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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
N i -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
PRQPOSED
LIN,$ r@QM10NT L©CA1'IlJN:
Address: R6® ( �E nis A Co L A
Legal Description:
Property Tax ID#: 3 y (a b (Q 6 3 ( i7 C) d Lot No. Z"3
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DE AFLED DE�S�CR{iPTI®N �F WORD:.
CONSTRa1J.CT(ON LN�1=0RaM TIQN:
Additional work to Ue--p-eiffo-rmed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 7 Utilities: —Sewer —Septic Building Height:
OWNERf LE= CONTRA'C"TO,R•
Name<o Q AA Name: 1Atkt:�_4_ SEy-v
Address: S66 ` �btis 0[-►4- �y� Company:`A �1�j� i _ C-•�C-� �v cr-
City: ' p�G�LQ_,� State:_ Address:, 6. S T
Zip Code: Fax: City:. ; State: L-
Phone No. Zip'Code: �� Fax:
E-Mail: Phone No J-- S,0/o
Fill in fee simple Title Holder on next page(if different E-Mail . t_C Nly+W 7 ( V_ 60b CDeL,-
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
SIJP'PLEMENTAL CONSTRUCTI©N IEN LAW INlFORMATIQN:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your prgperty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectipy. If you intend to obtain financing, consult with lender or torney before
commencing work or pUording your Notice of Commencement.
n
Signature f O " er/Le see/Agent Sign re o on ractor i ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFCOUNTY OF `` o
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of—, Q 20_ by this 3 day of SQ [ $ 201.'� by
1 `cark. ��1� Z-Q.awn,
( e of person acknowle ing) (Name of person acknowledging)
ignature of Notary Public-St of Florida ) (sigrilature of Notary Public-SQS of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of I n.Iiification Type of Identification
Pro0• D (0 Q Produced
LASHAHNAINGRAM
•l�Y pUB�•ice
Commission No. (Seal) o mission No. ;'2°, ±�; 3 ublic State of Flori a
;.„ .•`My Com .Expires Dec 20,201
LASHAHNA INGRAM ^,9l °�: Commission#FF 177249
���av PUB4 Public- '' n
Not Xy 2 ,2018 .
REVIEWS FRONT O =My o8 ?P�`R`((f��i7 249P NS VEGETATION `SEA RTLE MANGROVE
COUNTER ;;;E �? om�� nil fyfAEsV W REVIEW REVIEW REVIEW
DATE P;,; Dull
RECEIVED
DATE
COMPLETED
ev.
SHEET 1 OF 2 SURVEY SKETCH ---SURVEY NOT COMPLETE WITHOUT ALL SHEETS
MAP OF BOUNDARY SURVEY PREPARED FOR ALGON MCCOY
PROPERTY FRONT VIEW AERIAL PHOTOGRAPH
dAGE NOT TO SCALE
w:<
t
- e
PENSACOLA DRIVE
(70' R/W)
ASPHALT ROADWAY
>
CULVERT `—CULVERT
FIR 5/8" N 90'00'00" E 299.98'
(NO ID) FIP 1/2" 90 00'400" E 90.00' FIP 1/2"
BEARING BASIS (NO ID) (NO ID)
N p N c?,?be��r hes
C7 1l er Ift7 n 1701,
I
3 b r 22.00' covE41. wrar 26.20' _ `(001 roJwayOn/© w�th/n,y NOSt,L
z j p
'[ 9 J sC �C f— - 5 �t Ii/% 0 �sem� Otof'©
� N #8001 N i 0,..t- S '/se t O'
{l/ a ONE STORY CBS �Ly
RESIDENCE yA I FENCE CORNER LIES OVA
i f 0.1' EAST
z
�Z I-10.5 i a.e 26323 I
§7 SCOVEM N :fV CC�Rm
PORCH
�BLOCKLOT 263 4 PORCHotO 0 �a BLOCKLOT 63
( I
L o
Mg: LOCK 63 ;� M
C, o o
o: ¢ o
I , ;
FENCE CORNER LIES
WEU FENCE
NORTH
1, EAST'
10' P.U.&D.E.
