HomeMy WebLinkAboutSUBMITTED PAPERS,-. , - Jk'
OFFICE USE ONLY:
DATE FILED:
PLAN REVIEW FEE: WU RECEIPT NO.:
CONCURRENCY�FEE: RECEIPTNO.,.
0 (c) q6?
PERMIT NUMBER:
CERT. CAP. NO.;
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLA NNING & DEVELOPMENT SERVICE&DEPARTMENT
BUELDING & CODE REGULATIONS'DIVISION
2300 Virginia Avenue 1.4+7 e
SCANNED Ft. Pierce,.FL 34 . 982w5 . 652
BY 772-462-1553,
L LUCie County
APPLICATION for BUILDING PERMIT ' CERTIFICATE.
of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION '
LOCATION/.SITE ADDRESS: 225 SEAiroso Blvd. Port St. Lucie. FL 34983
2. PROJECT NAME: New Enclosed storage SITE PLAN NAME-
3. PROPERTY TAX ID 5419-540-0247-000-7
4. LEGAL DESCRIPTION (attach extra sheets if necessary): 'River park Unit 5 Blk 50 Lot 21
5. PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.
9. PARCEL SIZE (ACRES/SQ FT.): LOTDIMENSIONS:
10. CONIPLETE DESCRIPTIONOF CONSTRUCTI - ON PROJECT OR WORK ACTIVITY: Enclosing the existing carport
_,x
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE:
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
�j NEW CONSTRUCTION EXPANSION/ADDITION- INTERIOR RENOVATION
[X RESIDENTIAL. COMMERCIAL INDUSTRIAL
OTHER(SPECIFY)
13. DESCRIPTION OF PROPOSED USE: Household Storage
14.- -SQ; FT OF CONSTRUCTION: 276 SO. FT. 15. SF. FT I st FLOOR: 177 1
16. - VALUE OF CONSTRUCTION: $ 1000.00
The value of construction is used to d - etermine the am ount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated
value I 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
771
OWN iER- INFORMATION'
NAME: Brenda L. Peterson and Daniel R. Peterson
ADDRESS: 225.S.E. Aff*oso Blvd.
CITY: Port Saint Lucie STATE:. Florida ZIP: 34983
.PHONE (DAYTIME)-- 11*79 Email:
IF THE FEESIMPLE 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'#:. H.O.B.
ST. LUCIE COUNTY CERT #:
BUSINESS-
NAME:
QUALIFIERS
;-NAME:
ADDRESS:
CITY: . . . .
STATE: ZIP:
PHONE.(DAYTIME):
FAXNO. Email:
ARCHIT/ENGINEER: Harva Koelmen
ADDRESS: 7205 Elyse Circle
CITY: Port Saint Lucie
STATE: -Florida ZIP: 3,4952
PHONE (IjAYTINM)- (IZ2 466-5509-
BONDING COMPANY-f
ADDRESS:.
CITY:
STATE: ZIP:d
MORTGAGE LENDER:
ADDRESS:
CITY: STATE: ZIP.
IMPORTANT.NOTICE: When a permit, is issued and it -is not picked up within 60 dals after notification
it will be �yoided. and returned. to you by- mail.
MIN
CERTIFICATION.
This -Application is hereby made to: obtain a permit to do the work and.installations-as indicat6d,and to- obtain. a certificate of capacity.,
if appli . cable, for . the permitted I Work'. I c . ertify that n . o, work or installation has commenced prior. to the issuance. of a permit and that all
work willbe P in
perform d to eet -the � standards of all, -laws regulating constructionin 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.,'iiot.otherwise.included.with this building permit application.
