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HomeMy WebLinkAboutSUBMITTED PAPPERSBP M .......<. n.:.,...v: ,�e._,>._�a_.... .< s....:.... ........n ..v........:. �.......,..,...:._L.•u."::.....:,._,.:,::�.v»nm vi%:::.,>»-.A>-..c:.-:;;.>.`-'v-.....�dS.:�,e.As:<b..`�,. ,r..:.<.»:<.::.. ,. ... .: :.. .... ..... .,,.._...\...�:-.:».., v_.,..N.v.^...: ._..:..>..,.. �.. e..:.v.,.. ,..._ .-::c<.>,.:-....,. S-..xv.. ............._.. .. .:......:n.. .: .,.:.»....,:_.,,S.ywFw:r�,....u,,.p,..>r:..,.. - � .5 - ���{[�t Pt - - {'Y { FsdyE■.. ya` yw'4 K - S s3 v,. m y �. � k X y S9 ;^4«�'. t �v. ✓' l uss3"t1 $\ f K M6Y' J"k"�ar_11 Si>vF#':,y.3y n��, ,jvr.,m�ht� SECTION: 1 1 TOWNSHIP: - S RANGE: J� E MAP NO.:/I z4 N 1 ZONING: LAND USE: LOT CVG %: TAZ NO FLOOD ZONE FIRM MAP #:. 1ST FLR ELV: MAX HGP CST TYPE OCCP TYPE MAX OCCP: - # OF R..RS: WATER_ SEWER: SPRINKLERS STORMINATE R LOT OF REC (befr 1190) LOT OF REC (aftr 1190) _ "LOT SPLIT LOT SPLIT REOD - APPRV'D ' DECAL LIBRARY PARKS PERMIT NUMBER IMPACTFEE IMPACTFEE FEE I REPORT PUBLIC BLDG HABITABALE RADON FEE 1 CODE -IMPACTFEE - AREA ' . (RADON) ROAD GROSS ROAD CREDITTOTAL ROAD IMPACT ZONE IMPACTFEE IMPACTFEE DUE MEWHIM SCHOOL- - CREDIT . =% - - - - ;TOTAL r-I IMPACT FEE:>u''..'>r-r_;°�.:^;c SCHOOL 'x:IMPACT FEE POLICE FEE FIRE FEE MISC FEES:TOTAL POUCEIFIREI " MISC. FEES - Y" N ADDITIONAL SPECIFY: TOTAL ALL PERMITS - FEES RE(YO REVIEWS ZONING ZONING PLANS.. ' VEGETATION SEA MANGROVEt - REVIEWED BY EXAMINING TURTLE - DATE COMPLETE INITIALS ' DATE FILED: - 1 �l 1 PLAN REVIEW FEE: RECEIPT NO.: U(o C3 PERMIT NUMBER: Q -! 0 - n, V O 1 CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: � ALL INFO MUST BE COMPLETE U FILLED IN TO BE ACCEPTED - ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT 2300 VIRGINIA AVENUE SCANNED �OR10a FORT PIERCE, FL 34982-5652 772462-1553 BY St. Lucie Countv. APPLICATION for BUILDING PERIVIIT CERTIFICATE of CAPACITYIZONING COMPLIANCE i PROJECT INFORMATION 1. LOCATIONISITEADDRESS: NCO T1Cps RCC'd 2. SID NAME: SITE PLAN NAME: 3. PROPERTY. TAX ID #: a:!) iA • aw. OOOO , gzgL4 cc__-- 4. LEGAL DESCRIPTION (atlach extra sheets if necessary): �1 1�iSe 6fC . A I 1 �eacy)ed 5. PLAT. 6. PAGE- - 7. BLOCK -8- LOT BOOK NO. NO. NO. 9. PARCEL SIZE: CRES Q FT.3� 'i'i l �kXC5 LOT DIMENSIONS 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY,LfY ax �S x 12 S1CGb (rwd 'trt5i [1 145 KW Generator C �ASOgptT on diPs�_tj J\j 40nK. 11. SETBACKS (ACTUAL) FRONT-5BACK: �t� RIGHT 20 LEFT 2- + SIDE SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [)q NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [)Q COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: E M2.'(O YIC'-U '- oW eY' 14. Sq. FLICONSTRUCTION: .15.. ' Sq. Ft 1st Roor. 16. VALUE OF CONSTRUCTION: $`'t' 1, Ooo The value of consiruction Is used to determine the amount of permit fees to be assessed. SL Lude County reserves the right to question and/or modify 0te 64cated value of'construcfion i►itis demonstrated that the submitted figures are not caIgistentwith similar types of construction adNities.-If the value is $2WO or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER INFORMATION:. NAME: - - v1Yi IVE��II OiL •i C7TL �- �7'• L-.IP l EY -G(�i Iy ADDRESS: l D-M-M nmIf'f 1tAv) IJIVd • �` 7 CITY: . Icallfalxe STATE: l- ZIP J2 PHONE (DAYTIME): 1 1 -IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: -- ADDRESS: - CITY: - STATE: ZIP PHONE (DAYTIME): f 1 CONTRACTOR INFORMATION ST. of FL REGJCERT 0:: ( i �'^�,., '� ` ,1 ST. LUCIE COUNTY CERT U:' BUSINESS NAME: a. Woe' Cou ITV - OL rey- C.2J .1 I Ider QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): . ARCHITIENGINEER: ADDRESS: CITY: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: - CITY: MORTGAGE LENDER: ADDRESS: CITY: Zt 41v2- 143z 1LOeVFAX NO. ` ���Z� U2-- I`WA r '. •STATE - , 1 ` .ZIP STATE: ZIP STATE: ZIP 34gca IMPOkTANT..NOTICE: When a permit is issued and it is not picked up within- 60 dazes_ after notification it will be voided and returned to you by mail. CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to. obtain a certthcate of capacity, if applicable, for the permitted work: -I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction_ I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, ETC., not otherwiseincluded with this building permit application. