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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: c� �3 18 Permit Number: - J.L-J RECEIVED Building Permit Applicatio MAR 2 6 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie Coun , Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: - PROPOSED INPROVEMENT LOCATION: Address: A Legal Description: PCp I Tf)" ,3 D" 70 1 -(=7 - 0p-© IL of 7 ;n '45 Ld';V;Ck(� "C' 4M M- 1)1 Property Tax ID#: P'au 1 '.-; 0y - 201 - OW'7-CaCC ,0 Lot No. 7 Site Plan Name: a600 CQAQL CAQZtLA1tk, / Block No. Project Name: RO T eft 0A Jaffqck Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: r -From r t o M CONSTRUCTION INFORMATION: of P[4o�eA*Cl ►5J + beif-Y to to 6Cd_KLGP-1\eX0 Additional work to be per orme un er t is permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ cis Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name J Name: Address: C) 2 Company: City: State: Lz__ Address: Zip Code:, g32L Fax: City: State: Phone No-313--m-120 02N8-5d-194J Zip Code: Fax: E-Mail: k C Phone No Fill in fee simple Atle 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. t 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: 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, 1 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. Signature Ow Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORISTATE OF FLORIDA COUNTY OF Li — STATE COUNTY OF The forgoing instrument wa acknowledg before me The forgoing instrument was acknowledged before me this day of 20_L by this day of 20_ by \(1kJlQ\4 lam 1W (Name of person dcknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification ✓/ Personally Known OR Produced Identification Type of Identificatio Type of Identification Produced L. Produced .11 KAREN S. NIELSEN Commission No. ;n (Seaal�ission # FF 11563 mmission No. (Seal) «- My Commission Expires June 12, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. oq 7�v ffbbY -7-V WO I d P'Ili -dvv7 +V FXN�\dd- \ �00(q 4�10) --Joj ni ra! '1 T�i-t Planning&Development Services Department COUNTYBuilding&Code Regulations RECEIVED IF L • R I r A 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 MAR 2 6 2018 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT Permitting F.S.489.103(7)EXEMPTIONS 57. Lucie County, 9 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 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 t the Florida Stop Department of Professional Regulation. Signed and acknowledged on this day of of 20 L' _ Owne uil ignature STATE OF FLOA COUNTY OF C I C, There oing instru t was a knowledged before me this�,( _day of ,20_&,by kA who is personally known to me,or who has produced L L as identification. aT-1 Signature of Notary Type or Print Name of Notary (Seal) Title:Notary Public Commission N 1 KAREN S. NIELSEN SLCPDSD Revised 05/15/2014 _` 44, CoJuno 12,m miss s FF 115637 �= M commis Expiies °` v 2018 � RIVER HAMMOCK LANE 60'R/W 20'ASPHALT RM%M NOM RECEIVED MAR 2 6 2018 ST.Lucie County,Perrnitt' 9 N LOT 10 En LOT 11 Applicant has been NO structum o : TRACT"C" TRACT"C" ,ed w 0,in eaaem a ocen,or O V 000 OCCUPIED 00 ;o OCCUPIED 00 way unless approved. o WELL&SEPTIC Wp O! WELL&SEPTIC AppOkent I OUT OF RANGE OUT OF RANGE m m 2.68 FILE COQ 3. 2 .98 30'BUFFER FOR WETLANDS PER�OWNERS 4.42 3 ,73. (a7d•. ? 44-OA E x IItG 4 670.37' 67903 x4, ,50 0.87 _ INVERT 15SETBACK LINE5 0 2.33 XFx 4.42 TREE LINE / L�g OF WETLAND x 1.4 X DIS ENVIRONMEN'T'AL 4.7jy J S INC.04/12/2017 FNDID IR 4. 6 AREA x ,40 c1.4472.093s � o 01 PARCEL II 0 x CA 1.8A� o 0 yc \ O � WOODS o 0 5.45 r x 42 o N r, x 4.40 75'OFFSET'FROM Z req ---UN TS OF WEIT.ANDS 0.36 o 2.98 _ 75.0 SET%TRC OPI 3.01 PROPOSED • LB 7903 u V azoo 1,08 Y4 8 LOT 7 b� y 78.3, o 1 STORY CHS o.or RESIDENCEFFE�Z 1 1� ARD r 4.42 7 WOODS x ? ' 8 / a x 78 6.6a.eaP t:1' x 4.10 3,75 / ,n eto Oeosm' Z WOODSh.CONGYFTE`< COVERED 3 v x 4.11 ° Haar 2S SETBACK :;'` 3.