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HomeMy WebLinkAboutBuilding Permit package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED . a�o3 d 5d"a' Date: 3���u � Permit Number: RECEIVED Building Permit Application MAR 16 2022 Planning and Development Services St,Lucie Countv Building and Code Regulation Division Commercial Residen?ignittina 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR ARM- T at �3 Address: Property Tax ID#: 1�3�.1�1..a�t� -�O Lot No. Site Plan Name: Block Flo. Project Name: /j/Gc[i f G.�G G III Ow - -b�/. New Electrical Meter Second'-Electrical_IVleteri-, (Affidavit required) -�; - �. `-_ -ks`u. -re^�s'_ '-.a +. ;; -r-,•-' z� 'ca as ".�y'a,r^< '.'£-"' � _ ,x3 'g -s--�«-...wi��.:�.,e-'� fir" �44 -•� 3- . �r 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: / Ft. of First Floor: Cost of Construction: $ Zzero Utilities: _Sewer _Septic Building Height �c"t#§� z �s�• �n^tn"�- ''" r..Y r c�Yi •s ��' �"',u�� �`�.-,c•'f :010 F" .4. -r�•F "�ii ssr,�'y - �'�v s.,a.' 1 "4..T' [ 5 .e�` �'� "1r--t.. � Name '�e'v C- `o 5L Name: Address: j /�� '�� � Gr! !/ _ 'Company: City: State;. , Address: Zip Code: `2�� , � Fax: City: State: Phone No.7/�� �y�7i'e E- Zip Code: Fax: Mail: 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. i If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required. N iRx DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable M 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with 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 No ace of Commencement must be recorded in the public records of St. Lucie County and posted on the job , e before the first inspection. If you intend to obtain financing, consult with lender or an attorneybefor, commencin work or recording our Notice of Commencement. ::=o/e�¢:. JAMIE JAMWANTIE HART%.ANDA." Nota Public-State o.'=.a Signature of Con ractor-o4n ,�r Builder as applicable =; -g ry rica °•. d+: Commission--HN 098075 STATE OF FLORIDA ,/l �n / my Comm.Expires Apr 11.2025 COUNTY OFG,� Swor to(or affirm and A_subscribed before me of Physical Presence or Online Notarization this /b day of �v(:G 20 2-by Name of person making statement. Personally Known OR Produced Id ntification Type of Identifica 'on Produced Fu- g ture of Notary Public-State of Florida) Y° JAMIE JAMWANTIE HARI.NA�J'A� l�1� Commission No.T7t7 ©%py/ (Seal) Notary Public State o:=.orica ., :;• YOi ••.•�.o�os-,: Commission:HH 098075 My Comm.Expires Apr 11.2025 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 1011212-1 O Planning&Development Services Department • • _ Building&Code Regulations 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 OWNER/BUILDER 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. y l� 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. 