HomeMy WebLinkAboutSUBMITTED PAPERSDAT.EFILED:
PLAN REVIEW FEE- RECEIPT NO.: PERM[T NUMBER. L
CERT. CAP. kO.:
CONCURRENCY FEE: RECEIPTNO.:
ALL -INFO -MUST BE COMPLETE& FILL19D INTO BE�ACCEPTED
PLANNING &DEVELOPMENTSERVICES DEPARTMENT
A 9 Aww -P� A
WELDING & CODE-REQULATIQNS D"ION
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-CERTMCATE
PROJECT INFOI
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1. LOCAnON/SITE ADDRESS: I'Z'LZ- 3
SITEPLANNANE: j:&>UZ-1 Ll f-j-
2. PROJECT NAME: -bQCV-1 1,Lr- --r
3. PROPERTY TAX ID #: JA 5-0 z -S-0 I 1- 409 -0 0o 5,
---4. LEGAL DESCRIPTION (attach. extra sheetsif necessary-):-- -
S Er4lyr,� RA�C-E-L- -01-
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ- FT.): 05' LOTMENSIONS: 34 tn 73
10. COWLETE DESCRjpn0N OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
11. SETBACKS (ACTUAL) FRONT: - -
12.
13.
14.
BACK�."--- LEFTSIDE:
TYPE OF CONSTRUCTION (Check all appropriate boxes). -
NEW CONSTRUCTION EXPANSION . /ADDITTON. INTERIOR RENOVATION
[Iq� RESIDENTIAL COMANRCIAL INDUSTRIAL
[,k'OTBER(SPECffrY,) py,)EIR, T�46 it
n
DESCRIPTION OF PROPOSED USE: uljA
SQ.FTOF CONSTRUCTION: 00 15. SF. FT Ist FLOOR.
16. VALUE OF CONSTRUCTION: $ LA 600
T '1,,. 4"
C.
=,I,, ind_cd
.he i2lua us -I'm &tC,—.gfip, 1ha aw.Giaatwarp—�Am-z boas sso-d- S-L
value of construction if it is demonstrated that the submitted figmes me -not consistent with similar VIM of construction activities. If the value is $2500 at mom a
RECORDED Notice ofCommencement must be submitted with this application-
SLCCDV Form No.: 001-02
UPDATM M5189
OWNER INFORMATION
NAME: �4LK-!E- 14Z�4 _ gpRF?,�
ADDRESS: QuTng;�
STATE
CITY: eej 65104cr4 zip: Ok 5-7
PHONE (DAYTIME): (T2-
alfgonEmail: IDPIO.Irl�l DATr.M;5"T-
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 C>PWAE-(2- (a)W�-ZE-P'
ST. of FL REG.CERT ST. LUCIE COUNTY CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): FAXNO.
Email:
ZIP:
ARCHIT/ENGINEER: 90&e-w- S�)AJ7±)Ev,
ADDRESS: W VAT4-'As� N IE-
CITY: STATE: zip: ?
PHONE (DAYTIME): OM -Zitj - It 5C-f
BONDING COMPANY:
ADDRESS:
CITY:
STATE:
MORTGAGE LENDER:
ADDRESS:
CITY: STATE:
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.
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, BEATERS, 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.
'6OVMT E-RtOR CONTPACTO
SIGNATURE
am
STATE OF FLORIDAL
COUNTY OF IM
A-ba
x'N
The foregoing instrument was acknowledged before
�s
11
me this 19- of
day
20 _�5
iA
by
Mpg J.
who is personally known
or has produced
Vr—
K V0.0
AlAr.
- as identilication.
Signafure of Nota
CONTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
me this day of
by —
who is
before
20_____,
known or has produced
of Notary
as identification.
Commission No.— (Seal) ,/ Commission No. (Seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. ]IF APPLYING FOR
THIS BUILDING PERMIT AS AN OWNER/BUIULDEX 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 OWNER/BUI[LDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY
SECTION
TOWNSHIP
RANGE
MAPNO.
ZONING
)41 RD
LAND USE
LOT CVG %
TAZNO.
FLOOD ZONE
FIRM MAP #
ISTFIRELV
MAXHGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
gcA
HABITABLE
AREA
RADON
FEE
PERMIT
FEE
(RADON)
LIBRARY
WACT
FEE
PUBLIC BID
IMPACT FEE
CORRE��
",�FR.�
PUBIC BID
PACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
"0
IM[PACT
FEE
CREDIT
Y
N
LAWENF
IM[PACT
FEE
FIRE/EMS
IMPACT
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMMQSTRATIVE
VARIANCE FEE
FEE
I
SPECIFY
SUBS
MECHANIC ROOF
ELECTRIC GAS
NON -CONFORMING
LOT OF RECORD
MISCELLANEOUS
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATTON
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
COMPLETED
t/,
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUI�-
FILE # 3645934 OR BOO]. PAGE 1450, Recorded 11/14 D:40 AM
A FMR MORDIM-RETU
PERMrr NUMBrIt' I
__j
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
1. DESCRIMON OF PROPERTY (Legal description and sftdaddress)TAXFOLIONUMEBER: UiL:!!�-b_ a -sb/- /
SUBDIVISION-----BLOCK—TRACI�-__LOT_BLDq__UMT_
C'm 17-7--7-
2. GENERAL DESCR]TTION OF IMPROVEMFM.- MC-1 (2)-1ArL,C7r PATlQ
3. OWNER INFORMAIION: a.Name t*IWK 19AIC�R_ty
b. Address 0
d. Nam and address offee simple titleholder (if'other than owner) A6A515iA 66AC#i vs- ;1AiT7
4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER. 60)9)�g u-, 4 1) e_ V-
5. SUREWS NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the State ofFlorida 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 NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Secd on
713.13 (1)(b), Florida Statutes:
NAMF, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is I year firorn the date of recording unless a different date is
specified) _20
Signatum of Owner or VNVk3Q0kA0 VWK,
Owner's Authorized Ofter/Diredor/Partner/Manager
State of Florida
County of S1 - LL4 C I P_ -7 of
,n,Tn wasac s
The going' t knowledged before me thi --j—uay _A)d VC J-,A be a .201j_
go 12e 13 le X*e 0+,� —as C1. , _P .
(Name ofperson) (Type of autholy ... e.g. 0 ffi t
wner, o cer: fact)
For Q C.. ) ei e. i2�� 100"
(Name ofparty on behalf of whom instrument was executed) Personally Known_�/_ or produced tw
LIrp-RA I'l, e. F, we e�y
#DD745811 ..*gFZ
to,
(Printed Name of Notary Public) 'ublic)
rj
RN
'C
Under penalties of pejjury, I declare that I have read the foregoing and that the facts in it are true to the jf*'jgW.\`dg. and
belief (section 92.525. Florida Statutes).
Signature(s) of Owner(s) or Owrwr(s)l Authorized Officer/Director/Partner/Manager who signed above -
By. —
VQ%rW=(P_.d.M)
STATE OF FLORIDA
ST. LUCIE CN.NTY
THIS IS TO CERTIFYTH I
TRLIA (,0 '? T(
n� RREET C P� � IT
.L.
OR W N L.
FPH LINK
D q y clerk
Date- - 11-1 -
V_: C (A
4
D:
PLAN REVIEW FEE: RECEIPT NO.: Y,, PERMIT NUMBER.
CONCURRENCY FEE: RECEIPTNO.: CERT. CAP. NO.:
ALL- INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
M PL ING & DEVELOPMENT SERVICES DEPARTMENT'
`rw.
E C El lt� E npp'LATIONS D" N
"fCOUNTY Oro Virginia A�c e .10
F L 0 R I D A
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2.
-3.
4.
9.
to.
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12.
13.
14.
16.