St.1iicie County mdkes'norepre�entation that -its granting of a.permit will authorize the.per.rnit'holder to build. the subject structure
which is in- conflict. with any.. applicable Homeowner Assoc.iatioh rules, - bylaws or. any. covenants that'may restrict, or prohibit -s uch
st . ructure.' Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
_The� following- building permit applications _dre-exemot from undergoing a full wncurren6y - review:,. room. . additions, �acdessory
structures� (all types)� swimming pools, fences walls,: signs,.' iliiv substations & accessory uses to another -non.-
screen rooms, ut.
residential use.,
NOTICE TO. OWNER; YOUR. FAILURE. TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
'PAYING TWICE FOR IMPROVE TO YOUR PROPERTY. A NO ICE OF
M[ENTS T
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 ACONDITION OF ISSUANCE OF THIS PERMIT, YOU PRONESE IN
GOOD, FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN: LAW NOTICE TO
THE, PERSON WHOSE PROPERTY IS. SUBJECT TO ATTACHMENT.
ft —0-
b-WNER Oft CON fR,&CTOR. SIGNATURE CONTRACTOR SIGNATURE'
-STATE OF FLORIDA
STAT9 OF FLORIDA d]
COUNTY OF COUNTY OF
4�1
Tht fore2oine. instrument
g
was'acknowi6dized before.
Ro
in t s ay,of
e hi � a.d
I
- 2 OJ
a rn k .1.
65 _<
0 .4;
a
bj.
M
C, 091.M
nown
who- i's -peisoi' !ally.k'
0. has produced
r
as identification.
M4
F FUAPV,,'.�4 I KfAl) Wild I
Commission No. (Sea
The 1oieizoine instrument was aeVowlefted before
me this'. day of.
by
who is personally nown or has produced'
of Notary
alfimission No.
ag4defitifichtion.
NOTE: TWO (2) S1 . GNATURES ARE REQUIRED.-, EACH SIGNATURE -MUST -BE NOTARIZED. IF.APPLYINGFOR
UILDEP THE OWNER MUST. PERSONALLY APPEAR.TO SIGN:
THIS BUILDING PERMIT'AS AN OWNER/.B
-FRONT OF'THIS APPLICATION;
THIS, APPLICATION IN THE OFFICE LISTED ON THE
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BU.ILDER APPLICANTS.
ko, rspecific, in-st, ru.ctl6ns" -see apor,opria,te per'mit.checkl.ist....
OFFICE USE ONLY 0
SECTION
TOWNSHIP
RANGE
MAP NO.
1.2
ZONING
LAND USE
LOT CVG %.
TA Z NO.-
FLOOD ZONE
FIRM MAP
IST
FLR ELV
MAX H.GT
CONST TYPE
OCCUP TYPE
'U06 �Occup
# 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
4ii
AREA
FEE
FEE
(RADON)
LIBRARY.
PUBLIC BLD
PUBIC BLD
PARKS,
IMPACT
IMPACT FEE
IMPACT
IMPACT
PEE .
. . .
CORRECTION
FEE
FEE
GENERAL
SCHOOL
ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
FEE
FIRE/EMS
DRIVEWAY.
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED
FEE
VARIANCE FEE
FEE
�.SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
�SUBS
ELECTRIC. GAS,
LOT OERECORD
FEES
REQUIRED
PLUMBING
FEES
DATE SENT TO ADDRESSING:
REVIEWS.
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE.
MANGROVE
COUNTER
REVIEW
:REVIEW
REVIEW
-REVIEW
REVIEW
REVIEW
DATE'
RECEIVED
�DATE
COMPLETED
INITIALS
lic I - od�9
"A
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE.
FORT PI[ERCE, FL 34982
C772)4624553
PERMIT RENEWAL REQUEST
ADDRESS: as 0 �-2 (U co PERMIT NUMBER -
,I, e
AM REQUESTING THAT THE ABOVE PERMIT IS
RENEWED. I UNDERSTAND THAT I MUST SCHEDULE AND PASS ALL REQUIRED INSPECTIONS
FOR THE PERMIT TO BE FINALED. FURTHER, I UNDERSTAND THAT THIS IS A ONE TIME
RENEWAL AND THE PERMIT SHALL EXPIRE SHOULD I NOT RECEIVE A PASSING INSPECTION
DURING ANY SIX MONTHS PERIOD DURING THE RENEWAL PERIOD.
