HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY: `
DATE FILED:
PLAN REVIEW FEE: _ RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
�' PERMIT NUMBER:
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 S C B r ED
772-462-1553 V
' St. l_ urI".
Colant
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: i!r� 76 S//An y I-AKR -64 ti C
2. PROJECT NAME: SITE PLAN NAME: '
3. PROPERTY TAX ID #: 0"'7— to a r D O
4. LEGAL DESCRIPTION (attach extra sheets if necessary): JQ L sJ«E k ST.4TFS
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. ---_.�
9. PARCEL SIZE (ACRES/SQ FT.): Y LOT DIMENSIONS: ` �� ��cK T t7311Mk'4- rA9
16o o )�Pr o`-1
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
11. SETBACKS (ACTUAL) FRONT: -?V v BACK: 'qD' RIGHT SIDE: / 'Y d LEFT SIDE: �1 S
12
13.
14.
16.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ J EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ J RESIDENTIAL [ ] COMMERCIAL [ J INDUSTRIAL
OTHER (SPECIFY) S-/D / A/ C3 R 4 PAC 4 c-C Avr T I -9 4
DESCRIPTION OF PROPOSED USE: 1O/' 41--t,.4 Z-
SQ. FT OF CONSTRUCTION:
VALUE OF CONSTRUCTION: $ —2,V a 00
15. SF. FT 1st FLOOR / i Y'?
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 lie submitted with this application.
SLCCDV Form No.: 001-02
UPDATED 6/25/09
�a
OWNER INFORMATION
NAME: 'Jg 1)1 F' S A.
ADDRESS: �,Ifa S 14
CITY: F 0 K 7 f '� G STATE: L' ZIP:
PHONE (DAYTIME): (z7� y62 6 y Email: R4CFC40C T wC� rOA60C1,5*4- �
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: _ 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:
STATE:
FAX NO.
STATE:
STATE:
STATE:
ST. LUCIE COUNTY CERT #:
Email:
ZIP:
ZIP:
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
Planning & Development Services Department
Building & Code Regulations
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 ordinahces. 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 applica laws,
ordinances, building codes, and zoning regulations. Initial tt%
I understand that the building official and inspectors are not there to design or give advice on how to meSt
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I m t 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 r quired to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for th
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 di al
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 si 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 acknowled ed on this
day of of 20
;�;�.erSignature
STATE OF FLORIDA r
COUNTY OF `
The f oing instrument wa acknowledged bef e this day of , 20�,
by 1 „e o is personally known to me, or who has
prod as identification.
m-,�Y
lgnature o N y Typ or Print Name of Notary (Seal)
Title: Notary Public Commission Number
SLCPDSD Revised 07/22/2010 E—A
UDREYB.Hi3MPHREY
COMMISSION M EE061159
XPIRES: Marrs, r� 2015
Thru Notary Public Underwriter,
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.
%z✓
R OR CONTRACTOR SIGNdTURE
STATE OF FLORIDA S¢• �/�
COUNTY OF d�
The foregoing instrument was acknowledged before
me this _day of 20 /% ,
by < < eim
who is personally known or has produced
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before
me this day of
by
20 ,
who is personally know or has produced
[
r L1(!/- 7 l -,33-7" as identification.
Signature of Notav - (/ Signature of
Commission No. —' Commis sio No. (Seal)
" AUD B. HUMPHREY
=• MY COMMISSION # EE 061159
EXPIRES: March 6, 2015
Bonded Thru Notz
ry P 0fc Underwriters
NOTE: TWO (2) SIGNATURES ARE 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 br #: • 0270
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FIR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
LIBRARY
IIVIPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
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
'ZZ• ��
DATE
COMPLETED
I2 Z•
INITIALS
WALL_ COVERING
Species Combination
P.spen
Balsam Fir
Beech -Birch -Hickory
Coast Sitka Spruce
Cottonwood
Douglas Fir -larch -- - -- -
Douglas Fir-l-urch (North)
Douglas Fir -South
Eastern Hemlock
pastern 14emlock-Balsam Fir
Eastern Flemhxk-Tamarack
Eastern Fie mlock-Tamarack (North)
Eastern Soflwoods
TABLE R703.3.3(3)
SPECIFIC GRAVITIES OF
SOLID SAWN LUMBER
Specific Gravity', G
--
Species Combination
0.39
Mountain Hemlock
0.36
Northern fine.
