HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' ,•z.�h Permit Number:
RECEIVED
Building Permit Applicatio
Planning and Development Services JUL 0 2 2018
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 =� 4 ,1
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: -......
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P aPQSER INPR01/EMENT L0CATIO - l
Address: � �� C0 0e&b'Ia.UrrL c9Cc-
Legal Description:
Property Tax ID#: Q_iL{ bcy-) ��� (0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
RET L.ER DEQ RIPTION OF WORK: 4.
nntk,L b C7 L UAL ooh
CON5TRUCTION UI�FORMA ION:
itiona wor to 6 a pe rtorFri e 0---m-na e t is permit-c ec a tat 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:
0 ''NER/LE�S�S C' NTRA O�R:
Name
Address: F5 Co eta IV
Company: f_ r
City: ✓ �`-e' (_t State: Address:
Zip Code:. q9 q!5 Fax: City: State:
Phone No. 2 U 2 Jt U- 9 2 l Zip Code: Fax:
E-1-Mail: rZ,,a.d 3 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.
Sl1PPLEMENT .L CONSTRUCTIC3NNEW,' LAW lNt=C?RMATION•
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 in
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/ ontr r as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORI A STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of20_�S by this day of 20_ by
C,k C n( 'V6 V k r�C1
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
r
_� -h , �aaA 0)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
``''
Commission No. NICOL r�• ' ° i:: �SKaELARDO
� Commission No. (Seal)
MY COMMISSION#GG140099
' •• c�°' EXPFRES November 17,2019
REVIEWS FRONT ZONING SUPERVISOR PLANS, VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
Planning&Development Services Department
COUNTY Building&Code Regulations
• A 2300.Virginia Avenue
Fort Pierce,Florida 34982 RECEIVE[
(772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEME T J U L O B 2018
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 alba plica,e
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 h to m et
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 Ale—
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 liab 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 rela edical
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
Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
oday of of 20 .
kwnerBuilder Signature
STATE OF FLO ��A
COUNTY OF Cly.
Tregoi as(qknowledged before me this day of �11� 2013 ,
by who is personally known to me,or who has
produce as i ratification.
l
lgna a of Notary Type or Print Name of Notary (Seal)
Title:Notary Public Commission Number
SLCPDSDRevised05/15/2014 KAREN S. NiELSEN
01'^V P(,B
_ ;State of Florida-Notary Public
•- Commission #GG 207484
ires
�'� My Commissi 2022P
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„fill% �� June 12,
�„�vt!icPi UOu '
Planning&Development Services ASBESTOS NOTICE TO OWNER/BUILDER
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL: 34982
Phone:(772)462-2172 Fax:(772)462-6443
July 02, 2018
Richard A King
PO Box 741
Fort Pierce, FL 34954
RE: Building Permit Number 1807-0026
Disclosure Statement: State law requires asbestos abatement 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 you own
asbestos abatement contractor even though you do no have a license. You must supervise the construction yourself.
You may move, remove, or dispose of asbestos containing materials on a residential building where you occupy the
building and the building is not for sale or lease or the building is a farm outbuilding on your property. If you sell or lease
such building within one year after the asbestos abatement is complete the law will presume that you intended to sell or
lease the property at the time the work was done which is a violation of this exemption. You may not hire an unlicensed
person as your contractor. Your work must be done according to all local state and federal laws and regulations which
apply to asbestos abatement projects. It is your responsibility to notify the Department of Environmental Protection of
your intention to remove asbestos. It is your responsibility to make sure that the people employed by you have licenses
required by state law and by county or municipal licensing ordinances.
7 /
Owner Signature & Date
7/2/2018 2:00:01 PM
Property Card Pagel of 3
Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved.
Site Address: 1385 COPENHAVER RD Property Identification Parcel ID:2313-214-0006-000-6
Sec/Town/Range: l3/35S/39E u RECEIVED Account#: 13721
Map ID:23/13N Use Type:0100
Zoning:RS-2 j E�1 L r1 2098 Jurisdiction:Saint Lucie County
W F
ownership
1_u�i�CountY� Permitting
Richard A King k "
Rita K King(LF EST)
PO Box 741 �4
Fort Pierce,FL 34954 ` 'F
Legal Description
13 35 39 FROM NE COR OF NW 1/4 RUN S 1213 FT,TH W 40 FT TO r
POB,TH CONT W 242.41 FT,TH S 132 FT,TH E 242.38 FT,TH N 132 -
FT TO POB(0.73 AC-31,798 SF)(OR 4124-589)
Current Values
Just/Market Value: $32,800
Assessed Value: $23,540 w
Exemptions: $0 Total Areas
Taxable Value: $23,540
728
Taxes for this parcel: SLC Tax Collector's Office Gross Area
(SFder Air(SF): 1,0
Download TRIM for this parcel:Download PDF Gross Area(acres):
1,008
Land Size(acres): 0.73
Land Size(SF): 31,798
Sale History
Date Book/Page Sale Deed Grantor Price
Code
Apr 20,2018 4124/0589 0001 WD Hall Loren D $68,000
Mar 20,2015 3731/1637 0205 WD Henry Debbie L $20,000
Mar 1,1987 0545/1625 XX01 CV $100
Building Information(1 of 1)
Finished Area:728 SF
Gross Total Area: 1,008 SF
Exterior Data
View: Roof Cover:Tar&Gravel Roof Structure:Flat/Shed
Building Type:HD Year Buil :1960 Frame:
Grade:D Effective.Year: 1970 Primary Wall:Wood no Sh
Story Height:1 Story No.Units:1 Secondary Wall:
Interior Data
Bedrooms:2 Electric:MAXIMUM Primary Int Wall:
Full Baths:1 Heat Type: Avg Hgt/Floor:0
Half Baths:0 Heat Fuel: Primary Floors:Sing Pine
A/C%:0% Heated%:N/A% Sprinkled%:0%
hos://www.pasle.org/RECard/ 7/2/2018