HomeMy WebLinkAboutSUBMITTED PAPERSOf NMI WSJ OI�iLY:
DATE FILED: �• c7�.
PLAN REVIEW FEE: _f der—M) - RECEIPT NO.:
CONCURRENCY FEE: RECEIPT NO.:
PERWr 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 SCq
Ft. Pierce, FL 34992-5652 Y�ED
772462-1553
St. Lucie ��unty
Ue • berm i +_ � rro � /t
VPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION L1 %s/
I. LOCATION/SITE ADDRESS: %��r �c r ar /V l�_t�
2. PROJECT NAME: es SITE PLAN NAME:
3. r PROPERTY TAX ID #: % � l — 645 = 6111_1 040 „
4. LEGAL DESCRIPTION (attach extra sheets if necessary): GL�/✓ 7" �.%� �%L i /.t )'L
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. Ef) PARCEL SIZE (ACRES/SQ FT.): L% -,7LOT DMONSIONSV ZO
10. Qf7COA4PLETE DESCRIPTION OF
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: �
12. TYPE OF CONSTRUCTION (Check all appropriate boxes).
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ j OTHER (SPECIFY)
13. Q DESCRIPTION OF PROPOSED USE:
14. Q�, SQ. FT OF CONSTRUCTION: �d �/ 15. SF. FT 1st FLOOR:
16. `'VALUE OF CONSTRUCTION: $
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: 2 �� �C. Croy%
4 ADDRESS: 22-k e )- %e.r/--
CITY: STATE: ZIP:
PHONE (DAYTIME): Email:
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 #: 1 I ST. LUCIE COUNTY CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CPI'Y: STATE:
.PHONE (DAYTIME): (_) FAX NO. Email:
ARCHIT/ENGINEER:
ADDRESS:
CITY: a
PHONE (DAYTIlbIE):
BONDING COMPANY:
ADDRESS:
CffY:
1l�=lvv-el
ZIP:
;r o / STATE: �z ZIP:
STATE:
ZIP:
MORTGAGE LENDER:
ADDRESS:
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
CERTMCATION: _,
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 -mill be -performed to meet the standardsof all laws regulating construction.* 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 youi 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 R"ROVEMENTS 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.
AWNEROR CONTRACTOR SIGNATURE
W
STATE OF FLORIDAJA
0
COUNTY OF
_' � o a
a Cn"
The foregoing instrum was acknowledged before
LL�—
personally
known
Commission No. {Seal)
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was a owledged before
me this day of 20_ ,
by
who is
or has produced
as identification.
Si tare of Notary
ommission 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 OWNERIBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY B'��ti-;: I I •O �?�!
SECTION
1
TOWNSHIP
34
RANGE
3
MAP NO.
II IIY
ZONING
Q Cam,
LAND USE
LOT CVG %
3.'
TAZ NO.
FLOOD ZONE.
FIRM MAP #
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
CUP
# 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
AREA
OLADO
FEE
FEE
LIBRARY
PUBLIC BID
PUBIC BID
PARTS
BRACT
BRACTFEE
IMPACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
AD
CREDIT
Y
N
LAW ENF
BRACT
BRACT
BRACT
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
BRACT
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: 1 /
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE ,
MANGROVE
COUNTER.
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
INITIALS
-F
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 prop'e'rty, 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 uc 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 self or lease a building you have built or substantially improved yourself within
one year afftei• the construction is complete, the Iaw'will presume that you built -or -substantially improvedit-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 appl' b1.Jayvs,
ordinances, building codes, and zoning regulations. Initial
that the building official and inspectors are not there to design or give advice on how
the minimum code.
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 li ble for
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 medics-4
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.
J 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 ackn ledged on this
1 day of 'R,y of 20
wner udder Signature
STATE OF FLOR16 •
COUNTY OF
The foregoin inP/OVtFwaowAleld�
by�
Title:
SLCPDSD Revised 07/22/2010
before me this cP Vd-ay of , 20_U_,
who is personally known to me, or who has
as identification.
or Print Name WfNotary (Seal)
nission Number
AUORE`(B. HUMPHRE`(
COunSS{ON # EE 061159 '
Q�atch 6, 2015
�;'•
;aQ`
EXPIEsES'.
