HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY -
DATE FILED: - I O"
PLAN REVIEW FEE: f . O .RECEIPT NO.: B� / / PERMIT NUMBER
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,72-462- 553 2-5652 S(,',N��
fit. � U�/B Cowl
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: !k2 OR !�j-a r r t'e, -L) n Lard + P, krLP— , T l^ 3 V y� L
PROJECT NAME:
3. PROPERTY TAX ID #: 2,�4-:� !.1� 3 310 0 13 0 r7 o a
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 3 LA 3 S 0 O W l 9 E, C, & r—T 0 F 1�1 r� qb t5 f
o F to fz. yb Fr o F vJ , ct8 r :33� F�� oip N e `/y- o E 5w )14
PLAT BOOK 6. PAGE NO. 7. BLOCK NO. S. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): 6,3 3 4<,r-e- LOT DIMENSIONS:
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
Jo Dr l - %e 4--,'+c�e,v Av% X-►1.2 ;�,l►nwzroyen C1*V . pn-t - be;,lc -rtie"01 -L
b,.ck. +o k,'Ac:hein cwyd• uIcL log lad- , t, , eA:tkya . Ah o py{-
e�.
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEM SID
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [Lr INTERIOR RENOVATION
(] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ J OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE:
14. SQ. FT OF CONSTRUCTION: 15. SF. FT 1st FLOOR
16. VALUE OF CONSTRUCTION: $ J
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
LrYI
UPDATED 6/251"
OWNER INFORMATION
NAME:
ADDRESS: 4,y g L�ra r-r i -Sa v, -ayxL
CITY: �E3" A.'•e�c.� STATE: �L ZIP: �3 � Z _
PHONE (DAYTUvIE): (rMj Email: Yio
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): (_)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #:% �' �I CC • ST. LUCIE COUNTY CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME): (_)
ZIP:
STATE: ZIP:
FAX NO. Email:
ARCHIT/ENGINEER: Gook +,4e.. lar[-,
ADDRESS: Sod Qpl� iA )AO,2 ! J iJe
CITY: -r-- jL:r l�,' f? ,ifs STATE: � L ZIP: - �Z
PHONE (DAYTD,4E): (2i e
BONDING COMPANY:
ADDRESS:
CITY: STATE: ZIP:
MORTGAGE LENDER:
• 1 1 4*1
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
4
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 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.
zl
W
R WNTRACTOR'SIGNATURE CONTRACTOR SIGNATURE
STATE OF FLORII �j, e Co fperSTATE OF FLORIDA r r
COUNTY OF c1 �Gt�1°Q.l� COUNTY OF
The foregoing instrument was acknowledged before
me this O day of 20
by�l C'Lt ►'�
The foregoing instrument
me this day of
by
7Zisho personally known or has produced who is
/,f'r- loll s id 3t cation./ . 10 LJ 0
Signature of
Commission N
UDREY B. HUMPHREY
COMMISSION N EE 061159
X,NRES: 6Ivlarch+6, 2�0��rite s
d 7hru Notary
before
20 ,
known or has produced
of Notary
No.
as identification.
(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 OWNERIBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY B. 4: [),XJ - 0
SECTION
TOWNSHIP
(
RANGE
MAP NO.
ZONING
ro (
LAND USE
P44--
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
I ST FLR ELV
MAX H
CONST TYPE
OCCUP TYPE
MAX OC •
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
L 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
BRACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAW ENF
IMPACT
FEE
FIRWEMS
BRACT
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
RECEIVED
DATE
COMPLETED
'/ C} l
13
7 l
WITIALS
1COCINTY
F
L O R I D A
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
Taa- Y ����will be using the following sub -contractors for the
(CoMID y )
FL -
project located at
(Streqwpor 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.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
Plumbing
�0C
b,ny F>1L4NIbA 5 ►ic ire
he wu4'►�
HVAC/
Mechanical
Roofing
Gas
OFFIC'F USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
COUNTY
F
L
0 R t
D A
J
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):
`�P_C � y !�' "� i°Q( have agreed to be the
(Com any Nam
LA rA
(� VV0 �� sub -contractor for
-f' p p
(Primary Contractor) 11wbk" r k4
for the project located at 2_0
(Project r 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
- � mr�,
�'Wo
r
Business Name:
Address:
City/State/Zip:
Phone:
OFFICF. USE ONLY:
email:
PERMIT # ISSUE DATE
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.
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 N/
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
Zonin Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
ay of _.--{Z of 20 12 .
