HomeMy WebLinkAboutSUBMITTED PAPERSOpPi. E USE
DATE FILED: �� [
PLAN REVIEW FEE: RECEIPT NO.: I.S PERMIT NUMBER: , y Oa G aa5
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
. ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553 &(, A
APPLICATION for BUILDING PERMIT /o co4n r
LI
CERTIFICATE of CAPACITY/ZONING COMPANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: Slo I
2. PROJECT NAME:
3.
4,
PROPERTY TAX ID #:
SITE PLAN NAME:
LEGAL DESCRIPTION (attach extra sheets if necessary): C)'t :3q 3 4 S /�1 7. > -/ r I d*
hut` � �� Pr C � �. S � �l4 8 r� RNA \l -z 6,P °f�
T( 765.1.5 r''
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. L& NO.
9. WARCEL SIZE (ACRES/SQ FT.): 5. 1-17 LOT DIMENSIONS:
10, OUCOMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY:
l Z o3 alL r c oo A- p1>; f au�J-
11. 'SETBACKS (ACTUAL) FRONT: G0 - " BACK: RIGHT SIDE: ? L• BL01 S LEFT SIDE:
12.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
J[/NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] .COMMERCIAL
[ ] OTHER (SPECIFY)
13. AWDESCRIPTION OF PROPOSED USE: .S 1 6 PICIA IE-
14. 40 SQ. FT OF CONSTRUCTION:
Z$,8
16. N,VALUE OF CONSTRUCTION: $ b 0
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
15. SF. FT 1 st FLOOR:
The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or inodify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities: if the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
OWNER INFORMATION I
1z - CL'L �
NAME: C:.R
\\ �' �� Z-n
ADDRESS: 4P 3 `3 c% ( U u�+ K S p LN 9C _
CITY: IN 7� p i :„ Re—' i= STATE: �� ZIP: : C
PHONE (DAYTIME): C LM Email: (0Q Xj4 dog, C L7/A
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): (_)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME): (_)
ARCIRVENGINEER: 10c-C-RA t H
,f s
ADDRESS:
PHONE (DAYTIME): l� Cs3�i� " - 34 O
BONDING COMPANY:
ADDRESS:
CITY:
ST. LUCIE COUNTY CERT #:
STATE:
FAX NO. Email:
- -- �'-1 Izc 113 - .
STATE: F
STATE:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE:
ZIP: '
ZIP: 3-35 f .3
ZIP:
ZIP:
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
_ L
i 1
i
i ! �
a
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate 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, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
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: 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 JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
,ft=1 OR CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF SIf. "c-tk
The foregoing instrument was acknowledged before
me this Q day of 20 ,
by
who is personally known or has produced
Q. O -1 y S' e01,,_-Q AS-0 as identification.
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
me this day of
by
before
20 ,
who is personally known or has produced
as identification.
Signature of Rota ...... state o1 Florida gnature of Notary
Notary Public 2016
Go m. F
_xpTres Dec 1 .
Commission No, `My n # EE 658761 Commission No. (Seal)
;s 00 Assn.
y °` Through National Notary
',:,; ;;,;•' Bonded
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR.TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE' FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERBUILDER APPLICANTS. '
3
For specific instructions see appropriate permit Oecklist.
i
OFFICE USE ONLY BP #: 1410a - oaa 5--
SECTION
TOWNSHIP
tb i1 5
RANGE
.�
MAP NO.
3I Li9
ZONING
r
LAND USE
R C
LOT CVG %
TAZ NO.
FLOOD ZONE
(J
FIRM MAP #
IT FLR ELV
MAX HGT
CONS'1; TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
APPROVED
REPORT
HABITABLE
RADON
PERMIT
CODE
'� a�
AREA
FEE
FEE
RADON
LIBRARY
PUBLIC BLD
PUBIC BLD
PARKS
IMPACT
IMPACT FEE
IMPACT
IMPACT
,FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED
FEE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
a. 1� ,
i( p
II 7 _
CATE
OMPLETED
l
INITIALS
I i I i I I
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 or a commercial building at a cost of
under $75,000.00. 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 applicab s,
ordinances, building codes, and zoning regulations. Initial 0 fL
I understand that the building official and inspectors are not there to design or give advice on how t t
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 liabl e
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 relat edged}"cal
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.
