HomeMy WebLinkAboutLIPP PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ?.). 2 3' Permit Number:
YF^ 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 CBDG Funding
PERMIT APPLICATION FOR: '\l? vi l
1*11~04EN,,T\LOCADON:
Address: 1 Zq / 144 v Gv` C�'^) C--
Property Tax ID tt: 3IMCDt . 5 30 - d Z . C00 - Lot No.
Site Plan Name: UWPW\ _ Block No.
Project Name:
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:: , 3,T Sq. Ft. of First Floor:
Cost of Construction: $ I 1 ` 06. 00 Utilities: -Sewer _Septic Building Height:
l7WNORILESSEE.
Name 0;N L
Name:
Address: /29 Nar ztlP.4-4,✓J6
Company: ✓ 2GS
City: en / .TS lNC.w State: £G
Zip Code: Fax:
Phone No. 7/E `/E-
Address:
City: State
Zip Code: 34qq, f_ Fax:
Phone No�'L Zl��j ' Y-Lu
Mail: Dt,6Q
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is 75nn nr .o...e . ocrnoncn u_..__
E-Mail to-r
State or Couniy Cicense�
unea.
If value of HAVC is $7,500 or more, a RECORDED Notice Of Commencement is required.
n .�.:•: : r,
- . i��,, �;t'.���t.rtN LiCl°7'e.'���liR#TA��L ; -
DESIGNE
Name:
EN INEER:
19
Not Applicable
1 V h
MORTGAGE COMPANY: _ of Applicable
Name:
Address:
Address:
City:
Zip.
Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _ of Applicable
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t w applicable your Homeowners 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 )obsite before the first Inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Notirp of Cnmmpnrpmpnt
Signature4L��
of Owner/ Lessee/Contractor as Agent for Owner
-
STATE OF
COUNTYOFORIDA Ef I'LG;%
rn to (or affirmed) and subscribed before me of
Swohei
Physical Presence or Online Notarization
this day of 04A 11 �.e . 20 1 by
Name of person making statement.
Personally Known '>'� OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
State M Florida
Commission No. t6 NNW (Seal)P
ry, Notary Punae
`t• Pwest
,, lion GO 312804
My Cw
�qKand,ce
d� Expires 0311712023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev w2uy22
PLANNING At DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Faa(772)462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERIaDT #
I (We) ackeowledge that a new swimming pool, spa, or hot tub will be constructed or Installed at
1 1 al Al i N «e°"') � --iCve— and hereby affirm that one of the following methods
(Please prior street addre )
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
LS_, The pool will be isolated from access to the home by an encloamn that meets the pool harrier requirements of Florida Statute 515,29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performanoc Specifications for
Safety Covers for Swimming Poole. Spas, and Ho Tubs).
All doors and windows providing direct seeress from the home to the pool will be equipped with an exit alarm that has a minimum sound
J pressure rating of83dccibels at 10 feet.
Ail doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms
placed no lower than 34 inches above the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, FA, and win be considered as committing a misdemeanor of the second degree,
punishable by lines up to S500L00 and/or up to 60 days in Jail as established in chapter 775, R.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the floal inspection of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, the contr tor, agree to Instruct the owner of the proper use and maintenance of such safety device.
CONTRACTORsI'fATURE WNER SIGNATURE
WPU
B
UNT'Y OF
,2 u,4 �'i Vfhe foregoing instrument was acknowledged before me
sd,"i
23daya ,2/lZ�,
�l2"
&jo
rsenally Known Produced Identification
wasuup,
�,. of Identification Produced:
grmooP
SL.CPDS Revised 0712212014
sTATE OF F1.ORIDA,COUNT P I,LiC I
r1 o �
NOTARY PUETILIC
The foregoing instrwnent was acknowledged before me
�
this 1.0 day of 1 A . 20 L �
by
Personally Ktwwn__2C or Produced Identification
Type of Identification produced:
+ dwe P W Public�aaFprida
Kan
y My Canmiuion GO 312804
�qa A� Evpires 031172923
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-%52
(771)462-1553
FILLED LAND AFFIDAVIT
1, the and gned, am the owner of the following described property,
✓ wh
for whichhave applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number I 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.