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN. FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT:' AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF THIS PERMIT YOU . PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning_ The foregoing" instrument was acknowledged before me this -a- day of 2byV who is personanwnlame-or who - has car used as. identification. Signature of Notary o y O N c Type or Print Name of Notary s Notary Public Title o x C U w m Commission Number $ (seal) CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this _ day of . 20 , by who is personalty known to me or who has produced as identification. Signature of Notary Type of Print Name of Notary Notary Public Title Commission Number (seal)_ NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERlBUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. .5' k �7 y �'h�Rd i2p�1s`-�� G�N�RPrvR �1 (}aC1X �R, iPF P Swt7'c� 3 `6 XJjr.`/2-j �/?3 ��r -_r., PVC -- �� Pr�� 4 4CLIANCE ST.LUCIr'INGDIVISION REVIEWE XEVIEN6 EDATEP!.A.N NT BE KEPT ONJOB OP2 NO INSPECTION WILL BE MADE. � FILE COPY Code Compliance Division 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 http:lls0ucieco.govice Date: 01 February 2007 Job Address: 8400 PICOS RD Received By: counselb Paid With: FW Paid By: ST LUCIE COUNTY- RAY WAZNY n Building Receipt Receipt M 0000050663 'emit Number: SLC- 0702-0011 Amount: 5540.00 �redit Card Number: Check Number: Sign: c Barbara Counsellor - Re: 8400 Picos J Page 1 From: Raymond Wazny To: Counsellor, Barbara Date: 2/1/2007 4:58:04 PM Subject: Re: 8400 Picos Rd It is, thanks Barbara. >>> Barbara Counsellor 2/1/2007 3:36 PM >>> Hello Mr Wazny, I received a permit for a concrete slab with a generator diesel tank for emergency power at the address 8400 Picos Rd. Please I need you to confirm your signature here on these forms so that I can Notarize them. Thank you, Barbara Counsellor Permitting Building Tech II ext. 1559 roperty Appraiser - St.Lucie Coi-iv, FL Page 1 of rr Int Imp Trust Fund Record: 1 of 12 Property Identification Site Address: 8400 PICOS RD Sec/rown/Range: 14 :35S :39E Map ID: 23/14N Zoning: AG-1 Ownership and Mailing Owner: Address: %DEP Sales Information Date Price 1/1/1900 0 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes ParceliD: 2314-200-0000-000-4 Account #: 13843 Land Use: STATE City/Cnty: ST. LUCIE COUNTY Tr Int Imp Trust Fund Univ of FI-Agri Exper Station 3900 Commonwealth Blvd Tallahassee FL 32399-3000 Code Deed Book/Page Exemptions Permits Home Prim Legal Description 14 35 39 NW 1/4-LESS S 251.20 FT OF NE 1/4 OF BE 1/4 OF NW 1/4 AND BE 1/4 OF SE 114 OF NW 114 OF SEC More... Assessment Final Total Land and Building 2006 Val: 17281900 Land Value: 16411400 Acres: 356.77 Assessed: 17281900 Building Value: 870500 Ag.Credit: 0 Finished Area: 32706 SgFt Exempt: 17281900 Taxable: 0 TotaiTax: 0 BUILDING INFORMATION -Extarior Features - View: - RoofCover: - RoofStmct: - ExtType: LE+ - LE+ YearBlt: 1964 Frame: - Grade: E+ -E+ EfYrBlt: 1977 PrimeWall: - StoryHght: 0010 - 1 Story No.Units: SecWall: - nterior Features 3edRooms: 0 Electric: - PrmintWall: - -ullBath: 0 HeatType: - AvgHUFI: STD I/2Bath: 0 HeatFuel: - Prm.Flors: - AA/C: 0 %Heated: 0 % Sprinkled: 0 Special Features and Yard Items Land Information type Y/S Qty. Units Qual. Cond. YrBIL No. Land Use Type Measure Depth 1 8700-STATE 575 -Acres 356.77 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. ttp://www.pasle.org/prc.asp?prolid=231420000000004 1/30/200 �E C G St. Lucie County " Building & Zoning .'P10R104' BUILDING PERMIT