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HomeMy WebLinkAboutalderman home permit # 2007-0255St. Lucie County Health Department F737 a 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56 -SF -2108783 BILL DOC #:56 -BID -4772990 CONSTRUCTION APPLICATION #: AP1525242 RECEIVED FROM: Steve Alderman AMOUNT PAID: $ 545.00 PAYMENT FORM: G#dF!!' '940r -G tfLf c-- PAYMENT DATE: 07/13/2020 MAIL TO: Steve Alderman FACILITY NAME: PROPERTY LOCATION: TBD Southwind Tri Fort Pierce, FL 34951 Lot: Block: Property ID: 1407-314-0040-010-8 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56 -PID -4500221 DATE SIIBIWTTED: COUNTY F L O R I D A J Building Permit Number: Proposed Project: Rlciev rnao, R C�VV1 e ST. LUCIE COUNTY NOTICE OF VEGETATION REMOVAL APPLICATION 1. Please complete the requested information and submit to the St_ Lucie County Environmental Resources Department or Building & Zoning Department. For additional information, please contact the Environmental Resources Department at (772) 462-2526. Filin-e this application does not result in an authorization to commence any vegetation removal or alteration. (in addition to the site plan provided to the Building Department) the plans must accurately depict the location of all proposed buildings, structures, driveways, septic tanks, and other improvements. Incomplete applications will not be accepted in accordance with section 11.05.06 (c) of the St. Lucie County Land Development Code. Within twenty (20) days after an application has been determined to be complete, the Environmental Resources Department shall review the application and approve, approve with conditions, or deny the application, based on the standards set forth in Section 6.00.05 of this Code. Applications requiring a concurrent building permit will be processed within the same twenty (20) day timeframe, however will not be released until the building permit is also approved. Per Section 11.05.06 b. 6. of the St. Lucie County Land Development Code, the filing of an application shall be deemed to extend permission to the Environmental Resources Director, or designee, to inspect the subject site for purposes of evaluating the application. Please list any specific information such as a gate code or the necessity of 24 hour notice due to cattle grazing, controlled burns, outside pets, etc. In the event that it is determined that any federal or state protected species is resident on or dependent upon the subject parcel, all development work which might adversely affect that individual species shall cease and stop work. The applicant shall immediately notify the Florida Fish and Wildlife Conservation Commission, U.S. Fish and Wildlife Service, and the County. Appropriate protection to the satisfaction of all parties shall be provided by the applicant prior to resuming development. PROJECT INFORMATION OWNERS NAME: 5 -re -JL o' OWNERS ADDRESS: 5"5 e a CG Hej P /fv e S ate. i ecu F -t t,,-0,2 .3 yf S Y PROJECT LOCATION/ADDRESS: Tia b 30 -f h eLe-' •1 y CITY: J?-. P#<&ce._ STATE: �io2tiQr� ZIP: ti `fcS'/ CONTACT PHONE(S) #: 3 © 3 - 9 .Z- / - 5 5 ? PARCEL SIZE: e c(S PROPERTY TAX ID #: 1107 - 3 1 O O a D GATE CODE (IF APPLICABLE): EMAIL ADDRESS: S'v�.7(o CONTACT PHONE NUMBER FOR PERMIT PICK UP: CONTRACTOR INFORMATION (IF APPLICABLE): St. Lucie County Code and Compiled Laws requires that this type of work be done by a licensed contractor. If applying for this pernhit under the mimer/builder exemption, see Disclosure Statement on pale 4. LAND CLEARING CONTRACTOR NAME: A ADDRESS: FLORIDA REG/CERT # BUILDING CONTRACTOR ADDRESS: PHONE BRIEFLY DESCRIBE THE PROPOSED VEGETATION REMOVAL INCLUDE LOCATION TYPE AND OUANITITY OF VEGETATION TO BE REMOVED. PROVIDE A SKETCH OR SITE PLAN IF APPLICABLE DEPICTING WHERE PROPOSED REMOVAL AND/OR DEVELOPMENT WILL OCCUR. UPDATED 8/28/2019 COMPLETE EITHER PART I OR 11 BELOW: PART I - EXEMPTION Any person who intends to remove or cause the death of any vegetation pursuant to any of the following exemptions must first fill out Part I of this form. The burden