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HomeMy WebLinkAboutSUBMITTED PAPERSSC ANNED BY St. Lucie County 'EES DUE: • i'n RECEIPT #: PERMIT #: PLANNING & DEVELOPMENT SERVICES DEPARTMENT .-b BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue - Ft. Pierce, FL 34982-5652 Tel. 772-462-1553 APPLICATION FOR ABOVE GROUND POOL PERMIT Office Use Only Sec: Twp: Rng: Zng: ) L. Tech: 4. - 1. Location /Site Address: rl51 2. Parcel ID Number: 3 yD 2- GOB- M z1 y - QDD` ,22 3. Pool Dimensions: Length Width 2 �� c�•t_� 4. Height of Pool Above Ground Level: "i 1 12- f=CP—+ (Must be 10 feet from Overhead Power Lines) 5. Setbacks: Front: 9-5 Back: _Jjj Right Side: 1 • `� Left Side: 6. Fence: Yes: V, No: Fence Permit #: C 0 ZLi 5 7. Description of Pool Ladder: fNDI L� 100 1- 0— . { l QP,4- 5 AP NN 8. Owners Information ,9. Contractor Information: Name: _� r 10 ��(nn4ch (LUM—P , L Reg/Cert#: WJV � • Address: `j C, untyCert#: City: F-1- refCP Stale: FL. Business Name: Phone: ('!1-I Z RI? •-305Z Zip: Phone Number: 9. Value of Construction: Please provide a diagram of the pool location on page 2 of this application. OWNER'S AFFIDAVIT: 1 certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws -regulating construction and.zoning. Print Owner or Contractor/Qualifier Name Signature of Owner or Contractor/Qualifier State of Florida, County of U The foregoing instrument was acknowledged before me'this 3 f day of (/ 20_� ., by < 6til C1 M 14 who is personally known tome NobdW or has pr ced as ide fi ACIIW d "M F c i NOW Pmb k- SW of FAft - ' Nhr Conxn. wqr 13. Si re atuof Notary Public Type of PN�� rint Name of Notary ConiF 01"N1411 SLCPDSD Rev 06/21/2010 i PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave -- Fort Pierce, YL 34982 BUILDING PERMIT _- --- - - -- - --- - -- r -- __. will -be using th6.f6llowiiig sub -contractors for the " (Company- d $ 5 4 --- - -- - . (t ee Property Tax ID #) ' 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. St: Lucie -County/ Trade Name of Company/Contractor. State of Florida License Number Electrical W Plumbing HVAC/ Mechanical Roofing - Gas - OFFICE USE ONLY: PERMIT ISSUE DATE: NUMBER: " PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): yn(zj( l \)Q have agreed to be the (Company Name ri, __1du Names) R sub -contractor for �y�Q%Tirad�) (Primary Contractor) for the project located at3 { f:2e(lC (ZJCX' �Y Pro (t . tr ss o4 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 '�SLG A'T PY�R�II I �YIv'fE 'DATA _' ' Business Name: Address: City/State/Zip: Phone: i�—or BZ . �"I�l Z7 rr3I 2-�75� email: e7 i . C I Cory), ni{iV+i(tt''E ITIqE, nNLY: PERMIT # ISSUE DATE 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 I year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation ofthis 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 Flo Ila State Department of Pmfessional Regulation. Signed and acknowledged on this day of c , 20 /. W �� Q OWNER/BUILDER SIGNATURE STATE OF FLORIDA COUNTY OF ��� (C a The foregoing instrument was acknowledged before me this day of , 20 5 `, Title: Notary Public Commission Number SLCPDSD Revised 7/23/2010 St. Lucie County Owner Builder Affidavit -Electrical Contracting AUDREY B. HUMPHREY MY COMMISSION # EE 061159 EXPIRES: March 6, 2015 oa Bonded 7hru Notary Public Underwriters Planning & Development Services Department Building & Code Regulations a © 2300 Virginia Avenue Fort Pierce, Florida 34982 n.ua:..gN:..._._e..._...