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Home My WebLink AboutSUBMITTED PAPERSOFFICE USE ONLY: DATE FILED: PLAN REVIEW FEE: TV V RECEIPT NO.: V (0 PERMIT NUMBER: CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: I ac I - 00-7 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 scwvi�jD 772462-1553 13 Y CIE? County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDRESS: C��C'K 45;e-17L h�v 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: 0 0 C>O — J> 4. LEGAL DESCRIPTION (attach extra sheets if necessary): e!�o4livecaqvol j4k�e— eL Z-le 9-3 60-70'--6- A 0 / M� 06 LC le A!� 0? 0 - - 5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. PARCEL SIZE (ACRES/SQ FT.): #.,�2 / Xee5 LOT DIMENSIONS: ;;� )eo' l-?7 10. , CONIPLETE f.ry#PTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: '114L4f'16i 16 7 e- 14 A�xll - H. SETBACKS (ACTUAL) FRONT: BACK: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION RESIDENTIAL OTHER(SPECIFY) EXPANSION/ADDITION COMNERCIAL I-- 13. DESCRIPTION OF PROPOSED USE: IV04 SEDE: LEFT SJIDE: INTERIOR RENOVATION INDUSTRIAL 14. SQ. FT OF CONSTRUCTION: J�5- 15. SF. FT I st FLOOR: 16. VALUE OF CONSTRUCTION: $ �67 - cc'- / 4 pqlw The value of construction is used to determine the amount of permit fees to be assesse& St. Lucie County reserves the right to question andlor 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: X'rzn r e -& UA.-t%i *4- ADDRESS: X -<-A I'l #- CITY: A-�-Tfe - r - r-C C— PHONE (DAYTIME): y IF THE FEE SIMPLE TITLEHOLDER (PROPERTY FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): CONTRACTOR INFORMATION ST. of FL REG.CERT #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTDvIE): (__) ARCHIT/ENGINEER-- &4 ADDRES CITY: .Qrd PHONE (DAYTESAE):M S& 10 - 7 72i- BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: I I T -1 rxz O'd 10 STATE: a:. ZIP: STATE: STATE: FAX NO. STATE: STATE: Email: IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE ZIP: ST. LUCIE COUNTY CERT #: ZIP: Email: ZIP: ADDRESS: CITY: STATE: ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it wifl be voided and returned to you by maiL 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, PLUMIBING, 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 T14AT 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. OWNER OR CONTAACTOR SIG A RE I' 4�1 F31 Fl: STATE OF FLORI ]5 � W rn Q: COUNTY OF M tUJRE The foregoing instrument was acknowledged befo me this day of 4= 20 by 10 1W I CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTYOF The foregoing instrument was a0owledged before me this — day of 20____, by is personally known or has produ d who is person#ffy known or has produced P , 9:4 0- c _ �4 - lily as ideni-cation. as identification. Signature Commission No. (Seal) of Notary Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLVING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLV 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. OFFICE USE ONLY SECTION TOWNSHIP RANGE MAP NO. ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # I ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE CUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 �OTOF REC After 1/1990 LOT SPLIT REQUIRED L;OT SPLIT APPROVED REPORT CODE HABITABLE AREA (RADOM RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACTFEE CORRECTION PUBIC BID IMPACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS 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 DATE RECEIVED DATE COMPLETED U41TIALS Planning & Development Services Department 40 N Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-1553 OWNERIBUILDER 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 Aim I understand that the building official and inspectors are not there to design or give advice on how to meet Initial the minimum code. -7-- 1 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 ssess a license, I may be responsible and liaWf r the licensed in this jurisdiction. If for some reason they do not po Initial cost of the license. I understand that if any person that is unlicensed and uninsured gets injured on my construction project- en's compensation. I could be held liable for all doctor, lawyer and related medical