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Windmill Village by the Sea Cond1
10851 South Ocean Drive#169
Jensen Beach, FL 34957
772-229-1145 FAX: 772-288-0175
ARCHITECTURAL CONTROL APPLICATION
Exterior Change or Alteration
Name:
Sclnw+eLOT
Address: 56`6 TA,,$)trihe X)vd S4uAA
Phone: Home: Other. ?7 Z -j it$5;'q So5-
LLDescription of Work: LoiGonct^e4e GnGi PA,er €x-�enSi`o�,. Ca�c<e e Wd)
j Px4qnc1 ova jo a w;d4- !r� 22 -F e0 , Po�ytr5 l,ti)1! ;e7cAe►�ri S �ee� Ov►�
�c�r. -}1,c Goncre�e i,
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Contractor/Persons doing work:_1/e S)e� S d,w i cr / Ownc r' Ri do r
Note. Contractor Insurance needs to be on fde with the office (General Liability& Workers
Compensation)
Agreement:
1. Alterations require submission of drawing to scale.
2. Painting requires chips of both house and trim colors.
3. The Association is not responsible for determining if a Permit is required. Obtaining Permits is the sole
responsibility of the homeowner or the persons doing the work requested in this!application. If a Permit is
required,the homeowner must post the permit on said property until the',work is,approved. .
4. A site plan indicating the areas of work is required with dimensions. '
S. Specifications of all material to be used must be submitted. i
6. The Association,the Developer and the Management Company shall beheld harmless from all liability
concerning this application
7. Homeowner acknowledges that there will be no encroachment of easements or violations of the
Association's Covenants.
- — & The Board meets monthly. Allow 40 days for response of approval or"pprorL
Signature of Homeowner Date
For Architectural Committee Use or in Absence of Architectural Committee Board Use Only
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Not Approved Reason(s):
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ved Comment: ova— okwulzbbd
Signature of and Member or Committee Member Signature of Board Member or Coaunittee Member
Updated 10/2711013
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-, 3 PLANNING & DEVELOPMENT SERVICES DEPARTMENT
e Building&Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
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FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property;
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L 51) - $lc)- 010 -on 0 -0 , L.IinJ/nlll 1/iho-nr 4g As -Ste, Cn'nr�oMfn:unn /Vp I IMA 1162
(Parcel Id#/Legal description/Address)
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
7.04.01(D), St.Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILLI NOT;be adversely 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 property which will not adversely ,affect' the immediate
community.
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Property Owner Name(Please Print)
- ] _ Zy - 7-0)�
I Property Owner Signature Date j
STATE OF FLORIDA,COUNTY OF
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ACKNOWLEDGED BEFORE METHIS
` � DAY OF
ET20
BY �� J Vi 1 W IO IS PERSON LY KNOWN TO ME OR WHO HAS
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PRODUCED AS IDENTIFICATION.
A"P
b
SIGNATURE OF TARY PUBLIC TYPE OR PRINT NO I AR ri ! 1
iCOMMISSION NUMBER
((SEAL) i
ANGELA M HUFF
SLCPDSD Revised 04/11/2011 ` ,otd'Y°�o�;.,
Notary Public-State-of Florida
Commission#FF 234730
My Comm.Expires May 27,2019
Bended through National Nntary Assr.
.i '7
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
F LORI • BUILDING&CODE REGULATIONS DIIVISION
Survey Reguirements
The Board of County Commissioner approveda' code change that will require a copy of a current sealed
survey when applying for a building permit for a primary structure or a building permit for an accessory
structure with a value exceeding$10,000. This became effective July 1,199j.