"OWNER/BLDR OR WNTRACTOR SIGNATURE
STATE OF FLORIDA, County of
ACKNOWLEDGED BEFORE MEE THIS DAY OF 420
BY WHO IS PERSONALLY KNOWN TO ME OR
HAS PROVID OL AS IDENTIFICATION.
SFAL
NOTARY COAMSSION JIER
ANGELA M.
HUFF
My COMWSSION # EE 083-33-0
EXPIRES: Ap
Bonded Thru Notary
FOR OFFICE USE ONLY:
RENEWAL FEE: S 00
No. of Open Inspections Total No. of Inspections (1/6 of Open Inspections).
Oftinal Permit Fee S— x Open Inspections (0/6) S (Renewal Fee).
Example: [15 + 23 =.65(%)] $175.00(permit fee) x.65(%) = $113.75 (Renewal Fee)
SLCPDSD REV 4/11/2011
V.
T reasUre -HarVi4y' E. Koehnen.
C 0 rofe s I Engineer #32831
'ast :.P' s'iona
B luilding Architect #AR0009471
E ngineers, Certified General, Contractor,#C.GCO2477.6':
Inc.
Fi
May 2 8, 2013
\>
To: Bren&-kters(3�11
225",SE�Ajr'osd 131��
/Port St Lucie FL 3 4952
Re: _'Car�8t((6nversion — Final Inspection
0
de -of t1le above referenced project -Aid
This-office4buld like to informr;�Oh aft,,(inspecA_'cih W""Is 'h'_1k 0""
"ti ' s! Tgereibre, we cannoisig!�,`Oton thi-s'
found the. 6,'urb wa ' 9 not installed 'as ple'r,�'lan spe"cih6a on 0
prQjpct as it does"not meet current Florida Building Code 20 10.
0
Ajeprese�tativne of our office was there last year during construction and informed the�c'ontractor3
of -this issue.
='D
IR
-qu have--,any'-questions, please contact our office. Thank you.
0
ReSp tfully%U15mitt
9C L' " � ed,
,,,'%�6\NARD N "
_�
T'
E N
Z;�:* No 32831 0 'j
411
STATE OF
..N.4OR
0
C,
Harvey E. Koehnen,.Pff3�93,11
President lo
L)
Cc: Dave Johnson
St Lucie Cty Bldg Dept.
T C B E, Inc.
7205 Elype, Circle
Port Saint Lucie
Florida 34952-8212
PHONE. (7�2) 46675569
FAX (772) 489-3035
E-MAIL hkoehnen@tcbeweb.com
WEB siTE http,://www.tcbeweb.com.
PLANNING & DEVELOPMENT SERVICES DIVISION.
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUMI)ING PERMIT
SUB -CONTRACTOR SUMMARY
will be using the following sub -contractors for the
Ztompany/ln#:Wqqal-
project located at'=-y—s
(Street a&4,r
,�ss�Ar Properiy Tax IT #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
Plumbing
11VAC/
Mechanical
Roofing
Gas
nlPFY('F. ]rTqF. 0NY.V!
PERMIT '—T ISSUE DATE:
NUMBER: I I
J." 7L i
�,_Rrm�_ —0-
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):
�_� e-A cy-,) A-) have agreed to be the
(Company Name/IndLvid1fEC10_Na—fi1e)
Z=� sub -contractor for
(V_,Fe-1ro'ff,fade) (Primary Contractor)
for the project located at 2 2 S_ J C_ 11 t., , '31u 9 ?,4f- S4- L , cis 4 (,3 q�P3
(Project StrgM� A,
.xldFffs�or Property Tax ID
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REQUIRED
-2012-
_§_1kNVfUkE
SI PPUNTaNAME 9XTU-�.
