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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l , Date: �I a l � 'l Permit Number: RECEIVED Building Permit Application SEP 2 9 2017 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County.?FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: PRQPOSED"iN,PROVEMENT LOCATIt}N. . . ' Address: .Too Legal Description: Property Tax ID#: X1 _5 07")9 5— 0 C) Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DEN ofSCRIPTIOWC►RK ; ---A- S O-CS cnr� rZ b CQNSTRUCTION lN.FORMATION „ . = , Additional work to be performed under this permit-check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: L Sq. Ft.of First Floor: Cost of Construction: $ Utilities: —Sewer —Septic Building Height: V _ " of f O1 V,,,,E /I.EssEE CONTRACTQR 3 .3 Name UQ-rz ame: Address: 7Yt' Company: City c .< < State: Zip Code: ��Q S—.l Fax: City: State: Phone No. -'S_? � - 4S�k� Zip Code: Fax: E-Mail: r-(i7_> c, Phone No Fill in fee simple Title Holder on next page(if different E-Mail from the Owner listed above) State or County License If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CC)NST UCTI4N LIEN LAW INFORNIAT10 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address:' Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not 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 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 WARNING 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 lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA. COUNTY OF =��C��, COUNTY OF The fo oing instru ent as acknowledged before me The forgoing instrument was acknowledged before me this day of 204 by this day of 20_ by N �. lay- Name of person making g�meent. Name of person making statement. Personally Known OR Produced Identification_t Personally Known OR Produced Identification Type of Identifi n Type of Identification Produced L Produced -- D A1 (Signatu a of No ary Public- KAREN S. NIELSE nature of Notary Public-State of Florida) ,moo Commission No. _. ,, mission# FF 1156 7 ( C mission No. (Seal) y Commission Expires June 12, 2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED �_e_v. 8/2/17 Planning&Development Services Depar COU NTY Building&Code Regulations r R I D A 2300 Virginia Avenue Fort Pierce,Florida 34982 SEP 2 9, 2017 (772)462-1553 PERMITTING OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT St. Lucie County, FL 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 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. 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 liable for the cost of the license. Initial ln� 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 related medical 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 �;)Ll_day ofof 20 A:L. OwnerBuilder Signature STATE OF FLOFVA COUNTY OF The fore oin instrument was acknowledged before me this 9 day of' ,20g_, by a' 1( who is.personally known to me,or who has produced ` t VQ Lb as identification. . �L. '0i'eA%3 Signature of otary Type or Print Name of Notary Title:Notary Public Commission Nu ,,,,,, ,KAREN S. N I E L S E N Commission#FF 115637 SLCPDSD Revised 05/15/2014 - E My Commission Expires -. June 12; 2018 rACCORDING DESCRIPTION, ALL OF LOT 7. BLOCK 154 SURVEY NOTES, WOOD PARK UNIT-11 1. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR TO THE PLAT THEREOF AS RECORDED IN RIGHTS-OF-WAY AND/OR EASEMENTS OF REGORD. OOK 11. PAGE 32 OF THE PUBLIC RECORDS 2. THI5 SURVEY 15 CERTIFIED ONLY TO THE NAMED INDIVIDUALS. OF ST. LUCIE COUNTY. FLORIDA 3. ELEVATIONS CIF SHOWN) HEREON ARE 5A5ED ON CONTAINING 0.25 ACRES MORE OR LESS. N.A.V.D. C3988J. UNLE55 OTHERWISE NOTED. 4. LEGAL DESCRIPTION SUPPLIED BY CLIENT. FLOOD ZONE, X. PANEL NO. 1211100070 J 5. NO STRUCTURES OR UTILITIES THAT ARE BENEATH THE SURFACE HAVE BEEN LOCATED. CERTIFIED TO: G. ALL SET GAPS LABELED PSM WEH 4416 NATALIE THAR ARE SUPPORTED WITH AN 18' LONG #5 REBAR UNITED FEDERAL CREDIT UNION. I5AOA ATIMA HARBOR TITLE + ESCROW. INC. OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY LOT 5 I LOT 8 I LOT 9 END. 1/2' I.P. 0.4'N.. 0.4'E. a UNDERGROUND CABLE BOX -10.00, _ (9 9! 10' UTILITY + DRAINAGE EASEMENT FND. 1/2' I.P. S 0.4'N., 0.5'E. 0.5'N.�� RECEIVE® I (� ^4' G.L.F. I SEP 2 9 2011 N PERMITTING N 'TIG St.Lucie County, FL la' N ° PORCH Cj CK GONG. 32.7' LOT G IVE A/C BLOGK 154 LOT 10 I LOT 7 N N 1 STORY • .o•N. FRAME ` #5G07 Q a 0I GONG%• ENTRY ¢i 12.6' OL DRIVE-!. 4 , Z I GONG. DRIVE m a•,a N �V �I '.y•� 915 c 5OUTH LIMITS ° " OLN() I ' •° 6�1�. FND. 1/2�I.P,- 285.�LLJ OF PLAT N0.5'E 0.4' .. . -7/ FND. P.K./TAB go.00' p i 6 C5723) 0.2'E. of EA STW O OD ROAD Lli M C 70' R/W 20' PAVEMENT 7 I 2' CURB LEGEND OF SURVEY ABBREVIATIONS D&U E DRAINAGE & UTITLTY EASEMENT 07. ASBUILT ELEVATION I.P. IRON PIPE D DELTA I.R. RON ROD A/C AIR CONDITIONER L LENGTH BLK BLOCK M MEASURED B.M. BENCHMARK N&D NAIL & DISK B.B. BEARING BASE N.R. NOT RADIAL C CALCULATED OHW OVERHEAD WIRES CB CHORD BEARING P PLAT CD CHORD DISTANCE P/K PARKER—KALON C.B.S. CONCRETE BLOCK (TYPE OF NAIL) STRUCTURE PRM PERMANENT REFERENCE CL CENTERLINE MONUMENT WILLIAM E. HAYH 8T `� CLR CLEARcU. POWER POLE PROFESSIONAL SURVEYOR a PER CONC. CONCRETE R RADIUS FLORIDA REGISTRATION N 4416 DATE SIGNED C.L.F. CHAIN LINK FENCE RAD. RADIAL THIS SURVEY MAP AND REPORT OR COPIES THEREOF ARE � COMBINED LOTS 99 RIGHT OF WAY NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED FND FOUND �® WATER METER U.R. UNREADABLE SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. SURVEY TYPE: HAYHURST LAND SURVEYING INC. BOUNDARY DATE: INT. REVISIONS: CERTIFICATE OF AUTHORIZATION NUMBER (L.B. 7364) DRAWN BY. SURVEYING 8c MAPPING COMPANY CHECKED BY: M gr 1-4