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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ( 1c► -s � Permit Number:
_ I
-� J _:_.J J RECEIVED
•
Building Permit Application A 19 2018
Planning and Development Services IST. Lucie County; Pprmuceing
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address:
Legal Description:
Property Tax ID#: �,� SQ r2 - 0 nn�,X) ` I Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
mE' -
-di
L--> 19r,6-aA O x 3 d = 8 o s!� -�i
itional work to be pertormed uncierthiS permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _ Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
WNER/LESSEE: _ CONTRACTOR:
Name Name:
Address: 8rincic,,mlCompany:
City: State:F-4 Address:
Zip Code: Fax: City: State:
Phone No. S( Zip Code: Fax:
E-Mail: 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.
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.
ignatu t7wner/Les /Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 6k. l Jc %e COUNTY OF
The forgoing instrument was acknowledgebefore me The forgoing instrument was acknowledged before me
this\4% day of20_ by this day of 20_ by
`S ase tv.o,,c: .+► 3
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pub' -S '(Signature of Notary Public-State of Florida )
aC6 DEIWNAMARIEcivu•- z,
= QM1A1SSIDN#GG Oi20
Commission No. Q� ( ES:December16,20" Commission No. (Seal)
tiotary PUI 110 ncienua
Bur ed T-. o
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Planning&Development Seis�a Hart
COUNTY Building&Co a ReguIVED
• R I r 2300 Virgi is Avenue
Fort Pierce, orids 349I A n{Q
(772, 62-1553 i V 97 U 10
OWNERIBUILDER AFFIDAVIT DISCLOSU STATEMEDI3ity, lerrrilrr!n0
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 al icable
laws,ordinances,building codes,and zoning regulations. Initial -l
I understand that the building official and inspectors are not there to design or give advice on h o meet
the minimum code. Initial �y
I understand that as an owner-builder that any contract disputes with sub-contractors and I must b handled
in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. /
Initia
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 e for th
cost of the license. Initia
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 remedical
cost,which could include loss of wages during recovery from their injury. Initia
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
Zo tng Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of )!1, of 20�.
KA, C4
O wilder S afore
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this \'� day of_5V r-D, ,20 i q
by 'I
b 3 s 4 a who is personally kno tf°'-" -e,_r,
produced F 1. Q t_ as n. _iGVNA 1dA 21E GIVENS
t MY COMMISSION#GG 022023
v
EXPIRES:Dexmbet 1S,2020
V� Bonded Thru Nota obi' Uraarwrites
Signature7ofNo Type or Print Name of Not --—.,.p,. __'--_:�
Title:Notary Public Commission Number ....'3
SLCPDSD Revised 05/15/2014
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W IFiFl PYB1B®IOBN.•.la.q,..Aro.p..E.w.r.alw;pA>wN nr 17-2t4 N»n.rt nM".E Mm,.,w• ATLANTIC COAST TRANSPORT. LLC
Property Card Page 1 of 1
Michelle Franklin. CFA -- Saint Lucie County Property Appraiser--All rights reserved.
Values
Q Values Breakdown
Current Year Exemption Value Breakdown
Tax Grant Code Description Amount
Year Year
Building:
Land:
Just/Market:
Ag Credit:
Save Our Homes or
10%Cap: 5�
Assessed:
Exemption(s):
Taxable:
Current Year Special Assessment Breakdown
Start Year AssessCode Units Description Amount
2018 0054 5.18 North St.Lucie Water Management $75.11
District
This does not necessarily represent the total Special Assessments that could be charged against this property.The total amount charged for special
assessments is reflected on the most current tax statement and information is available with the SLC Tax Collector's Office
This information is believed to be correct at this time but it is subject to change and is not warranted.
©Copyright 2018 Saint Lucie County Property Appraiser.All rights reserved.
RECEIVED
''J,� 19 X18
ST, Lucie County,
Permittin
https://www.paslc.org/RECard/ 6/19/2018
Planning&Development Services Non-Residential Farm Building Exemption
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(MK62-2172 Fax:(772)462-6443
Date: June 19, 2018
Location: 0 BROCKSMITH RD, FORT PIERCE, FL 34945
Parcelld: 232950200020001
SUBJECT: Non-Residential Farm Building
Exemption
Permit Exemption # 1806-0501
Name: ATLANTIC COAST TRANSPORT LLC I ALFRED MARCIAS
Project/Structure 20 X 30 = 600 SQ FT POLE BARN.
To Whom It May Concern:
The Building & Code Regulation Division has reviewed the request for a nonresidential farm exemption for
the above referenced property. We accept your claim that the property qualifies as land used for bona fide
agricultural purpose. Nonresidential farm buildings located on land used for bona fide agricultural purposes
are exempt from the Florida Building Code and do not require a building permit pursuant to Section 604.50,
Florida Statutes.
Any building claimed to be exempt is not eligible to receive a Certificate of Occupancy as defined in the
Florida Building Code. Additionally, since the building was not issued a building permit or certificate of
occupancy, the Florida Building Code will not apply to any potential future use of the building.
This exemption letter applies solely to the above referenced permit number or project. Future
improvements to the property related to building, electrical, plumbing or mechanical require a permit
application be submitted to the Permitting Section for review by the Building Official, or designee for the
issuance of either the applicable permits or a nonresidential farm permit exemption.
While this project qualifies for an exemption from the building code and is exempt from requiring an electrical
permit, the power company may require an inspection by a county inspector prior to energizing. Accordingly,
the county would require an electrical permit prior to an inspection, you would be responsible for any
applicable permit fees.
You may wish to keep a copy of this letter as evidence at the property that the building or buildings are
lawfully exempt from the requirement for a building permit. A power company may also ask to see this letter
before energizing any electrical service connections for this project.
Sincerely,
Ciy
Carl Peterson
Building Official