HomeMy WebLinkAbout Permit Applicatio ALL APPLICI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: FT
Address: � 1 c
Legal Description:
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CIA , C) ` ��
"TJ
� ' V CONSTRUCTION INFORMATION:
Additional work to e er orme under this permit—check a apply:
0HVAC E]Gas Tank ❑Gas Piping Shutters windows/Doors
Electric ❑ Plumbing Sprinklers MGenerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer D Septic Building Height:
OW . /LESSEE: CONTRACTOR:
Name Name:
Addr s : 595_ (,1 Company: I
Cityu—tod�s/cAtX tate: Address:
Zip Code: � Fax: City: w State: —f
Phone No. Zip Code: Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page (if different E-Mail:Q0 Je e C JCC. , ('
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
1
r
DESIGNER/ENGINEER: Nat Applicable MORTGAGE COMPANY: Not Applicable
Name:DAYANNANDSUNDANS'INON -- Name:JAMM9FINDLEY
Address:514 hnrblln Wing flat -r� Address: 320 TUMaLIN Ki.IN0 r1D
City: FTI�Irl�cr _ — State:_ City: Perri sTLUG1F �-----State:
Zip: Phone w Zip:_ _._. Phone:__
FEE SIMPLE TITLE HOLDER. �Not Applicable � BONDING COMPANY: __.,— Not Applicable
Narrle:
Address•2.2.9 SE:HO LANDS'rRErr � T Address:
City: _ City - _
Zip: Phone:— _ Lip: Phone:—_
OWNER/CONTRACTOR AFFiDVIT.Application is hereby made,to obtain a permit to do the work and installation as indicated,
(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 rule., bylaws or and covenants that may restrict dr 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 Cedes sand St, (Lucie County Amendments,
The following building permit applications are exempt frorn undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,smalls,signs,screen rooms and accessory uses to another non-resideritia) 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 b�fore
common ' warm or record' yDl�r Notice of Commencement. _
Si nature of Owner/Less e/Contractor as nt far owner 5igna rc raf Cont actor/License I loldc.r
STATE OF FLORID�(�tsTf STATE OF FLORI
COUNTY OF _ ,._ COUNTY OF
1'h going i A a owfed&- by
e'fore me The f oing in r a I iowledg efore me
I—day f _ 2 ay o'f 20 by
Name of person making "ternent Name of person�m Ing' tat:ment
ersonally Known L� OR Produced Identifica,' ersonally Known QR Pro aced Identification
Type of Identification Type of identification —
Produced Produced
, ' "+ ICJ} . fir°
�Signatt e of ign��t;L t oi°Notary Public Si:al:e of Florida)
war°wyfn Notary Pubtic State of f lurift
Commissionttefine A paa& alW Cornmiss! RpyP Nttr��!lc state of riori�aI
w My Commission Fry ass 682 ^ Jadyu lined Paacarullo
of* Expires Ur312212019 a c, My Commission F°f 09902
LAW'
" + _ tar• +?' Expirez 0612W2014
REVIEWS FRONT ZONING SUPE13VISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUN,ru REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
_.�..___ _.__ _ _.. _._._ __ __ _ �____.._. _._________.-._ _.__.
17ATE:
RECEIVED
DATE
COMPLETED
Rev. 8/2/77
ALLAPPLIC01-EiNIF0 LIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (jJ Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 � /r
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential Y
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line �.
PROPOSED IMPROVEMM JT OCATION:
Address: ci ci `
VQ K11___
Legal Description:
Property Tax ID#: "" a Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WOR :
4
CONSTRUCTION INFORMATION:
Add ttional work to e performed under this permit—check a apply:
11HVAC 11 Gas Tank []Gas Piping Shutters Windows/Doors
11 Electric M Plumbing Sprinklers 0 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height:
OW LESS : CONTRACTOR:
Name P, Name:
Addr Company: e ,.,
City: - ate: Address:
Zip Code: Fax: City: State:
Phone No. Zip Code: Fax:
E-Mail:
o e o.
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:
i
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.