Business Name:
Address:
City/State/Zip:
Phone:
q, 7 7�
nFFICF, YPRF ONYX:
3 4
email:
PERMIT # ISSUE DATE
nt Services Department
Planning & Developme
Building & Code Regulations Division
V 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 electrical 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 Flon S
,A# tate partme t of Professional Regulation. Signed and
acknowledged on this day of �4_ t 20
OWNER/BUILDER SIGNATURE
STATE OF FLORIDA
COUNTY OF 1*
The foregoing instrument was acknowledged before me this day of '34'rL.) '20 _LA_
V
by ��� �10ter_.AOAJ who is personally known to me or
as identification.
(Seal)
ofN
Title: Notary Public
SLCPDSD Revised 7/23/2010
Print name of Notary
Commission Number
St. Lucie County Owner Builder Affidavit -Electrical Contracting
AUDREYB.HUMPHREY PP
MISSION # EE 061159
MYCOM
EXPIRES: March 6,2015
Sandod Thru NdfarV
St. Lucie Counry
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 (7) EXEMPTIONS
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as' the owner of your property, to act as your own contractor even
though you do not have a license. You must provide direct, on -site supervision of the construction yourself You
may build or improve farm outbuildings,.a one-fairtily or two-family residence or a commercial building at a cost of
under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially
improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within
one year after the construction is complete, the law will presume that you built or substantially improved it for sale
or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people. working on your building; it is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done.
Any person working on your building who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers'
compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice 'on how to meet
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled
in a civil court with the advice of an attorney. Thi's 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 maybe. responsible and liable for the
cost of the license. Initial &,0
1 understand that if any person that is unlicensed and uninsured gets injured on my construction project -
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical
cost, which could include loss of wages during recovery from their InJury- Initial �m
. 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 Department to the Florida State Department of Professional Regulation.. Signed and acknowledged on this
_Q> day of <n g,, of 20
Y-Y—f-.r/BuildeT Signature
STATE OF FLORIDA A,'
COUNTY OF a ZU%r"
The oing instrument 7Vi�ilnd ed b fore me this day of Q prx"') '20 19.4
W
by %0 n —1, is persona�y I nown to me, or who has
produced as identific
_J" /_ A 4r*AAJ%
A 01K FIM4 idger4p V� V "q
gigiiature 6f NoV. y T or Print Name of Notfiry (Seal)
Title: Notary Commission Number
LAUDREYB.HUMPHREY
R MY COMMISSION # EE 061159
EXPIRES: March 6,2015
,P Bonded Thru Notary Public Undewiters
6"-k!""vV
Planning & Development Services
Building & Code Regulation Division
Permitting Department
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (712) 462-1553 Fax: (772) 462-1578
Review Comments
PROPERTY INFORMATION
Address: 225 SWAIROSO BLVD SE
City / State I Zip: . PORT ST LUCIE FL 34983
Parcel #: 3419-540-0247-000/7 Jurisdiction: St. Lucie County
Zoning: RS-4 Lot # -: 24 Block: 50
APPLICATION INFORMATION
Permit Number: 1201-0099
Activi ty Type: Additi on
PermitType: Building (Miscellaneous)
CONTRACTOR INFORMATION
Contractor Name:
Business Name:
Business Addr:
City I State / Zil
REVIEWS AND COMMENTS
Review Type Status
Front Counter Review Complete
Page 1
Owner(s):
BRANDA L PETERSON
DANIEL R PETERSON
Application Type: Over the Counter Permit
CitherActivity*
Stories: 1 Automatic Sprinkler System? El
Fax Number - -
Reviewed Date Started Date Complete Date Released
Audrey, Humphrey 01 /1312012 01MV2012
Plans Examiner Review Pending Dave Johnson 01124/2012
01/24/2012 1 Comment SHOW ATTACHMENT DETAILS FOR TOP PLATE TO EXISTING BEAM
01/24/2012 2 Comment COMMENTS MAILED TO OWNER
To Be Review by Plans Exan Complete 0112412012