of proving entitlement to any particular exemption shall lie, at all times, with the person or persons claiming the exemption. PLEASE CHECK ONE OF THE FOLLOWING: 1. The minimal removal of vegetation necessary for the clearing of a path not to exceed 4' in width, to provide physical access or vie,,v necessary to conduct a surrey or site examination OR 10' in width to provide vehicular access necessary to conduct soil tests, for the preparation of bona fide site development plans or vegetation inventories: provided such clearing or removal is conducted under the direction of a Florida registered surveyor or engineer. Fee: S55 2. The removal of vegetation in a utility easement, drainage easement. stone water management tract or facility, or right-of-way provided such work is done by or under the control of the operating utility company and that company has obtained all necessary licenses or permits to provide utility service through the easement. Fee: S55 3. The removal of vegetation which has been determined to be a safety hazard, destroyed or damaged beyond saying by natural causes or causes not covered by other sections of this chapter, is infected with disease or is infested with insects, or which constitutes immediate peril to life property or other trees. Fee: $55 *No application, approval, or fees are required for removal of a hazardous tree on residential property if the property owner obtains documentation from an arborist certified by the International Society of Arboriculture or a Florida licensed landscape architect that the tree presents a danger to persons or property. 4. The removal of native vegetation, upon any detached single family residential lot or parcel of land having an area of one (1) acre or less. This exemption is, however, subject to the following conditions: Fee: $55 A) Nothing in this exemption shall exempt any person from the landscaping requirements set forth in Section 7.09.00 of the St. Lucie County Land Development Code: B) This exemption shall not be construed to allow the removal or alteration of any protected vegetation without a Vegetation Removal Permit on any lot or parcel of land bl• its subdivider unless the subdivider intends to construct a residential unit or units upon the lot or parcel of land prior to its sale. C) No native vegetation 0,v enty-four inches (24"), or greater, dbh shall be removed from any residential parcel (including those in the AG -5, AG -2.5, AG -1, AR -1, RE -1. and R/C zoning districts), regardless of parcel size, without an approved Vegetation Removal Permit and an approved mitigation plan. 5. The removal of any non-native vegetation. Fee: S55 which will be waived for removal of invasive exotics only for single family homeowner or property owner's association removing exotics. 6. No vegetation to be removed. Fee: S55 7. The followine activities do not require the application of a Notice of Vegetation Removal, however may require Building Permit approval or other such authorization: Fee: None A) Preserve and Parks Management Activities. Vegetation removal activities associated with an adopted management plan for government maintained parks, recreation areas, wildlife management areas, conservation areas and preserves. The purpose of the vegetation removal activity shall be to protect and preserve the natural values and functions of the ecological communities present, such as, clearing for firebreaks, conducting prescribed burns, or construction of fences. B) Existing Agricultural Operations. Vegetation removal associated with subsequent harvesting activities, except within required preserve areas or deeded conservation easements, which are part of the on-going activities of the existing operation shall not require a permit. Initial clearing of a site is not an exempt activity. Bona fide agricultural activities include commercial nursery, tree farm, aquaculture, ranch, or similar operation. C) Routine Landscape Maintenance. Trimming or pruning of vegetation which is not intended to result in the eventual death of the vegetation, mowing of yards or lawns, or any other landscaping or gardeningactivity which is commonly recognized as routine maintenance, replacement or re -landscaping. 