Loading...
HomeMy WebLinkAboutBUILDIONG PER4MIT APPLICATION it All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: (0 Permit Number: ()S 0 q Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: _ - _ _ - L - No Address: 13 Ub Aifyr:1,2 i C`LI'' Property Tax ID#: ��� °900 O ja.3 "'©OO Lot No. Site Plan Name: Block No. Project Name: n _ _ ME -.lf:K _"' �,.yA3 3T. s `-f - 'r,• VOR x J-_ - _ NEWS9-0011 New Electrical Meter Second Electrical Meter (Affidavit required) Additional work to be performed under this permit-check all that apply: _Mechanical Gas Tank —Gas Piping _Shutters —Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator —Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 2 " 65 Utilities: _Sewer _Septic Building Height: NAM Name L b � ; �''�t ,�(V�2:+3►?i`L : , `.I Name: tit e!� i.ite r r i Address: C;-166.,�1j�yy�Gl>\ �'°�-:1(:,� :F; �, {i Company: �i :�'•,}�► •.�; FTr�: t iZx Address: City: I i i`��CC - _ - Statec Zip Code: 2U Lh Fax: City: State: Phone No. %l-q&S�M-SC ^ Zip Code: Fax: E-Mail:�G, .�a cJ\fW QY�l�2. �Gf��ir� ` (CM 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 HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. ���� SQ �c5 3,S LvT MOM DESIGNER/ENGINEER: Not Applicable rName�: GE COMPANY: _Not Applicable Name: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 paying twice for . improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County 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 O n r/Lessee/Contr or as Agent for Owner STATE O ID COUN F ),R Sworn to(or affi ed)and subscribed befor me of �l Physical Presence or Online Notarization this tP day of 2Q F by Name of person making st ement. Personally Known OR Produced Identification Ty of Identification Produced t�m"hc" (S ature of Notary Public-State lorida) QN L48WNAING i . RAA�fiAHMI1V(3 Commission No. (Seal) * WCOMMISSIONA(iCi278a EXPIRE&DeftTtIW p,2022 SWedThnfNptarypYppe� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA-TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev Z 21 Q Planning&Development Services Department e o.. •. Building&Code Regulations 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 OWNEWBUILDER 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. 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. 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. 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. O v 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 Here. p 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, hi 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 Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20_ Owner/BVrignature STATE OF FL A COUNTY OF K Me The f regoing instru ent was acknowledged before me this day of 20J by who is personally known to me,.or who has produced as identification. Signature of Notary Type or Print Name of Notary Title:Notary Public Commission Number •'''' ''' p••., LASHAMA #a0275= �'�•,,,,,,,��Bonded TMu�t 2ttais I BOUNE:)AFRY SURVEY LEGAL DESCRIPTION: SURVEYORS NOTES: (SuLOT 19 I by Client) R3 1. UNLESS OTHER.ISE NOTED ONLY PLATTED EASEMENTS ARE SHO HEREON. LOT R IN TO T 2,PLAT THERE E PHASE 1, 2. ALL LOT DMENSIONS SHOT ARE PER PLAT UNLESS OTHER I�SE SHOWN. ACCORDING TO THE PLAT THEREOF AS 3. NO UNDERGROUND UTILITIES OR IMPROVEMENTS WERE LOCATED UNLESS RECORDED IN PLAT BOOK 5$PAGES 35 � OTHERWISE SHOWN. THROUGH 47, OF THE PUBLIC RECORDS OF 4. THIS SITE LIES WITHIN FLOOD INSURANCE RATE VAP ZONE X VAPJ ST.LUCIE COUNTY, FLORIDA. 12111CO070 J DATED: 2-16-12 �+ 5. FLOOD ZONE SHOWN HEREON IS AN INTERPRETATION BY THE SURVEYOR ABBREVIATIONS: AND IS PROVIDED AS A COURTESY. THE FLOOD ZONE SHOULD BE VERIFIED SET = SET 5 8� IRO R BAR WITH BY A DETERMINATION AGENCY.+ YELLO�I CAP MARKED PS 543� 6ABEARINGS SHOWN HEREON ARE BASED ON THE EAST LINE OF FD = FOUND 5/8 IRON REBAR W TERSTONE PHASE 1 AS BEING NWS 59 W ACCORDING TO THE .RIGHT OF WAY PLAT DESCRIBED HEREON. MEASURED 7. P.U.D.E. DENOTES PUBLIC UTILITIES AND DRAINAGE EASEMENT, P = PLATTED U.E. DENOTES UTILITY EASEMENT. D.E. DENOTES DRAINAGE EASEMENT. C = CALCULATED B. THE ACCURACY OF THIS SURVEY IS PREMISED ON THE EXPECTED USE OF = RAptUS OF CURVE THE SURVEY. THE EXPECTED USE /PURPOSE OF THIS SURVEY IS HOIIIE L = LENGTH OF CURVE CONSTRUCTION. ACCURACY=1 FOOT IN 7.500 FEET OR BETTER. FF FINISH DE LTA CU 9. ADDITIONS OR DELETIONS TO THIS SURVEY VAP BY ANYONE OTHER THAN FE = ED FL RVE R LEVAT I ON OO F THE SIGNING SURVEYOR IS PROHIBITED WITHOUT OH-OH-OFT- ER AD 1YIRES "TIM CONSENT X-X-X- = CHAIJLINK FENCE = PLASIC FENCE CONC. _= MOOD FENCE C.P.= CONCRETE Coy.= COVERED E Tm ® ®BOX N 89'51'06° E PARCEL B-3 Rai9s Lm98 OD d�,8 SS4�6• 216f X CD CD -D °' _ , g... v; Aga•00 4 STORY c co�iti w rye. '0 1 j glove o CD �. 0 LOT 20 BLOCK 2 �■ ar �'�' Jzi 1 IL Ecm MIN. SETBACK REQ. PROPO��SED224'SIDE BALK FRONT 89'51'06'E ar '8 s4 6; FIX SIDES CNR SIDES REAR ZNG. TECH. 5 e ®0'R/W - 20'ASPHALT ROAD el �I rlarl I- OWRP -IFS -�i?k �. a-+ COI yG � O 0 oor p 0 Epp- 3 cm o c . o � -o -- a LOT 20 BLOCK o Ac _ Cb 10' I.I.E. - ro FIX PROPOSED 4'SIDE ALK 89 ROVE aT 'e 54 46 56 R/W - 2o' ASPHALT ROAD AMALFI CIRCLE REV lft 5128M-ADD CERriRCAMNS 8300 AMALFI CIRCLE CartIffed to: Notdly Jimenez and Bryan Rivera Bay Equity Mortgage SCALE:1"=30- Atlantic Land Designs Westcor Land Title Insurance of the Treasure Coast, L97468 Starfish Title Agency, LLC DATE:9/22/20 754 XE Jensen Beech Blvd. Jensen Beach. IL 34967 I hereby certily that the surrey shoBn hereon Is true and correct DRAM: SW\JC Mailing Address: and is based on actual meosurements token in the field. P.O.Box 1421 Jensen Beach,FL 34958 " 2020-0690 ALD5543@gmail.com (772)398-4290 PSM 5543 DATE: REVISIONS 11 5 20 FOR BOARD TIE I James A.Cesiro Jr. � d per° STATE" 5 3 21 FINAL TWO NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC �E?EpG0;tIt � LAST FIELD DATE:4/28/21 SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL ° sus£ FILE COPY