SUB -CONTRACTOR SUMMARY S+ . Lucie Cot IC4 will be using the following sub -contractors for the (Company/Individual Name) project located' at (Street address or Property It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical &.LUCie CcurON 2—:t) iWCylnlp, A-4e— �txF i�i�e, e Ini • 34982 Plumbing HVAC/ Mechanical Roofing Gas OFFICE USE ONLY: PERMIT I I ISSUE DATE: ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT ��ORI�P BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida �C+ertification Number (If appt9cable): LI i l jnY � - cpn mY ryl P-, have agreed to be the E I ec yi Cal sub -contractor for &. I uo lC CCilnly (Type of Trade) (Primary Contractor) I . for the project located at s4co PC, f?,d �ci7��[{ ate. �(x�o• OOc�/g) (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, I will,immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED d /i 7 SIGNA RE PRINT AME DAtE Business ame: Address: City/State/Zip: Phone: OFFICE USE ONLY: email: 0��e co �y, St. Lucie.County Building & Zoning "' y -� 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 ` '' Tel. 772-462-1553 '`�QR10 OWNER/BUILDER AFFIDAVIT -ELECTRICAL CONTRACTING DISCLOSURE STATEMENT F.S. 489.503 (6) EXEMPTIONS State law requires electrical contracting to be done by licensed electrical contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of yourproperty, to act as your own electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $25,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. 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 ownerlbuilder exemption shall be reported by the Community Development Director to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of , 20 STATE OF FLORIDA COUNTY OF 3-�A L _G_P The foregoing instrument was acknowledged before me this a day of �:0 , 208 3--9 by Q�ahy , who is per onallq nown to me or who has produced as ' ntifieation. - SIGNATURE OF NOTARY Title: Notary Public 6C4 r'6C11 r ti Ct'i7sell6 Type or Print Name of Notary Commission Number St. Lucie County Owner Builder Affidavit -Electrical Contracting (Seal) '"•"y'•• a:�• by ` BARBARA A COUNSELLOR MYCOMMISSION#DO436835 EXPIRES:June2,2009 ....... "%�,°(,h°.Q"�• Bonded Tryn, Notary P&icunde,,Re,a St. Lucie County Building & Zoning Department 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 or a commercial building at a cost of under $25,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. 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. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial 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 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 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 To qualify for this exemption under this subsection, an owner must personally appear and 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 dder Si tur STATE OF FLORID COUNTY OF _S he foregoing instrument was acknowledged before me t` oZ day of 20' by KAY Wa 7 n t/ who is p sonally known t e or who has produced as identification. /� J661ADa c c Cv 4 mt . I I tN- Signature of Notary Type or Print Name of Notary (Seal) Title: Notary Public Commission Number '^',�"fi, BARBARAA.COUNSELLOR MY COMMISSION9DO435835 ?`• `�= EXPIRES: June 2, 2009 B0d0dncu No1aryNbIICUr&mrhem cOti ST. LUCIE COUNTY \JL�E BUILDING & ZONING 2300 VlRGINLAAVENUE e FORT PIERCE, FL 34982-SM <ORIOp'• 501.462-1553 FILLED LANDS AFFIDAVIT 1, the undersigned, am the owner of the following described property: for which I have 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. Property Owner Name STATE OF FLORIDA. COUNTY OF _�-� I� -ACKNOWLEDGED BEFORE ME THIS_-4;3_DAY OF f"C_T.l .20(� BY PA4 0 )Qnl/ WHO �E OR WHO HAS PRODUCED ASIDENTIFICATION. SIGNATURE OF NOTARY NOTARYPUBLIC TITLE ey', A)a rz, Ccxj rv, I3�r TYPE OR PRINT NAME OF NOTARY (SEAL) COMMISSION NUMBER ,PY. BARB ARAA.000NSELLOR !'= MY COMMISSION N OD 436835 y. o= EXPIRES: June2,20N Bondd Th,N=W PL±GcUMe(vntf '�PP�:t4• e