Notary?�r'c'-Indenv
',. ..Zj, Dcmdedll �i
r
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
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,
'1 �e
0l bee-,- RY 4 Ave, ea rl Re' ke �e , F/ �3 T�i'�
(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.
e,k k, C'z Ue ►-J,z?
Property Owner N me (Plea a Print) /
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF GJW I !z
ACKNOWLEDGED BEFORE ME THIS a� DAY OF
BY
PRODUCED
'FRS IS PERSONALLY KNOWN TO ME OR WHO HAS
OF NOTARY PUBLIC — V TYPE O V PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised 08/24/2010
AS IDENT1IFIIC%A/TIO�N.
(SEAL)
AUDREY B. HUMPHREY
MY COMMISSION # EE 061159
-* '* EXPIRES: March 6 2015
oQ� Bonded Thru Notary' Public tindenariter.
'....
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NOTES
/. 10 fool public utility and drainage easement
on all roar lot finis unless ofherw/se shown.
2. All radii are 20 feet. unless Ofherw/se shown
3. Permenan/ reference iiloM///lenis placed of a// bloc-" corners.
MSL-
4. Contour set abocni I s ow2Srefer Pion+ o V - ne ongCLIGS ao// stretum ets.
5. Building
6. Al/ corner lot dimensions refer to /of line infersecf/ons.
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SLAT PK NAIL
DISC AB 6,
LOT 18
VACANT
BENG/MARK• SET PK
NAIL AND DISC (LS 6018)
aEVAI/OW - 1OQ00'-.�
(AMUMED)
DEER PA�,,/A VENUE
CENIERL/NE 6F70 NOW ar WAY
ASPHALT PAVEMENT
LOT 19
R/V/`,W FLOOR
REVA naV = loL 10' A
pp
248'
N
etol3+to7'
12-4SUL-
—
ool �,;
d
LOT 17
T BLOCK 44
_>Iru ES
4rEIDES
VACANT
WA
SET 9 /ROW R
AND CAP (L8 6018)
10' l/nUTY AND DRAINAGE EASEMENT
LOT 9
—
RN/SH FLOOR
EWVA nON = f01. u,
LOT 10
VACANT
agm mw--r-A
ET PK NAIL AND
DISC (L8 6018)
EVAIfAN — 99.98'
N8953'00"£ J.
(BEARING Bf
Aw
p LOT 16
p` VACANT
p
v LOT 1,,,,
RN/SH aot
O ELEVA nav = h
O
SET0/RON ROD
AND CAP 0 6018)
'eo7mi ER POKE
i
RA
aEVA.
BOUNDARY SURVEY
LEGAL DESLW/Pnaw:
a LOT 17, BLOCK 44 LAKEWOOD PARK UNIT NO. 5, ACCORDING TO THE PLAT :c
THEREOF AS RECORDED IN PLAT BOOK 11, PAGE 5, OF THE PUBLIC RECORDS OF
Sr LUCIE COUNTY, FLORIDA.
SURWYMS N07ESr-
1. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEME7VTS AND/OR
RIGHTS OF WAY OF RECORD EXCEPT AS SHOWN ON THE RECORD PLAT IF ANY.
2. NO ATTEMPT WAS MADE BY THIS FIRM TO LOCATE UNDERGROUND FOOTINGS
OF BUILDINGS OR FENCES - ON/OR ADJACENT TO THIS S1 TE.
J. BEARINGS SHOWN HEREON REFER TO AN ASSUMED MERIDIAN OF N.89W'00"E.
ALONG THE BENTERLINE OF DEER PARK A VENUE.
4. THIS SITE UES IN FLOOD ZONE Y AS SCALED AND INTERPOLATED ON FEMA
~ MAP NO. 12111C--0070, DATED.AUGUST 19, 1991.
5. SME AREA: 11,790 SQUARE FEET OR 0.27 ACRES MORE OR LESS:
6. LEGAL DESCRIP77ON FURNISHED BY CLIENT.
-7. ELEVA 77ONS SHOWN HEREON ARE REFERENCED TO ASSUMED DA TUM.