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--imm-ental. Resourc
CERTMCATE of CAPACITY/ZONING COMPLLANCE
PROJECT INFORMATION
LOCATIONISITE ADDRESS: 1,ZQ_2_ NFrg�etc_ EiE�Q___l PNE�7 &4
PROJECTNAME: -4bf-)CV,_1 SITE PLAN NAME: —1 Lf rr
I
PROPERTY TAX ID R) Z -'s-0 I o 1)
LEGAL DESCRIPTION (attach extra sheets if necessary):-
1'Z2--2,/,) C(>,
PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
f j
PARCEL SIM (ACRES/SQ FT.): 0 —LOT DIMENSIONS:. 1 j
COM[PLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIWfY:
SETBACKS
TYPE OF CONSTRUCTION (Check all appropriate boxes).
CONSTRUCTION.
RESIDENTIAL
OTHER (SPECHW) OF.
EXPANSIONIADDITTON INTERIOR RENOVA17ION
T R q "y IF TION OF PROPOSED USE: _k I
SQ FT OF CONSTRUCTION: � Q 0 -
VALUE OF CONSTRUCTION: $ �4. 600
I j
15. SF. FT Ist FLOOP,
u"v1swav- L al PUI.—L .F5
Value Ofcoustruction if it is demonstmted ffiat the submitted figures are not consistent wiffi similar types of constmetion activities. If the value is $2500 or more, a
RECORDED Notice ofCommencement must be submitted with this application.
SLCCDV Form No.: 001-02
All - AR019-0,1A.0,4_-4J- X4A5
YIRD UPDATM 6/25/89
0 IILI-41AX 20.495
OWNER INFORMATION
NAME: �AkKqz- 10-0'�-A - oc:)'—"� tE-R--i-v
ADDRESS: I zz-2-
CITY: -� E-0 -7 013 eie4CA STATE: ZIP: 3-A CA 15-7
PHONE (DAYTIME): (712-) 2-13 — 01,L'i Email: lor 144, 1W-1-T-, M e-T-
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 #: ST. LUCIE COUNTY CERT #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): C__) FAXNO. Email:
ZIP:
ARCI-HT/ENGINEER: (Roc,'-s-M
ADDRESS: '5W 1/-An)-��AS-
CITY: STATE: ZIP: :100 Ot
PHONE (DAYTIME): a1L
) -ZI!j - &A &9:�
BONDING COMPANY:
ADDRESS:
CITY: STATE:
MORTGAGE LENDER:
ADDRESS:
city:
ZIP:
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.
I
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.
N11 mh* __1 .64, -
OWNER OR CONTAACT_ - SIGNATURE
STATE OF FLORID
COUNTY OF ZA . �4,, ;,
The foregoing instrument was acknowledged before
me this day of 91a2- 20JQ_
I
by
ut
W
2 M
?Q _V
CONTRACTORSIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
me this day of
by
who is personally known or has produced who is
A V00- -
10 as identification.
Sign ture V Wnat
before
20__,
known or has produced
of Notary
as identification.
Commission No. (Sea[) / Commission No. (Sea[)
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 OWNERABUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY
TOWNSHIP
RANGE
MAPNO.
SECTION
LAND USE
LOT CVG %
TAZ NO.
ZONING
FIRM MAP #
1ST FIR ELV
MAX HGT
FLOOD ZONE
—'O-CCMTYPE*
------
COWT T"E
-----SE-lVER.
—
-
-
77--
JvfWATER
-STOR
7 LoTspur
LOT-OFREC. —APPROVED
Before V1990---'- Afier-1/1990- REQUIRED.
HABITABLE
AREA
RADON_
-FEE-
-PERMIT-
FEE
REPORT
CODE
-LIBRARY
IMPACT
FEE
IMPACT FEE
CORRECTION
PUBIC BLD
ROPACT
FEE
GENERAL
PARKS
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
N
LAWENF
DAPACT
FEE
SCHOOL
RAPACT
FEE
FIRE(EMS
IMPACT
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
.FEE
MECHANIC ROOF
ELECTRIC GAS
PLUMBING
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
SPECIFY
SUBS
REQUIRED
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
COUNrER
REVIEW
REVIEW
REVIEW
kTE
-CEIVED
AJE
MCR ftomsioNAL ENGIXL--x��WG, INC.
8528 SW Kansas Street
Stuart, FL 34997
Saint Lucie County 6 Dec 2011
Planning & Development Services
Building Code Regulations Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Subject: Lot 1222, Permit Application & Code Violation (Code Enforcement Case 65252)
Dear Saint Lucie County Building Official —
We have inspected the dock at the above residence and found it to be typical marine
construction. Associated with this dock and permit application is a boat lift. Both the dock and
boatlift are less susceptible to wind and wave damage due to location. This dock and lift are on
an interior canal, shielded on all sides.
It is typical for boatlift manufacturers to provide engineering certifications for their fabrications,
however, the manufacturer could not be identified. As such, original equipment manufacturing
data and engineering for the boatlift is not available.
We have inspected the boatlift, found it to be in good working order, well designed, and properly
installed. MCR Engineer's hereby certifies this lift for #4000 pounds. In actuality, it has been
designed for more than this, however, we feel this is well within it's capacity and it's present use
by the owner.
Please call Roger Baber should there be any additional questions.
Sincerely,
er
E el- , 3
CR Pro 'i-sionial Eqgineers
7,72-214-4
1(10 f - 44'a F-? ,
ST. LUCIE COUNTY
BUILDING DIVISION
REVIEWED
FOR COfgWOE
REVIEWED BY
DATE
PLANS AND PEFIMiT
MUST BE KEPT ON JOB ON
NO INSPECTION WILL BE MADE I
Nettles Island - Lot 1222 — Lift Certification Letter Page I of I
'9801 South Ocean.D.pve, Jensen Beach, FL 84957
FAX (772) 229-9901
December 14, 201 -/
Saint Lucie County
Planning & Development Services
BuIlding Code Regulations DivIsion
2300 Virginia A venue
Fort Pierce, FL 34982
Subject: Lot 1222 permitApplication & Code Viol
ati
Enforcement Case 65252) on (Code
Dear Saint Lucie County Building Offl-cial _ ,
The work proposed at Lot 1222 complies with Nettles Island
construction standards. The permit being applied for includes an
existing dock and boatlift, plus removal of Unauthorized decki
n
g
the Nettles Islands UAW n
.Y easement. This easement is between the
seawall and the residence,
Nettles Island has no objections, and confirms compliance with
Nettles Islandconstruction standards Attachedare4exhibitsby
NCR engineers, Sheets I thru 4 of 4, dated I Dec 2011 which depict
the work, and will be used by the owner of Lot,1222 to apply for an
after the facipermit.
Maurice L
Nettles��Inc. 1tnef
Florida Department
Rick Scott
of Environmental
Govenior
Protection
J . ennifer Carroll
Bob Martinez Center
LL Govenior
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
Henschel T. Vinyard Jr.
Secretary
SELF CERTIFICATION FOR CONSTRUCTION OF
A PRIVATE, RESIDENTIAL SINGLE-FAMILY DOCK
Self Certification File No.: 0308832001EE
File Name: 1222 Nettles Blvd Jensen Beach, FL 34957
- Self Cert Exempt Dock with Boat Lift(s) (AP)
Dear ROGER BABER: On, 11109120111, you used the Departmenfs electronic Self
Certification Process to certify compliance with the terms and conditions necessary
for construction of a private, residential single-family dock, at a detached, single-
family residence located at:
LAT - Degrees: 27 Minutes: 17 Seconds: 1.3507
LONG - Degrees: -80 Minutes: 13 Seconds: 28.7533
SITE ADDRESS: 1222 Nettles Blvd Jensen Beach, FL 34957
COUNTY: St. Lucie
For:
MIKE KELLY
1222 Nettles Blvd
JENSEN BEACH
Jensen Beach, FL 34957
You have certified that the dock you propose to construct at the above location
meets all the conditions of the Self Certification Process. A dock that is built in
conformance to those conditions (attached for reference) will:
1. Qualify for a regulatory exemption under Part IV of Chapter 373 and Section
403.813(2)(b) of the Florida Statutes, and Chapters 62-330, and 62-343 of the
Florida Administrative Code (F.A.C.). As such, it is exempt from the need to obtain a
DEP Environmental Resource Permit�
2. Qualify for a consent by rule to use submerged lands under Chapter 253 of the
Florida Statutes and Chapter 18-21 of the Florida Administrative Code, when the
dock is located on submerged lands owned by the State of Florida.
