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Home My WebLink About1707-0621 (2) I I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: `► or oval Building Permit Application 11 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 Residential XX PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED`.IMPROVEMENT,LOCATION Address: 6816 Shelley Terrace, Port Saint Lucie, FL 34952 Legal Description: Oleander Pines Blk1, Lot 9 (0.22AC) (3538-2328) I Property Tax ID#: 129861 5415—• 0 S- o 0 COCO Lot No.9 Site Plan Name: Block No. 1 II Project Name: Setbacks Front'n/a Back: n/a Right Side: n/a Left Side: n/a I DETAILED DESCRIPTION OF WORK- Install ORK Install 6' White Vinyl Fence A.;,yevZ -�7 Igallt-,0 CONSTRUCTION INFORMA_ TION Additionalworkto e e orme rm -under this permit—check a appy: 11HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch I Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ �� Utilities: _Sewer E]Septic Building Height: OWNER/LESSEE -.CONTRACTOR:' if f Name Gary S Boice Name: Self Address:6816 Shelley Terrace Company: City: Port Saint Lucie State:FL Address: Zip Code: 34952 Fax: City: State: Phone No.(804)539-1372 Zip Code: Fax: E-Mail:GSBoice@gmail.com Phone No. Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County Licenser If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i SUPPLE"MENTAL CONSTRUCTION LIEN LAW INFORMATION: ! DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: i 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 the permit 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 WAR NG WNER:Your failure to Record a Notice of Commencement may result in your paying twice for impro ements t your property.A Notice of Commencement must be recorded and posted on the jobsite befor the first i spection. If you intend to obtain financing, consult with lender or an attorney before comm ncin wo k or record' our Notice of Commencement. c! s Signature of caner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this, day of ag 201'1--by this day of 20 by (Name of person ackno ledging) (Name of person acknowledging) (Signature of Notary Public-Stat&f Florida) (Signature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification of Identification Produced Type of Identification Produced IR Commission No. fi .,�:MY �e, (Seal) LASHAHNA INGRAM Commission No. (Seal) Notary Public-State of FI rida ,I =My 9 Cornmission#FF 177299 } Revised 07/15/2014 7 Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW' REVIEW REVIEW DATE COMPLETE INITIALS i . . � . . . age ! of{ -------- -------------------- |m #� N%J13 E . 14 | a (mm) 3 ( m £ ' 11 se (311 ) e G . 7 � c \ , . . { g AS A ! � � { 2 . ( Off. (440) ' - . [ 5--li ( . } a g { 4 !7 � OPS . (m) § gg#mfr § ndw�� nO cant mss � , C car,be«e within� � ' L 7�eq o . 2 mmdw¥ ! - /� tR�s , \ \ \ / r - . » >» - . ,< - . ` - — <\\ ys» . « . : 2, .� r Planning&Development Services Department COUNTY Building&Code Regulations 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)4624553 I OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S.489.103(7)EXEMPTIONS State law requires construction to be done by licensed contractors. You ha e'applied for a permit under an exemption to that law. The exemption allows you,as the owner of your property,to fact as your own contractor even though you do not have a license. You must provide direct, on-site supervision ofthe 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 $75,000.001 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 lworking on your building; it is your responsibility to make sure that people employed by you have licenses required by state law andUap r municipal licensing ordinances. You may not delegate the responsibility.for supervising work contractor who is not licensed to perform the work being done. Your construction must comply withelaws,ordinances,building codes,and zoning regulations. Initia I understand that the building official and inspectors are not there to design or give advice on o to meet the minimum code. Initial I.understand that as an owner-builder that any contract disputes with sub-contractors and I mu �be handled in a civil court with the advice of an attorney. This department will not mitigate anycontract disputes. Initial I understand that if I compensate any person or company for work performed they are uu;d to be j licensed in this jurisdiction. If for some reason they do not possess a license,I may'6 responsible an lia le for the cost of the license. I. Initia I understand that if any person that is unlicensed and uninsured gets injured on my cons project- they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and re to med' al 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 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 day of of 20 . OwnerBuil'der S' afore STATE OF FLO DA COUNTY OF ` The for oing instrument was acknowledged before me thio_day of 20 byw, who is personally known 4 'I o me,or who has p1frdpced as identification. II , Vf, n gnature ofNotary Type or Print Name of Notary 11j' . Title:Noiga Public Commission Number CD plreS': 2o�. �1 m mmission#FF 2018 —1 SLCPDSD Revised 05/1'5/2014 0-�d,.�hr0i9h National Not724aryg9sn. ! ,