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HomeMy WebLinkAboutSUBMITTED PAPERS---a OFFICE USE ONLY: DATE FILED: PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER:y�a CONCURRENCY FEE: _ RECEIPT NO.: CERT. CAP. NO.: 13Y- If'-t) - o-3e ` .I h P 0 to a ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED . PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue S Ft. Pierce, FL 34982-5652 C4/V/V,C�o 772462-1553 s't `u &/ - county APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION I. LOCATION/SITE ADDRESS: L 6 1 d 5 AA A l 9 I- A KE-5 g L✓ D 2. PROJECT NAME: SAEE'C t SITE PLAN NAME: 3. PROPERTY TAX ID #: % I ! 5 A O 3 3 oI r% 5 9 4. LEGAL DESCRIPTION (attach extra sheets if necessary): &RCL L. =70 /30&—/1/ —000 /—000 —p 5. PLAT BOOK 6. PAGE NO. _ 7. BLOCK NO. — 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: H. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL OTHER (SPECIFY) - Q , U EW 0y _t T, o d X -2 y.X 4 " DESCRIPTION OF PROPOSED USE: —A RGr SQ. FT OF CONSTRUCTION: �4/� $Q, 15. SF. FT Ist FLOOR: VALUE OF CONSTRUCTION: $ 3o O p° 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 value is $2500 or more, a RECORDED Notice ofCommencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNER INFORMATION ?NAME: et t Cf wl- L , .S?�'�C& ADDRESS: l0(p $O SPA N I N i4 KE- S CITY: F%- - P/ C (L CE STATE: F ZIP: 3 C( �! 5- PHONE (DAYTIME): `W Email: ��/,¢d0 comae IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: 1014 ADDRESS: CITY: STATE: _ ZIP: PHONE (DAYTIME): ( ) CONTRACTOR INFORMATION ST. of FL REG.CERT #:]� BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): �) ARCHIT/ENGINEER: ADDRESS: CITY: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: A111q STATE: FAX NO. STATE: STATE: STATE: ST. LUCIE COUNTY CERT #: Email: ZIP: M12 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. OFFICE USE ONLY BP #: SECTION TOWNSHIP , f RANGE � MAP NO. \s � ZONING L1 LAND USE LOT CVG % TAZ NO. FLOOD ZONE I" MAP # I ST FLR ELV AX HGT CONST TYPE OCCUP TYPE MCUP # 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 C ' \� J((RADON) AREA FEE FEE / LIBRARY PUBLIC BLD PUBIC BLD PARKS IMPACT IMPACT FEE IMPACT IMPACT FEE CORRECTION FEE _ FEE GENERAL SCHOOL ROAD CREDIT 1' ` LAW ENF IMPACT IMPACT IMPACT FEE FEE —_ FEE FIRE/EMS DRIVEWAY l 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 DATE COMPLETED INITIALS ?� 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. 1 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. t�R OR CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this �inf day of nC4 20 % / , by r-))►c141:L -Pee P who is personally known or has produced ND C�, OL(as identification. Signature of No y a Commission No. (Seal) CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledges before me this day of Z , 20 , by who is personally kt Signatur f Notary or has produced as identification. No. (Seal) 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 OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. 10/27/2011 16:44 7724667093 466-5070 Ft. Pieroo ORDERED: 4 O � � CONt�'PETE Metered and Mixed on Site l &Zb Seivz-Road j� Ft. Pierce, Florida 34981 MAY 878-98 Port St. Lucie 426 29 TA �{' y,^ ., c� Date: �`i] S Mime of Job: _ ;w .r' Purchaser aeeumezfull responsihility for strength, slump and quality of concrete when changing the calibratiW-of sand, rock or water, or other material requested on the job- 1, the undersigned, will assume alt�ponsibility for any damage where delivery is made inside of the curb. r 1 � l r Customer X:� Drvec - Meter