- 1 -
Your Self Certification is based solely on the information you provided under t.
process, and applies only to the statutes and rules in effect when your certification
was completed. The certification is effective only for the specific dock proposed, and
only if the dock is constructed, operated, and maintained in conformance with all the
terms, conditions, and limitations stated in the Self Certification Process. In addition,
any substantial modifications in your plans should be submitted to the Department
for review, as changes may result in a permit being required.
You have acknowledged that this Self Certification will automatically expire if.
1. Construction of the dock is not completed within one year from the self
certification date;
2. site conditions materially change;
3. the terms, conditions, and limitations of the Self Certification are not followed;
or
4. the governing statutes or rules are amended before construction of the project.
Completion of the Self Certification constitutes your authorization for Department
personnel to enter the property for purposes of inspecting for compliance.
Receipt of this Self Certification constitutes letter of consent required by rule
18-21.004(7) F.A.C. -
ADDITIONAL INFORMATION
This Self Certification Process does not relieve you from the responsibility of
obtaining other permits or authorizations from other agencies (federal, state, Water
Management District, or local) that may be required for the project. Construction of
the dock may, require federal authorization. The Corps has been furn ' ished a copy of
your Self Certification letter. They will contact you with further information about their
process. If you do ' not hear from them, please contact them directly. Jacksonville
District contact information can be found at: hftp://www.sai.usace.army.mil/Divisions/
Regulatory/officelocabons.htm. Failure to obtain all applicable authorizations prior to
construction of the dock may result in enforcement.
If you have any questions, please contact your local Department District Office.
Contact information can be found at: http://Www.dep.state.fl.us/watertwetlands/docs/
sler contacts.pd . When referring to your project, please use the Self Certification file
number listed above.
Sincerely,
Florida Department of Environmental Protection
Enclosures:
Single Family Dock Criteria
General Aquatic Preserve Conditions
Aquatic Preserves Dock Criteria
WA
General Conditions for Soverignty/State-Owned Submerged Lands Autho �&Li2rf d'11?
'7f�
Manatee Conditions
V
Private residential single family docks are subject to the following criteria In
accordance with Section 403.813(i)(b),. F.S. The dock to be constructed:
1. Has 500 square feet or less over water surface (includes adjacent wetlands) in
accordance with Chapter 62-340, F.A.C.;
2. Is constructed on or held in place by pilings and is constructed so as not to
involve filling or dredging other than that necessary to install the pilings;
3. Will not substantially impede the flow of water, cause water pollution, or create a
navigational hazard;
4. Is used ONLY for recreational, noncommercial activities associated with the
mooring or storage of boats and boat paraphernalia;
5. Is the sole dock on the parcel; and
6. Must not be subject to any conservation easement or restrictive covenant of
record prohibiting the activity.
Boat lifts are subject to the following additional conditions:
1. Is to be installed in an existing slip or, at or adjacent to the waterward end of the
dock;
2. With other mooring Will not result in the mooring of more than two vessels
(including jet skis); %
3. Will not be located in areas prohibited for mooring by a previously issued permit
or other form of authorization issued by a local government,
4. Cannot be placed in waters that are deeper than -4 ft MLW,
5. Will accommodate the proposed boat use in order.to ensure that a minimum of
i
one foot clearance is provided between the deepest draft of a vessel and the top
of any submerged resources at mean or ordinary low water;
6. The dock, together with the boat lift, cannot extend waterward more than 500
feet or more than 20% of the width of waterbody (or 25% in Boca Ciega Bay or
Pinellas County Aquatic Preserves), whichever is less; and
7. Mooring areas cannot be enclosed in whole or in part with walls, doors, screens
or any other materials.
General Aquatic Preserve Conditions
11"10
Private residential single family docks in Aquatic Preserves are subject t ' o all of the
following criteria in accordance with Chapters 253, F.S, and 258, Part 11, F.S.:
1. No dock will extend waterward of the mean or ordinary high water line more
than 500 feet or 20 percent of the width of the waterbody at that particular
location, whichever is less.
2. Certain docks fall within areas of significant biological, scientific, historic
or aesthetic value and require special management considerations. The
Board will require design modifications based on site specific conditions to
minimize adverse impacts to these resources, such as relocating docks to avoid
vegetation or altering configurations to minimize shading.
3. Docking facilities Will be designed to ensure that vessel use wilphot cause harm
to site specific resources (mangroves, seagrasses, corals etc). The design will
consider the number, lengths, drafts, and types of vessels allowed to use the
facility.
Aquatic Preserves Dock Criteria
All private residential single family docks in Aquatic Preserves will be subject to all
the following considerations for resources in accordance with Chapter 18-20 F.A.C.:
1. Any main access dock will be limited to a maximum width of four (4) feet;
2. The dock decking design and construction will ensure maximum light
penetration, with full consideration of safety and practicality;
3. The dock, including mooring areas, will extend out from the shoreline no further
than to a maximum depth of minus four (- 4) feet (mean low water);
4. When the water depth is minus four (- 4) feet (mean low water) at an existing
bulkhead the maximum dock length from the bulkhead will be 25 feet, subject to
m I odifications accommodating shoreline vegetation overhang;
5. Terminal -platform size will be no more than 160 square feet;
6. In areas with the presence of any natural resource attributes (as determined
during the spring -summer growing season) the following criteria must apply:
-4-
a. Wood planking used to construct the surface of the dock will be n,' T'r'e'
than eight inches wide and spaced no less than one-half inch apa
shrinkage;;
y
b. When the dock surface is to be constructed of material other than wood, the
dock will be designed to provide light penetration which meets or exceeds
the light penetration provided by wood construction;;
c. The main access walkway will be elevated a minimum of five (5) feet above
mean or ordinary high water,;
d. If a terminal platform terminates an area with the presence of any
significant natural resource attributes the platform will be elevated to a
minimum height of five (5) feet above mean or ordinary high water. Up to
25 percent of the surface area of the terminal plafform will be authorized at
a lower elevation to facilitate access between the terminal platform and the
waters of the preserve or a vessel; and;
e. The dock to be constructed will have adequate existing water depths in the
boat mooring, turning basin, access channels, and other such areas which
will accommodate the proposed boat use in order to ensure that a minimum
of one foot clearance is provided between the deepest draft of a vessel and
the top of any submerged resources at mean or ordinary low water;;
7. All of the dock will be set back a minimum of 25 feet inside the riparian rights
line of the upland property from which the dock is constructed; and
8. The dock will be designed to moor no more than 2 vessels.
General Conditions for Soverignty/State-Owned Submerged Lands
Authorization
Any use of sovereignty/state-owned submerged lands is subject to the following
general conditions that are binding upon the applicant and are enforceable under
Chapters 253 or 258, F.S.:
1 . Sovereignty/state-owned submerged lands may be used only for the specified
activity or use. Any unauthorized deviation from the specified activity or use
and the conditions for undertaking that activity or use will constitute a violation.
Violation of the authorization will result in suspension or revocation of the
applicants use of the sovereignty/state-owned submerged lands unless cured to
the satisfaction of the Board of Trustees of the Internal Improvement Trust Fund
(Board).
ME
2. Authorization under Rule 18-21.005, F.A.C., conveys no title to sovereignty/
state-owned submerged lands or water column, nor does it constitute
recognition or acknowledgment of any other person's title to such land or water.
3. Authorizations under Rule 18-21.005, F.A.C., may be modified, suspended
or revoked in accordance with its terms or the remedies provided in Sections
253.04, F.S. or Chapter 18-14, F.A.C.
4. Structures or activities will be -constructed and used to avoid or minimize
adverse impacts to resources.
5. Construction, use, or operation of the structure or activity will not adversely
affect any species which is endangered, threatened or of special concern, as
listed in Rules 68A-27.003, 68A-27.004, and 68A-27.005, F.A.C.