2 UPDATED c 28 2019 PART II - VEGETATION REMOVAL PERMIT Fee Schedule: $100 per Single Family Home Lot/Building $100 per Multifamily Home Lot/Building $200 per Non-Residential Building Please complete ALL of the requested information. A Vegetation Removal Permit shall only be issued if sufficient evidence demonstrating that at least one of the following criteria has been satisfied: 71. The applicant for vegetation removal permit shall demonstrate why preservation of the existing native vegetation is not practically feasible and prevents the reasonable development of the site. 2. The removal of the native vegetation is the minimum necessary in order to implement a Final Development Order (i.e.; approved site plan or approved building permit). 3. A Final Development Order has not been issued, or is not required by this Code for the intended non-agricultural use of the land and vegetation removal is the minimum necessary to allow for the construction of the intended use or improvement. ADDITIONAL SUBMITTAL REQUIREMENTS FOR VEGETATION REMOVAL PERMITS: 2. Site Plan/Construction Plan (in addition to the site plan provided to the Building Department) The plans must accurately depict the location of all proposed buildings, structures, driveways, septic tanks, and other improvements. 3. Tree Survey The survey must accurately depict the individual locations, species name and common name, and sizes of all County- protected trees to be removed and, if applicable, the individual locations, species name and common name, and sizes to be preserved or relocated. 4. Vegetation Removal Plan The vegetation removal plan must illustrate the existing vegetative conditions on the project site, including an identification of what areas will be impacted by the proposed development activity and what areas are proposed for preservation or replanting. 5. Mitigation All native vegetation shall be protected on site to the greatest extent possible. If impact is unavoidable, mitigation shall be provided through one of the mitigation methodologies outlined in Land Development Code Section 6.00.05.D. Provide mitigation calculations per Land Development Code Section 6.00.05.D and include a mitigation plan outlining proposed mitigation method on the tree survey and/or site plan. If sufficient mitigation cannot be accommodated on-site and additional inches of credit are required based on calculation, an off-site mitigation plan shall be attached for review and approval of ERD Director (Land Development Code Section 6.00.05.D). Prior to the issuance of any authorization for commencement of permitted development activity, the replacement vegetation shall be preserved, relocated or planted, or the appropriate mitigation fees shall be paid to the County. As part of the issuance of any permit requiring mitigation, the property owner shall submit to an inspection of the planted/relocated/preserved materials 18 months after the issuance of a Certificate of Occupancy or other use authorization. UPDATED 8/28/2019 PLEASE HAVE THE FOLLOWING ACKNOWLEDGEMENTS NOTARIZED: I CERTIFY THAT: (CHECK ONE) A. ( I AM THE OWNER OF RECORD OF THE ABOVE DESCRIBED l ` PROPERTY AND WILL BE CONDUCTING THE WORK AS OWNER/BUILDER. Disclosure Statement- 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 with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself You may build or improve a one -family or hvo-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed 575,000, The building or residence must be for your own use or occupancy It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it 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. