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HomeMy WebLinkAboutSUBMITTED PAPERSPR #: PERMIT NUMBER: DATE: Z/1 / r ST. LUCIE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ' 2300 VIRGINIA AVENUE V / tii"i Iv LI-) FORT PIERCE, FL 34982-5652 BY 561-462-1553 St. Lucie C ounty P� ��! vv� APPLICATION FOR "Op�J' te ABOVEGROUND POOL PERMIT x1 1. LOCATION/SITE ADDRESS: 2. 3 4. PARCEL ID NUMBER: 3 2 %` L- y C/L-� POOL DIMENSIONS: LENGTH '2 7 WIDTH / 7 HEIGHT OF POOL ABOVE GROUND LEVEL: .2 7" 't /61/ (MUST BE 10 FEET FROM OVERHEAD POWER LINES) FENCE: )i<— YES NO FENCE PERMIT #: DESCRIPTION OF POOL LADDER: OWNERS INFORMATION Name: � o A IC4:�- L e 7— Address: L U f�� /� ve— City: S. State: 1 e Phone: 77 2- S'7 2 i zip: 3 z/ s 2 O 6. VALUE OF CONSTRUCTION: $ q 00 5. CONTRACTORS INFORMATION FL REG/CERT #: �(A 8 E, COUNTY CERT #: Business Name: FEES DUE: RECEIPT: OWNER'S AFFIDAVIT: I 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. �a✓L �p''7 Z Ley PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER STATE OF FLORIDA, COUNTY OF EL -I d , . y� 2011 THE EG9J TRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF T11W. , 1S __, WHO IS JOERSONALLY KNOWN O ME OR WHO HAS PRODUCED AS IDENTIFICATION. SI ATU OF NOTARY TYP5 OR PRINT NAME OF NOTARY (seal) OTARY PUBLIC TITL COMMISSION NQMBER C. KELLY DIAGRAM ON BACK CYMS ION#DD9 ;.... :,,; .= MY COMMISSION # DD 945738 ;�.. EXPIRES: April 10, 2014 Bonded Thru Notary Public Underwriters ST. LUCIE COUNTY ABOVEGROUND POOL PERMIT PLEASE GIVE LOT SIZE DIMENSIONS AND SHOW SETBACKS FROM PROPERTY LINES TO POOL ON DIAGRAM BELOW. 1� O FRONT PROPERTY LINE ON ROAD^I f All applications for Aboveground Pool Permits are to be submitted to the St. Lucie County Department of Community Development - Growth Management Division, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for Aboveground Pool Permits must be complete and filed with the Department no later than 4:30 P.M. each business day. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please contact the St. Lucie County Department of Community Development - Growth Management Division, at (561) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Following the issuance of this Aboveground Pool Permit, the scheduling of all required inspections may be made by calling (561) 462-1261. SLCCDV FORM NO: 018-00 PLANNING & DEVELOPMENT SERVICES DIVISION BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Ave Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY 4 6,107 C e- L e �— will be using the following sub -contractors for the (Company/Individual Name) project located at Z a' //0 L L (Street address Property Tag ID t) It is understood that if there is any change of status regarding the participation of any of the sub -contractors fisted below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical )awc" 0 ' 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): —L CW o ,7 g (- z. have agreed to be the (Company Namelin vI ame) w� sub -contractor for —"'TTType of Trade) (Primary Contractor) for the project located at 7 .Z V AX6 Z—Z G, 14 6/if (Project Stre&440 6 or PtWeft 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 comeG H LC.,� SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: % 7 L - 7.X S/Zs` email: OFFICE USE ONLY: PERMIT # ISSUE DATE L COL-INTY'', St. Lucie Cour.., Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER 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 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 howl eet the minimum code. Initial — Iffirm— 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. 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 Rday Department othe F rida State Department of Professional Regulation. Signed and acknowledged on this of of 20 _Lj__. Owner/Builder Signatur STATE OF FLORIDA COUNTY OF I by Signature of N Title: Notary P wawledged before me this "/ day of 201_, who is personally known to me, or who has as identific n. 19 1 %.w -A&"pay ype or t�NamefNotary (Seal) Commission Number l N: AUDREY B. HUMPHREY MN' GOMMISSI0N # DD 633047 ;€ EXPIRES: w Arch 6, 2011 Bonded ThN Notary Public Undenvrilsrs � � A .• crimp ArcReddef- fI mil. I Edit ',',e,, Bookmarks Tools 1';ndon Help i - Layers ;pus ^^ Parcels V v • - Basemap Markers Communtcaton Tone - County Boundary Ru 323 Overlay Zones ^ O . Rs -a Sections :r. L� :r �. n Historc Structures G Address Master J Mist Addresses Hydrology Names _ Road RO . 