HomeMy WebLinkAboutpermit application, ob aff, plot plan 1
ALL APPLICABLE INFO WST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/4/17 Permit Number: �j
y
Building Permit Application
Planning and Development Services JAN 2017,
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Fence E
_ROPQSED`IMPROVE MENT LOCATION - -
Address:8600 S INDIAN RIVER DR,FORT PIERCE,FL 34982
Legal Description: HAL S THOMAS RE-S/D OF LOTS 1,2,3,4 OF RANSOMS S/D OF LOT 1 (PB 1-206).S 1/2 OF N 1/2 OF FOL
DESC PROP:THAT"PART OF LOT 1 LYG E OF FEC RR-LESS S 188.5 FT&LESS NLY 200 FT AS MEAS ALG RD-(OR 3823-205)
Property Tax ID#: 3519-501-003-000-1 Lot No.
Site Plan Name: . Block No.
ProjectName: Fence
Setbacks Front 30 It Back: 0 Right Side: 0 Left Side: 0
DETAIL ED,DESC'WT- ON OF UVORK
The property lot dimentions are: Front 123.7 ft, Back 108.7 ft, Right Side: 678.83 ft, Left Side: 669.18 ft
1. Erect a 6ft x 100 ft Ati.ds i fence on front,.situated at 30-foot Setback from the Front Property Line
2. Build a 6 ft x 150 ft GWs and vinyl fence on the right side on the property line
CONSTRUCTION INFORMATION
Additional work to be nertormed under this permit—c ec a appy:
EjHVAC Gas Tank F_1GasPiping _Shutters Q Windows/Doors
1 Electric 0 Plumbing ESprinklers 0 Generator F]Roof Roof pitch
Total'Sq.Ft of Construction: 40-0 �• S . Ft.of First Floor: 2044
Cost of Construction:$ 2,400 Utilities: Sewer Septic Building Height: 27 FT
QWNER/LESSEE CONTRACTOR:
Name JULIO MEDRANO Name:
Address: 8600 S INDIAN RIVER DR Company:
City: FORT PIERCE State:FL Address:
Zip Code: 34982 Fax: City: State:
Phone No.321-355-0001 Zip Code: Fax:
E-Mail:JULIO.MEDRANO@HOTMAIL.COM Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL-CONSTRUCTION LIEN LAW INFORMATION:
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:
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 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 lender or an attorney before
commencing work or recording our Notice of Commencement.
J�L ~ s
Signature of Owner/ essee/Cont o as Agent for Own �.�»H nature of Contractor/License Holder
..
STATE OF FLORIDA ?o ATE OF FLORIDA
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COUNTY OF OUNTY OF
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The forgoing Inst ent was acknowledged before me f �� a forgoing instrument was acknowledged before me
this '`f day of 20 aby Z miz is day of 20 by
o �5
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it °i z
i go MP b L
(Name of person acknowledging) m 8MBName of person acknowledging)
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(Signature of Vtary Public-State of Florida (Signature of Notary Public-State of Florida)
Personally Known O duced Identification / Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Planning&Development Services Department
COUNTYBuilding&Code Regulations
• R I • A 2300 Virginia Avenue
Fort Pierce,Florida 34982
(772)462-1553
OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S.489.103(7)EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you,as the owner of your property,to act as your own contractor even
though you do not have a license. You must provide direct, on-site supervision of the construction yourself. You
may build or improve farm outbuildings, a one-family or two-family residence for your use and occupancy. You
may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own
use or occupancy.You may not build or improve said structures for the purposes of selling or leasing that building.
If you sell or lease a building you have built or improved within one year after construction is complete, then a
presumption is created that it was built or improved for sale or lease,which is a violation of this exemption. You
may not hire an unlicensed person to act as your contractor or to supervise people working on your building; it is
your responsibility to make sure that people employed by you have licenses required by state law and by county or
municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed
contractor who is not licensed to perform the work being done. Your construction must comply with all applicable
laws,ordinances,building codes,and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on how to meet
the minimum code. Initial_ 'l
I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial
I understand that if I compensate any person or company for work performed they are required to be
licensed in this jurisdiction. If for some reason they do not possess a license,I may be responsible and liable for the
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction project-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical
cost,which could include loss of wages during recovery from their injury. Initial
To qualify for this exemption under this subsection,an owner must personally appear and sign the building
permit application and initial the above.
I hereby acknowledge that I have read and understand the above disclosure statement and that I further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
y day of J4vwa. of 20 V.
r
�Y
OwnerBuil er Signatur
STATE OF FLORI •
COUNTY OF
The foregoing instrument ac owledged before me this -L daeientification. ,20 ,
by j ' who is personallyto me,or who has
produced
Signature of N Type o rint Name of Notary (Seal)
Title:Notary P lic Commi Sion Number
SLCPDSD Revised 05/15/2014
AUDREYB.HUMPHREY
*' +: MY COMMISSION#FF 174772
EXPIRES:March 6,2019
° ! ;( Bonded Thru Notary public Underwriters
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8600 S INDIAN RIVER DR. FORT PIERCE FL 34982
LOT DIMENSIONS: FRONT: 103.5 FT, BACK: 108.72-FT, RIGHT SIDE: 678.83-FT, LEFT SIDE: 669.83
FENCE DRAWINGS
NORTH
6_FT x 150 FT Decorative Aluminum
Fence ..Feet Setback
INDIAN
'4 r 6 FT x 100 FT RIVER'.DR
GARAGE BUILDING -
ti:::., Aluminum Fence
INDIAN
6 FT x 16 FT GATE DRIVEWAY.
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L .'. . .'.'.'. .'. .'.'. . -'!
4
6 FT x 16 FT GATE, DRIVEWAY
i
6 FT x 150 FT Decorative Vrnyl Privacy Eence ,,dFee.t..Setback