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Home My WebLink AboutBuilding Permit Application Il~ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date: 03/26/2018 Permit Number: �os-rn4 1 RECEIVED Building Permit Application MAR 2 6 2018 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Fence 0 PROPOSED IMPROVEMENT LOCATION: Address: 17580 Hammock Lane, Fort Pierce, FL 34987 Legal Description: HIDDEN ACRES BLK C LOT 1-LESS E 360.75 FT-(MAP 32/11S)(1.28 AC)(OR 3841-348) Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Install 4-Foot High Chanlink Fence in rear of property. S�CtJ� ckve(-� )\A Uackyc rci +0 ou-P S n. Tnducie3 I Jate on 1-e4 Sick. CONSTRUCTION INFORMATION: Additional work toe er orme under this permit—check a apply: HVAC 11 Gas Tank F]Gas Piping Shutters Windows/Doors Electric ❑ Plumbing Sprinklers 11 Generator E] Roof Roof pitch Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ Z� Utilities:n Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Kimberly Scott Name: Address:17580 Hammock Lane Company: City: Fort Pierce State:FL Address: Zip Code: 34987 Fax: City: State: Phone No.7729714884 Zip Code: Fax: E-Mail:kimberlyscott0392@gmaii.com 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. r SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable N a m e:Kimberly Ston Name: Add ress:17580 Hammock Lane,Fort Pierce,FL 34987 Address: 17580 Hammock Lane City: Fort Pierce 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. err. Signature of Owner ess a/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA 11 STATE OF FLORIDA COUNTY OF_ -. L.�j(�,{F_ COUNTY OF The f rgoing instrument wa acknowledge before me The forgoing instrument was acknowledged before me thi day of 20_a by this day of 20_ by r Name of pefson making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced i L i Produced , O- (Signatu a of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida) Commission N .ter,E N g@ SEN Commission No. (Seal) Commissi<') i FF 1 1563 7 My Expires Jul— 1 REVIEWS ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 r 4 r Y Ito � 4 i a � 1 a; �<. :x.. t x' r , nf �<kid HAMMOCK LN -q "1 a � i f � ' p r± - AM R App,cant n advised NO stru can to erected within any easement or MAR 2 6 2018 can be erected within any easement or right of way unless otherwise approved. right of way unless otherwise approved. Applicant Initials ST. Lucie County, Permitting __—_.-- Applicant In'itlalc f Planning&Development Services Department Building&Code Regulations -- -- _� 2300 Virginia Avenue RECEIVED Fort Pierce,Florida 34982 (772)462-1553 MAR 2 6 2018 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S.489.103(7)EXEMPTIONS ST. Lucie County, permitting 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 a plicable 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 05 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 maybe responsible and liable forthe cost of the license. Initial 92— 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 owneribuilder exemption shall be reported by the Building and Zoning Department to 1he Florida Statj Department of Professional Regulation. Signed and acknowledged on this day of DA.ATVAL of 20 O er uil Signature STATE OF FLO COUNTY OF 1 ' The f reg 'ng in rument was cnowledged before me this cQLo day ofmArc, 20_1y_, by who is personally known to me,or who has pro used as identification. jA g` S' nature of Notary Type or Print Name of Notary (Seal) Title:Notary Public Commission Number SLCPDSD Revised 05/15/2014 �"""'"�.,, KAREN S. N I E L S E N ark 'A Commission ii FF 115637 'e My Commission Expires June 12, 2018 t i CDL-7Ln"i !? &OfT f'Z'A-Lit lllU11- 4- JJli�tsu[_� 17580 Hammock Ln 1us � J�hL .r. �r i� C,tW/Ai Lef✓K � x Google Imagery 02018 Goo le,Map data 03201:8 Google 50 ft A 1 Ir`` * 2 S—V/ 86�ut�vr��( r J ED APR 0 9 2018 ST, Lucie County, Permitting