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C,A, and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. B. ( ) I AM NOT THE OWNER OF RECORD OF THE ABOVED DESCRIBED PROPERTY; HOWEVER, I HAVE AUTHORITY TO ACT AS AGENT FOR THE OWNER OF RECORD.1. Lucie County Code and Compiled Laws requires that this t)pe of work be done by a licensed contra or. LEASE PROVIDE DOCUMENTATION). I CER OF AGENT SIGNATURE TION SUBMITTED WITH THIS APPLICATION IS TRUE AND COMPLETE TO STATE OF FLORIDA, COUNTY OF ST. LUCIE The foregoing instrument was acknowledged before me this day of 20_, by who is personally know to me or has produced as identification. Signature of Notary Type or Print Name of Notary Notary Public Title Commission Number (SEAL): CONTRACTOR SIGNATURE STATE OF FLORIDA, COUNTY OF ST. LUCIE The foregoing instrument was acknowledged before me this day of 20_1 by who is personally know to me or has produced as identification. Signature of Notary Type or Print Name of Notary Notary Public Title Commission Number (SEAL): '.k <:t AA*:.**k * * * * * * * * * * * * * * * * * * * * * * * * * * * * *>k>t t<.**a k*****:;=%*v,.< **;k***r;:,* s****v,. FOR OFFICE USE ONLY APPROVED DENIED REVIEWED/ APPROVED BY: ENVIRONMENTAL RESOURCES DEPARTMENT DATE 4 UPDATED c 28 2019 I SHEET 1 OF 2 (SURVEY SKETCH) ------------ SURVEY NOT COMPLETE WITHOUT ALL SHEETS 1 w r �) f"m n} I �D M o� 2 PARCEL ID: 1407-314-0035-000-0 S89'59'33'E 2�� 302.36' PROPOSED NEIL n ---546 21 „ 2' O� 4l, 43S CEL ID: " 1407-314 40-000-8 N90°00'00'W 302.36' GG. 5 BEARING 2° BASIS bx WARBLER LANE 9x 12' DIR7/MARL ROADWAY Xfs$ 2°^ (60' R/W) NOTES: ALL BEARINGS AND DISTANCES SHOWN ARE RECORD AND MEASURED, UNLESS OTHERMSE SHOWK P.U,&D.E. - PUBLIC UTILITY AND DRAINAGE EASEMENT. ARI BEARINGS ARE BASED UPON THE RECORD BENG FOR THE NORTHERLY RIGHT OF WAY UNE OF WARBLER LANE. ELEVATION NOTES: ALL. ELEVATIONS SHOWN ARE BASED UPON NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD'88). PROPOSED FINISHED FLOOR ELEVATION IS SUBJECT TO CHANCE PER HEALTH DEPARTMENT. NORTH ARROW & GRAPHIC SCALE ------ --FM--" O 1" = 50' 50 PERMIT NUMBER AND CONTACT N/A tpmpo FLEA MOR. X PROPOSED REVATK*-\ DRAG&a AWDW --�-� J06°- 2001-031REMSON - KNOW 1 T NOW, I N C. FIELD DATE - 01/13/2020 REMSON - REVSON - ADD HOUSE 8.2a20 F"eWSION - PROFESSIONAL SURVEYING AND MAPPING - REM" - REvmON - 5220 US HIGHWAY 1, #104 ;z REWsaH - REMyON - VERO BEACH, FL 32967 RENSION - PHONE — (888) 396-7770 REMSON - FLORIDA BUSINESS CERTIFICATE OF AUTHORIZATION NUMBER LB 6912 VVW.KINSURVEYORS.COM SHEET 2 OF 2 SURVEY DETAILS------------ SURVEY NOT COMPLETE WITHOUT ALL SHEETS LEGAL DESCRIPTION: JQ5. NUMBER: 2001-031 THE SOUTH j OF THE SOUTHEAST j OF THE SOUTHEAST j OF THE NORTHEAST j OF THE SOUTHWEST } LESS FIELD WORK DATE: 01/13/2020 THE EAST 30 FEET AND LESS THE SOUTH 30 FEET, SECTION 7, TOWNSHIP 34 SOUTH, RANGE 40 EAST, ST. PROPERTY ADDRESS: 0 SOUTHWIND TRAIL, FORT PIERCE, 32951 LUCIE COUNTY, FLORIDA. PARCEL X11407-314-0040-000-8 FLOOD INFORMATION: PANEL NUMBER: 12111CO086J FIRM DATE: FEBRUARY 16, 2012 FLOOD ZONE: X BASE FLOOD ELEVATION: NA COMMUNITY NAME: ST. LUCIE COUNTY COMMUNITY NUMBER: 120285 AERIAL PHOTOGRAPH SURVEYOR'S LEGEND FF_ FINSHED FLOOR ELEVATION PCC ` PONT OF COMPOUND CXIRVAIIINE LINETYPES FIP = FOUND IRON PIPE PCP = PERMANENT CONTOL POINT g A/C - AIR CONDITIONING FPC FOUND IRON PIPE AND CAP POO = POINT OF BEGINNING BOUNDARY UNE BO - BEARING BASIS FIR . FOUND IRON ROD POC = POINT OF COMMENCEMENT _ _ ______� STRUCTURE UNE BFP - BACKFLOW PREVENTER FIRC . FOUND IRON ROO AND CAP PP . POOL PUMP BLDG - BUILDING FN - FOUND NAIL PRC = POINT OF REQ CURVATURE .. _ .. CENTERUNE BILK - BLOCK FNAD - FOUND NAIL AND DISC PRM . PERMANENT REFERENCE MONUMENT EASEMENT UNE BM BENCHMARK FNO < FOUND PT . POINT OF TANGENCY C =CURVE FPK . FOUND PK NAIL R . RADIUS .,_. t--,--. FENCE LINE CATV - CABLE T.V. RISER FPKD = FOUND PK NAIL AND DISC RING < RANGE 09 = CATCH BASIN FRRSPK - FOUND RAILROAD SPICE R/W RIGHT OF WAY = OLD LOT UNE CL = CENTERLME GAR =GARAGE S - SEPTIC CLF CHAIN LINK FENCE HYD • FIRE HYDRANT SEC — SECTION SYMBOLS CLP - CONCRETE LIGHT POLE ID IDENTIFICATION SIR = SET RON ROD AND CAP O NC - CONCRETE L . LENGTH SPKD - SET PK NAIL AND DISC i6,- FIRE HYDRANT ®= CATCH BASIN CP — CONTROL POINT LEI/ LICENSED BUSINESS SV - SEWER VALVE CPP . CONCRETE POWER