6. Structures or activities will not unreasonably interfere with riparian rights. When
a court of competent jurisdiction determines that riparian rights have been
unlawfully affected, the structure or activity will be modified in accordance with
the court's decision.
7. Structures or activities will not create a navigational hazard.
8. Structures will be maintained in a functional condition and will be repaired or
removed if they become dilapidated to such an extent that they are no longer
functional.
9. Structures or activities will be constructed, operated, and maintained solely for
water dependent purposes.
10. The applicant agrees to indemnify, defend and hold harmless the Board and
the State of Florida from all claims, actions - lawsuits and demands in any form
arising out of the authorization to use soZeignty/state-owned submerged
lands or the applicants use and construction of structures on sovereignty/state-
owned submerged lands. This duty to indemnify and hold harmless will include
any and all liabilities that are associated with the structure or activity including
special assessments or taxes that are now or in the future assessed against the
structure or activity during the period of the authorization.
11. Failure by the Board to enforce any violation of the authorization or waiver by
the Board of any provision of the authorization will not invalidate the provision
not enforced or waived, nor will the failure or waiver prevent the Board from
enforcing the waived or unenforced provision in the event of a future violation of
that provision.
IM
12. Applicant binds itself and its successors and assigns to abide by the prov I s
and conditions set forth in the authorization. If the applicant or its successors
or assigns falls or refuses to comply with the provisions and conditions of the
authorization, the authorization may be terminated by the Board after written
notice to the applicant or its successors or assigns. Upon receipt of such notice,
the applicant or its successors or assigns will have thirty (30) days in which to
correct the violations. Failure to correct the violations within this period will result
in the automatic revocation of this authorization.
13. All costs incurred by the Board in enforcing the terms and conditions of the
authorization will be paid by the applicant. Any notice required by law will be
made by certified mail at the address shown on page one of the authorization.
The applicant will notify the Board in writing of any change of address at least
ten days before the change becomes effective.
14. This authorization does not allow any activity prohibited in a conservation
easement or restrictive covenant of record that prohibits the activity.
Manatee Conditions
The following conditions are intended to protect manatees from direct project effects;
THESE CONDITIONS APPLY ONLY IN WATERS THAT ARE ACCESSIBLE TO
MANATEES:
1 . All personnel associated with the project will be instructed about the presence
of manatees and manatee speed zones, and the need to avoid collisions with
and injury to manatees. The permittee will advise all construction personnel that
there are civil and criminal penalties for harming, harassing, or killing manatees
which are protected under the Marine Mammal Protection Act, the Endangered
Species Act, and the Florida Manatee Sanctuary Act.
2. All vessels associated with the construction project will operate at "Idle Speed/
No Wake" at all times while in the immediate area and while in water where the
draft of the vessel provides less than a four -foot clearance from the bottom. All
vessels will follow routes of deep water whenever possible.
3. Siltation or turbidity barriers will be made of material in which manatees cannot
become entangled, will be properly secured, and will be regularly monitored to
avoid manatee entanglement or entrapment.. Barriers must not impede manatee
movement.
4. All on -site project personnel are responsible for observing water -related
activities for the presence of manatee(s). All in -water operations, including
vessels, must be shutdown if a manatee(s) comes within 50 feet of the
-7-
operation. Activities will not resume until the manatee(s) has moved be n
the 50-foot radius of the project operation, or until 30 minutes elapses if the
manatee(s) has not reappeared within 50 feet of the operation. Animals must
not be herded away or harassed into leaving.
5. Any collision with or injury to a manatee will be reported immediately to the
FWC Hotline at 1-888-404-FWCC. Collision and/or injury should also be
reported to the U.S. Fish and Wildlife Service in Jacksonville (1-904-731-3336)
for north Florida or Vero Beach (1 -772-562-3909) for south Florida.
6. Temporary signs concerning manatees will be posted prior to and during all
in -water project activities. All signs are to be removed by the permittee upon
completion of the project. Awareness signs that have already been approved
for this use by the Florida Fish and Wildlife Conservation Commission (FWC)
must be used (see MyFWC.com). One sign which reads Caution: Boaters
must be posted. A second sign measuring at least 8 1/2" by 11 " explaining
the requirements for "Idle Speed/No Wake" and the shut down of in -water
operations must be posted in a location prominently visible to all personnel
engaged in water -related activities.
Planning & Development Services Department
Building & Code Regulations Division
2300 Virginia Avenue
Fort Pierce, Fl, 34982
772-462-1553
Design Certification for Wind Load Compliance
This Certification must be completed by the project design architect or engineer. This Certification must be
submitted in duplicate with all applications for building permits involving the construction ofnew residence
(single or multi- family), residential addition, any accessory structure requiring a building permit, and any
nonresidentialstructure. This Certification shall not apply to interior renovations (provided that no exterior
structural walls, columns or other components are being affected) and certain other minor building permits. For
further assistance, please contact the Building Inspection Office at (772)462-1553
ProjectName
VXUL4
1111, 11"11 '11 1 1 1
Street Address
5, ()C&-pWJ
PerntitNumber
_%cdA
129-2� f4 enTLO:
Occupancy Type
Jausgi'a aF—AC'A
Construction
1%.
Certification Statement:
I certify that, to the best ofmy knowledge and belief,these plans and specifications have been designed to
comply with the applicable structural portion of the Building Codes i currently adopted -and enforced by St. Lucie
County. I also certify that structural elements depleted on these plans provide adequate resistance to the wind
loads and forces specified by current code provisions.
Design Parameters and Assumptions Used:, (Please check or complete the appropriate box.)
I Florida Building Code 20__§ -I_Edition with 20 Q q Supplements and ASCE 7 — /
2. Building Design is: Enclosed: Partially Enclosed: Open Building.
3. Mean Roof Height: r Roof Pitch: Internal Pressure Coefficient:
4. Width of End Zone: I h - Wind Speed: 1 '-4 C' _ (3 sec. gust)
5. Building Classification Table 14. ASCE 7 FBC Table 1604.5 4-77i! Tr
6. Wind Exposure Classification; Adjustment Factor for Exposure & Height: /I z
7. Components & Cladding Wind Pressure on Roof Zone 1 2 3 PSF
8. Components & Cladding Wind Pressure on Wall Zone 4 5—PSF 510 P5V
9. Components & Cladding wind Pressure on Overhead Garage Door 13 fiN PSF
10. Loads: Floor 40 PSF Roof/dead PSF Roofflive PSF
11. Shear Walls Considered for Structure? Yes — No attach explanation)
-A— (if No,
12. Continuous Load Path provided? Yes V" No (if No, attach explanation)
— e
13. Are Component and Cladding Details Provided? Yes V00 No _ (if No, attach explanation)
14. Minimum Soil Bearing Pressure: Presumptive: Z 000 By Test: PSF
As witnessed by my seal, I hereby certify that the information Included with this certification is true and
correct, to the best of my knowledge and belief.
Name: Cert 0: S
Design Firm: --0 Z" ('Aia4-w Date: AN ZOO
V, , t'# 2 -, 1'. -� "
SLCCDV Form N. 020-00 SFAL
Revised U27/09'(CL)
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ENGINEER OWNER DESCRIPTION Mt�IfICATI`6N,"
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STANDARD FIN15HED CAP DETAIL fOR,
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REMOVE DECKING * PLANT GRASS
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DESCRIPTION
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I DEC 201 1
CAP DETAIL
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NEW 5TEEL 5HEE:TPILF
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ENGINEER
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3" X -L" TAPCON 3- OC TO CAP
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EXISTING
SEAWALL
ENGINEER
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8528 5W KAN5A5 AVE
5TUAKT, 17LORIDA
1-772-214-4500
3" STAINLESS STEEL DECK
SCREWS (2 PER STRINGER
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5/8"0 BOLT
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Florida Department of
Environmental Protection
Southeast District Office
400 N. Congress Avenue, Suite 200
West Palm Beack FL 33401
561-681-6600
Mike Kelly and Karen. Brierty
1222 Nettles Blvd.
Jensen Beack FL 34997
Re: File No.; 56-0155725-002
MeName: Kelly, Mike & Brierty, Karen
Dear Mr. Kelly and Ms. Brierty:
Rick Scott
Governor
Jennifer Carroll
Lt. Governor
Herschel T. Vinyard Jr.