>c3 (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 t_o_aJicensgd 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-apphc — aws,— - -- - ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on h t 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 4N— 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 AK — 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 A Q_ 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 13 .. #_A_,� �- zi,cuw Owner/Builder Signature STATE OF FLORIDA +. COUNTY OF The foregoing instwment was acknowledged before me this ,� day of by who is personally known to me,, r�hoo s ® , produced as identification. (J S o r "TlePrint Name of Notar (Seal) Title: Notary Pu M 1c Commission Number SLCPDSD Revised 07/22/2010 y P AUDREY B. HUMPHREY _,r MY COMMISSION # EE 061159 %5% :,? EXPIRES: March 6, 2015 . P..Fyn, Bonded Thru Notary Public Underwriters Tuesday, Sep 03, 2013 02:20 PM Tuesday, Sep 03, 2013 02:16 PM Property Appraiser - St.Lucie aty, FL Page 1 of 1 i PROPERTY RECORD CARD Eric Ryan Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \,UCIE 00 Site Address: 5313 SEAGRAPE DR ParcellD: 3402-608-0024-000-3 G Sec/Town/Range: 02 :36S :40E Account #: 37158 `� 2 Map ID: 34/02S Use Type: SF Res Zoning: RS-4 City/Cnty: Saint Lucie County Ownership and Mailing Legal Description Owner: Eric Ryan Andrea Ryan INDIAN RIVER ESTATES -UNIT 07- BLK 25 LOT 52 (MAP 34/02S) (OR Address: 5313 Seagrape Dr 2104-1843) Fort Pierce FL 34982 Sales Information Date Price Code 11/11/2004 50000 00 8/24/1988 13000 05 Assessment 2013 Deed Book/Page 2013 TRIM: 123200 WD 2104/1843 Assessed: 123200 WD 0604 / 0889 Ag.Credit: 0 Exempt: 50000 Taxable: 73200 Taxes: 1663.89 BUILDING INFORMATION Total Land and Building Land Value: 10100 Acres: 0.34 Building Value: 113100 Finished Area: 2797 SgFt Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: HP - Hip ExtType: HC+ -HC+ YearBlt: 2006 Frame: - Grade: C+ - C+ EffYrBit: 2006 PrimeWall: BS - CB Stucco StoryHght: 0020 - 2 Story No.Units: 1 SecWall: FS - Frm Stucco Interior Features BedRooms: 5 Electric: MX - MAXIMUM PrmintWali: DW - Drywall FullBath: 3 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Use Type Type Measure Depth DWC - Driv-Concret Y 1 736 AV AV 2006 1 0100-SF Res BCS -Front Ft 117 125 FEN6 - CHAINLINK 6' Y 1 240 AV AV 2006 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/paslc/prc.asp?prclid=340260800240003 9/3/2013 A N, NOTICE TO OWNER: FAILURE TO RECORD 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. This application can be submitted to St. Lucie County Permitting Department at 2300 Virginia Ave., Fort Pierce, FL 34982. All permit applications must be filled out COMPLETELY before submission. No application will be accepted for processing after 4:30 P.M. for assistance in completing this application, please call (772) 462-1553 during regular office hours (8:00 A.M.- 5:00 P.M. Monday through Friday). UPON ISSUANCE OF THIS PERMIT, REQUIRED INSPECTIONS CAN BE SCHEDULED BY CALLING: (772)462-1261. Pool Location Diagram Please show lot size, dimensions and setback distances from property lines to the pool in the space provided below. -0 0 I'l YUUL YLU1 YLAiN t t, . oo, been advised NO strucw'a APPJ'Wt has Rent or ed within anY cage can be erectnless approved. 69ht of wal U othecw►se � Applicant IniC�ls Your Residence (Show Lot Dimensions) 10 q2 . no