"IJ
Owner/Builder Signature
STATE OF FLORIDA
COUNTY OF 6>r A. C %4- b
The foregoing ins�ru ent was acknowledged before me this \4` day of
s
1 A
20
�� a
is known
, ,
has
by t d
who personally
to me,
or who
produced '3 9,0 - 5-
- 5A 5 ' as identification.
_.s
DEANNA GIVENS
Notary Public -State of Florida
Signature of Not
Type or Print Name of Not
= •° ° .'-
My ComilRres Dec 16, 2016
Title: Notary Public
Commission Number
_!��
Commission # EE 858761
Bonded Through National Notanv '
SLCPDSD Revised 07/22/2010
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 3933863 OR BOOK 3;' PAGE 68, Recorded 03/13/2014 at 11 AM
��j0 � W1111, S� NOTICE OF COMMENCEMENT
Permit No. Ift`-2 �i�L�L� T.Fa. No.
State of Florida County of St. Wde
The undersigned hereby gives notice that Improvement will be made to certaln real property, and In accordance with Chapter713, Florida Statutes,
the following Information Is provided In this Notice of Commencement.
Legal Desori cf Proper(t : (and stregLaddress If a II ble):
F� d1E,hrJs`;aa .T��. � �4.3�_S (5'7•>3r&-PN-7rr..17 FoLp[sc
mL 14a
description
Owner Info on qr � ,� 1 formatJan @ ssee contracted for the Improvement:
Name K C �Vl�KI C�'i1 Address Sa16 i jb(,4NSia.N _ E 37
Interest in property:
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: OU) o(- N, U Li
Contractor Address: Phone Number.
Surety (If applicable, a copyof the payment bond Is attached): Amount of bond: $
Name and address: Phone number:
Lender Name: Phone Number:
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documentsmay be served as provided by Section
713.13(1) (a)7., Florida Statutes:
Name: Phone Number:
Address:
In addition to himself or herself, Owner designates of
Uenoes Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner,
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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. IFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penaltyof pedury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true tothe best of
my knout d a and b Ilef.
Aee::
(Signature of Owner or Lessee, or Owners or Lessee's Authorized Officer/Dlrector/Partner/Manager
(Signatory's Title/Office) �^
The foregoing Instrument was c edged before me this—adayof*
I
By 6') C C"u for
Name of Person Type aF au rity fe.g.officer, trustee Party on behalf of whom Instrument was executed
✓/
gow4�MYCANGEIA +f�� orproduced IdemiRcation(SlgnatureofN Publle-State ofFlorlda) EXPIRES:Apn712,2016
(Print, Type, orS p Commissioned Name of Notary Public)maearrw rlaa grypfrtl6ddeltslR ton produced
STATE OF FLORIDA
ST, LUCIE COUNTY
Ti-IISISTOCERI'IFYTHATTHISISA
TRUE ANQCO21RECTCOPYOFTFIr
l I G I N ri L •7 .jr.S.J.n .• .e.. �.ry.,
Os��ut75 erk
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner � P N 7 it, 1de� described p LjZ4,;F5C- PAP, 0- Et
cam` 9 I_ V1 Rly N 8 F- Iq D� 5<< l
(Parcel Id#/Legal description/Address)
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.
Propert r Owner Name
(Please Print) r1
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Iq • 1— Ll e \ k-
ACKNOWLEDGED BEFORE ME THIS DAY OF . 201 1
BY rr WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED R3 as 1 `P1 \ AS IDENTIFICATION.
SSI-GcNATURE OF NO ARY PUBLIC
Y� btl rP COMMISSION NUMBER
SLCPDSD Revised 08/24/2010
TYPE OR PRINT NOTARY
DEANNA GIVENS
o:PaPAlryotary Public - State of Florida
My Comm. Expires Dec 16,201 6
- c # EE 858761
:vye Commission
< �< < Bonded ?nrough National Notary �" r
A
III U41 LUl 3 LJ; 17 5P11 II-IblL.I PAGE 01
CSllsineS�.. 8,::c 32A
Prai ession q�f, :trr IVII, Fax ,Mil 1'.M#f,
Ken Lawson.Sec;2tory r RicXSCo% GQvemor
October 14, 2013
hlellssa Smltn
Smithbllt IndUSMes, Inc,
1061 Highway 92 West
Auburndale, F6 33823
RE: manufacturer Certlficatlon, ID MFr-208; Expira n D Octoti' 8, Ot
Dear Mellsso Smith
Et is my pleasure to Inform you that Smith t_Industrles, Inc., located at 1061 Nwy 92 West, NA,
Auburndale, FL 33823, hag been gppravpd under the Manufactured 6ulldings Program, as provided
for under Chapter 593, Part 1, Florida St%Utes, to manufacture Storage sheds, Manufactured
Buildings for instaliation In Florida.
construction or modification on a manufactured building cannot begin until the Third Party Agency
has approved the plans In accordance with the current Flgrlda 9ullding, Code, Your Third Party
Agency Is a contractor for the Department and has stetutotm authority aril respon9lblilUms•tl, t
must be met to maintain approved status. You may expect and demand quality plans review and
Inspections.
