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HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Date:1 • Permit Number: RECEIVED - FEB 2 3 1011 _ - - Building Permit Application Permitting Department Planning and Development Services St. Lucie Count/ Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential /�- PERMIT TYPE: ��^ .-.-mac_. � ynp��r -r �)y �s/� .s iy��'r y{y+�['�/�, �k[].r+:.: „ F, � ,�.TM��2-,�� -¢.,�." r"i.z• S ,�-r'�'-�,, �-s F .3 Ys,�'""m�t-�'��^�' '�y`ry ;�`� lt� IY�F .Y- flrEtl"xY{..���4 Address: 115 _ LU (_&=t20 Property Tax ID#: i © Lot No. Site Plan Name: Block No. Project Name: ►�G`P�/��/A/ �w$77eVC t�hJC� G�A-I N Z �v 1.0 o o D A=�C /5 Q0/AJ(5 7-0 /ae .4r T-HE L&--r- ` sio,5 Ne5uI"V67 IS '3 .3" 4STittCTCt3t CUF .�._.::'".r M Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _has Piping Shutters Windows/Doors _Electric _Plumbing _Sprinklers Generator _Roof. Pitch Total Sq. Ft of Construction: o q Sq. Ft. of First Floor: Cost off{Cons}t}}r�ruction: $ Utilities: _` Sewer Septic Building Height_ "1,"t �41wV1 j R"34 t `£ L "F" i. - r k,�r, � ;ilT -l; tle MORE, '. .z"=yi l'£•'•22 � Name A /2k/6 90,6� I Uez Name: Address: c5E Company; City: noRT $A-wr uicic, State: f L Address: : Zip Code! �5 Fax: City:` ,State: Phone No. (;6�61 ✓�' �h—p�s S> I? Zip Code:: _.' Fax: E-Mail: ,�'��'�C 8S �%(d��0 c�l�.#a/ 60AA 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. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. r �P:=y�,?:£fgir�'-� 'vR az��� ;�� i�c� st-try I DO 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 LAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE,BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Less ee/Contrac as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA L 1 STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instru t was acknowledged before me The forgoing instrument was acknowledged before me this day of A 20Q� by this day of 20_ by .xtC �20fp2.in►1),P,7, Name of person making statement. 1J Name of person making statement. Personally Known OR Produced Identification r/ Personally Known OR Produced Identification Type of Identifica Type of Identification Produced Produced (Signature of N (Signature of Notary Public-State of Florida ) KAREN S. NIELSEN Commission No. _z°`P B`�,.State of Flori Notary Public issionA� 207484 Commission No. (Seal) b o My Commisson Expires OF F� lunp 22 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19 JiL,LG -- . `I Planning&Development Services Department RECEIVED Building&Code Regulations FEB 2 3 1011 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 Permitting Department St. Lucie County OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT 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. 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. A Q Initial Here. 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. Initial Here. 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 Here. �/1�.1` I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial Here. A V` 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 Here. Ak 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 the license. Initial Here. 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 Here. ! To qualify for this exemption under this subsection, an owner must personally appear, 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 Zoni g Departirip o the Florida State Department of Professional RegulatioAer[Biu�' l ledged on thiso�� day of of 2Q: ). er Signature STATE OF FLO �,l COUNTY OF - Thgqforegoing ins ment was acknowledged before me this_R3 day of ,20 4'' by who is personally known to me,or who has produced as identification. ' Signature of Notary Type or Print Name of Notary (Seat) Title:NotaU Public Commission Number KARE.N S. NIELSEN -=ti�Y PVB� o ��;State of Florida-Notary Public _• Commission # GG 207484 Rpl% l My Commission Expires OF F1 June 12, 2022 RECsTuga FEB 2 3 1011 s : . SURVEY 'PermittingtLucie Department + + BOU" ARY S + � +- + + St. Lucie Count+/ LOT 1f i ; LOTJO LEriAL LOT f2�, :; &�� � � i Z�� LOT 16,'-$LOdC. F OF R/YE7P PARK UNIT A AS RLtiWOEp/N P(AT BOOK 71, i PACE 31, DF 7N[f�, RECORDS a�ST.waE CWNrY EIa4IDA L-- — ---------- - —-----J t-------- --- 6 I ZO'A4AfIL/L£ VHf%W VW7Y w_ ="EM S NQI t /t��C ' 1, LANDS SYlOi1TV! 