Z Q
C
MARCAnav& E
1. JACK DARLENE COVER LE I L
a 2. ME1B£N HOME BUILDERS
Q
-%WW tWW MMMA17M.
if
.00R LEGEND:
• 101.51'
LB LICENSED BUSINESS
xxxx' — SPOT ELEVA770NS
OE — OVERHEAD ELECTRIC
I HEREBY CER77FY ]FIAT THIS PLAT OF SURVEY WAS PREPARED UNDER MY
RESPONSIBLE CHARGE AND MEETS THE MINIMUM 7FCHNICAL STANDARDS AS SET
FORTH BY THE fZOR1DA BOARD OF PROFESSIONAL LAND SURVEYORS AND.... "
MAPPERS 1N CHAPTER 61G17--6, FLORIDA STATUTES, AND THAT IT IS TRUE -AND -
CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. NOT VAUD WITHOUT - _ "-
THE SIGNATURE AND ME ORIGINAL RAISED SEAL OF 4 LORIDA LICENSED _
SURVEYOR AND MAPPER. j flcl'�
�y-
ROBERT BLOOMSTE J : ". -
PROFESSIONAL LAW. SURVEYOR
NO. 4134 STA7F OF FZORIDA -
Z)ij TER
PROFESSIONAL LAND
SURVEYORS, INC.
LB #6018
791 NORTHEAST DIXIE HIGHWAY
JENSEN BEACH, FLORIDA 34957
PHONE 772-334-0868
SHEET 1 OF 1
DRAWN BY: A.C.
SCALE 1 - W
f1W WORK: 09-20-2005
FIELD BOOK: A127 68
� NO.
9046
REVISIONS
DATE
DE9CR pim
Blf
o-I+-w
WE Km
AAff
03-31
FORI6QM TE M
F
PREPARED FOR: JACK & DARLENE COWMALE
7801 DEER PARK A VENUE
FORT PIERCE, ST. LUCIE COUNTY, FLORIDA.
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
CHARLIE CRIST THOMAS G. PELHAM
Gavemor Secretary
Alex Martens September 14, 2010
Superior Sheds, Inc.
2323 S. Volusia Ave.
Orange City, FI 32763 L -Y
Flo E COP
RE: Manufacturer Certification, ID MFTT113; Expiration Date: November 9, 2013
Alex Martens,
It is my pleasure to inform you that Superior Sheds, Inc, located at 2323 S. Volusia Ave., Orange City, Fl
32763, has been approved under the Manufactured Buildings Program, as provided for under Chapter
553, Part1, Florida Statutes, to manufacture Storage Sheds, Manufactured Buildings for installation in
Florida.
Construction or modification on a manufactured building cannot begin until the Third Party Agency has
approved the plans in accordance with the current Florida Building Code.' Your Third Party Agency is a
contractor for the Department and has statutory authority and responsibilities that must be met to maintain
approved status. You may expect and demand quality plans review and inspections.
Each Code change will make your plans obsolete until they been reviewed, approved and indicated [on
the cover sheet of the plans] for compliance with the code by your Third party Agency for plans review.
Please ensure that your plans are in compliance and are properly posted on our website. All site -related
installation issues are subject to the local authority having jurisdiction.
The Department's contractor will make unannounced visits at least once a year. You must grant complete
access to your manufacturing facility and records to maintainin compliance with the rules and regulations
of this program.
Your certification is approved for three years from this date. You will receive a renewal notice by Email
generated by the BCIS (www.floridabuildin4.org) for online renewal. If you have any questions you may
contact me at 850-410-1566 or our FAX at 850-414-8436.
Please visit our website at _ www.floddabuilding.org to see valuable information on the Florida
Manufactured Buildings Program. A copy of this letter must accompany applications for local building
permits.
Sincerely,
oi-VI-11
Robert Lorenzo
Manufactured Building Program
cc: National Design and Inspection,'Inc-
2556 SHUMARD OAK,BOULEVARD ♦ TALLAHASSEE, FL 32399-2100
850-488-8466 (p) ♦ 850-921-0781 (f) • Website: www.dca.state.fl.us
• COMMUNITY PLANNING 850.488-2356 (p) 850488-3309 (Q ♦ FLORIDA COMMUNITIES TRUST 850-922-7207 (p) 850-921-1747 (f)
+ HOUSING AND COMMUNITY DEVELOPMENT 850488.7956 (p) 853-922-5623 (f)
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