STATE OF FLORIDA _5k, '
COUNTY OF
The fo going ins nt was acknowledged before me this V day of�, 201
by who is personally known to me, or who has
produced 7Tr as identification.
�
ignature of tary gyp or Print Name f Notary eal)
Title: Notary -Public Commission Number AUDRREy
} += MY COMMISSION N EE 061159
.d:•` EXPIRES: March 6, 2015
;' ' lip ;pied T;ini Notary Public Underwriters
0
BILL STATEMENT -CUSTOMER - RETAIN
THIS PORTION FOR YOUR RECORDS
Account Number
54452000-158624E
F Date of Last Payment Received
12/29/2011
Customer Name
JEANY L SAWYER
Amount of Last Payment Received
22.44
Service Address
4208 GARRISON LN
Date Meter(s) Read
01 / 10 / 2 012
Days in Billing Cycle
33
Bill Date
01/17/2012
I Rate
EL E20032
lev_1 1-08-10
InfCmu.rr.,l
eter Reading
nt Previous 'th Month
R 1 7358 7126 232
POWER COST ADJUSTMENT
ST LUCIE CO FRAN FEE (OUTSIDE)
ELEC GROSS RECEIPTS RESI
ELEC SURCH
=00Ljjja0K Amount
829 6.01 25.31
8.12
1.80
0.86
--- 1.64
Call 811 or 1-800-432-4770 before digging.
Calls about Garbage or Recycling: 772-460-2200
Save money on your utility bill, visit http://www.fpua.com
37.73
COOK & MENARD ARCHITECTURE INC.
806 Delaware Avenue, Ft. Pierce, Florida 34950
Phone; (772)460-7751 Fax: (772) 460-4244
Email Address: cookmenard r yahoo.com
April 9, 2012
St. Lucie County
Building Department
2300 Virginia Ave.
Ft. Pierce, FL
Re: Jeannie Sawyer
4208 Garrison Dr.
St. Lucie County, Fl
Permit # 1202-0124
To Whom It May Concern:
Please be advised that qualified personnel of Cook & Menard Architecture Inc. performed
an on site inspection on April 9, 2012 at the above referenced location and found the work
completed, to be in compliance with the permit approved plan and the 2007 Florida
Building Code with 2009 amendments for 130 MPH, 3 second wind gust, wind zone
Exposure B.
1. Construction Rough
2. Plumbing Rough.
3. Plumbing Final.
4. Final Inspection
Respectfully Submitted,
Peter B. Cook
Cook & Menard Architecture Inc.
FLORIDA REGISTRATION NO. AA0003494, NCARB CERTIFICATION NO.31789
Property Appraiser - St.Lucie Co,ttnty, FL
Page 1 of 1
PROPERTY RECORD CARD
Jeany Sawyer Record: 1 of 1
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Property Identification
,�u}CIECD
Site Address 4208 GARRISON LN
ParcellD: 2434-331-0013-000-0
Sec/Town/Range: 34 :35S :40E
yes �Gy�
Account #: 33310
Map ID:
Land Use: SF Res .
RM-11
Zoning: RM-11
CitylCnty St Lucie County
Ownership and Mailing
Legal Description
Owner: Jeany Sawyer
34 35 40 W 178.08 FT OF N 79.66 FT OF S 477.96 FT OF W 198 FT
Address: 4208 Garrison Ln
OFE 330 FT OF NE 114 OF SW 1/4 OF SW 1
Fort Pierce FL 34982-6910
More...
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page 2011 Final: 27300 Land Value: 14300 Acres 0.33
8/23/1989 37900 00 WD
0651 / 1243 Assessed: 27300 Building Value: 13000
7/1/1988 0 01 CV
0597 / 0200 Ag.Credit: 0 Finished Area: 934 SgFt
Exempt: 26000
Taxable: 1300
Taxes: 26.42
BUILDING INFORMATION
Exterior Features
View
RoofCover
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType:
HC- - HC-
YearBlt
1958
Frame:
Grade:
C- - C-
EffYrBlt:
1958
PrimeWall:
BP - Conc Block
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
BS - CB Stucco
Interior Features
Bed Rooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
HW - Hardwood
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and
Yard Items
Land Information
Type
Y/S Qty.
Units Qual. Cond.
YrBlt. No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1
720 AV AV
1958 1 0100-SF Res
221 -Front Ft
79.66 178.08
UTL3 - UTILITY AVG Y 1 288 AV AV 1997
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=243433100130000 2/ 10/2012