Date
COUNTY OF -S 1 LAlk L 1 Z
ACKNOWLM BEFORE ME TIRE
BY 1 WHO IS PERSONALLY KNOWN TO ME(M OR WHO HAS
PRODUCED
SLCPDSD Rwind D4/1
AS IDENTIFICATION.
V11nal (,-f �qR $ �
TYPE OR PRIM'NOTARY
NUMBER
YEE
Flmda
12B04
�.._. .
61
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• - BUILDING & CODE REGULATIONS DIVISION
Survey Reauirements
The Board of County Commissioner approved a code change that will require a copy of a current sealed
survey when applying for a building permit for a primary structure or a building permit for an accessory
structure with a value exceeding $10,000. This became effective Julv 1, 1993.
The guidelines are as follows:
No Building Permit shall be issued for development unless a copy of a survey of the property on which
the required activity is to be permitted accompanies the application for building permit. All surveys shall
demonstrate compliance with the Filled Lands Affidavit signed by the Property Owners (refer to St. Lucie
County Land Development Code, Section 7.04.0LD.3.) and completely depict the following:
1. The location of the proposed development activity.
2. The relationship of the activity under application to all adjacent property lines, and as may be
required for the review of the application, all adjacent structures, improvements or natural
features, including but not limited to the nearest building corners of all adjacent primary and
accessory structures, pools and screened enclosures, fences, sheds, utility easements, wells, septic
systems, driveways, culverts and any landscaping or existing vegetation located along the
property lines.
3. A minimum of two (2) elevations along each roadway on which the proposed activity borders, the
existing ground elevation at the approximate center of the proposed structure, the existing ground
elevation along the side property lines adjacent to the proposed structure, and the proposed
finished floor elevation of the structure under application and finished grades for any adjacent
structures rioted above in item 2. The proposed finished floor elevations must be consistent with
the approved Health Department On -Site Sewage Disposal System Construction Permit if on -site
sewage disposal is proposed.
All surveys submitted shall be prepared, signed and sealed by a Florida Registered Land Surveyor, in
accordance with the provisions of Chapter 61G17-6, FAC, except those applications for interior
modifications or construction, roofing permits not involving any structural alteration or additions to the
area covered by the roof surface, or any other permit required activih that does not result in the expansion
of any portion of the existing structures shall not be required to submit a survey, Accessory structures
with a building value of less than ten thousand dollars ($10,000) shall not be required to submit a survey,
but shall instead be required to submit a scaled plot plan indicating the location of the accessory structure
and its compliance with minimum setback standards. Copies of original surveys meeting the above
requirements may be submitted with any application for building permit, provided that the survey still
depicts the accurate location of all structures and other improvements on the properly.
Per Florida Administrative Code Chapter 61G17-6.006, paragraph 8, additions or deletions to
survey drawings by other than the signing party or parties is prohibited without written consent of
the signing party or parties.
SLCPDSD Rcv 06/l8/2010
219/06 cml
PERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
XTREME ELECTRICAL SERVICES have agreed to be
(Company Name/Individual Name)
the ELECTRICAL Sub -contractor for PREMIER POOLS AND SPAS
(Type of Trade) (Primary Contractor)
For the project located at 129 NE NARANJA AVE.
(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 (QdaBRer)
��s IlS
PRINT NAME
0�TS
U. ERT CATION NUMBER
\.
State ofFbrWee, County of
The foregoing Inetromeat was slanod before mt this day of
:6Z by l
who 1496ally Imoww"" has Produced a
Revised 11/162016
Erin L Chavez
?�U�!Nb, Comm.#1G952777
3 Exiles: Jan. 29, 2024
Banded T!mR Aaron Notary
SU RACTOR SIGNATURE (QuaBBer)
CHRIS RIENDEALj
PRINT NAME
29852/EC130054501
COUNTY CERTIFICATION NUMBER
State of Florida. County of�i�Ji
The forgoing instruawat was ed before one tat
/q1,-3 dayof
wb raaaalty Imowo but Produced a
as [death oa.
STAMP I/L . t _ STAMP
t Notary
Print Name N Notary Public
u N , Erin L Clay Chavez
...�s Comm.#GG982777
2024
ndded Thal Aamres: Jan. e
Bon1