they may be entitled to workm ecovery fi7om their injury. Initial cost, which could include loss of wages during r 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 Dep to the Florida Stat% Department of Professional Regulation. Signed and acknowledged on this V day of of 20 /.;&. Own;r/f3uilder Si-gg--na STATE OF FLORIDA COUNTY OF 2Q�Z The for go . instr ent was a owled ed before me this day o __1 who is personally kno to me, or who has by as iitdifica!6_on. produced M-P 0exy ignature o tary e or Print Name of tary (Seal) Commission Number Title: Notar ublic AUDREYB-HUh SION # EE 0611 MY COMMIS SLCPDSD Revised 07/22/2010 EXPIRES: March 6,2015 Public Undem� Bonded Thru Notary COOK & MENARD ARCHITECTURE INC. 806 Delaware Avenue, Ft Pierce, Florida 34950 Phone; (772)460-7751 Fax: (772) 460-4244 Email Address: cookmenardrk-Yahoo.com January 10, 2012 Jennifer Thrasher Ft. Pierce, FL Re: Wall Repair Architectural Services to prepare permit documents for wall repair. For work completed $350.00 FLORIDA REGISTRATION NO. AA0003494, NCARB CERTIFICATION NO.31789 Property Appraiser - St.Lucie C-inty, FL Page I of I PROPERTY RECORD CARD Frances J Autry Record: 1 of I <<Prev Next Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address� 8306 Fort Pierce Blvd Sec/Town/Range: 02 :34S :39E ParcellD� Account #: 4 ox 4:6 121 ,\)�ClEao Map ID� 13/02N Land Use: SF Res Zoning� RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Frances J Autry Jennifer C Thrash WQ Address: 8306 Fort Pierce Blvd Fort Pierce FL 34951 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 35000 Land Value� 4900 Acremoms, 11/25/2002 68000 00 WD 1620/1410 Assessed: 35000 Building Value: 30100 3/27/2001 38000 01 SID 1382/1799 Ag.Credit: 0 Finished Area: 1008 SqFt 7/19/2000 100 01 CT 1315/0676 Exempt 35000 3/30/1994 37000 01 WD 0893/1205 Taxable: 0 6/1/1979 30000 00 CV 0310/2542 Taxes: 109.28 BUILDING INFORMATION Exterior Features View: RoofCover. TG - Tar & Gravel RoofStruct: GA - Gable ExtType HD -HD YearBlt: 1959 Frame: Grade� D-D EffYrBIt: 1970 PrimeWall: BS - CB Stucco StoryHgft 0010-1 story No.Units: 1 SecWall� Interior Features BedRooms� 2 Electric: MX - MAXIMUM PrmintWall: PN - PN FullBath� 1 HeatTypei FHA - FrcdHotAir AvgHt/FL STD 1/26ath: 0 HeatFuel: ELEC - Electric Prm.Flors: TZ - Terrazo %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 Me@sure Depth '"Woo SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res BI -Front Ft joew 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=130160801350008 1/11/2012 COOK & iviiENA" ARCHITECTURE INC. �.D 1-- 007 8 6 Delaware Avenue, Ft. Pierce, Florida 34950 ST. LUCIE COUNTY Phone; (772)460-7751 Fax: (772) 460-4244 BUILDING DIVISION RRVIEWED Email Address: coo ki-iteiia rd 'tivishoo, cwtj FOR COM NCE REV E DAT I E WED BY I FILE COPY PLANS AND PERMIT M *pf�_j Ug R NO INSTC 1 f -�f D- A .-A�L L R b30eo FT, FIERC-� e�,LYP- S-t. LUG10 CO. ) �LOV,�PA X O-T[- ALL C-OMFO�JEV-4T5 OF-Tiiis AL7E"rzATioN HAVE (bEEN1 9Z7-51GNr--0 f-S5Lr--L75V To 110 MPH -E-41voSVKC 5 -3 ECOWV Cvu6T VAIND FORC-E-5 jPV*, -MT(ON 5-rL --S I tA 110 p 7�3 - 0 X (p -6 HOL- - AL D009. 1=�SCE r-LUV, S�'Ib NCO L"990 C- -W& UR A. L. t' �T` OA 11�-c -- --- V 'N� 0 lb 1/t, 1 11 P L A N 11 0 L XE-A IM,74,_ �SF4 T\E wJJ7 11 Ta F-Mo '57 L) P WALL Tf 1,40 "STUD W A L L kr-K ap 0 P. ZY-4 \4�A-ro�K 5TV0 ),ZY.4 PULL LENGTH t-T� .10T Mg 'D r--Kc.. c' -0 C Zp BL'X-C i� ON llz�: I �00 ST Is Tt-11 rL'f 1AJ00 0 I � 0.1 N1 eo W L4 14 A I L S rs � t i� &-r- r- I B7 Lp X 4/?, T/.11P- L A 'r C Uj 1/1"-o -r.XP, 15OLTS 7-01-2LAS PRODUCT RFVIEW AMDAVIT �47- 4, OPENINGS MODEL # MAUFACTURER ATTACHMENT APPROVAL#/ PRESSURES DOOR WOOD STEEL EGDE INSWING IMPACT MASONITE #10 x 2 1/2 WOOD SCREWS W/ 11/2 MIN EMBED @ 12 OC. MAX AND 6" FROM EDGE FLA. #4904.R4 +/-76 I THE SEAL HEREON IS PROVIDED ONLY TO INDICATE OUR REVIEW AND APPROVAL FOR USE OF PRODUCTS LISTED FOR Tf [IS STRUCTURE. THE ACCEPTANCE OF THESE PRODUCTS AND METHODS OFATTACHMENTARE BASED ENTIRELY UPON TEST DATA PROVIDED BY THE MANUFACTURER, WHICH CARRIES ITS OWN ENGINEER'S CERTIFICATION AND IMPLIES NO WARRANTY OR GUARANTEE BY THIS OFFICE FOR THESE PRODUCTS. FLORIDA REGISTRATION NO. AA0003494, NCARB CERTIFICATION NO.31789