HomeMy WebLinkAboutPermit Application and veg permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
ry os�
Building Permit Application
Planning and Development 5ea•vices
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: c d , '- -c
Property Tax ID #:
Site Plan Name: A L(YLAJf I I
Project Name:
DETAILED DESCRIPTION OF WORK:
New Electrical Meter '✓ Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
!
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: r
Name:_ r �—
Address:
Address:
City: State:
City: State:
zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING CONIPANY: 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cou ty and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lepder or an attorney before commencing work or recordine vour Notice of Commencement
ev.
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Signature Owner/ Lesrel0dintractor as Agent for Owner
Sitilature of Contractor/License Hold
STATE OF FLORIDA
STATE OF FLORIDA -
COUNTY OF
COUNTY OF 9 a
Sworn to (or affirmed) and subscribed before me of
Sword to (or affirmed) and subscribed before me of
Ph sisal Presence or Online Notarization
4u
Pl�yrsical Pres nce or Online Notarization
this day of CW i 2020 by
this -ILI day of � 2020 by
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Name of persa making statement.
Name of person making'stLl ate ent.
Personally Known OR Produced Identification _Z_
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
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Produc
(Signature of Notary Public- State J�,
TAWNYABROI
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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�- PLANNING & DEVELOPMENT SERVICES' li-T•_Building & Code Compliance Division
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BUILDING PERMIT
S B-CmTRACTOR AGREFAWNT
&v have agreed to be
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the { Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project ioented at
(Project Street Address or Property Tax ID I
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
tiling of Change of Sub -contractor notice.
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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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 Change of Sub -contractor notice.
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MY COMMISSION # GG 917244
EXPIRES: September 29,2023
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Revised 1 1/16J2016
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
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ype of Trade)
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(Project Street Address or Property Tax ID
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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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 S Co
The foregoing instrument was signed before me this jj I 1 day of
24 7x, by !4
who is personally known 1/ or has produced a
{i**a ANGELA L. DAVIS
* .....: MY COMMISSION # GG 917244
EXPIRES: September 29, 2023
Revised IT tI ' Bonded Thru Notary Public llndervMters
STAMP
COUNTY CERTIFICATION :NUMBER
State of Florida, County of _M'&_a (—)
The foregoing instrument was signed before me this � r day of
S� 120 " ( .{
who is personally known ./or has produced a
Public
Name 4f Notary Public
jeNG�iLAL. DAVIS
RAy WI MISSION 4 GG 937244
EXPIRES: September 29, 2023
.
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STAMP
COUNTY
F
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the
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have ag reed to be
(Company Na /Individual Name)
rl Sub -contractor for
ype of Trade)
For the project located at b
(Project Street Address or Property Tax ID
Ak
f
kimary Contractor) Wd
3 Lte7 (Ks
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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 S Co
The foregoing instrument was signed before me this jj I 1 day of
24 7x, by !4
who is personally known 1/ or has produced a
{i**a ANGELA L. DAVIS
* .....: MY COMMISSION # GG 917244
EXPIRES: September 29, 2023
Revised IT tI ' Bonded Thru Notary Public llndervMters
STAMP
COUNTY CERTIFICATION :NUMBER
State of Florida, County of _M'&_a (—)
The foregoing instrument was signed before me this � r day of
S� 120 " ( .{
who is personally known ./or has produced a
Public
Name 4f Notary Public
jeNG�iLAL. DAVIS
RAy WI MISSION 4 GG 937244
EXPIRES: September 29, 2023
.
-7-Fo d�° ' Bonded Thru Notary Public Underwriters
STAMP
DATE SUBMITTED:
Building Permit Number:
Proposed Project:
ST. LUCIE COUNTY
NOTICE OF VEGETATION REMOVAL
APPLICATION
2. 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) 4612-2526.
Filing this application does not result in an authorization to commence any vegetation removal or alteration. Laite
(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 1 1.05.06 (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 fling 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 dcpcndent 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.
OWNERS NAME:
OWNERS ADDRESS:_ S9 p6 alsrm f1r 1:7o,4 R rrce Ft_ 3+-ta8 Z
PROJECT LOCATION/ADDRESS:--y x 5[4 e c o' i2d
CITY: s` ®,--1- p; eG
rc. STATE: FL ZIP: 3 4 5q 5
CONTACT PHONE(S) #: 7 Z - 619 - 2-1 a Li a r -7 -7 2 - q -7 1 - 8 ci _l,4
PARCEL SIZE,: PROPERTY TAX ID #:
GATE CODE (IF APPLICABLE):
EMAIL ADDRESS: -d".— ,1 v cbu,, ;1 t
CONTACT PHONE NUMBER FOR PE PICKUP: 3) 3 - U G is --j70-7
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 far this permit
under the owner/builder exemption, see Disclosure Staternent an page 4.
