HomeMy WebLinkAboutSUBMITTED PAPERSF�FFICE USE ONL��
DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.:L2,I PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT, CAP. NO.:
2.
4.
5.
9.
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ALL INFO 14 UST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT S]ERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
772-462-1553 \ 1 �/'
(boe , ["- 6k�� , pre ,
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APPLIC OIL for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
o
PROJECT INFORMATION
LOCATION/SITE ADDRESS: S-/,. Z vc I'�Q 6 ����C' I—s71- .166 6.4
PROJECT NAME: SITE PLAN NAME:
PROPERTY TAX ID #: I S v 3!` On S-C? ®o® 57
LEGAL DESCRIPTION (attach extra sheets if necessary):
PLAT BOOK 6. PAGE NO.
PARCEL SIZE (ACRES/SQ FT.):
7. BLOCK NO.
LOT DIMENSIONS:
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
SETBACKS (ACTUAL) FRONT: /a,'4-
BACK: ®S ' RIGHT SIDE: 2 o>�
TYPE OF CONSTRUCTION (Check a'Irapp opriate boxes) ��
8. LOT NO.
LEFT SIDE: "
IGb-�
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] .INDUSTRIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE:
14 . SQ. FT OF CONSTRUCTION: 15. SR FT 1 st FLOOR:
VALUE OF CONSTRUCTION: $41-- -
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 modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the valucis $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6125109
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NAME: Fi l�L_`JYI 11
ADDRESS: � �L3 S�. (.��c'lc �� L7
CITY: d' )`" c—e STATE: ZIP:
PHONE (DAYTIME): ($ (1j) (n C S' 3(IP 6 S- Email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW. //,,
FEE SIMPLE TITLEHOLDER: 1 ( rj-R ' V
ADDRESS: Lo`✓
CITY: STATE:- ZIP:
PHONE (DAYTIME): U
COMTRACTOR UNF®Rdif ATRON
ST. of FL REG.CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME): (__)
ARCHIT/ENGINEER:
ADDRESS:
CITY:
PHONE (DAYTIME): (__)
BONDING COMPANY:
ADDRESS:
CITY:
ST. LUCIE COUNTY CERT #:
STATE: ZIP:
FAX NO. Entail:
STATE:
STATE:
ZIP:
ZIP:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE: 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.
t 1 1 1
i
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 pen -nit 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 DELIVERA COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
�WNE �"QR C� TN RE1 � TOIt;'ST�GN'� �
STATE OF FLORIDA c r//
COUNTY OF e'i✓ l-e
The foregoing instrument was acknowledged before
me this i;�- 0 day of 20_3
by
who jis personally known or has produced
as identification.
Signature of Notary
CO CTOR SIGNATURE
STATE XFRIDAOlt
COUNT
The foregoing instrumaNI
me this day of _
by
who is personally known
Signature of Notary
was acknowledged before
or
as
20 ,
.,R...... DAWN MILONE CIRE
mission No. (Seal)
Commission No. ; o
? NotaryF 611C State of Florid:My Comm.Expires Mar 22, 201Commission #E EE 877571
" 8onded Tko h NatiNOTE: TWO (2) SIGNATUJ s 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 OWNER/BUILDER APPLICANTS. '
For specific i>lflgtructio ns see appropriate permit checklist•
OFFICE USE ONLY 11J/PPTTo
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONINGR4N
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1" FLR ELV
MAX HGT
CONST 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
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
COUN ER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
INITIALS
V77
1 f 1 t 1 1
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II111� May 14 2013 } Invoice
,� Date
I.� Y
Invoice Num 13-0530
ENGINEERING, INC.-----�-y
MOIA BOWLESMLLAMRAR & ASSOCIATES
Billing To May 14, 2013
1835 2oth Street ■ Vero Beach, FL 32960 z
Phone: 772.569.0035 0 Fax 772.778.3617
Page 1 of I
To: Mr. Tim Horton
2023 St Lucie Blvd
2nd Street Lot 66
Fort Pierce FL 34946
INVOICE
For professional services rendered on the above referenced project for the period ending May 14, 2013
Charges or payments made after closing date are not reflected in this invoice.
