-
4. LE9AL DESCRIPTION (attach extra sheets if necessary)A,�ZQ L'(/ a%r 107"- 305�
80 / ld;/ a, 0 L-17'_
5. PLAT BOOK 6�;G 0. 7. BLOCK NO. 8. LOT NO.
L,0
9. PARCEL SIZE (ACRES/SQ FT.): %0 :LOTDIMENSIONS:
10. COMPL E DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY:
'IT
0-
11. 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)
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION: /12/0 15. SF. FT I st 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
OWNER INFORMATION
NAME: t-,Vjj f J-/ I I I
ADDRESS: /070 Odn�all . ar 14) Z 71!2,
CITY: STATE: ZIP:
Email:
PHONE (DAYTI]ME):M
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
ST. of FL REG.CERT #: 13�2 ST. LUCIE COUNTY CERT #: 6 1 j-'- 16
BUSINESSNAME: e2ul-Ir,
QUALIFIERSNAME:
ADDRESS: 44C-1-,,.ze1-1,i
CITY: STATE: ZIP: 2
PHONE (DAYTIME): 0*�4-11;�X NO. Email:
I - —
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE: ZIP:
STATE:
STATE:
ZIP:
ZIP:
FOPORTANT 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 perniits
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.
6WNER OR CONTRACTOR SIGNA E
STATE OF FLORID
COUNTY OF
— ,
The foregoing instrument was acknowledged before
me this 2�_day of 720/_0 ,
by
who is personally known t/ or has produced
identification.
CONTRACTOR SIGNATURE
STATE OF FL
COUNTY OF
Mal' r I//
The foregoing instrument was acknowledged before
me this day of 1-72 '
P ollcnL
by
who is personally known6__ or has produced
as identification.
Sig�_ature_of Notary Signature of Notary
Commission No. Commis lgv STEI66� M. HLINMAO"'
'-4MA
M. HUNWIR w
STELLA - . LQ MY COMMISSION # DO 630775
ON # 1) 630775
I P Z W
MY COMMISSION # i EXPIRES: January 23,2011
P,
ra
Z EXPIRES- January 23,2011 sondsd Thru Notary Public Odom*
Public Underwriters
NOTE: TWO (2) SIG T 0 SIGNATURE MUST Br7=ZE11). . IF -A YING FOR
THIS BUILD — 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
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
IST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF AEC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
(RADON)
RADON
FEE
PERMIT
FEE
LJBRARY
INTACT
FEE
- I
PUBLIC BLD
IMPACTFEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
y
N
LAW ENF
IMPACT
FEE
FIRE/EMS
INTACT
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
DATE
COMPLETED
INITIALS
la
0
ST. LUCIE COUNTY
BUILDING & ZONING
230D \nRGIMA AVEWE
PAIERCE, R 34M-U.52
561-4v-1%3
FILLED LANDS AFFIDAVIT
q - / 00jy 600 7
1 the undersinned am the owner of the followinG described property: 3-// io
1 0 ��)& , f _Z - 3 � ` — 7
S 'Jt'l T-5
(Tax ID/Legal descriptioNAddress)
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 7.04,011 (D), St.
Lucie County Land Development Gode, I shall be responsibie for assuring adequate
drainage so that the immediate community WILL NOT be adverseiy 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 prciperty which wifl not adversely affect the immediate community.
tS
a_,, Y, I
Property Owner Name
STATE OF FLORIDA. COUNTY OF. C
_ 2T 4
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS OF.---- 20_,
D-2
By '!�
LojIL-WHO IS PERSONALLY KNOVVI-i TO ME OR WHO HAS PRODUCE
2STU �ReO2
.__NQjARY` e!�HkIC __jITLE
IDENTIFICATION.
TYPE OR PRiNT NAME OF NOTARY
'COMMISSION NUMBER
(SEAL)
pnVC'STATF, Oy nORID-�
10TARY
juann FicO
. ion #DDST_',12�2
COMMISS
'Dpireis- MAy02,20t�l
...... 41 G CO., Ui'�-
F
'D TIMU tn.WnC BONDIN
I-
C,
"' i - " /
-'z I 'i "o 1w"o'
ST. U'CiE COi�N'l Y OVILDLNG DTIVISIG X
REVIE ED FOR. CU L 11 , Uri
REVIEW y
DATE
PL.AaNS N EILNJ[IT MUST BE
OR NO U'�SPECTION WILL BE Nit�DE.
MIN. SETBACK REQ.
J.
3;7 Ae
(ell
FILE COPY
Property Appraiser - St.Lucle County
Ilk
Page I of I
PROPERTY RECORD CARD
Bonnie J Driscoll
Record: I of I
<<Prev Next >> Spec.Assmnt Taxes Exemptions Permits
Horne Print
Property Identification
co
Site Address:
10725 S OCEAN DR
ParcelID: 4511-501-0059-000-7
,,\,PE
Sec/Town/Range
Map ID:
11 :37S :41E
45/11 G
Account#
Land Use:
123219
Mob Homes
HIRD
City/Cnty
St Lucie County
Zoning:
Ownership and Mailing
Legal Description
Owner:
Bonnie J Driscoll
HOLIDAY OUT AT ST LUCIE BLK B LOT 14 AND EQUAL PRO-RATA
Address
10701 S Ocean Dr #712
INTEREST IN COMMON ELEMENTS (OR 3199-481)
Jensen Beach FL 34957
Sales Information
Assessment 2009 Final Total Land and Building
Date
Price Code Deed
Book/Page
2009 Final: 46400 Land Value: 45000 Acres: 0-04
5/14/2010
50000 0001 WD
3199/0481
Assessed: 46400 Building Value. 1400
2/11/1993
01 WD
3146/1033
Ag.Credit 0 Finished Area 280 SqFt
12/21/1988
100 01 DE
064312075
Exempt:
6/1/1984
0 01 Cv
0436/1994
Taxable:
11/1/1978
0 01 Cv
0299/1588
Taxes 902.19
10/1/1973
5000 00 Cv
0219/2777
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
-
RoofStruct:
-
ExtType:
MHH - MHH
YearBlt:
1976
Frame.
-
Grade
MHTT - MHTT
EffYrBIt:
1976
PrimeWall:
-
StoryHght:
0010- 1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
0
Electric.
-
PrmIntWaIL
FullBath:
0
HeatType:
-
AvgHVFI:
STD
1/28ath:
0
HeatFuel:
-
Prrn.Flors�
-
%A/C:
0
%Heate&
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type
Y/S Oty,
Units Qual. Cond.
YrBIt No. Land Use
Type
MeaSLIre Depth
TSRG - TRV SSR GD
S 1
180 AV AV
1920 1 0200-Mob Homes
BI -Site
1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www. pas] c. org/prc. asp?prc lid=45 115 0100 5 90007 7/30/2010