S ecretary
On April 5, 2012, we received your application, and on May 21, 2012, the application
was complete for. an exemption to install a boatlift adjacent. to an existing seawall. The
project is located in an unnamed waterbody, Class III Waters, adjacent to 1222 Nettles
Blvd, Jensen Beach (Sections 2 and 3, Township 37 South, Range 41 East), in St., Lucie
County (27*171.0"North Latitude, 80*13129.07" West Longitude).
Your application has been reviewed to determine whether it qualifies for any of three
kinds of authorization that may be necessary for work in wetlands or waters of the
United States. The kinds of authorization are (1). regulatory authorizatiori� (2)
proprietary authorization (related to state-owned submerged lands), and (3) federal
authorization. The authority for review and the outcomes of - the reviews are listed
below. Please read each section carefully.. Your project may riot have qualified for all
three forms of authorization. If your project did not qualify for one or more of the
authorizations, refer to the specific section dealing with that authorization for advice on
how to obtain it.
1. Regulatory Review.. - VEREnM
The Department has the authority to review your project under Part IV of Chapter 373,
Florida Statutes (F.S.), Title 62, Florida Administrative Code. (F.A.C.), and in accordance
with operating agreements executed between * the Department and the water
management districts, as referenced in Chapter 62-113, F.A.C.
Based on the information you submitted, we have determined that your project to
install a boatlift adjacent to an existing seawall is exempt from the need to obtain a. DEP
Environmental Resource Permit under Rule 40E-4.051(3)(b), F.A.C.
2. Proprietaty Review. - NOT REQUIRED,
The Department acts as- staff to the Board of Trustees of the Internal Improvement Trust
Fund (Board of Trustees) and issues certain authorizations for the use of sovereignty
ii9viv.dep.stareft us
File Name: Kelly, Me & Brierty, Karen
"OPY
FDEP File No.: 56-0155725-002.
Page 2 of 4 ILE
submerged lands.'The Department has the authority to review your project under
Chapters 253 and 258, F.S., Chapter 18-21, F.A.C., and Section 62-343.075, F.A.C.
Your project is located within deed number 17108 and/or 21272 and therefore will not
occur on sovereignty submerged land. Therefore, pursuant to -Chapter 253.77, V.S.,
authorization from the Board of Trustees "is not required.
3. Federal Review (SPGP). - GRANTED
Federal authorization for the proposed project is reviewed by DEP - pursuant to an
agreement between the Department and the U.S. Army Corps of, Engineers (Corps).
The agreement is outlined in a document titled Coordination Agreement Between the U.S.
Army Corps. of Engineers and the Florida- Department of Environmental Protection S.tate
Programmatic Gmeral Permit, Section 10 of the Rivers and Harbor Act of 1899 and Section 404
of the Clean Water Act.
Your project has been reviewed for compliance with a State Programmatic General
Permit (SPGP). As shown on the attached drawings, the proposed project is consistent
with the SPGP.program. The attached Corps general conditions apply to your project.
No further permitting for this activity is required by the Corps.
This exemption verification is bas ' ed on the information you provided the Department
and the. statutes and rules in effect. when the information was submitted. This
verification will expire after,one,year, and will not be valid at any other time if site
conditions materially change, the project design is modified, or the statutes or rules
governing the exempt activity are amended. However, the activity may still be
conducted, without further notification to or verification from the Department after the
one-year expiration of this verification, provided: 1) the project design does not change;
2) site conditions do not materially change; and 3) there.are no changes to the statutes or
rules goveming the exempt activity. In the event you need to re -verify the exempt
status for the activity after the one-year expiration of this verification, a new application
and verification fee will be required.. Any substantial modifications to the project
design should be submitted to the Department for review, as changes may result in a
permit being required. 'Conditions of compliance with the regulatory exemption are.
contained; in Attachment A.
This letter does not relieve you from the responsibility of obtaining other permits
(federal, state, or local) that may be required for the project.
NOTICE OF RIGHTS OF SUBSTANTIALLY AFFECTED PERSONS
This. letter, acknowledges that the proposed activity is. exempt from ERF perrrtitting
requirements under Rule 40E-4.051(3)(b), F.A.0 This determination is final and
effective on the date filed with the Clerk of the Department unless a sufficient petition
Me Name: KeHy, Mike & Brierty, Karen
FDEP File -No.: 56-0155725-002
.Page 3 of 4
for can administrative hearing is timely filed under sections 120.569 and 120.57 of the
MoAl" Statutes as provided bel ow. If a sufficient petition for ' an administrative hearing
is timely filed, this determination automatically becomes only proposed agency action
subject to the. result of the administrative review process. Therefore, on the filing of a
timely and sufficient petition, this action will* not be final and effective until further
order of the Department. The procedures for petitioning for a hearing are set forth in
the attached notice.
This determination is based on- the information you provided the Department and the
statutes and rules in effect when the application was submitted and is effective only for
the specific I activity proposed. This determination shall automatically expire if site
conditions materWy change or the governing statutes or rules are -a I mended. In
addition, any substantial modifications in your plans should be submitted to the
Department for review, as changes may result in a permit being required. In any event,
this determination shall expire after one year.
Be advised that your neighbors and other parties who may be substantially affected, by
the proposed activity allowed under this determination of, exemption have a right to
request an administrative hearing on the Department's decision that the proposed
activity qualifies. for this exemption. Because. the administrative hearing process is
designed to redetermine, final agency action on the application, the filing of a petition
for an administrative hearing may result in a final determination that the proposed
activity is not authorized under the exemption'established under Rule 4OE4.051(3)(b),
F.A.C.
The Department will not publish notice of this determination. Publication of this notice
by you is optional and is not required for you to proceed. ffqweve�, in the event that an
administrative hearing is held and the Department's determination is reversed,
proceeding with the proposed activity before the time period for requesting an
administrative hearing has expired would mean that the activity - was conducted
without the required permit.
If you wish to limit the time within which all substantiafly affected persons may request
an administrative hearin& you may elect to publish, at your own expense, the enclosed
notice (Attachment A), in the legal advertisement section of a newspaper of general
circulation in the county where the activity is to -take place. A single publication will
suffice.
If you wish to limit the -time within which any specific person(s) may request an
adrruinistrative hearing, you may provide�such person(s), by certified .,mail, a copy of
this determination, including Attachment A.
File Name: Kelly, Mike & Brierty, Karen
FDEP File'No.: 56-0155725-002
Page 4 of 4
V
7
For the purposes. of publication, a newspaper of general circulation means a newspaper
meeting the requirements of sections 50.011 and 50.031 of the Florida Statutes. In the
event you do publish this notice, within seven days of publication, you must provide to
the following address proof of publication issued by the newspaper as provided' in
section 50.051 of the Florida Statutes. If you provide direct written notice to any person
as noted above, you must provide t6the following address a copy of the direct written
notice.
Florida Department of Environmental Protection
Southeast District
Submer . ged Lands and Environmental Resources Program
400 North Congress Avenue, Suite 200.,
West Palm Beach, Florida 33401
If you have any questions, please contact Jennifer Biez at (561) 681-6620 or by email at
Jennffer.Baez@dep.state.f1.us. When referring to your project please use the FDEP file
name and number listed above.
Sincerely,
ate
Environmental Manager
Submerged Lands and Environmental Resources Program
Enclosures
cc: Samantha Rice, USACOE- Palm Beach Gardens, Samantha.L.Rke@usace.army.mil
David Johnson, St Lucie C I ounty-Planning & Development, johnsond@stlucieco.org
Roger Baber, MCR Professional Engineers, rbaber@mcrengineers.com
FILING AND ACKNOWLEDGMENT
FILED, on this date, pursuant to 120.52(9),
Florida Statutes, with the designated Department
Clerk, receipt of which is hereby acknowledged.
