HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I h ^� `� Permit Number: IouJfJ
RECEIVED
®®
Building Permit Applicata®n OCT 0 3 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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:
Address: .�1 cam , 11�1 C?lY11 pr`
Legal Description:
Property TaxID#: Lot No.
Site Plan Name: QS - 1C�. Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to (epe orme under this permit—c ec a appy:
11HVAC L_I Gas Tank ❑Gas Piping OGenerator
Shutters aWindows/Doors
Electric Plumbing Sprinklers Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of.First Floor:
Cost of Construction:$ �� Utilities: _Sewer Septic Building Height:
OWNERAESSEE: 'CONTRACTOR:
Name 0_ TAen'e LkkQ-C_QQV_ Name:
Address: �� � o� �� Company:
City:T--T VI1e-Ce--- State:S.�,_ Address:
Zip Code: a Q�� Fax: City: State:
Phone No. -\Ply Zip Code: Fax:
E-Mail: Cls2C ��'� R 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:
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 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 of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF k, COUNTY OF
The fp1going inst t s acknowledgbefore me The forgoing instrument was acknowledged before me
this_k_�L_day of 20_LL by this day of .20_ by
� � Q
Name of person making statement / Name of person making statement
Personally Known ' OR Produced Identification ✓ Personally Known OR Produced Identification
Type of Identi tion Type of identification
Produced Produced
1
(Signature of Notary Publi ignature of Notary Public-State of Florida)
�'01YP'�,, )KAREN S. NIELSEN
Commission No. :�'"• "B.�:Stafie,3I)Florida-Notary Pub immission No. (Seal)
'-• •_ Commission #GG 20748
Ply Commission Expires
June 12, 2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Planning&Development Services Departme
® Building&Code Regulations RECEIVED
o 1 2300 Virginia Avenue
Fort Pierce,Florida 34982
(772)462-1553 OCT 0 3 2018
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT ST, Lurie c-powf flarmitting
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 01 1 N
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 Cbl.,
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 .iolation of the terms of the owner/builder exemption shall be reported by the Building and
rung Depa nt ' the Florida S Department of Professional Regulation. Signed and acknowledged on this
'day of of 20
Owner/Builder Signature
STATE OF FLO D
COUNTY OF
Th o egoing instrument acknowled ed before me this�day of ,20 ,
by who is personally known to me,or who has
produ yed as identification.
Signature of Notary r Type or Print Name of Notary (Seal)
Title:Notary Public Commission Number
SLCPDSDRevised 05/15/2014 KAREN S. NIELSEN
\ul luq
ter P�4 .;
=o State of Florida-Notary Public
*_ Commission#GG.207484
e`c' M Commission Expires
'�IjOF
-+4
y June 12, 2022
fllll\�
SURVEYOR I S XOTES_: _
1. Reproductions, of thl.s sketch are .not valid unliss
sealed .wlth an ewbossed Surveyorls seal.
2. Lands shown hereon were- not .a-bstracted for O R l
rights-of-way, easements of record, or ownership. y
\ Q�%,Qoy..jPpO/dam/CAP�i4lUNO� RECEIVED
P.QE-.IREO FGdP
RICHARD -C_ ROWE. OCT 0 3 2018
ST. Lucie G9unty, Permitting
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I HERES
` - hereon
Being that 'part of the North 91.86 feet of the' South of my .k
1598:88• feet of Government Lot 2, Sect¢o.n 36, ay dire .
Towrtshlp 35 South, Range 40 East., St. Lucle .County, that th
. Florida. -lying East of the Florida East Coast Railroad. forth 1
v Surveys
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hereon,
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FiEGO Bua.r d'-s.r��FwGE23 _A,�g Florida
REY/SED:5-6=87 M SAO BU/LDAUG $OA. /INfifbl/6/YEJVI�
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Planning : Development S- e Department •
•
PUBLIC HEARING NOTICE
Crowe Richard W Notice of Proposed Variance Request
4531 S Indian River Dr File Number: BA 520134625
Fort Pierce,.FL 34982-7732
N
Public blearing Date:
July'24, 2013 - -'
Location:
BOCC Chambers
SLC Administration Annex,
2300 Virginia Avenue
Ft Pierce, Florida 34982 � 2L-g ,
' RE-2
Time: cP4B
9:30 AM
Applicant
Joe Damiano _-_-
Subject property
500 it notification area
Property Location
Zoning
4521 South Indian River Drive AR-1-Agricultural Residential a dulac)
�_1 CPUB-Cansenrafiun Public
.CAy_terots 1-Inti!fional
RE-2-Residential Estate(2 dufaa)
Zonin
RE-2, Residential Estate—2
du/acre
Public Hearing Description The St Lucie.County Board of Adjustment
Future Land Use Petition of Joe Damiano for a variance has the power to authorize variances from
RS, Residential Suburban-2 from the'provisions of Section 7.04 01 the dimensional requirements of the St
du/acre of the St. Lucie County Land Lucie County Land Development Code, in
_ Development Code for an existing 405 accordance with the provisions entailed.
Staff Recommendation square foot. Carport to encroach 2.4 All interested persons will be given an
Denial. feet into the required 10 foot side yard opportunity to be heard. Written
setback. The subject property is comments received in advance of the
tN,' located approximately 4/10 mile north public hearing will also be considered.
A of Midway Road on South Indian River Written comments to the Board of
' Drive in the RE-2 (Residential Estate— Adjustment should be received by the
Planning and Development Services
2)Zoning-District.
,A Department - Planning Division at least
three (3) days prior to the scheduled
Further details are available in the hearing.
Planning and Development Services
_ - Department, Planning Division. Please ,anyone with a disability requiring
contact the following staff member: accommodations to attend this meeting
may contact the St. Lucie County
Jeff Johnson, Senior Planner Community Risk Manager in advance @
'•` Telephone 772-462-1580 772-462-1546 or TDD 772-462-1428.
Email johnsonj@stlucieco.org