�3�j�.34 3.47 TRANSFORMER FNDID IR .TREE LINE 3.7) /. O 00 FNDID 4.46 4.51 103.7 LB N 89'50 56zyE0 x 4.14 DROP U= 2 S 3.37 it 2,66 DROI INLET A- O 31Y 3.65 N 89'50'56' E 20'ASPHALT .96 FND NAIL&DISK 60r RfW NO ED BENCEIMARK [ �. ELEVe391' - DROP INLET NAVD OF 1988 IMPROVEMENTS AND/OR TOPOGRAPHIC DATA AND CONTROL THROUGHOUT THE PROJECT AREA.REAL-TIME COORDINATE COMPUTATIONS AND PRECISION INFORMATION ARE DETERMINED VIA RADIOIMODEM LINK WITH THE BASE STATION AND RECORDED AS THREE DIMENSIONAL(31))POSITIONS. 4.G.P.S.SURVEY MEASUREMENTS WERE PROCESSED AND ADJUSTED USING CARLSON SURVEY 2008 AND A CARLSON SURVEY+DATA COLLECTOR. 5.THE HORIZONTAL TA +1RGM(RMS) RACY FOR THIS SURVEY IS AS FOLLOWS: LOT 12 TRACT"C" VERTICAL:20MM+1 PPM(RMS). OCCUPIED WELL.&SEPTIC 1, OUT OF RANGE B OU N PAGE / 2' LOCA 6'BLOCK WALL 3.98 / 3' x 4,�3 FOUN CONCRETE x 7.43 0,04 x 1,02 o .25 i.7o,z7-r+5-+6•tek 2.06 F/E%D 4. 4.66 x 6.95 Ike/fit �1 ' t \ 4,45 LOCA x 3,38 0.04 3,68 12'DRAINAGEPpI'PE N 89'50'56" E x 1.50 5• RT INVERT ,4 IN ZO' 0,04 O COMM x 1.44 N Y2 SWAMP x 4.73 16 2 PARCEL IIIAN E x 1.50 6. 1.44 387.00' Q SIGNA N 90'00'00" E x 1,50 x 2.85 x �d SURVsBT% RcLB#7903O 7 Ir, o S�2 0.04 hi OTHE W PARCEL III wITHo t-� 8. 1 Z MEAS sEr%IRC t=1 9. { LB#7903 LOT 8 FOR WELL&SEPTIC OCCUPIED IN BACKYARD ABAN14, FFE=65' OUT OF RANGE GARAGE=3.4' 11. NOR-111 s« n V) o UJ 2. ALL ABOVE GROUND FIXED IMPROVEMENTS, IF ANY, HAVE BEEN E LOCATED AND SHOWN HEREON. A w n w 3. THE SURVEYOR HAS NO KNOWLEDGE OF UNDERGROUND uj Li a x 4. 3 FOUNDATIONS WHICH MAY OCCUPY LANDS OF OTHERS. 4. UNDERGROUND UTILITIES AND UTILITY SERVICES HAVE NOT BEEN u u u " 4.45 LOCATED ON THIS SURVEY. M 5. FLOOD NOTE: BY GRAPHIC PLOTTING ONLY, THIS PROPERTY IS C=) o N A 3 IN ZONES "AE-7", ACCORDING TO THE FLOOD INSURANCE RATE MAP, o 0 o z COMMUNITY PANEL NO. 12111 C 0276 J, EFFECTIVE DATE FEBRUARY 'µv 0 16 2012. THE EXACT DESIGNATION CAN ONLY BE DETERMINED BY AN ELEVATION CERTIFICATE. z- x o CYaz ,zy 6. REPRODUCTIONS OF THIS MAP ARE NOT VALID WITHOUT THE a��3 Q SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED ;U SURVEYOR & MAPPER. LL o �� o x <oso z Q 7. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY s�o� '77 OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED > WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. U OpO's Z z t-' 8. INFORMATION SHOWN HEREON IS BASED ON PLATTED AND FIELD O — o<Zm C-' MEASURED DATA. C/) ED U) Z ZO > o� CrJ 9. THE LAST DATE OF FIELD WORK WAS APRIL 29, 2017. Q < w m zoao Vl �Uzd 10. LANDS SHOWN HEREON WERE NOT ABSTRACTED BY THIS OFFICEU y J J LL z z wad= FOR RIGHTS-OF-WAY, EASEMENTS OF RECORD, OWNERSHIP, �= m a w�;� ABANDONMENT'S DEED RESTRICTIONS OF MURPHY ACT DEEDS. w = =Nog U 11. ELEVATIONS SHOWN HEREON ARE IN FEET AND BASED UPON Q oZzIL . NORTH AMERICAN VERTICAL DATUM (NAVD) OF 1988. 0o oz f v <za< j 0 U oQ�m x z on Z Qoa<o (n aaoa LEGEND & ABBREVIATIONS ARC LENGTH NO OR # NUMBER DRAWN BY, CA AIR CONDITIONER NTS NOT TO SCALE BENCHMARK OHP OVERHEAD UTILITIES CHECKED BY. CA CALCULATII` FROM FIELD MEASUREMENTS ORB OFFICIAL RECORDS BOOK CONCRETE PLOCK STRUCTURE P PLAT DATA DATES APRIL 30, 2017 CENTERLINE PG(S) PAGE(S) CONCRETE MONUMENT PLS PROFESSIONAL LAND SURVEYOR HORIZONTAL SCALE: DEED POB POINT OF BEGINNING 1'=30' DEGREE POC POINT OF COMMENCEMENT ELEVATION PRM PERMANENT REFERENCE MONUMENT FLORIDA DEPARTMENT OF TRANSPORTATION PSM PROFESSIONAL SURVEYOR AND MAPPER NOT VAUD WITHOUT THE SIGNATURE FINISH FLOOR ELEVATION R RADIUS AND ORIGINAL RAISED SEAL OF A FOUND RLS REGISTERED LAND SURVEYOR FLORIDA UCENSED SURVEYOR & MAPPER. GLOBAL POSITIONING SYSTEM R/W RIGHT-OF-WAY IDENTIFICATION NUMBER ® WATER METER IRON PIPE & AND IRON ROD 0 AT SEAL IRON ROD & CAP DELTA LICENSED BUSINESS !7 UTILITY POLE LICENSED SURVEYOR ® MANHOLE MEASURED DATA Y FIRE HYDRANT CHARLES 'ARNOLD NORTH AMERICAN VERTICAL DATUM PROFESSIONAL SURVEYOR &MAPPER NATIONAL GEODETIC VERTICAL DATUM FLORIDA LICENSE NO. 4971?1-71Z -7 ZO/� PRINTED D TE SHEET Z OF L PROJECT NO. 17-526