01mensio , A Lot Ines Bloc! Numbers Anno V ` - J Lot lJumber A-0 322 RS-a RU Parcel Dimension Aix V ParcelDlmenslon Managed Care Facdlt Roar 34952 Major Roads Port St Lucie Streets Stree Historic Sites - Hydrology Annexations Q Annexations O .1 Zoning =_ 320 ,41 Future Land Use Flood Zones Petitions Airport Rumrrav Parks aPreser'.es Site Plans Moode nome Pars - a SutxjN�gons - Sokd'V ante Se-ce • RV Major Hydrology Utility Service Area, Rsa 7m Cnrdn ,nap to a particular scale 873140.84 1090309.99 Feet — V" iesday, Jan 19, 2011 02:15 PM JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3552107 OR BC3261 PAGE 1954, Recorded 01/19/2011 04:00 PM PFRMTT Nth, NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues the following information is provided in the Notice of Commencement f C� 1. DES CRD'TION OF PROPERTY (Legal description and street address, if available) TAX FOLIO KUNMER: /t'el—' SUBDIVISION iy 'e/ R -/% BLOCK L TRACT LOTJBLDG L'NI'f 2. GENERAL DFSCRIP71ON OF D WROVEML'rr: 3. OWNER INFORMATION: a Nuns L�r / /L�o /�.� d L �r� , 1 _ h. Addrass_yJ 2 p �� o L Gy /7- !/ e Interest r m(,Property 1 d Name and addms of fee simple titehoider (f cdwrthm owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMMER: S. SI,RETY'S NAB ADDRESS AND PHONE NDMDER AND BOND AMO lUN7: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State ofFlarida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUM13ER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713. L 3 (1) (b), Florida Statutes: NAIME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): 20_ Signature of Owner or Print Name and Provide Signatory's Title/Office Owner's Authorized Offscer/Director/Partner/Manager State of F Lori da Countyof St'. Lucie t^1 1 The foregoing instrument was acknowledged before me this � day of Q� 20 By k. A{A�- CID lu �1�? . - 191 �- 1Z� (name rson) (type of authority,... e.g. officer, trus ee, attorney in fact) For (name of party on behalf o whom instrument was executed) % Personally known or— produced the fallow identification: 0 0e RDIA`Ey B. HUMPHREY ' iWi rz f.A, r jttISSION P DD 633047 r` i'19E5 s•er;h 6, 20111 e s ignature ofNoth Public) l/ '?•.-•fr a,.:-o:.t :•a s::aage„-xc Urue_ Under Penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (Section 92.525, Florida Statutes). Signatures) of Owner(s) or Owner(s)' Authorised Officer/ Director / Partner/Mana ger who signed above: By r/`J•� - By aav .aa-a9-O7 (S.Raemdmit) STATE OF FLORIDA ST. LUCIE COUNTY THIc, TRU l3 '� ) By: Dal ST. LUCIE COUNTY ABOVEGROUND POOL PERMIT PLEASE GIVE LOT SIZE DIMENSIONS AND SHOW SETBACKS FROM PROPERTY LINES TO POOL ON DIAGRAM BELOW. F 'IME COPY 9 r zz FRONT PROPERTY LINE ON ROAD 7Sr 60 � S s-i Yo'U © %-1' All applications for Aboveground Pool Permits are to be submitted to the St. Lucie County Department of Community Development - Growth Management Division, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for Aboveground Pool Permits must be complete and filed with the Department no later than 4.30 P.M. each business day. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please contact the St. Lucie County Department of Community Development - Growth Management Division, at (561) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Following the issuance of this Aboveground Pool Permit, the scheduling of all required inspections may be made by calling (561) 462-1261. SLCCDV FORM NO: 018-00 Property Appraiser - St.Lucie C'tnlnty, FL Page 1 of 1 PROPERTY RECORD CARD Raul B Gonzale. Record: 1 of 1 <Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \,UCIE 0,9 Site Address: 320 HOLLY AV ParcellD: �_ '8 y` Sec/Town/Range: 22:36S:40E Account#: 41990 �\X Map ID: 34/22N Land Use SF Res Zoning: RS-4 City/Cnty: St Lucie County A�k Ownership and Mailing Legal Description Owner Raul B Gonzalez Judy M Gonzalez 85 : Address 320 Holly Ave Port St Lucie FL 34952 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 163200 Land Value: 97800 Acre,. 0.27 10/2/2003 100 01 WD 1820 / 2325 Assessed: 117215 Building Value 65400 7/23/2002 139000 01 AA 1558 / 0985 Ag.Credit 0 Finished Area 2058 SgFt 3/8/1991 85000 00 WD 0730 / 0378 Exempt 50500 8/20/1990 0 01 QC 0711 / 1475 Taxable: 66715 Taxes: 1591.02 BUILDING INFORMATION Exterior Features View RoofCover TG - Tar & Gravel RoofStruct: GA - Gable ExtType HD+ - HD+ YearBlt 1958 Frame: Grade D+ - D+ EffYrBlt 1977 PrimeWall: BS - CB Stucco StoryHght 0020 - 2 Story No Units 1 SecWall FS - Frm Stucco Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall. PF - PF FullBath 3 HeatType FHA - FrcdHotAir AvgHUFI STD 1/2Bath: 0 HeatFuel ELEC - Electric Prm.Flors. CT - Tile -Ceramic %A/C: 100 %Heated, 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty Units Qual. Cond YrBit No Land Use Type i•;ir•-=: 3CHT -3CHT S 1 1 AV AV 1977 1 0100-SF Res 230 -Front Ft 75 155 3CHT -3CHT S 1 1 AV AV 1977 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 FNW5 - WOOD FEN 5' Y 1 225 AV AV 2004 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=341951002500008 1 / 19/201 1