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HomeMy WebLinkAboutBuilding Permit ApplicationIPW ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Q y Date: 3-22-18 Permit Number: I U®3Q&I Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 sti j Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Fence PROPQSED IMPRENT LOCATION _. :;. Address: 5503 Deer 9url Qr,y' f4. P-erre -FL Legal Description: Gof X P &nis' S4Sdrvisiuw -Pha9t 111 1 Actv��wc d-b Ae elaf 114 r:'of, as ,rec rded rh e14f bdv(C ao�T ale I p �s�A AA 66 ore�S o�st��u� � �e- Property Tax ID#: Lot No.467 Site Plan Name: Block No. Project Name: Maddux Setbacks Front Back: Right Side: Left Side: XQETAI t DESCRIPTION OF WORK New 6'vinyl privacy fence 11 . CONSTRUCTION INFORMATION Additional work toe e orme under this permit—c ec a appy: HVAC . E]Gas Tank ❑Gas Piping _Shutters Windows/Doors FlElectric Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: of First Floor: w Cost of Construction:$ �.Z Utilities,.-In_Sewer E]Septic Building Height: 'CON7'RAC1"OR Name arl-H W4 def U Name: CCrrf K ct4o�,roQ Address: 5-5-0 'l P¢PT r Ar Company: Infinite Fence Company City: •P- jpff^'z t State:FL Address: !;&t !Anfdre.- r e Zip Code: 34951 Fax: City: 50-G&h&-r- State:FL Phone No. Zip Code: 32958 Fax: E-Mail: Phone No. 772-913-3779 Fill in fee simple Title Holder on next page(if different E-Mail: sonny@infinitefence.com from the Owner listed above) State or.County License: 3 HI -5 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIERON 4 b , DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ✓Not Applicable Name: Name: Address: Address: City: State: City: State: _Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: V' 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 Contra cto r/License—Rb Ider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF �-tsa..sL The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this-IS day of�y� 201 by thi9 day of fmIlko'- 20A by Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identific t' n Type of Identification P duced p Produced la 0-tL gnat re of Notary Public-Sta&of Florida) (Signature of Notary Public-State of Florida') Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 I • aoT•ee '� �• � , u ervss.r „Y I .r �( J � toeni�'worur � � r SBI.'hB'll�'E,�.;_.•.-�-^•� 'S• •� j' •.Irrus.n 260.081 �AlE :' `h=. � rat•ser.' j • •� '1' •ar1,!r nel LU rtr+it0i Pc• 1 :0.a - r cuc�.J I n- I j .10T X67 a e Z SCob. 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OOKfi•OORGQR PART OF.TIOS`StiRVCY•"' '-:6'aooJ'!OK[ iipp t QNtAws,6,&Ac.R%YORE OR u4 t-'_� '� -JjER U1iA:SE�'ON'7NE.WEST RtENIrC}-w111r • ' j ,'D•N6I7Ht;,rETARELLEDT•O DRsItEI ;BEAgLUO1OD ED.P['R:P[ApTCr11U�fINlll:55r?:07NP1VtRNwJE15�O 5QC ¢1JT A4_ :0 41?INr62�11d' OPRE1 � -'B•Y?�putiG.►,u.+r.:r.•Yon+ao0.oestwxamwirfsnt+0![Bawiiotuu�?.ow_•+ ,,�D��y�ntYrruRs�' uta :[rtwt MAP''1211lCOOl0,a:,DA1E�216-12. �r riplaptpr4� 3`it; // ;e aoDtllDNs oz DE�Eno►1s TDaT1RVEY MAPS.aanREPORTS'BY•OTNER TxiIN TME+ .a ,s. ••.C•'. .._ r �/% •SI4tJIN0,PARTY'bR PARTIES T)NDTTETI;CONSENT OF THE tS•RR0i1IelIED W11HQ1R Cd'I:A. N•M� :FT�RID I Sr» :-', - =DATE FSlGND10=PARTY,OR PARnES; ,I io",piyi:'uaosrru¢�:ru�,_sow -'::t:. .�.r. •�.�r�riri�lt.�:..1�¢•ia'�t. � :t _ M.scn� tractor Copy Planning&Development Services Depart ent RECEIV" ICOUNTY Building&Code Regulations • • A 2300 Virginia Avenue p Fort Pierce,Florida 34982 DEC 112018 (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT ST. Lucie County, Permitting 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_n I understand that the building official and inspectors are not there to design or give advice on hotmeet 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 I j 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 I I day of OCCCM beAof 20 1 r� �222e,'LC'UC_ OwnerMuilder Sign ture STATE OF FLO A COUNTY OF The foregoin instrument was acknowledged before me this day of 2010_, by�ilri (�1°�DI�Ux who is personally known to me,or who has produced as identification. Signature of ota Type or Print Name of Notary (Seal) Title:Notary Public Commission Number SLCPDSD Revised 05/15/2014 KAREN S. NIELSEN WIRm- my F;State of Florida-Notary Public •S Commission #GG 207484 Commission Expfires ` June 12, 2022