#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 NER:Your failure to Record a Notice of Commencement may result in your paying twice for
iml v ents to y ur property. A Notice of Commencement must be recorded and posted on the jobsite
befo the first ins ection. 1 yo me d t btain financing, consult with lender or an attorney before
Ca mencin w or r o in o N ce o ornmencement.
S€gn re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FL R STATE OF FLORIDA
COUNTY OF COUNTY OF
ITh oThe o€ng i nowledg efore me The forgoing instrument was acknowledged before me
day of o by this day of_ 20 by
Name of pers raking statement Name of person making statement
Personally Known [t�� OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(S€gn (Signature of Notary Public-State of Florida)
$�rer p��Lr Notary Puhlic State of Florida
Jacqueline A Pascarello
Commi ion. 899682 (Se j Commission No. (Seal)
p nF fti. ' Expires 08122/2019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
�,�t,1r.S lt9
-ftf,
Nettles Island Inc.,__a condominium
9801 South Ocean Drive,Jensen Beach, FL 34957
�4+ (772)229-2930
FAX(772)229-9901
www.nettlesislandcondoxom
March 23, 2018
Paul Schell #399
Nita Schell
6585 Summit Ridge Court
Clarkston, MI 48346
NitaontheFritz aol.+coin
RE: Electric Pedestal Unit 399
Pursuant to your request, the Association has no objection to you installing the Electrical
components necessary to wire in for a tank-less water beater and electrical subpanel to
the unit located at Lot 399,provided it meets current building codes and is permitted
through St. Lucie County, and placed on your lot without encroaching into the
neighboring property or setbacks. Please contact the condo office for location approval
before installing,
If there is anything else we can do for you, please do not hesitate to ask.
Respectfully,
Frank Fisher or Howard Kickert
Architectural Chairperson
CC: Laura Jones, LOAM, File
All Final Electric
allfinalelectric outlook.com
11 F/lk
Please be advised that Architectural Committee assumes no responsibility for the
structural adequacy, capacity or safety features of the proposed construction, alteration
or addition; orfor performance, worlmianship or duality of work of any contractor or of
the completed alteration or description and shall not be relied Ripon as an approval or
warranty regarding engineering and structural design, building or zoning code
compliance,feasibility or marketability for any purpose, or compliance with applicable
building ordinances, standards, or regulations. By approving the plans and
specifications, neither the architectural Committee or the members thereof, the
Association, the Board, its employees and representatives assumes any liability or
responsibility therefore, orfor any defect in any structure constructed there ftoni, and
said persons fairther specifically exclude from such approval any implied warranty of
merchantability and.itness for any purpose.
Planning&Development Services Department
COUNTY Building&Code Regulations
• R 1 0 A 2300 Virginia Avenue
Fort Pierce,Florida 34982
(772)462-1553
OWNER,BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S.489.1.03(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 andgbyunty or
municipal licensing ordinances. You may not delegate the responsibility for supervising work ensedcontractor who is not licensed to perform the work being done. Your construction must comply withi
laws,ordinances,building codes,and zoning regulations. Initia
I understand that the building official and inspectors are not there to design or give advice on h t meet
the minimum code. Initial
I understand that as an owner-builder that any contract disputes with sub-contractors and I must andled
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 requi to b
licensed in this jurisdiction. If for some reason they do not possess a license,I may be responsible and li f t
cost of the Iicense. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my constructio rotct-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and rela meth a
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 si n the bull ng
permit application and initial the above.
I hereby acknowledge that I have read and understand the above dis sure stat ment and that 1 further
understand that any violation of the terms of the owner/builder exemptio all be rep fled by the Building and
Zoning Department to the Florida State Department of Professional Re ation. Si and acknowl dged on t
.2,L_day of_V of 20 .
O er/Builder Signature
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of ,20
by who is personally known to me,or who has
produced as identification.
A rQa00 Pum,4� Notary Public State of Florida
lgnatur of Notary Type o l �ine�lp iyn FF z (Seal}
Title:Notts Public CZ
si t1x1^djiinl "res oerzzrzoia
SLCPDSD Revised 05/15/2014