Qakw - to f
Clerk Date I
Attachment A
STATE OF FLORIDA
DEPARTMENT OF ' ENVIRONNIENTALPROTECTION
NOTICE OF DETERMINATION OF EXEMFnON
I "AA
FileN 5WV572_50Q2
The Department of Environinental. Protection gives notice that the project to install ' it boatlift adjacent to an existing
seawall, located in an unnamed waterbody, Class M Waters, adjacent to 1222 Nettles Blvd., Jensen Beach (Sections 2-and 3,
Township 37 South, Range 41 East), in St Lucie County (27'171.63" North Latitude, 80'13'29.07" West Longitude) has been
determined to be exempt irom requirements to obtain an environmental resource permit
A person whose substantial interests are affected by the'Departme&s action inay petition for an administrative,
proceeding:(hearing) under sections 120.569 and 120.57 of the Horida Statutes. The petition must contain. the information set
forth below'and'must be filed (received by the clerk) in the Office of General Counsel of the Department at 3900 Commonwealth
Boulevaid,mail, Station 35, TalldmssM Hoilda 3Z99-3000.
Mediation is not available.
if A timely and sufficient petition for an administrative hearing is filed, other persons whose substantial interests will
be affected by.the outcome of the administrative process have the right to petition to intervene in the proceeding. Intervention
will be permitted ordy at the discretion of the presiding officer upon the filing of a motion in compliance with rule 28-106MS of
the Florida Administrative Code.
in accordance with Me 62-110.106(3), F-A—C., petitions for an. administrative hearing must be filed within 21 days of
publication of the notice or receipt of written notice, - whichever. occurs firsL Under'rule 62-110.106(4) of the Horida
Administrative Code, a person whose substantial interests am affected by the Departmenfs action may also request an
extension of time to file a petition for an administrative hearing. The Department may, for good cause shown, grant the request
for an extension of tme. Requests for extension of time must be filed with the Office of General Counsel. of the Department at
3900 Commonwealth 'Boulevard, Mail Station 35., Tallabassep, Florida 32399-3DDO prior to the applicable deadline. A. timely
request for extension of time shall toll the running of the time period for filing a petition until the request is acted upon. Upon
motion by the,requesting party showing that the failure ti) file a request for an extension of time before the deadline was the
result of excusable neglect the Department may also grant the requested extension. of time.
The petitioner shall mail a copy of the petition to the applicant at the address indicated above at the. time of filing. The
failure of a . ny person. to file a petition for an administrative hearing within the appropriate time period shall constitute a -haiver
of that right.
A petition the disputes the material facts on which the Department's action is based must contain the following
information:.
(a) The name and address ofeach agency affected and each agency's -file or identification number, if known;
(b) The name, address, and telephone number of the petitioner, the name, address, and telephone number of the
petitioner's representative, If any, which shall be the address for service purposes during the course of the proceeding; and an
explanation of how the petitioner's substuitial interests are or will be affected by the agency determination;
(c) A statement of when and how the petitioner received notice, of the agency decision;
(d) A statement of all disputed issues of material fact if there are none, the petition must so indicate;
(e) A -concise statement of t he ultimate facts alleged, including the specific facts the petitioner, contends warrant
reversal or modification of the agenWs proposed action;
(f) A statement of the specific rules or statutes that the petitioner contends require reversal or modificatiort. of the
agency's proposed action; and
(g) A statement of the Mief sought by the petitioner, stating precisely the action that the petitionerwishes the agency
to take with respect to the agencys proposed action.
A petition that does not dispute the material facts on which the DepartmetWo action is based shall. state that no such
facts am in dispute and otherwise shall contain the same hiformittion as set forth above, as required by rule 2&106.301.
Under sections IM.569(2)(c) and (d) of the Florida Statutes, a petition for administrative hearing shall be dismissed by
the agency if the petition does not substantiaRy comply with the above requirements or Is untimely filed.
Complete copies of all documents Mating to this determination of exemption are available for public inspection
during normal business hours, 9:00 amt. to 5:00 pm., Monday through Friday, at the Southeast District. office, 400 North
Congress Avenue, West Pahn Beach, Honda.
GENERAL CONDITIONS FOR FEDERAL -AUTHORIZATION FOR SPGP IV-R1
1. The time limit for corn pleting the work authorized ends on July 25, 2016.
2. You'must maintain the activity authorized by this permit In good condition and In conformance With the
terms and conditions of this permit. You are not relleved of this requirement -if you abandon the permitted
activity, although you may make a good faith transfer to a third party in compliance with Gendral'
Condition 4 below. Should you Wish to cease to maintain'the authorized activity or should you desireto
abandon it Without a good faith transfer, you must obtain a modification of this permit from this office,
which may require restoration of the area.
3. If you, discover any previously unknown historic or archeological remains while accomplishing the
activity authorized by this permit, you must Immediately notify this office Of what you have found. We Will
initiate the Federal and State coordination required to determine If the remains warrant a recovery effort
or if the site Is eligible for listing In the National Register of Historic Places.
4. If you sell the property associated with this permit, you must obtain the signature and malling aodM
of the new owner In the space provided below and forward a copy of the permit to.this OfficS to validate
the transfer of this authorization.
5. If a conditioned water quality certification has been issued for your project you must comply With the
conditions specified In the certification as special.conditions to this permit.
6. You must allow'representatives from this office to inspect the authorized activity at any time deemed
necessary to.ensure that it is being or has been accomplished in accordance with the terms and
cond, I tions.of ypur permit.
Further Information:
1. Limits - of this authorization.
a. This permit does not obviate the need to obtain other Federal, State, or local authorizations
required by low.
b. This. permit does not grant any property rights or exclusive pnvileges.
c. This permit does not authorize any injury to the property or rights of. others.
,d. ThIs.permit does not authorize Interference with, any existing or proposed Federal projects.
2. Llm!W of Federal Liability. In Issuing this,permit, the Federal Government does not assume any liability
for the following:
a. Damages -to the permitted project or uses thereof as a result of other permitted or unper,mItted
activities or from natural causes.
b. Damages to the permitted pro . ject or uses thereof as a result of current or future activities undertaken
. � by or on behalf ofthe United States in the public Interest.
c. Damages to persons, property, or to other permitted or unpermitted activities or structurescaused by
the activity authorized by this permit.
d.. Design or Construction deficiencies associated with the permitted work.
e. Damage claims associated With any future modification, suspension, or revocation of this
. permit.
3. Reliance on Applicants Data: The determination of this office that issuance of this permit Is n t
contrary to the public interest was made in reliance on the information you provided.
4. Reevaluation of Permit Decision: This office may reevaluate its decision on this permit at any time the
circumstances,Narrant, Circumstances that could require a reevaluation include, but are not limited to,
the following: .
a. You fail to comply with the terms and conditions of this permit.
b. The information provided by you in support of your permit application proves to have been false,
incomplete, or inaccurate (see 3 above).
c. Significant new Information suffboes which this office did not consider in reaching the original
public interest decision,
5. Such a reevaluation may result in a determination that it is appropriate to use the suspension, . .
modification, and revocation procedures contained in 33 CFR 325.7 or enforcement procedures such as
those contained in 33 CFR 326.4 and 326.5. The referenced enforcement procedures provide for the
issuance, of an administrative order requiring you comply with the terms and conditions of your permit and
for the initiation of legal action where approp riate. You will be required to pay for any corrective
measur ' es ordered by this office, and if you fail to comply with such directive,'this office may in certain
situations (such as those specified in 33 CER 209.170) accomplish the corrective measures by contract
or otherwise and bill you for the cost.
6. When the structures or work authorized by this. permit are still in existence at the time the property is
transferred, the terms and conditions of this permit Will continue to be binding on the new owner(s) of the
property. To validate the transfer of this permit and the associated liabilities associated with compliance
with its terms and conditions, have the transferee sign and date below.