FIP 1/2" S 90'00'00" W 90.00' FIP 1/2"
(NO ID) (NO ID)
LOT 3 LOT 4 LOT 5
BLOCK 63 BLOCK 63 BLOCK 63
GRAFIIIC 5CALI=
BEARING BASIS:BEARINGS ARE BASED UPON THE PLAT BEARING FOR o' 115, 30. 6o,
THE SOUTH RIGHT OF WAY LINE OF PENSACOLA ROAD. 1"=30'
NOTES:
PROALL BEARINGS ARSAND l BE SERVICED N RE LICPLA DTD.D ME BA SEPOINT SURVEYORS
ALL BEARINGS AND DISTANCFS SHOWN ARF.PLAT AND MEASURED.
P.U.&D.E.=PUBLIC UTILI7YAND DRAINAGE EASEMENT PROFESSIONAL SURVEYING AND MAPPING
.,OB#-1509-002 SCALE-V-30' WWW.BASEPOINTSURVEYORS.COM
FIELD DATE-09/0112015 DRANNBY-M.N.S. p,0. BOX 691152 Vero Beach FL 32969
REVISION- 7
` '�� REVISION- Phone (888) 220-6805
y✓ a �t'uiiii.���u�yui� VISIONFax (885) 219-5273
SHEET 2 OF 2 SURVEY DETAILS -----SURVEY NOT COMPLETE WITHOUT ALL SHEETS
LEGAL DESCRIPTION: JOB NUMBER: 1509-002
LOT 23, BLOCK 63, LAKEWOOD PARK, UNIT 6,ACCORDING
TO THE PLAT THEREOF,AS RECORDED INPLAT BOOK 11, FIELD WORKDATE: 09/01/2015
PAGE 7, OF THE PUBLIC RECORDS OF ST.LUCIE COUNTY,
FLORIDA. PROPERTY ADDRESS:
8001 PENSACOLA ROAD, FT. PIERCE,FL
FLOOD ZONE: THE SURVEY SITE APPEARS TO LIE IN FLOOD
ZONE 'X",ACCORDING THE FEDERAL EMERGENCY
MANAGEMENT AGENCY FLOOD INSURANCE RATE MAP
NUMBER 12111 C0070J, DATED FEBRUARY 16, 2012.