Please include invoice number with all payments. A service charge of 1.5% per month will be billed for late payments.
All major Credit Cards accepted. Processing fees may apply.
Project ID Project Name Contract Amount % Complete Previously Billed Amount Due
13-237:ADD1 Horton's Shed AFTER THE FACT $500.00 100.00 $0.00 $500.00
PERMIT SET
Current Period Charges: $500.00
Total Amount Due Including This Invoice: $ 500.00
To avoid late fees pay before Due Date: 611312013
If you have reasbn to believe this billing is incorrect please notify us via a -mail; Dming(cumovmv.—la
Inv Num Inv Date Bill Amt Pay Date Retainer +I- Amt Paid Inv Balance Late Fee Late Fee Paid
13-0530 05/14/2013 $500.00 $0.00 $0.00 $500.00 $0.00 $0.00
$500.00 $0.00 $0.00 $500.00 $0.00 _ $0.09
Horton's Shed AFTER THE FACT PERMIT SET Project Balance: $ 500.00
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PEI2NHT
SUB-CONT R.A.CTOR AGiREEMYNT
St. Lucie County Contractor Certification Number:
State of Florida Certification Num er (If applicable):
/
have agreed to be the
(Company Name�Wual Name)
sub -contractor forLr / /27�
Type of Trade) A a y'�7,ontractor)
-for the project located
��(Projecf treetAd'dress dr 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
.4,
SI A URE P T AME DATE
Business Name:
Address:
City/State/Zip:
Phone:
OMRI-R''.I-i', I'TIgF, ONI X!
email:
PERMIT # ISSUE DATE
1
Planning & Development Services Department
Building & Code Regulations Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-1553
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 your property, 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 $75,000. 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 owner/builder exemption shall be reported by the
Community Development Director to the Florida State Department of Professional Regulation. Signed and
acknowledged on this a? 0 day of
O R/BUILD R SIGNATURE
STATE OF FLORIA��r/C�'�'t'
COUNTY OF �f/J /l
The fore oing instrument was acknowledged before me this 02V day of e ' ' , 20
by who is personally known to me or
y
Es prC�oduced 9 vU
ITS"
rl) �a �
Signature of Notary
Title: Notary Public
SLCPDSD Revised 7/23/2010
Print name of
Commission
St. Lucie County Owner Builder Affidavit -Electrical Contracting
as identification.
l° (Seal)
0
My Cary pUbl C . M1t0NF
omm 6x Slate of
Commts Wires Mar Ft°rida
Bonded rhro�9h�lOr 1
Planning &Development Services Department
Building & Code Regulations
®. o - • 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 applicable a s,
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 m et
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must Ve 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 lia=f1the
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 a ical
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 Stat Department of Professional Regulation. Signed and acknowledged on this
day of a7 of 20 /
STATE OF FLORI i 0�
COUNTY OF
The fore, in in trlument w s admowled
by Z�
pr �edr
lv t?-P
Signature of Notary
Title: Notts Public
Owner/Huilder Signature
before me this OD day of 20_Z3,
who is personally known U to me, or who has
as identification.
_Aft�.P"'N�,� DAWN MILONE
r Print Name of Notary 3�0 ;`� ; Notary Puib alltate of Florida
Commission Number 's• : My Comm. Expires Mar 22,2017
,, _ . ,�`,.= Commission # EE 877571
SLCPDSD Revised 07/22/2010
o"av N DAWN MILONE
:°�P Ue` Notary Public -State of
• ` •e My Comm. Expires Mar Florida22,.20t7
Commission # EE 877571
, .-!,My
Through National Nbtary Assn.
