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Home My WebLink AboutSUBMITTED PAPERS-fr OFFICE USE On)P) DATE FILED:./ pp(( / PERMIT NUMBER: PLAN REVIEW FEE: RECEIPT NO.: 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 B y S$ Lucie Cowry APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: 'Vg Z. w/�� 7i�`- 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): ijt?'LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: /A4.S7X!2 ,t ,-04 C 11. SETBACKS (ACTUAL) FRONT: ,2D •• BACK: �O • RIGHT SIDE:, LEFT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ (r RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY)c+[ 13. DESCRIPTION OF PROPOSED USE: 14. SQ. FT OF CONSTRUCTION: 15. SF. FT Ist FLOOR: s� 16. VALUE OF CONSTRUCTION: $ lo';-t(:�o 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 of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNER INFORMATION NAME: i-c�R�c o`G�A�•t/E /��gr(//�C ADDRESS: Jy% 7/7 CITY: _%D�TT" !/�/��2C(= STATE: zip:TIS PHONE (DAYTIME):) `%/� - %�O S✓ Email:/fi�.c 1�� / r!�'— �O/ IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE; PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: -aPO� CAC Z ADDRESS: CITY: ;�q-oq"f per_ PHONE (DAYTIME): (--) CONTRACTOR INFORMATION ST. of FL REG.CERT #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): ARCHITYENGINEER: ADDRESS: CITY: PHONE (DAYTIME): (_) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: FAX NO. STATE: STATE: STATE: ST. LUCIE COUNTY CERT #: Email: ZIP: ZIP: AP 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. 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 $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. 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 e� 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. ' Initialer 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 1 day of 4V18 0 of 20 /z5 . i wnerBuilder Signature STATE OF FLORIDAd p COUNTY OF j!J/J % The fo i ins �ew �!dgbe�f� e this 4Qday of 20/ ,/�vh is ersonally known to me, or who has oduced as identification — Signature of Notary Type or Print Name of Notary ......(Sea1bA4V0MIlOP1E�y ;I Title: Notary Public Commission Number ='z� = MY COMMIS51ON # 00 852W j EXPIflES:iNamh?2 2U13 - RF,i:�� u6l Bonded ThruNetaryplcUndenvrilt4 ;��Y`•.tii/ � � ' S'y �,'�� "` tom' 4 V J 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 --- Z day of f &! V� , 20 /p OWNE UILDER SIGNATURE STATE OF FLORIfDASL r COUNTY OF The foregoing instrument was acknowledged before me this day of , 20 6 �! by Sign—ature of Notary Title: Notary Public SLCPDSD Revised 7/23/2010 is personally known to me or as identification. name of Notary Commission Number St. Lucie County Owner Builder Affidavit -Electrical Contracting (Seal) ,"'AA,.'j�; DAWN MILONE MY COMMISSION # DD 852587 % •. �3i WIRES: March 22, 2013 ?qf`'� Banded Thru Notary Public Underwriters Property Appraiser - St.Lucie County,r F? Page 1 of 1 PROPERTY RECORD CARD Tropical Isles Co-op Inc Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification V13CIE00G2 Site Address: 497 HEMINGWAY TERR G-01 ParcellD: 0 508D 4-000 1 Sec/Town/Range: 10:36S:40E Account #: 172676 y� Map ID: 34/1ON Land Use: VacRes Coop City/Cnty: St Lucie County �! Zoning: CG Ownership and Mailing Legal Description Owner: Tropical Isles Co-op Inc TROPICAL ISLES (OR 2786-2163) UNIT G-01 Address: 281 Tropical Isles Cir Fort Pierce FL 34982 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 12000 Land Value: 12000 Acres: 0.13 4/19/2007 100 04 PR 2802 / 2171 Assessed: 12000 Building Value: 0 4/11/2007 15000000 02 WD 2802 / 2168 Ag.Credit 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes: 249.42 BUILDING INFORMATION No Sketch Available No Image Available Exterior Features View: - RoofCover: RoofStruct: ExtType: - YearBlt: Frame: Grade: - EffYrBlt: PrimeWall: StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: PrmintWall: FullBath: 0 HeatType: AvgHUFI: 1/2Bath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0005-VacRes Coop 127 -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.pasle.org/pre.asp?prclid=341050801540001 12/17/2010 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 CONMWNCEMENT 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. r OWNER O CONTRACTOR SIGNATURE STATE OF FLORID COUNTY OF The foregoin instrumen was acknowledged before me this day of 20y , by e� L who is personafy t _ own or has produced gignatiire of Notary v DAWN MILONE ,,•N,� xq pv MY COMMISSION # DO 852587 'Commission No. "*gi) EXPIRES: March 22,2013 sBonded Thru Notary Nbrrc Underdit CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of + 20 by who is personally known or has produced as identification. Signature of Notary No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERIBUILDER, 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. F[06F-F-lCE-US1E ONLY BP #: SECTION TOWNSHIP RANGE MAP NO. LAND USE LOT CVG % TAZ NO. ZONING FIRM MAP # IsT FLR ELV MAX HOT FLOOD ZONE OCCUP TYPE MAX OCCUP # OF FLRS CONST TYPE SEWER SPRINKLERS STORMWATER WATER LOT OF REC Before 111990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BID IMPACT FEE CORRECTION PUBIC BID IMPACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF ELECTRIC GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED �� DATE COMPLETED 12 7 D INITIALS C ®®K .►7l MENARD l 1RCHITE C TURE MC • 806 Delaware Avenue, Ft. Pierce, Florida 34950 Phone; (772)460-7751 Fax: (772) 460-4244 Email Address: cookmenardnjahoo.com December 17, 2010 St. Lucie County Building Department 2300 Virginia Ave. Ft. Pierce, FL Now C a Re: George McDanielsopy 497 Hemmingway Terr. �li�'"' St. Lucie County, Fl Manufacture: Serial # Unit Designation Hud # Palm Harbor Homes PH21428 A & B 4479 A00193/A00194 To Whom It May Concern: ST. LUCIE COUNTY BUILDING DIVISION REVIEWED FOR C IANICE F;EVIEWED BY DATE / PLAITS AND PERMIT MUST BE KEPT ON JOB OR NO INSPECTION WILL BE MADE Please be advised that qualified personnel of Cook .& Menard Architecture Inc. performed an on site inspection at the above referenced location and hereby certify the mobile home with the following items added to the structure to meet the requirements of 2007 Florida Building Code with 2009 amendments for 140 MPH, 3 second wind gust, wind zone Exposure C. 1) Installation of CDX plywood with 2" screws at 6" o.c. per and 12" o.c. field over existing therma ply and wood studs. 2) Installation of Tyvek house wrap vapor barrier. 3) Installation of vinyl siding under separate permit if required. Respectfully Submitted, Peter B. Cook Cook & Menard Architecture Inc. FLORIDA REGISTRATION NO. AA0003494, NCARB CERTIFICATION NO.31789