HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `-3 2� Permit Number:
RECEIVED
s.
Building Permit Application APR 13 2021
Planning and Development Services PQrmltting Department
Building and Code Regulation Division S". ucl"Cou«ty
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772) 462-1553 Fax: (772)462-1S78 Commercial Residential
PERMIT TYPE:
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Address:
Property Tax Ix D #: 3y��"' 0-a�AZ� 1*043 Lot No.
Site Plan Name: Block No.
Project Name:
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Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric —Plumbing Sprinklers —Generator _Roof Pitch
Total Sq. Ft of Construction: f�J �S'�" T Sq. Ft. of First Floor:
Cost of Construction: $ �dy G Utilities: —Sewer _Septic Building Height:
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�xName yx'
Address: / 7S- ,SG -e o,✓,-f G( Company.
City�O"T!''T L.yae- State Address:. :
Zip Code Fax: City:`. State:
Phone No. �'2-' S Zip'Code: Fax:
E-Mail: ;5 E'f 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. �D'�—
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 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."
Ji v e
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S�, L,vo�� COUNTY OF
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
thi7�day of 6 Q rI (' ,20 Z by this`day of 20_ by
1�t-,-%-n tHs c r\C k
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifi t'on Type of Identification
Produced D L Produced
(Signature of Nota ubli a ENS (Signature of Notary Public-State of Florida )
,. Y•p�., DEANNAGIV_
Attu BL'': Public•State of Florida
Commission No. �n; Notary
i�►�c���o <: (�i�nission.,HH086359 ommissionNo. (Seal)
gyres Jan 2a,2025
My Comm.Expire
Bonded through National Notary Assn
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE kv
COMPLETED
ev.
I
FILE # 4867493 OR BOOK 4615 PAGE 755, Recorded 05/21/2021 03:52:44 PM
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This Instrument prepared by.
Vikki Mitchell
under the direction of
Daniel S.Mdatyre,County Attorney
230D Virginia Avenue
Fort Pierce,Fl.34932
REVOCABLE LICENSE AGREEMENT
THIS AGREEMENT,made and entered this_ day of 2021,by and
between ST.LUCIE COUNTY,a political subdivision of the State of Florida,("County")and Brian
F. Herrick and Helen S. Herrick whose address is , 175 SE Bonita Court, Port Saint Lucie, FL
34983(the"Owners").
WHEREAS,the Owners own the property described as follows:
River Park-Unit 5,Block 51,Lot 15 -175 SE Bonita Court
Parcel ID,3419-540-0282-000-4
WHEREAS, the Owners have requested a Revocable License Agreement to install a 6'
PVC fence with a gate along the West 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 the fence and gate 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 and gate which will encroach within the County's Drainage/Utility Easements. This
Revocable License shall extend only to the referenced fence and gate 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 and gate in the County's easements. The owners
agree that if the County Engineer determine the fence and gates are causing flooding,drainage
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problems or for other needs in the area and the fence and gate need 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 and gate in the County's easements. The applicant
shall obtain a St. Lucie County Building permit prior to the commencement of construction
activities within the County Drainage/Utility Easements.
4. The Owners shall maintain the easements along the fence and gate in
accordance with Standard Specifications for Public Works Construction in St. Lucie County,
Florida. The fence and gate 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 gives adequate notice to the County
pursuant to Paragraph Twelve (12) of this Agreement. The applicant shall obtain a St. Lucie
County Building permit prior to the commencement of construction activities within the County
Drainage/Utility Easements.
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 Owners. The County
Engineer in lieu of termination, request that the Owners perform certain alterations to the
fence and gate or the location of the fence and gate,at the Owner's 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 and gate,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 gates 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 and gate,at any time and at no
cost to the County,if necessary,for the maintenance or improvements of the easements by the
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County or Utilities Dept. The County does not accept any responsibility for damages to the fence
and gate to be able to access the easements.
10. The fence and gate 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 fences
and gates 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 Owner:
Brian F.Herrick&Helen S.Herrick
175 SE Bonita Court
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
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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,
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 Owner 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
�I AN� � BY: -VZ//
O
l�l M CR1AIR
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c�VNry FW���*
APPROVED AS TO FORM AND
CORRECTNESS:
COUNTY A OR EY
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k Witness A =
Ofif-C- .31s�P Brian F.Herrick
PRI T NAME
Witness
V I.C,A-0rI'a Helen S.Herrick
PRINT NAME
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The foregoing instrument was acknowledged before me by means of[�ysical presence or [ ]
online notarization,this .r Z date)byPn 5. r fa.' fl•� 0_r 4eAA (name
of person acknowledging), who is personally known to me or who has produced
Dv Iye4A I1 CQ,4't4-e- (type of identification)as identification.
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[Notary Seal] Notary Signature
ZiS,I', CAROt.A BISHOP
t=°•��Uq Notary Public-State ofFlorlda Name Printed
�ef %nmlislon I GG 972536.
.orstj-My Comm:Expires May 26,2024
Bonded tbrabt;H National Notary Assn.
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