SURVEYOR'S LEGEND FFE=FINSHED FLOOR ELEVATION PCC=POINT OF COMPOUND CURVATURE
FIP=FOUND IRON PIPE PCP=PERMANENT CONTOL POINT
Al C=AIR CONDITIONING FIPC=FOUND IRON PIPE AND CAP POB=POINT OF BEGINNING
BB=BEARING BASIS FIR=FOUND IRON ROD POC=POINT OF COMMENCEMENT
BFP=BACKFLOW PREVENTER FIR =FOUND IRON ROD AND CAP PP=POOL PUMP
BLDG=BUILDING FN=FOUND NAIL PRC=POINT OF REVERSE CURVATURE
BLK=BLOCK FN&D=FOUND NAIL AND DISC PRM=PERMANENT REFERENCE MONUMENT
BM=BENCHMARK FND=FOUND PT=POINT OF TANGENCY
C=CURVE FPK=FOUND PK NAIL R=RADIUS
CATV=CABLE T.V.RISER FPKD=FOUND PK NAIL AND DISC RNG=RANGE
CB=CATCH BASIN FRRSPK=FOUND RAILROAD SPIKE RI W=RIGHT OF WAY LINETYPES
CL=CENTERLINE GAR=GARAGE S=SURVEY
CLF=CHAIN LINK FENCE HYD=FIRE HYDRANT SEC=SECTION =BOUNDARY LINE
CLP=CONCRETE LIGHT POLE ID=IDENTIFICATION SIR=SET IRON ROD AND CAP =STRUCTURE LINE
CONC=CONCRETE L=LENGTH SPKD=SET PK NAIL AND DISC
CP=CONTROL POINT LB# =LICENSED BUSINESS SV=SEWER VALVE — • — •. —=CENTERLINE
CPP=CONCRETE POWER POLE IS# =LICENSED SURVEYOR TBM=TEMPORARY BENCHMARK _=EASEMENT LINE
D=DEED M=MEARSURED TOB=TOP OF BANK - — — —
DF=DRAINFIELD MB=MAP BOOK TWP=TOWNSHIP =CHAINLINK FENCE
ELEV=ELEVATION MES=MITERED END SECTION TR=TELEPHONE RISER ❑ =WOOD FENCE
EM=ELECTRIC METER MH=MANHOLE TYP=TYPICAL
EOW=EDGE OF.WATER MLP=METAL LIGHT POLE WIT=WITNESS o—--o—=OTHER FENCE
EP=EDGE OF-PAVEMENT OHW=OVERHEAD WIRES WLP=WOOD LIGHT POLE
F=FIELD P=PLAT WM=WATER METER
FCM-FOUND CONCRETE MONUMENT PB=PLAT BOOK :' WPP=WOOD POWER POLE
FDH=FOUND DRILL HOLE PC=POINT OF CURVATURE WV=WATER VALVE
SURVEYOR'S NOTES
1. This survey'does not determine or indicate land ownership.
2. The surveyor did not research or abstract the land records for rights-of-way, easements, reservations, deed restrictions,
zoning regulations, setbacks, land use plan designations, adjoining deeds, liens, Murphy Act rights-of-way, areas of local
concern, or other similar jurisdictional determinations. To the extent that this type of information is shown, it is shown solely
on the basis of information provided by the client or information otherwise known to the surveyor and may not be complete.
3. Underground utilities, building foundations, and other underground fixed improvements were not located, unless otherwise
indicated. To the extent that this type of information is shown, it is shown solely on the basis of surface indications observed
by the surveyor and may not be complete.
4. Jurisdictional wetlands and endangered or threatened species habitat, if any, that may exist on or•around the survey site
were not determined or located.
5. The survey date is the field date shown in the title block, not the signature date.
6. This survey map or the copies thereof are not valid without the signature and the electronic or original raised seal of a
Florida licensed surveyor and mapper.
7. Fences shown on survey are for illustrative purposes only. Fence ties shown are relative to the center of said fence. The
surveyor will not be responsible for damages resulting from the removal and/or changes to any fences unless the survey
was provided specifically for fence location purposes.
SURVEYOR'S SIGNATURE CERTIFIED TO:
"011111111111", ALGON MCCOY
G�No.6995T�
0 STATE O
°L,aca°'009/01/2015
STEPHEN C. CALIFF DATE
PROFESSIONAL SURVEYOR AND MAPPER#6995 BASEPOINT SURVEYORS
STATE OF FLORIDA PROFESSIONAL SURVEYING AND MAPPING
NOT VALID WITHOUT THE SIGNATURE AND ORIGLNAL RAISED SEAL OR ELECTRONIC SEAL OF THE
FLORIDA LICENSED SURVEYOR ABOVE.THE SURVEYOR HEREBY CERTIFIES THAT THE ELECTRONIC WWW.BASEPOINTSURVEYORS:COM
SIGNATURE AND SEAL HEREON MEETS PROCEDURES SET FORTH IN CHAPTER 5J-17.062 OF THE
FLORIDA ADMINISTATIVE CODE,PURSUANT TO SECTION 472.025,FLORIDA STATUTES. PO. BOX 691152 Vero Beach FL 32969
THE SURVEYOR HEREBY CERTIFIES THAT THIS SURVEY
® � MEETS THE MINIMUM H TECH ICAL E FLORIDABOARS FOR Phone (888) 220-6805
�we`�gwq���uwts��i�ingwulF'aelw� SURVEYS,SET FORTH TE THE FLORIA BOARD FOF OR
SURVEYORS AND MAPPERS IN CHAPTER SJ-17.051 AND
J� YYYY {{{Y6611 YY�{{{iii UUU 5,1-17.0520E THE FLORIDA ADMIMSTRATTVE CODE,c Fax (885) 219-5273