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IRVEYORS,, INQ "+r'D --------------- --—-—-—-—- -_ - £, L,MERO DRI PF " #6018 Rt�sas awma`-ywm`a a$rDarr-c+�-teir - DIXIE HIGHWAY -„ °EACH,FLMDA 349s7 .ICrRa10 -��-•��-�_ 772-334-CM PItOME PREP.' tl FOR MICKAEL do ✓ANET SMAR 1PORT UC/E�ST.1 LME COUNTY, 'FLOR/DA MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 4837762 OR BOOK 4578 PAGE 2425, Recorded 03/25/2021 02:01 :40 PM ihls Instrument prepared by: Vikki Mitchell under the direction of Daniels,McIntyre,county Attorney 23Do VlrginlaAvenue Fort Pierce,FL34492 REVOCABLE LICENSE AGREEMENT THIS AGREEMENT, made and entered thisCIL `dday of GC C. 2021, by and between ST. LUCIE COUNTY. a political subdivision of the State of Florida; ("County") and Alexis Rodriguez and Marlene'Toledo Daniel whose address is, 175 SE Lucero Dive, Port Saint Lucie, FL . 34983 (the"Owners"). WHEREAS,the Owners own the property described as follows: River Park-Unit 5, Block 54,.Lot 16 -175 SE Lucero Drive Parcel ID:3419-5 40-0353-000-3 WHEREAS, the Owners have requested a.Revocable License Agreement to install a 6' wood fence with a double gate along the side of their property within the County's 6' Drainage/Utility Easement and along the rear. of their property within the County's 10' Drainage/Utility Easement as shown on Exhibit A. WHEREAS, the County is willing to,permit the Owners to;encroach in the, County's easements for the purpose of installing a fence subject to the terms and conditions set forth in this"Revocable License Agreement. = NOW, THEREFORE, in consideration 'of the' mutual covenants set, forth herein, the parties agree as follows: 1. The County agrees to grant the Owners a Revocable License Agreement for the -fence which will encroach within the County's Drainage/Utility Easements. This Revocable, License shall extend only to the referenced fence 'and"'shall not extend to the' construction and/or installation of any additional structures or utilities. 2. The sole purpose of this Revocable License Agreement is to grant the Owners permission to install and maintain the fence in the County's easements.. The Owners agree that if the County Engineer determine the fence is causing flooding,"drainage problems or for other 1 OR BOOK 4578 PAGE 2426 needs in the area and the fence needs to be removed or relocated,the Owners will do so at the Owner's sole expense. 3. Pursuant to the terms and conditions contained in this Agreement, the County authorizes the Owners to install the fence in the County's easements. The applicant shall obtain a St. Lucie County Building permit prior to the commencement of construction activities T within the County Drainage/Utility Easements. 4. The Owners shall maintain the easements along the fence in accordance with Standard Specifications for Public Works Construction in St. Lucie County, Florida. The fence shall not interfere with County use of the easements and any damage to the County easements shall be repaired by Owners. 5. This Revocable License Agreement shall be binding on future successors and assignees of the Owners, provided that the Owners give adequate notice to the County pursuant to Paragraph Twelve(12)of this Agreement. 6. The County shall have the right, at the sole discretion of the County Engineer,to terminate this Agreement with or without cause and require removal of the encroachment at the Owner's sole expense upon ninety (90) days written notice to the Owner. The County Engineer in lieu of termination may request that the Owners perform certain alterations to the fence or the location of the fence, at the Owners' sole expense. However, if such alteration is not performed to the satisfaction of the County Engineer the County shall be entitled to exercise its right to terminate this Agreement. 