POLE LS j - LICENSED SURVEYOR IBM — TEMPORARY BENCHMARK ® - WATER METER ® -SANITARY MANHOLE D - DEED M - MEARSURED TOB TCW OF BANK �- POWER POLE ®=CABLE T.V. SERVICE OF - DRARCiIELD MB — MAP BOOK TWP - TOWNSHIP ELEV -ELEVATION MES - MITERED END SECTION TR - TELEPHONE RISER ®= GAS SERVICE ® - ELECTRIC SERVICE EM - ELECTRIC METER MH = MANHOLE TYP - TYPICAL EOW - EDGE OF WATER MLP - METAL LIGHT POLE VAT - WITNESS - LIGHT POLE ® — TELEPHONE SERVICE EP = EDGE OF PAVEMENT OHW - OVERHEAD WARES ALP - WOOD LIGHT POLE F - FIELD P - PLAT WM - WATER METER ®- WELL ® - DRAINAGE MANHOLE FOA < FOUND CONCRETE MONUMENT PB - PLAT BOOK `APP - WV00 POWER POLE FDH - FOUND DRILL HOLE PC - POINT OF CURVATURE A WV - WATER VALVE '6'r - BENCHMARK ® - SANITARY SERVICE S1IR YOR'c NOTES 1. UNDERGROUND UTILITIES, BUILDING FOUNDATIONS, AND OTHER UNDERGROUND FIXED IMPROVEMENTS WERE NOT LOCATED, UNLESS OTHERWISE INDICATED. TO THE EXTENT THAT THIS TYPE OF INFORMATION IS SHOWN, IT IS SHOWN SOLELY ON THE BASIS OF SURFACE INDICATIONS OBSERVED BY THE SURVEYOR AND MAY NOT BE COMPLETE. 2. JURISDICTIONAL WETLANDS AND ENDANGERED OR THREATENED SPECIES HABITAT, IF ANY, THAT MAY EXIST ON OR AROUND THE SURVEY SITE WERE NOT DETERMINED OR LOCATED. 3. THE SURVEY DATE IS THE FIELD DATE SHOWN IN THE TITLE BLOCK, NOT THE SIGNATURE DATE. 4. THIS SURVEY MAP OR THE COPIES THEREOF ARE NOT VAUD WITHOUT THE SIGNATURE AND THE ELECTRONIC OR ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 5, FENCES SHOWN ON SURVEY ARE FOR ILLUSTRATIVE PURPOSES ONLY. FENCE TIES SHOWN ARE RELATIVE TO THE CENTER OF SAID FENCE. THE SURVEYOR WILL NOT BE RESPONSIBLE FOR DAMAGES RESULTING FROM THE REMOVAL AND/OR CHANCES TO ANY FENCES UNLESS THE SURVEY WAS PROVIDED SPECIFICALLY FOR FENCE LOCATION PURPOSES. 6. PROPERTY LINES AND OR IMPROVEMENTS SHOWN WERE PHYSICALLY LOCATED BY FIELD SURVEY. 7. MONUMENTS FOUND OR SET ARE SHOWN, CALCULATED LINES AND INFORMATION IS NOTED BY (C). B. COMPUTATIONS OF LINES AND OR DATA NOT FOUND ARE SHOWN AS (C). 9. ACCURACIES OBTAINED IN THIS SURVEY IS GREATER THAN (RURAL) 1' IN 5000', (SUBURBAN) 1' IN 7500', (COMMERCIAL) 1' IN 10,000'. 10. PRIOR TO SURVEY INFORMATION OBTAINED WAS LEGAL DESCRIPTION FROM CLIENT OR FROM PUBLICLY PUBLISHED COUNTY TAX COLLECTOR SITE, RECORDED PLATS AND OR SECTION CORNER RECORDS IF APPLICABLE. 11. IF ONLY A DIGITAL SURVEY COPY IS REWIRED A SURVEY REPORT WILL BE PLACED IN FILE. THE DIGITAL SURVEY IS NOT FULL AND COMPLETE WITHOUT THE SURVEY REPORT FILE. SURVEYOR'S SIGNATURE CERTIFIED TO: wT VALID M,Ha,I TIE BONAIIIRE Am mmw. RNID SEAL OR FLEQ7e w 74L Of m FLORIDA STEVE ALDERMAN L*C 1 YMKIdt R®.OK NE SIM E" M 4L. OMIMM TWAT THE ELOMX IE SMAT M NO SM HEREON MEETS MCJEMES XT MT H N CHAPTER W-17.062 Q DE FLOMA AOIE116TAAYE STE��m,M"Y THAT 47202S ftW- 0 PRAT 1O EC CANTER SY 7 7YAM PURSUANT TO gG C J 4 C ffiHOARDS by Bill Hyatt Date: 2020.06.26 KNOW IT NOW, INC. - SI '5E:04'00 PROFESSIONAL SURVEYING AND MAPPING `a.. 5220 US HIGHWAY 1, #140 OP ',D AP 4 6' VERO BEACH, Ft 32967 STA 0' F-ORIDA PHONE — (888) 396-7770 WWW.KINSURVEYORS.COM, FLORIDA BUSINESS CERTIFICATE OF AUTHORIZATION NUMBER LB 6912 PERMIT # (Z cc -? - e Z S } ! ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT S!<Oe- AkAfIzO Oto avKcPJr3�fldt•� _ have agreed to be (Company Name/individual Name) ,\r the — �e o Sub -contractor for STec e ►Vt.tw" e �wr&1?5 orlQle r- (Typle-of T tde) (Primary Contractor) For the project located at 16--b Ste, to Ont u G .17:1� 1 y O d a oeo— (Project Street Address or Property Tax ID #) �A It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. 