(TRANSFEREE -SIGNATURE)
(NAME -PRINTED)
(ADDRESS)
(DATE)
STANDARD MANATEE CONDITIONS FOR IN -WATER WORK
2011
The permittee shall comply with the following conditions intended to protect manatees from direct project
effects:
a. All personnel associated with the project shall be instructed about the presence of manatees and
manatee speed zones, and the need to avoid collisions YAth and injury to manatees. The
permittee shall advise all construction personnel that there are civil and criminal penalties for
harming, harassing, or killing manatees which are protected under the Marine Mammal Protection
Act, the Endangered Species Act, and the Florida Manatee Sanctuary Act.
b. All vessels associated with the construction project shall operate at "Idle Speed/No Wake" at all
times while in the immediate area and while in water where the draft of th - e vessel provides less
than a four -foot clearance from the bottom. All vessels will follow routes of deep water whenever
possible.
c. Siltation or turbidity barriers shall be made of material in which manatees cannot become
entangled, shall be properly secured, and shall be regularly monitored to avoid manatee
entanglement or entrapment. Barriers must not impede manatee movement.
d. All on -site project personnel are responsible for observing water -related activities for the
presence of mianatee(s). All in -water ope'rations, including vessels, must be shutdown if a
manatee(s) comes within 50 feet of the operation. Acfivities will not resume until the manatee(s)
has moved beyond the 50-foot radius of the project operation, or until 30 minutes elapses if the
manatee(s) has not reappeared within 50 feet of the operation. Animals must not be herded away
or harassed into leaving,.
a. Any collision with or injury to a manatee shall be reported immediately to the FWC Hotline at 1-
888-404-3922. Collision and/or injury should also be reported to the U.S. Fish and Wildlife
Service in Jacksonville (1 -904-731 �-3336) for north Florida or Vero Beach (1 -772-562-3909) for
south Florida, and to FWC at'ImperiledSpecies@myFWC.com
f. Temporary signs concerning manatees shall be posted prior to and during all in -water project
activilbes. AJI signs are to be removed by the permittee upon completion of the project. Temporary
.signs that have already been approved for this use by the Florida Fish and Wildlife Conservation
Commission (R/VC) must be used (see MyFWC.com/manatee). One sign which reads Caution:
Boaters must be posted..A second sign measuring at least 81/2" by 11 " explaining the
requirements for "Idle Speed/No Wake" and the shut down of in -water operations must be posted
in a location prominently visible to all personnel engaged in water -related activities. Questions
concerning these signs can -be sent to the email address listed above.
CAUTION: M'A,NATEE HABITAT
All project vessels
IDL,E SPEED /NO WAKE
When a manatee is within 50 feet of work
all in -Water activities must
Report any collision with or injury to a manatee:
Wildlife Alert:
1-888-404-FWCC(3922)
cell * FWC or #FWC
. ATIP
1JN1TED STATES DEPARTMENT OF COMMERCE
National Oceanic and Atmospheric Admi tion
WJ
national mailne ffsheiies.
PIN,
Southeast Regional Office
263 13th Avenue South
St. Petersburg, FL 33701
SEA TURTLE AND SMALLTOOTH SAMTM CONSTRUCTION CONDMONS
The permittee shall comply with the following protected species construction conditions:
a. The perrnittee shall instruct all personnel associated with the project of the poterttial presence of these
species and the need to avoid collisions with sea turtles and smalltooth sawfish. . All. construction person el
are responsible for observing water -related activities for the presence of these species.
b. The permittee shall advise all constructiollpersonnel that them are civil and criminal -penalties for, harming,
harassing, or killing sea turtles or . smalltooth sawfish, which a . re protected under the Endangered Species
Act �f 1973.
c. Siltation barriers shall be made of material in which a sea turtle or smaUtooffi sawfish cannot bec. ome
entangled, be properly secur . ed, and be regularly monitored to -avoid protected species, entrapment. Barriers
may not block sea ' turtle or smalltooth sawfish entry to or exit -from designated critical habitat without prior
agreement from the National Marine Fisheries Service's Protected Resources. Divisionj St. Petersburg,
Florida.
d. All vessels associated with the coristructionproject. shall operate at'!no w-Aelidle speeds at all tix.nes while
in the construction area and while in water depths where the draft of the vessel -provides less than a -four -
foot clearance from the bot,tom. , All vessels will preferentially follow deep -water routes (e.g., marked
channels) whenever possible.
e. 1f.a"sea' turtle or smalltooth sawfish is seen within 100 yards of the active daily construction/dredging
operation or vessel movement, all appropriate precautions shall be implemented to- ensure its protection.
Theseprecautions shall include cessation of operation of any moving equipment closer than 50 feet.of a sea
turtle or smallt ' ooth sawfish. Operation of any mechanical construction equipment shall cease. immediately
if a sea turtle or smalltooth sawfish is seen within a 50-ft radius of the equipment. Activities maynot
resume -until the protected species has departed the ect area bf its own volitiom
pro)
f. Any collision with.andlor injury.to a sea turtle or smalltooth sawfish shall be reported immediately to the
National Marine Fisheries Service's Protected Resources Division.(727-824-5312) and the local authorized
sea turtle stranding(rescue organization.
g.., Any. special construction conditions, r;6quired of your specific 'ect, outside these general conditions, if
pro]
applicable, will be, addressed in the primary consultation,
Revised: March 23, 2006
o,\forms\sea Turtle and Smalltooth Sawfish Construction Conditions.doc
4W
`_�- -P RTL�,%,,
A
.0
t-A
0, ;z
NETTLES 15LAND CAP AND
REPLACEMENT SEAWALL
(NOT PART OF TH15 PERMIT,
CONCRETE CAP
i, z SHOWN FOR GENERAL INFORMATION)
>0
EXl5TiNG
000 # 130AT LIFT
10,
Lo
r
A0"ULAR
AA
GENERALSITE PLAN
XI 4;11= 1 Ft
SHEET I. SITE PLAN
SHEET 2 CK055 SECTION
SHEET 3 NETTLE5 CAP DETAIL
SHEET 4 DOCKGONSTRUCTION DETAIL EX15TINGDOCKTO PROPERTY LINE
REMAIN AS 15
These permit exhibits and to depict the removal and re-in5tallation of a dock at the, aboveresidence. in -conjunction
with construction of a new boatlift. The seawall was recently replaced with a steel 5heetrile in front of the exi5tincl
concrete bulkhmd. The bulkhead work was done under a different permit by Neftle5 Island condominium, It 15 shown
to accurately'depict the f nal configuration'at this residence. The new bulkhead is what required the removal and
re -installation of the clock.. As such. the only previously unpermitted structure 15 the bOatlift.
I DEC201,.J.
ENGINEER OWNER DESCRIPTION KI-IFICATI
R
MCK ENGINEERS. KELLY-BRIERTY SHEET I of: 3 ROGER BABE
8528 SW KANSAS AVE ['1222- NETTLES BLVD 51TE PLAN
STUART. FLORIDA JENSEN BEACH, -FIL.
1-772--2 j 4-4800 34957 BOATLIff PERMIT
PR,01'E5510NA1. ENG
VLORIDA 4386
E30ATLIFT ALUMINUNM 113EAM
CK055 SECTION FOR BOAT LIFT, CONNECTED TO PILING
IV4 'qj = I ft a.,
PUNG
1011-1 A
y
C \
11
t
:�0:11 �39
51DE LIFT
MEAN V11GH WATER
-X-/
1. DEC 201 1,.:
ENGINEER OWNER DESCRJI'TION
MCR 64GINEEM FIKELLY-MEPITY 5HEET 2 Of: 3
5528 5W KANSAS AVE 1222 . NffnM 5LVD CROSS SECTION
STUART, FLORIDA JEN5EN BEACH, rL
1-772-214-4800. 34557 PROPOSED BOATLIFT
David Johnson
From: Rice, Samantha L SAJ <Samantha.L.Rice@usace.army.mil>
Sent: Wednesday, February 08, 2012 1:20 PM
To: David Johnson
Subject: RE: DEP SELF CERTIFACATION DOCUMENTS (UNCLA5SIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
David,
There is no record of a Corps authorization for the this project. The activity they are proposing does require a Corps
authorization.