00,. � sj ab
'A
Building Permit #
Planning & Development Services Department
Building & Regulations Division
Product Review Affidavit
Owners Name Timothy Horton
Applicant: _Timothy Horton
Product
Opening Design
Pressures
Product Rated
Design Pressure
Manufacturer
Model Number
Product Approval
Number
Glass
Type
Method of Attachment
Windows
Mullions
Fixed Glass
Block Glass
Skylights
Sliding Glass Doors
Swing Type Doors
28/-36
49/-53
Smithbilt
S-12004
ID MFT-208
n/a
per manufacturers installation instructions
French Doors
Garage Doors
Hurricane Protection
Roof Ventilation
Roofing Material
.x @0eeeieQt4999®A® e
I have reviewed the above components or cladding and I have a ve e' use in this structure. These products providag�� a stl c�el the
wind loads and forces specified by current code provisions. UC� ' • '9�°e
Name: _Rodolfo Villamizar P.E. Signature: steal • s��0 __
e o : s�
Design Prof: _FL P.E. 61000 Cert. No. _CA 371 Date: 5/13/13
ono Z� 0Py 4�
°4®0de�itlmaerleeoee°�
Planning & Development Services Department
Building & Code Regulations Division
2300 Virginia Avenue, Fort Pierce, FL 34982 — (772) 462-1553
Certification for Design Load Compliance
Project Name: _Horton Storage
Project Address: 2023 St Lucie Blvd Lot
Permit #: Occupancy Type: _U Construction Type:_V-B
INSTRUCTIONS FOR USE:
• This certification must be completed, signed, and sealed by the design professional of record.
• Submit (2) copies for residential, (3) copies for commercial with all permit applications involving the following:
o New Residences (single or multi -family)
o Residential Addition
o Any accessory structure requiring a building permit
o Any non-residential structure.
* Note: Form not required for interior renovations provided that no exterior structural elements are affected and
certain minor building permits at the discretion of the local building official. Contact the # above for questions.
DESIGN PARAMETERS AND ASSUMPTIONS USED: (complete all that apply)
1. DESIGN CODE: Florida —Residential Code 2010 n with 20 Supplements using ASCE 7-10
2. Structure Designed as (check one): _X—Enclosed Partially Enclosed Open
3. Risk Category: _X—I _II _III IV Exposure Category: _B _X—C _D
4. Design Wind Velocity 147_mph ASD _X_LRFD End Zone Width: _3 ft
5. Mean Roof Height 7'-0" ft Roof Pitch: _3.5_:12 Parapet: ft
6. Components & Cladding Design Pressures Used: (PSF, based on 10sgft @ 15'MRH, clearly label on all plan openings):
Zone 1: 19/-47 Zone 2: 19/-79 Zone 3: 19/-119 Zone 4: 26/-28 Zone 5: 26/-35 Garage: n/a
7. Design Loads: Floor: PSF Roof/Dead: _(exist.)_PSF Roof/Live: (exist.) Balcony: PSF
Dock: PSF Deck: PSF Stairs: PSF Fence: PSF Railings: PSF
8. Were Shear Walls Considered For Structure? _X—Yes Not Applicable Explain Why Not:
9. Is A Continuous Load Path Provided? _X—Yes Not Applicable Explain Why Not:
10. Design Soil Bearing Pressure: PSF Soil Test Reports Submitted? Yes
DESIGN PROFESSIONAL CERTIFICATION STATEMENT:
I certify that, to the best of my knowledge and belief, the attached plans & specifications have been designed to
comply with�Ipal��le structural portions of the building codes currently adopted and enforced by St. Lucie
Count,®�1' ® �tiWtllet°A Dyctural elements depicted on these plans provide adequate resistance to the design
fo ®cle 11•�, J
• �- '••.'9� s Rodolfo Villamizar P.E. 61000 CA 3728
�• 6 0 o Print Name Cert # & Co. Cert Auth.
• 7� v MBV Engineering
S
Sia al ;'�(e"� 1835 20th St Vero Beach, FL 32960
o° c$' • .... • �� e� Company Name & Address
SLCCDV For9'PdrP4 Qil,,$q15/12 (JS)