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HomeMy WebLinkAboutBuilding Permit Application i All APPLICABLE NFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l Permit Number: ' J - Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Re!Jidential PERMIT APPLICATION FOR: Address: k4l: A, La�'O:) 4 Legal Description: -V-- v S , l N -K Di Lzt (-'t"J a�L Property Tax ID#: Ll r -� �J Lot No. Site Plan Name: I Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DET�A=01DCR'I�PTION�®`F , &5 o V \ =@ONSORMCfI; k:N INF®RIVIATI®N: k ` -0- Additional work to be pertormed under this permit-check all tat appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: i I Cost of Construction:$ Utilities: —Sewer _Septic Building Height: OWNER�/LESSE' • C.ONR QR: ", Name Name:. Address: Company: City:_�� State: L Address: Zip Code: Fax: City: State: Phone No. Q Zip Code: Fax: E-Mail• Phone No Fill in fee si ple Title Holder on ne age(if diffe�ren E-Mail from the Owner listed above) State or County Licensel If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.I I Sl!'PPLEMENTAL C©N�STR+UCTION L!'EN LAW 1NFOR11/I�►TION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: -L/Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: mot Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to our property. A Notice of Commencement must be recorded and posted on the jobsite before the first rnspdtion. If you intend to obtain financing, consult with lender or an attorney before commen ' w rk or ecording your Notice of Commencement. Si at f Own /Le see/Contractor as Agent for Owner Signature of Contractor/License Holder STATE O IDA l STATE OF FLORIDA COUNTY OF COUNTY OF The f going instr ment w s acknowledged before me The forgoing instrument was acknowledged before me this day of 20LIby this day of 20_ by O (Name of person acknowledging) (Name of person acknowledging) (Signature oft ry Public-State of Florid I (Signature of Notary Public-State of Florida) Personally Known OR roduced Identification Personally Known OR Produced Identification Type of Identi ' i, n Type of Identification ProducedProduced �r ��*PRY PIiB�/i ANGELA M RUFF Commission N . • °= Notary Public-(§@4Ipf Florida Commission No. (Seal) .• 44- mission#FF 234730 �",SOF F��%�� My Comm.Expires May 27,2019 -111 WWI National Wary Assn. REVIEWS FRONT ZONING ` �S PERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. I Planning&Development Services Department Building&Code Regulations • 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 I OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S.489.103(7)EXEMPTIONS State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license. You must provide direct, on-site supervision of the construction yourself. You may build or improve farm outbuildings, a one-family or two-family residence for your use and occupancy. You may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own use or occupancy.You may not build or improve said structures for the purposes of selling or leasing that building.. If you sell or lease a building you have built or improved within one year after construction is complete, then a presumption is created that it was built or improved 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. 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,ho two 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. Initial_[! I understand that if I compensate any person or company for work performed they are required to be licensed in this jurisdiction. If for some reason they do not possess a license,I may be responsible and liab a for the cost of the license. I 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 relate edical cost,which could include loss of wages during recovery from their injury. Initial To qualify for this exemption under this subsection,an owner must personally appear and sign the building permit application and initial the above. I hereby acknowledge that I have read and understand the above disclosure I statement and that I further understand that any violation of the terms of the owner/builder exemption shall be repo a the Building and Zom Department to the Florida State Department of Professional Regulation. ign Id a d ackno ledged on this ay ofof 20 ' euilder ign rntore STATE OF FLORI 4 COUNTY OF l/1, The regoing i str mf�t was ac}�(�owledged before me thispAGday of 0 I by �� 01lZ who is personally known to me,or who has duced as identification. Signature of tary Type or Prin Name o o arySeal) Title:Notary Public Commission Num er1pRYp o ANG SLCPDSD Revised 05/15/2014 =N ,° JVtY Pu61ic-State of Florida ` `� '"�:;oF F�oa;�� MY C�mm�ssio�#FF 234730 """" BondedthrouExpires MaY 27,2019�' i - PLATTED 60' COUNTY-ROAD RIGHT OF WAY N89 53'00"W 128.89'(D) N89 '58 7EI 1275_7' S8834 56 E 11 FOUND 3'x3"CONCRE - ~ PDINT DF 1N FOUND 3x3"CONCRETE MONUMENT(NO/D) :C C.; a ORN R 0 O 39 MONUMENT(NO ID) LOT 40 I zo.s' BLOCK ° �•', ',fin^•.'"� � � � ~ O'o WALL O WO �v of NO ©A/C I '� GJCfl I 00 42.6' v�J 8.6' 1 STORY /SINGLE FNo. 607ESIDENCE °� v LOT 41 r 25. 55.01 12.6 1.9' I Op 20.0 =;FplJ 1 2"IRON D �"�7'58 '. 0 ID) RIGHT OF FOUND 3x3" CONCRETE > » FOUND 1/2"IRON N89 4944"W 112. MONUMENT(NO ID) L�7 Y iIGI; 89 49 44 W R�90.00 I ROD (NO ID) WATER El �;c o 25.45I METER ASPHALT PAVEMEN7' CENTERLINE OF PLATTED 50'RIGHT OF WAY PLATTED PO/NT 01 CURVATURE v COCONU T A VENUE NOR TH I� I� LEGEND 3 ID = IDEN77RCA77ON P = PLAT I o M = MEASURED R= RAD/US L = LENGTH � D = DEL TA r