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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` Date: �`�- �� „� �� Permit Number: 1 { L ® ( \lilt rw.;'..... . OV-1� "; • I . RECEIVED Building Permit Application Planning and Development Services OCT i 6.28V Building and Code Regulation Division PERMITTING 2300 Virginia Avenue,Fort Pierce FL 34982 St Lu county, FL Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: �� C PRQf 0SED INPR01/EMENT WtATIC3N Address: 3a _Woj ( A"Los D r Legal Description: (�-k 4sooJ PaXVc Alk 7 4a1 14 (AAae /ahq,.+'O►'( cg�9- fea2'e 3973 --39-1) Property Tax ID#: 6/ -6 6�' D�/�- ®Da � Lot No. Site Plan Name: DD Block No. Project Name: 9 Q Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION C}P 1NORK ; ,0 Q-[ r e_ `-n-i4S e> Y e -1-r e � r..Ij c ca,s Q_ L -e.�G� !S G f �1 �'(� e o--� Ctjabd I�c c,�TS Q,J !.s � �,✓en CON5TRl1CT10N INEORMATIO'N _ o. Additional work to be pertormed 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: 5--11 a, Sq. Ft.of First Floor: Cost of Construction:$ d Utilities: —Sewer —Septic Building Height: OWNER%LESS E 4 CQNTRACTOR Name z- lr eName. Address: 7301 _CV4.0 la6r _Company: City: �� A e.r ce. State: i�%= -Address: Zip Code: .3Y9 Sl Fax: City: State: Phone No. -77J\ yD�' 3 0 Zip Code: Fax: E-Mail: -e-L, z e I Cess 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 rCONST RUCTIQN LEEN LAW INFORMATION. pp MORTGAGE COMPANY: Not Applicable DESIGNER/ENGINEER: _Not Applicable 'Name: Narne: 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 " inspection. If you intend to obtain financing, consult with lender or an attorney before comme In ork or recording our Notice of Commencement. Signature of Owner/ essee Contractor as gent for Owner Signature of Contractor/License Holder- STATE OF"FLORIDAf L' ' STATE OF FLORIDA COUNTY OFA. liC If, COUNTY OF The forgoing instru ent as acknowledged before me The forgoing instrument was acknowledged before me this AR day of 204 by this day of 20_ by Name of 0 erson making statement. U Name of person making statement. Personally Known OR Produced Identification ✓/ Personally Known OR Produced Identification Type of Identif' atio Type of Identification Produced Produced (Signa re of Notary Public-St ature of Notary Public-State of Florida) KAREN S. NIELS N °4' •�� mmission # FF 115 Commission No. °:�+(' el Forr nission No. (Seal) .: y commission Expi es June 12, 2018 �hnnd REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 RECE E OCT3 B. 2017 PERMiiTiNG St. Lucie County, FL tea-- Applicant has been advised NO structures f E can be erected within any easement or right of way unless o se approved. Applicant Initials:2 r f a � a'� E 'ft-C'Aft+t� . ' pro- plcc 5, �� RECEIVED Planning&Development Services Department COUNTY ..:.Building&.Code'Regulations , F LORI a 2300 Virginia Avenue OCT 1 62W FortPieree,Florida 34982 PERMITTING(772)4624553 St. Lucie County, FL 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,ap i ble 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 eet 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 liablq for 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 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 statement and that I further . understand that any violation of the terms of the owner/builder exemption shall tportdd by the Building and Zoning Department to the Florida State Department of Professional Regulatio . Si ed and acknowledged on this /3 day of OGTa 6 0-1 of 20 11 Owner uilder signdtiirq STATE OF FLORI A COUNTY OF The forgoing instrumen Was ac ic owledged before me.thi's 9 day of 20A!J, by who is personally known to me,or who has produced t as identification. Signature of Notary Name of Notary Title:Notary Public Commission Number KAREN S. N I E L S E N _. *= Commissio F n 8 f 5637 e� MyCommission Ex ires SLCPDSD Revised 05/15/2014 '"'��"° June 12`, 20 L.88 ' .