7. Upon the abandonment of the fence, the expiration of this Revocable License Agreement, or the revocation of this Revocable License Agreement, whichever occurs first,the Owners shall be responsible for the removal of the fence and repair of the easements, if necessary. 8. The term of this Revocable License Agreement shall begin on the date first above written and shall remain in effect unless otherwise revoked or abandoned as provided herein. 9. Owners agree to relocate the referenced fence,at any time and at no cost to the County,if necessary,for the maintenance or improvements of the easements by the County or Utilities Deptepartment. The County does not accept any responsibility for damages to the fence to be able to access the easements. 2 1 OR BOOK 4578 PAGE 2427 10. The"fence shall be installed in accordance with all applicable building codes and permitting regulations of the County and shall be maintained solely at the.expense of.the Owners. Any maintenance-or relocation activity will be subject to the written approval of the County Engineer. 11. The Owners agree to allow County employees access to the location of the fence for County purposes as determined by the County Engineer. 12. All notices, request and other communications dealing directly or indirectly with. this License shall be,in writing and shall be (as elected by the person giving such notice) hand delivered by messenger or carrier service,telecommunicated,or-mailed by registered or certified mail (postage prepaid)return receipt requested,address to: As to County: With Copies to: County Engineer, County Attorney Engineering Division 2300 Virginia Avenue, 3rd Floor 2300 Virginia Avenue, 2nd Floor Fort Pierce, FL 34982 Fort Pierce, FL 34982 As to Owners: Alexis Rodriguez and Marlene Toledo Daniel 175 SE Lucero Drive Port St. Lucie, FL 34983 or to such other address as any party may designate by notice complying with the terms of this section. Each such notice shall be deemed delivered (a) on the date delivered if by personal delivery, (b) on the date upon which the return receipt is signed or delivery is refused or the notice is designated by the postal authorities as not deliverable,as the case may be, if mailed. 13. As consideration for the County granting this Revocable License Agreement the Owners agree to indemnify and hold the County harmless from and against-all claims, liability, demands, damages, expenses, fees, fines penalties, suits, proceedings, -actions and costs of actions,including reasonable attorneys fees of any kind or nature arising or in any way connected with the use, occupation, management,or control of the above property by County or its' agents, 3 OR BOOK 4578 PAGE 2428 servants, employees, patrons, or invitees, or resulting In injury to persons or property, or loss of life or property of any kind or nature whatsoever, sustained during Licensee's use of the property. 14. The Owners shall promptly pay to record this Revocable License Agreement in the Official Records of St. Lucie County, Florida. The Owners shall pay any document excise taxes and the cost of recording this Revocable License Agreement. IN WITNESS WHEREOF, the parties have executed this Agreement on the day and year above first written. ATTEST: ST. LUCIE COUNTY BOARD OF COUNTY COMMISSIONERS DEPUTY CLERK p , - .4v � z $ BY: 0 CHi4 C°VNtr,FLo��°r APPROVED AS TO FORM AND CORRECTNESS: COUNTY RNEY 4 OR BOOK 4578 PAGE 2429 Wi e ll II �) 1'lal Y AI xis Rodriguez PRINT NAME Witness�� Ma ene Toledo Daniel PRINT NAME . STATE OF FLORIDA COUNTY OF ST. LUCIE The foregoing instrument was acknowledged before me by means of [ hysical presence or j ] rr pp C .j. online notarization, this ��' 20Z f (date)by �+e1`'i n��C�q4� a�� `� �` l�name of person acknowledging), who, is personally ' known to me' or who has produced L 3 hZ oc 2. 4 (type of identification)as identification. Shawn Norton Pv Poo State of Florida Notary Signature 0 My co mmisslon Expires 09h4/2024 Commission No.HH 42213 „� Name Printed 5 0 w 0 0 Ln � ? 4 tD 4 di w amm._r Arm i ----- ar i tebbler ,� fail --- :-X X.:,�x xxx j----------- K = fl �w�nssr,r aoVWWttMW ru i ws.Nr A In. * hw N r. pro . N ��•�. :� �_:.=�:�`� _-_ art-- �: �.�. 52 �1 � g RM ) �� Ala • 7