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The guidelines are as follows:
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No Building Permit shall be issued for development unless a copy of a survey of thelpioperty on which
the required activity is to be permitted accompanies the application for building permit. All°surveys shall
demonstrate compliance with the Filled Lands Affidavit signed by the Property Owners(refer to St.Lucie
County Land Development Code,-Section 7.04.01.D.3.)and completely depict the following:
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1. The location of the proposed development activity. t
2. The relationship of the activity under application to all adjacent propierty lines,and as maybe
required--for the review of the application,all adjacent structures,improvements or natural
features,including but not limited to the nearest building comers of all adjacent primary and
accessory structures,pools and screened enclosures,fences,sheds,utility easements,wells,septic
systems;driveways,culverts and any landscaping or existing vegetation located along the
property lines. i
3. A minimum of two(2)elevations along each roadway on whiclithe propos4activity borders,the
existing ground elevation at the center of the proposed structure;the existing ground
elevation alongthe side property lines adjacent to the proposed structure,and the proposed
finished floor elevation of the structure under application and finished grades!for any adjacent_
structures noted above in item 2. The proposed finished floor elevations must be consistent with
the approved Health Department Ori-Site Sewage Disposal System Construction Permit if on-site
sewage disposal is proposed
All surveys submitted shall be prepared,signed and sealed by a Florida Registered Land Surveyor,in
accordance with,the provisions of Chapter 61G17-6,FAC,except those applications,for interior
modifications or construction,roofing permits not involving any structnal alteration;br additions to the
area covered by the roof surface,or any other permit required activity that does not'result in the expansion
of any portion of the existing structures shall not be required to submit a survey. Accessory' structures
with a building value of less than ten thousand dollars($10,000)shall not be required to submit a survey,
but shall instead be required to submit a scaled-plot plan indicating the location of the accessory structure,
and its compliance with minimum setback standards. Copies of'original surveys meeting the above
requirements may be submitted with any application for building permit,provided t6t the survey still
depicts the accurate location of all structures and other improvements on le property.
Per Florida Administrative Code Chapter 61G17-6.006,paragraph 8,additions;or deletions to
survey drawings by other than the signing party or parties is prohibited without written consent of
the signing party or parties.
SLCPDSD Rev 06/18/2010
2/9/06 cml
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/ Planning&Development Services Department
COUNTY Building&Code Regulations,
s R I 1 2300 Virginia venue, 'I
Fort Pierce,Florida 34982
(772)462-1553
OWNER/BUILDER 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,ito 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 Ifor 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 purposesi 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 appH able
laws,ordinances,building codes,and zoning regulations. i Initial 214
I understand that the building official and inspectors are not there to design or give advice on how to meet
the minimum code. Initial-
I understand that as an owner-builder that any contract disputes with su i-contractors and I must be handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Q
Initial . Li
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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 or 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 mgdical
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
2�I day of angor Iof 20 ! II
Owner/Builder Siature
STATE OF FLORIDA
COUNTY OF 1 A��.
The foregoing instrument was acknowledged before me this o>day of
by SkZQ S who is personally known I to me,or who has
produced as identification.
Signature of N Type or Prtnt Nam of Notary (Seal)
Title:Not, PYblic Commission Num er
SLCPDSD Revised 05/15/2014 i ANGELA M HUFF
Notary Public-State of Florida
,`M a•_ dornrnission#FF 234730
My Comm.Expires May 27,2019
(N �OF F��p`` gonde�i through National Notary Assn.
,nun
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Planning and Development
COUNTY31-E Tservices Department
D r Building & Code Regulation Division
I.nspections
Helpful Hints for Owner 800''ers'
Scheduling Inspections
• Inspections are typically performed the day after the inspection is scheduled.
• There are two ways to schedule an inspection:
a. Call 772-462-2172 or 462-2165 between 8 a.m. and 5 p.m'., or
b. Go to www..stlucieco.org, click on permits, click on online building inspection
system.
1. Enter permit number
2. Enter confirmation number (this number is on the top of,your, building
permit next to the building permit number.)
3. Enter
4: Click on the request next to the inspection you Want to schedule.
5. You can schedule an inspection online until 9 pm Monday—Friday for next
day inspection service. On Friday, the inspection will be scheduled for
Monday. On Saturday and Sunday, the inspection will'be scheduled on
Tuesday. ;
6. For residential fences inspections, submit compliance'affidavit to the
permitting office after the fence is completed. It can be'emailed to
Permits@St.Lucieco.org. !
Day of Inspection
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• Go to www.stlucieco.org, click on permits, click on daily inspections schedule.
• Locate your address or permit number, the screen will(show the inspector name
and whether the inspection is in the morning or afternoon.
• Inspections are listed in order of scheduled site visit.
0 Inspectors are available by phone at-the numbers listed below from 7am till 4pm.
Andy Wentz 772-249-9502
Gary Scheigner 772-370-2543
Greg Smyth 772-370-0482 (7 a.m. _3 p.m.)
Walter Pride 772-370-2539
Dave Johnson 772-370-2548
Clyde Heffelfinger 772-200-6386
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