0.71
Northern Red Oak
0.39
Northern Species
0.41
Northern While Cedar
0_5{1
Ponderosa Pine
0.49
Red Maple
0.46
Red Oak
0.41
Red Pine
0.36
Rerlw(x)d, close grain
0.41
Redwood, open grain
0.47
Sitka Spruce
0.36
I.
Eastern Spruce
Eastern White Pine
Engehuaun Sprucc-Lodgepole Pine
Fogelutann Spruce-Lodgepole Piuc' I
(MSR I6501'and higher grade.~)
F:ngel mann Spruce- Lod gepole PioC' 1
(MSR 15(H)f wnl lower grades)
L_
Hem -hie -- i
{cm --Fir (Nutih)
Mixed Maple
Mixed Oak
Mixed Southern Pine -
southern Pine
)AI
Spruce -Pine -Fir
(06
I Spruce-Pine-I'ir
0.38
(E > ? 01N),000 Psi MSR and MI L)
11:16
Spruce -Pine -Fir (South)
Western Cedars
0.39
Western Cedars (North)
Western I lemlock
0.43
Western Hemlock (North)
0.40
I Western White Pine
0.55
Western Woods
0.69
White Oak
It.S l
Yellow Poplar - -
ISpectOc gravily based on weight and volume when oven -dry.
'Applies only to Engelmann Spruce-Lodgepole Pine machine stress rated (MSR) structural lumber.
rtlNt 490 PON OR ATTACMEWS
Ak ME— AISPOISISILO Of THE
"Of WON)
ST, LUCIE C UNTY
BUILDING DIy_1PION
FOR
DATE '
PLAN AND PERMIT
MUST BE KEPT ON JOB OR
NO INSPECTION WILL BE MADE
Specific Gravity', G
0.47
0.42
0.68
0.35
THESE PLANS AND ALL PROPOSED WORK
ARE SUBJECT TO ANY CORREC11ONS
REQUIRED BY FIELD INSPECTORS THAT
MAY BE NECESSARY IN ORDER TO
I LE
0.4:3
0.59
o.67 i
0,44
0.44
0.37
0.43
I I.5 i
0.=t2
0.36
0.30
0.35
0.47 _ -
0.46
0.40
0.36
0.73
0.43
1 11 a • O.";V7 v
COPY
2007 FLORIDA BUILDING CODE -RESIDENTIAL
7.8
WALL COVERING
TABLE R703.3.3(2)
WOOD, HARDBOARD AND WOOD STRUCTURAL PANEL SIDING ATTACHMENT EXPOSURE CATEGORY C
WIND SPEED
(mph) 100 -- 110_- _ 120 130
Structural Siding T
E I E F f E F F E F E E I R'
Stud Spacing
Siding Location (inches (o.c.)
12 -
Interior Zone 16 •
24
12
Perimeter Edge 16 +
Zone
24
Siding Size
Ix6orIx8
Siding
Ix10or
Stud Spacing
(inches o.c.)
12-24
12-24
150
E I F
Nail Spacing for 8d Common Nails or 10d Box nail inches o.c.)