Each Code change will make your plans obsolete until they have been reviewed, approved and
indicated [on the cover page or the plans] br compliance with the Code W your 1T,Ird Party Agency
for plans review. please ensure that your plans are In compliance and are properly pt+stled on our
websim, All stto-rerated Installation Issues are subject to the local authority having jurisdiction.
The Department's contractor will make unannounced monitoring visits at least once each year. You
must grant complem access to your manufa=ring facility and records to remain it compliance with
the rules and regulations Of t1115 program.
Your ctmrjcat,on is approved for three years from this date. You will reccivt a renewal notice by
r=nall generated by the BCIS (w . Morl0abui, ing_Ora for online renewal. If you have questions
you may contact Robert We= at 850-717.1835 or our FAX at 850-414-8436,
Please visit our website at wwA,florIQabulldiRa.ora to see valuable information on the Morlda
manufacture-d Buildings Program. A Copy of this letter must accompany applications for local
building permits.
cc; National Design and Inspection, Inc
Robert Lorenzo
Manufactured Buildings Program
SMITHBILT INDUSTRIES, INC.
PORTABLE BUILDING ANCHORS
BUILDING ANCHOR SCHEDULE
BUILDING SIZE
NO. OF ANCH. @
EA. END OF BLDG.
NO. OF ANCH. ®
EA. SIDE OF BLDG.
TOTAL ANCH.
PER BLDG.
6', 8', 10', 12' & 14' WIDE TO 24' LONG
2
NA
4
48'
2
1
6
50'
2
2
8
20', 22' & 24' WIDE TO 24' LONG
4
NA
8
48'
4
1
10
50'
4
2
12
BUILDING
ANCHOR
DATA
MODEL
LENGTH
BAR
EYE
HELIX
UPLIFT CAPACITY
NUMBER
DIAMETER DIAMETER
DIAMETER
IN NORMAL SOIL
36SHE34
30"
1 /2"
1 1 /2"
4"
2500 lbs.
NOTE:
THESE ANCHORS MEET THE WIND REQUIREMENTS OF THE FLORIDA
2010 BUILDING CODE AND THE AMERICAN SOCIETY OF CIVIL
ENGINEERS STANDARD CODE ASCE 7-10.
WIND LOAD: 190 MPH
L� V
BOLT fRU ANCH. & 2x6 SKID OR
HEADER BEAM w/j"0x4" LAG BOLT
w/A" x 2"0 WASHER
SKID (TYP.)
SIDE ANCH.
DBL. WIDE
ONLY
I
i I
i I
I•
END ANCH. -
v
ANCHOR SPACING PLAN
BAR
�— HELIX
TYPIC ANCHOR
ow
SCALE NONE
DATE
LOCATION OF JOB
McCARTHY ENGINEERING, INC.
DRAM: BY WDM
8/6/12
ANYWHERE, FL
sTRUCTURAL CONSULTANTS LAKELAND, FLORIDA
4305 MANCEWOOD ORCLE - LAKELAND, FL 33813
PHONE (863) 646-9390
CERTIFICATE Of AWHOWAIION No. 6394 --
.,Ii.m J YccwhY P.C. 21553
CmECKEO BY wJM
6/6/12
C:,EC,cEO BY
PROJECT N0.
12029
S
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END ELEVATION w/ DOOR
SIDE ELEVA TION w/ DOOR & WINDOWS Moiular BWWing Pions Eimminer Btorift Codgk d,
2 x 4 OUTRIGGERS - SEE SCALE-- l�z•=I•-d c, sc"`E'/2''-d DESIGN LOADS
�{ �,PACING
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I. noOR uw LOAD ----- 75 P.SF. Cars o 24' ac)
1 r /�j��• 2 FLOOR uw Law ------ J23 P.SF. otsys O 16' ac)
4LA
E END WALL MM MEETS IHP�►{ O ?j O ��� J ROW � LOAD ------ 20 P.SF.
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