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 costi of the license.. Initial Here. I /<1 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 Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledg o this day of of 20_ wnerBuild r Signa re STATE OF FLORIDA COUNTY OF The K � regoing instrument was acknowledged before me this�5 day of tea{ ,20a by Volofttk who is personally known to me,or who has produce as identification. ^s�y`y 6: DEANNA GIVENS n R�^ N� \�`VQ^�`s public-State of Florida ��\� Notary Signature of Wary Type or Print Name of Not `s c` Commtsgiq in 086359 Title:Notary Public Commission Number C� � :fcwF c+d` MY Comm.8x_pllreS Jan 28,2025 Bonded through National Notary Assn. i LEGAL DESCRIPTION: LEGEND LOT 1 AND THE NORTH 1/2 OF LOT 2, BLOCK E. HARMONY HEIGHTS ADDITION, ACCORDING TO THE MAP OR PLAT THEREOF, AS RECORDED IN PLAT BOOK 8, PAGE 38. CL = CENTERLINE OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA. EP = EDGE OF PAVEMENT LOT AREA: 18,372 4 Ft; 0.38 Awes* STREET ADDRESS: 5101 MATANZAS AVENUE, FORT PIERCE, FLORIDA 34946. SURVEYORS' NOTES: k 1. BEARINGS SHOWN HEREON ARE BASED ON THE SOUTH RIGHT—OF—WAY LINE OF MATANZAS AVENUE AS PLATTED AND BEARS N 89'40'00"W. 2. THE EXPECTED USE OF THE SURVEY AND MAP IS FOR CONSTRUCTION PERMITTING. 3. ALL DISTANCES AND BEARINGS ARE AS FIELD MEASURED AND ARE COINCIDENT WITH N M'�0'0ar w >tnay a "PLAT"AND DESCRIPTION DATA UNLESS OTHERWISE NOTED. EP Matanzas Avenue $I =4WOr r) �, 4. THIS DRAWING'IS NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR & MAPPER. NI RI 5. THIS SURVEY IS BASED UPON A DESCRIPTION FURNISHED BY THE CLIENT, THERE HAS f j BEEN NO EXTENSIVE SEARCH OF THE PUBLIC RECORDS BY THIS OFFICE. OW(llaeb of Bmdnpe) ' egg 6. NO ATTEMPT HAS BEEN MADE TO LOCATE UNDERGROUND IMPROVEMENTS. Rw I ' %w 7. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING —b. ^ LOT 1 PARTY OR PARTIES. aee -------- ( Block E g PROPERTY HEREON LOCATED IN FL06D ZONE "X PER F.I.R.M. 12111COIGOJ (A aa4 ------------ raa - NON-PRINTED PANEL), DATED 2-16-12. 5.00 30.00 0°�`�T aaN 88 y 1 9. THE TRAVERSE CLOSURE FOR THE SUBJECT PROPERTY EXCEEDS 1:10,000'. 39 ONE—STORY m LOT 8 7' PROPOSIM : RESIDENCE N W 10. PARCEL IDENTIFICATION'NUMBER: 1431-701-0041—OOD-8. Ln Block E $ ONE STORY $ g;pR 11. ALL MEASUREMENTS ARE IN ACCORDANCE WITH THE.UNITED STATES STANDARD IN �) (MA=F or, ----- •t z FEET. "' ---"""--------""""'"" "' = z I CERTIFIED TO: ROBERT A. KAYSER & ENADENE McFARLANE C0v"�M The North 1/2 of 7.e.0o 0o.0a ff 2, d I - s CERTIFICATION: Sl h K X K IF h k k x �( fC _a�a0a _ I HEREBY CERTIFY THAT THE SURVEY PRESENTED HEREON WAS PERFORMED UNDER MY 'Y0m F" atom S aV4WW E 177.00' ran0 atmM SUPERVISION AND IT COMPLIES WITH THE STANDARDS OF PRACTICE AS SET FORTH BY u.I�� RODLu Mw THE FLORIDA BOARD OF SURVEYORS &MAPPERS IN CHAPTER 5J-17.050— 17.052 OF The Remainder of THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUTES, LOT 2, Block E �'Z" AND FURTHER THAT THERE ARE NO VISIBLE, ABOVE GROUND ENCROACHMENTS UNLESS � OlpppyEp) t I SHOWN OR NOTED. � �I FRONT N, SETBA K REC�. In SIDES STEVEN D. MARSHALL LS6376 °uMlWre CNR FR •4uno' d ' 0 elonT.1S y � c• SIDES ZZOZ REAR I�bW BOUNDARY SURVEY REAR TEECCH.. 0BN c Prepared on'1hs order of: Z __NI-a r s 1 h 1 � L .-- 3O3b ---HOY Kayser Surveying & Mapping 321 Holly Ave Folds _ Job Noa 22:0201 Port St. Lucie, Florida 34952 tel: (772) 940-1382 Drowns LDM I Dates 02-01-22 small: morskII01530hotmau.oan Saabs 1"-90' Ishwh 1 of 1