6 12 6 12 6 12 6 12 6 12 6 12
6 12 6 12 6 12 6 12 6 122
__ 6 122
6 12 6 122 6 122 6 122 6 6 6 6
6 12 1 6 12 6 12 6 1 12 6 122 6 122
6 12 6 12 6 12 6 1 122 6 122 6 6
6 122 6 122 6 6 6 6 6' 6' 6' 63
Board or Lap Siding
Number of 8d Common Nails or 10d Box Nails Per Support
2 2 2 2 2 2
3 3 3 3 3 3
Notes:
E - Nail spacing at panel edges (inches)
F - Nail spacing at intermediate supports (inches)
1. For wall siding within 4 feet of any corner, the 4-foot perimeter edge zone attachment requirements shall be used.
2. Tabulated 12-inch o.c. nailspacing assumes siding attached to stud framing members with a specific gravity, G >_ 0.49. For framing members with 0.42 5 G <0.49,
3. Tabulated 6-inch o.c. nail spacing assumes siding attached to stud framing members with a specific gravity, G >_ 0.49. For framing members with 0.42 <_ G <0.49,
the nail spacings shall he reduced to 4 inches o.c.
4. For exterior panel siding, galvanized box nails shall be pennitted to he substituted for common nails.
CONCUR FASTENERS OR ATTACHMEM
ARE THE RESPONSISIM OF THE
CONTRACTOR OF RECORD
FILE COPY
2007 FLORIDA BUILDING CODE —RESIDENTIAL 7.7
Property Appraiser - St.Lucie C
,ity, FL
Page 1 of 1
PROPERTY RECORD CARD
James A Wilkins Jr Record: 1 of 1
<<Prev Next >>
Spec.Assmnt TaxesExemptionsPermits
Home Print
Property Identification
,'�
Site Address: 8690 SHADYLAKE LN
Sec/Town/Range: 02:35S:39E
ParcellD:
Account#:
• +/
,.,,3
12809
VUCIE co
G
�Q 2<
Map ID 23/02N
Land Use:
SF Res
Zoning: RS-2
City/Cnty:
St Lucie County
Ownership and Mailing
Owner. James A Wilkins Jr Madeline Wilkins
Address: 8690 Shadylake Ln
Fort Pierce FL 34947
Legal Description
NOW
Sales Information Assessment 2011 Final Total Land and Building
Date Price Code Deed Book/Page 2011 Final: 94100 Land Value: 29000 Acr
4/25/2005 241500 00 WD 2260 / 0081 Assessed: 94100 Building Value 65100
6/1/2004 195000 00 WD 2084 / 1696 Ag.Credit: 0 Finished Area 1948 SgFt
12/8/2003 149900 00 WD 1875 / 0133 Exempt: 50000
8/17/2001 99500 01 SP 1427 / 0872 Taxable: 44100
4/25/2001 01 CT 1385 / 2999 Taxes 1094.2
10/26/1994 98000 00 WD 0927 / 2683
3/8/1993 100 01 CT 0831 / 0400
3/1/1988 19500 00 CV 0580 / 2233
BUILDING INFORMATION
:< to
i
Exterior Features
View: RoofCover: SA - Asph Shingle RoofStruct: GA - Gable
ExtType HC- - HC- YearBlt. 1988 Frame:
Grade C- - C- EffYrBlt: 1988 PrimeWall: WS - Wood/Sheath
StoryHght: 0010 - 1 Story No.Units: 1 SecWall:
Interior Features
BedRooms: 3 Electric. MX - MAXIMUM PrmintWall DW - Drywall
FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: STD
1/2Bath: 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. Land Use Type Measure Depth
ENC2 - POOL ENC-AVG Y 1 560 AV AV 1995 1 0100-SF Res 201 -Front Ft
SWAY - RES POOL AVG Y 1 228 AV AV 1995
PA01 - POOL DK-AVG Y 1 332 AV AV 1995
4CFT - 4CFT S 1 1 AV AV 1988
3CFT - 3CFT S 1 1 AV AV 1988
SDSF - SITE DEV S-F Y 1 1 AV AV 2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.pasic.org/prc.asp?prclid=230260100180007 12/22/2011