LAND CLEARING CONTRACTOR NAME:
ADDRESS: PHONE NUMBER:
FLORIDA REG/CERT # ST LUCIE CO. CERT. #
BUILDING CONTRACTOR tom! cLh &ky " .C1
ADDRESS: u vs 5 PHONE NUMBER:
lQ-i- C.", 1=L 335113
BRIEFLY DESCRIBE THE PROPOSED VEGETATION REMOVAL INCLUDE LOCATION TYPE AND QUANITITY
OF VEGETATION TO BE REMOVED. PROVIDE A SKETCH OR SITE PLAN IF APPLICABLE DEPICTING WHERE
PROPOSED REMOVAL AND/OR DEVELOPMENT WILL OCCUR
Tranel'Pr, Q»r,nnio
COMPLETE ITHER PART I OR II_ 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 view necessary to conduct a survey or site examination OR 10' in width to provide vehicular
access necessary to conduct soil tests, for the preparation of bona fide site development pians or vegetation
inventories; provided such clearing or removal is conducted under the direction of a Florida registered surveyor
or engineer. Fee: $55
2. The removal of vegetation in a utility easement, drainage easement, storm 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: $55
3. The removal of vegetation which has been determined to be a safety hazard, destroyed or damaged beyond saving
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: 555
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 by 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 twenty-four inches (24"), or greater, dbh shall be removed from any residential parcel
(including those in the AG -5, AG -2.5, AGA, AR -1, RE -1, and RIC zoning districts), regardless of parcel size,
without an approved Vegetation Removal Permit and an approved mitigation plan.
S. The removal of any non-native vegetation. Fee: $55 which will be waived for removal of invasive exotics only
for single family homeowner or property owner's association removing exotics.
b. No vegetation to be removed. Fee: $55
7. The following activities do not require the application of a Notice of Vegetation Removal, however may
require Building Permit approval or other such authorization: Fee: Mone
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 gardening activity
which is commonly recognized as routine maintenance, replacement or re -landscaping.
TrDnATM Q1,)Q/N110
PART U - VEGETATION REMOVAL PERMIT
Fee Schedule: 5100 per Single Family Home Lot/Building
$100 per Multifamily Home LotBuilding
$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:
1. 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. (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 6.00.05.13 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 6.00.05.13).
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.
TTIMATPT) QMR/77110
PLEASE HAVE THE FOLLOWING ACKNOWLEDGEMENTS NOTARIZED:
I CERTIFY THAT: (CHECK ONE)
A. ( ) I AM THE OWNER OF RECORD OF THE ABOVE DESCRIBED
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-famlly or two-family residence or a farm
outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000 777e building or residence must be for your
own use or occupancy. It may notbe built or substantially improved for sale or lease. If you sell orlease a building you have built or substantlally improved
yourself within I year atter 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 bullding. 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 Fl. 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. (St. Lucie County Code and Compiled Laws requires that this type of work be done by a licensed
contractor. PLEASE PROVIDE DOCUMENTATION).
I CERTI Y TNAT ALL INFO ATION
TH ST F M O DGE.
OWNER/-AGfNT-�G TURE
STATE OF FLORIDA,
COUNTY OF ST. LUCIE
SUBMIT E WITH THIS A PLICATION IS TRUE AND COMPLETE TO
61 TRACTOR I VATU
The foregoing instrument was acknowledged
before me this j day of ;15 , 20Z�,'
by , who is
personally &w to me or has produced
as identification.
Signature of Notary
STATE OF FLORIDA,
COUNTY OF ST, LUCIE
The foregoing ins meat w acknowledged
before me this % day o_ tc X20 Z -Q
by a , who is
Pe,W--naIFY-]dT0-"me or has produced
Type or Print Narhe of Notary Type or Print N e of N
Notary Public Title
Commission Number
(SEAL): ti�tK'S.. TAWNYA BROWN
#, * MY COMMISSION # GG 917242
? EXPIRES: September 29, 2023
Bonded Thru Notary Public Under*Nere
APPROVED DENIED
REVIEWED/ APPROVED BY:
S
Notary Public Title
Commission Number
(SEAL} �;s aG4,. ANGELAL.DAVIS
�0: t4y COMMISSION # GG 917244
:1. EXPIRES: September 29, 2023
": f a�' yonded Thru Notaly Public Underwriters
FOR OFFICE USE ONLY
ENVIRONMENTAL RESOURCES DEPARTMENT
DATE
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