Please assist us in better serving you! Please complete the customer survey by clicking on the following link:
http://Per2.nwp.usace.army.mil/survey.html
Samantha L. Rice
Biologist
US Army Corps of Engineers
4400 PGA Blvd, Suite 500 -
Palm Beach Gardens, FL 33410
Office:561-472-3530 -
Fax: 561-626-6971 - '
----- Original Message ----
From: David Johnson [mailto:johnsond@stlucieco.org]
Sent: Wednesday, February 08, 2012 11:41 AM
To: Rice, Samantha L SAJ
Subject: DEP SELF CERTIFACATION DOCUMENTS
Hi Samantha,
This is all I have from DEP regarding this project. I appreciate your assistance with this and look forward to your
response.
David Johnson
Building Inspector
Plans Examiner
St Lucie County
Planning & Development Services
772-464-1865
Your message is ready to be sent with the following file or link attachments:
army corp.pdf
1
Planning & Development Services
Building & Code Regulation Division
Permitting Department
2300 Virginia Avenue
Fort Pierce, FL 34982
02/09/2012
MICHAEL D KELLY
1222 NETTLES BLVD
JENSEN BEACH, FIL 34957-3396
Review Comments for Owner
Page 1
Permit Number: 1201-0088
As of today's date your Contractor is being notified along with yourself that the referenced building permit has some
issues listed in the comments below.
We have asked that these issues be dealt with as quickly as possible so that we are able to continue to process this
permit in a timely manner.
This information is being shared with you so you are aware of the status of your permit.
PROPERTY INFORMATION
1222 NETTLES
JENSEN BEACH 34957
APPLICATION INFORMATION
Permit Number: 1201-0088
Activity Type: Other
Permit Type: Dock/Sea Wall
,REVIEWS AND COMMENTS
Review Type Status
Documents Missing Pending
BLVD
CONTRACTORS INFORMATIOA
Application Type: Building Permit w/o subs
OtherActivity: DOCK & BOATLIFT
Stories I
Reviewed Date Started Date Complete Date Released
Audrey Humphrey
01/12/2012 1
Comment NEEDSARECORDEDNOC
Review Typ
Status
Reviewed By
Environmental Review
Complete
Irvie Saunders
Review Typ
Status
Reviewed By
Front Counter Review
Complete
Audrey Humphrey
Review Type Status
Plans Examiner Review Pending
Reviewed By
Dave Johnson
Date Started Date Complete Date Released
01/23/2012 01/2612012
Date Started Date Complete Date Released
01112/2012 0111212012
Date Started Date Complete Date Released
02108/2012
A i
Planning & Development Services Review Comments for Owner
Building &-Code Regulation Division
Permitting Department
2300 Vi , rginia Avenue Page 2
Fort Pierce, FL 34982
02/09/2012 1. Comment YOU MUST GET -APPROVAL FROM THE ARMY CORP OF ENGINEERS BEFORE PERIT CAN BE ISSUED
Review Type Status Reviewed By Datq-Started Date Complete Date Released
To Be Reviewed by Zoning Complete 01/23/2012 01123/2012
Review Ty Status Reviewed By Data Started Date Complete Date Released
To Be Review by Plans Exan Complete 02/08/2012
Review Type Status Reviewed Date Started Date Complete, Date.Released
Zoning Compl/Business; Complete I rvie Saunders 01/23/2012 .01/26/2012
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
113UMDL'4G PERMIT
SUB -CONTRACTOR SUMMARY
will be using t he following sub contractors for the
(Companyllnd�v du
project located at 07:L PM WS "N V'D
(Streete.ddres.s
....,,or Property Tax ID P)
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
vUbJel)b
Plumbing
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE D���F
NUMBER: I I
E;�:
A
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):
kz%4__L —D VEN have agreed to be the
(Company Name/lndiyidual,;�I.�
/q/ %>J I C A2, sub -contractor for
e-ofXrade) (Primary Contractor)
IZ�7 A
for the project located at K)t;, L
(Project Street A5Wts—M& 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 hidividual shown on the Contractor's License)
ORIGINAL SI ATU RE REQUIRED Vz I
*9I,eNXT1U- 0 AME
Business Name:
Address:
City/State/Zip:
Phone:
fAlOPYCIP IT.P%F, ONI,V-
PERMIT # ISSUE DAT
�J
Planning & Development Services Department
Building & Code Regulations
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
OWNER/BUIULDER 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 applica)Ae-14ws,
ordinances, building codes, and zoning regulations. Initial j�
I understand that the building official and inspectors are not there to design or give advice on lipw-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.
Initia Q�
I understand that if I compensate any person or company for work performed they are requiA to be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and lik)eANr 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 relMeWdical
cost, which could include loss of wages during recovery from their inju ry. . T&) 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 fiirther
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
Z=7p�a State Department of Professional Regulation. Sign and ac ledged on this
20 LZL,
Owner/Builder Signature
STATE OF FLORIDA
COUNTY OF
The foreping instrument was ac owledge before me this _L CA -day of 2019-
by M I C-Q Iq rJ_ - J —who is personally knowk/ to me, or who has
produced 'A JAV . /y/i as identification.
V_
Q044CJ24V J�k ro PodrV-1
Signature oflslot4�_M�� Ty�pej* Print Rame of Not4f y (Seal)
Title: Notary Public Commission Number
SLCPDSD Revised 07/22/2010 AUDREY 8 HUMRIREY
my COMMISSION # EE 061159
i EXPIRE& march 6, 2015
Bonded Thru Notary pLiblic Unde5unte
Planning & Development Services Department
Building & Code Regulations Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-1553
Owner Builder Affidavit — Electrical Contracting
DISCLOSURE STATEMENT
F.S. 489.503 (6) EXEMPTIONS
State law requires electric ' al contracting to be done by licensed electrical contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner ofyour property, to act as your own
electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding
Or' a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate
construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within I year
after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done
according to building codes and zoning regulations. 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. Failure to do so may result
in a liability for you!
To qualify for this exemption under this subsection, an owner must personally appear and sign the building
permit application.
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
Community Development Director to the Florida Sta Department of Professional Regulation. Signed and
acknowledged on this day of 2 aZ
Q Z
OWNER/B01—LiDtA KIG14ATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this Ia day of 20
by hl Z C Q Iq r—L- WgLAeq , who is personally "o to me or
has
Signature
Title: Notary Public
SLCPDSD Revised 7/23/2010
name of Notary
Commission Number
St. Lucie County Owner Builder Affidavit -Electrical Contracting
as identification.
(Seao
? 2
AUDRt:y 13- IjUmpHREY
My COMMISSION # EE 061159
'2015
EXPIRES, Me"C� 6
q Public UpdomriteTs
'I Bonded ThW NOWY Publlc UpdorwriteTs
,;7
Planning & Development Services
Building & Code Regulation Division Alert Maintenance
2300 Virginia Avenue
Fort Pierce, FIL 34982
Phone: (772) 462-2172 Fax: (772) 462-6443
Parcel # �4502-501-1409-000/5 uriscliction St. Lucie county
Dermit # 22070384� List, first permit on property. Reference only. Zoning Hutchinson Island Residential Develo
j�ciclress 1 1222 �NETTLES �JENSEN BEAC F34957
Add Alert —
15 lActive Plans Review
meeting with Mr. Kelly 03125/20103/25/2010
cicioj
meeting with Mr. Kelly
03/25/2010
cicioj
03/25/2010 * Discussed permit
requirements for 2 permits, one
for the raised dock and boatlift
and 1 for the rear deck against
the home * Jmc
,1. You must enter a number in the severity column to show the information. If it s blank, there will be
no light to indicate that there is a message.
1%..
2. Please reference the permit # or permit type. When there is more than one permit, it's cifficult to
,�etermine what the message is referencing.