Reading{r Driver Number: �. PAGE 01/01 ^,DSO A �V pubt`e �� n 4'• ��� St %-'JC C Planning & Development Services Department Building & Code Regulations 1_L ` l <'7 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNEWBUILDER 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 laws. ordinances, building codes, and zoning regulations. Initia I understand that the building official and inspectors are not there to design or give advice on h to m the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and 1 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 t 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 d m 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 J day of © ti of 20,. Je/rZ/13�uilderigna e STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of , 20_Ll_, by who is personally known to me, or who has produced as identification. � M► P SiLrnature of No114 ype or liffini Name of Not (Seal) Title: Notary Pub c Commission Number WOO SLCPDSD Revised 07/22/2010 ti'-No AUDREY B. HUMPHREY 1 *; MY COMMISSION # EE O6t 15 y of EXPIRES: March 6 2015 I Bonded ihru Notary Pijbk- Undenvrnc: •: t PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DMSION 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property, 13o(—///-000/ -000-/ 66gO SPAN)Sf-/ SAKES 8LI/D �P (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. Property Owner Name (Please Print) `I ; o erty Own S-ignature,7 Date -'Voo -M a o A l STATE OF FLORIDA, COUNTY OF -' m m 2 ACKNOWLEDGED BEFORE ME THIS DAY OF (ACT ' 20 ' a BY 6 t �F� G L 1 �p P E� ��WHO IS PERSONALLY KNOWN TOME ORWHOA11. II PRODUCED 1 'V `� P— • 1-4 AS IDENTIFICATION. SIGNATURE OF NOT PUBLIC E OR rNT NOTARY COMMISSION NUMBER (SEAL) SLCPDSD Revised 08/24/2010 I SPANISH LAKE, -r%ril Date 5# -el ll FiLE COPY, Property Appraiser - St.Lucie C --- -ty, FL Page 1 of 1 Wynne Building Corp Record: 1 of 7 Property Identification Site Address: 6487 SPANISH LAKES BV Sec/Town/Range: 06 :34S :39E Map ID: 13/06N Zoning: PUD Ownership and Mailing Owner. Wynne Building Corp Address: 12804 SW 122nd Ave Miami FL 33186-6203 Sales Information Date Price Code Deed 5/1/1986 1315000 02 CV 1/1/1984 674200 02 CV gym, PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 1306-111-0001-000-0 y\x y� Account #: 4031 Land Use: PRKG/MOBILE City/Cnty: St Lucie County Ak Legal Description 06/07 34 39 ALL THAT PART LYG NELY OF 1-95-LESS SPANISH LAKES FAIRWAYS (PB 35-5) AND LESS THAT PART More... Assessment 2011 TRIM Total Land and Building Book/Page 2011 TRIM: 22077900 Land Value: 8017500 Acres 328.3 0502 / 0947 Assessed. 22077900 Building Value: 14060400 0422 / 2136 Ag.Credit: 0 Finished Area: 25655 SgFt Exempt: Taxable: Taxes: 461584.87 BUILDING INFORMATION 9 Exterior Features View: RoofCover. - RoofStruct: ExtType: MHPK - MH Parks YearBlt: 1990 Frame: Grade: Y_C - Commer C EffYrBlt: 1990 PrimeWall: StoryHght: 0010 - 1 Story No.Units: 1066 SecWall: Interior Features BedRooms: 1472 Electric: - PrmintWall: FullBath: 0 HeatType: AvgHUFI: 1/26ath: 0 HeatFuel: - Prm.Flors: %A/C: 0 %Heated: 0 %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty Units Qual Cond. YrBlt. No. Land Use Type CSAV - COM POOL AVG Y 1 2720 AV AV 1990 1 2800-PRKG/MOBILE 191 -Site PA01 - POOL DK-AVG Y 1 6324 AV AV 1990 ASP2 - ASP2 LOW Y 1 544000 AV AV 1990 CNC2 - CONCRETE LOW Y 1 25752 AV AV 1990 CURB - CEMENT CURB Y 1 700 AV AV 1990 FEW - CHAINLINK 10 Y 1 343 AV AV 1990 FEN4 - CHAINLINK4' Y 1 95 AV AV 1990 0 Measure Depth 1066 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclid=130611100010000 10/24/2011