5� CON -41 TRACTOR SIGNATURE (Qualifier) -s%v e k 4(& -\ ave PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of 20_, by who is personally known _or has produced a as identification. Signature of Notary Public STAMP Print Name of Notary Public - Revised t W2016 S1.'B-CONTRACTOR SIGNATURE (Qualifier) �, _ �e-Y*V, a PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of .20__, by who is personally, known _or has produced a as identification. STAMP Signature of Notary Public Print Name of Notary Public PERMIT # 0— O Z j I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division akVe. -4k&1.4laoq dvKc (Company Name/Individual Name) the _C—__I (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT t,fldee- have agreed to be Sub-contractorfor 5'Tecr 44ci-owt eG>a(Q//3torld�ie (Primary Contractor) For the project located at `T'bb 5mv- S I Y- cpoq d - mdD- � (Project Street Address or roperty Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of 20_, by _ who is personally known _or has produced a as identification. Signature of Votary Public STAMP Print Name of Notary Public Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) S +c �t q1 PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before we this _____ day of 20_, by who is personally known ,or has produced a as identification. _ STAMP Signature of Notary Public Print ;Mame of Notary Public ST. LUCIE j COUNTY F l o p l n a - - PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT i vKc vf/ Cie have agreed to be Wit` 0,_�`Q�b2 v'Iil4N d / (Company Name/individual Name) STt'cc W`O C��ikt�t C c,r:ct(Q�/j�'r�CIC the _ -=a-i— Sub -contractor for (Primary Contractor) (Type of Trade) For the project located at 6b (AD( u (Project Street Address or ro erty It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) Sfi� �c.- PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of -- The foregoing instrument was signed before me this ___ day of ,20___, by who is personally known _or has produced a as identification. STAMP Signature of :Votary Public Print Name of Notary Public Revised 11/160-016 SUB CONTRACTOR SIGNATURE (Qualifier) :5 i e JC' PRINT NAME COCNTY CERTlF1CATiON (UMBER State of Florida, County of The foregoing instrument was signed before me this _____ day of 20_, by who is personally known _or has produced a as identification. Signature of Notary Public Print Name of rotary Public ST..1 PERMIT # I -7-00 � 0 Z- $' .S 1 ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT 5ttOe- Ak&1z0Aqv1 dytic2�j3vr (Company Name/Individual Name) -�- the _ �� (Type of Trade) have agreed to be Sub -contractor for STecK 0A(P-"f a" 0e.�curQz13Cof/p%l- (Primary Contractor) For the project located at 6- -6 Scov u ,j (y o %— S 1 �- cpDyy 4- ed0— (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) :� Tcve Wcf\ w�ct PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of 1201_by who is personally known _or has produced a as identification. Signature of Notary Public Print Name of Notary Public Revised 11/162016 SUB -CONTRACTOR SIGNATURE (Qualifier) �-cu e 0't- l t irLm PRINT NAME NAME COUNTY CERTIFICATION NiJMBER State of Florida, County of The foregoing instrument was signed before me this day of 20_, by who is personally known _or has produced a as identification. STAMP Signature of Notary Public Print Name of Notary- Public STAMP PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, l40? - - c('+— ()0'�o ,69oo— (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 Z' Lc"? 'b 2-5 1 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 WILL 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. . Property Owner Name Oftase Print) OLV'— Prowrty Owner Signature Date STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS_ DAY OF 20 , BY PRODUCED SIGNATURE OF NOTARY PUBLIC COMMISSION NUMBER SLCPDSD Revised 04/11/2011 WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS TYPE OR PRINT NOTARY (SEAL) AS IDENTIFICATION. --4- z cpd7— 0? Z_ ) �— Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 () 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 br 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_IQ 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 liab 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 relatedmedical 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. Signedand ackn wledged on this day of .5u ltj of 20 I'D . Owner/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. Signature of Notary Title: Notary Public SLCPDSD Revised 05/15/2014 Type or Print Name of Notary (Seal) Commission Number