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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: f0 '7/ 0 Permit Number:\%\�J ^0MLSo • Building Permit Application RECEIVED Planning and Development Services Building and Code Regulation Division O C T 4 3 2018 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resid slq Canty, Permitting PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPC►SEDIMPROUEMENT LOCATIQN :w€� ^ - a .m�.,."e Address: �� b3Li Ci 5 gal Descrip an + 'SCA hokckc-C, svtoe��. R (&CA \ S%nSI.Q. Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name: �Vetbacks Front Back: Right Side: Left Side: g"Fs T` 1LEDDESCRIPTION01 ,. t',�,.". ,,bit�-d'�§✓,�� >r,.;r�`-,n-k. ��5; 4, `.'ls as*,T.....I7+.-,tea ��:�: _ `ire;�-�. .-�° , .,.,�+�3..F,��v�'r»..=,.aar,� 9..g;,�.,,r »,. :`.� � £ a'. 'i$.,��. � i�.�.. d own v�d rI`e pl a c t`r�c� o �e n�e ti-1 �n ►�1 CONSTRU k4 101 INFORIVIrAT10N � j � " �_� - a .se saga ' 1 q t� `- ,3`'�i a4'd� �, �.v.a€ Now n Additional work toe performed under t is permit-cR ec a appy: HVAC El Gas Tank []Gas Piping _Shutters ❑Windows/Doors Electric ❑ Plumbing Sprinklers E]Generator E] Roof Roof pitch Total Sq. Ft of Construction: 2 , -7 S . Ft. of First Floor: Cost of Construction: $ 0® Cad Utilities:Sewer Septic Building Height: OWNER/LESSEE• gGONTRACTOR azA W Name 0%rr a Name: Address: tjF11<a,;2_,J Lcach POLS2e Company: City: �C - �,U[A,�_ State: , Address: Zip Code-?)Wl T-,)A Fax: City: State: Phone No. 01 C�!A co l u 1 U (0 L4 Zip Code: Fax: E-Mail: - f Pia ink ry- r-a (3 ,S a hco Co Phone No. Fill in fee simple ilitle Holder on next p ge (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. S'U'PPLEM R r E-NTAL CO'NSTR'l1CTI.ON LIEN LAW INFORII/IATIO �:. , 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. Signature of Own /Lessee/Contractor0as Agent for Owner Signature of Contractor/License Holder STATE OF FLOF�ID�4 STATE OF FLORIDA COUNTY OF� Luciff, COUNTY OF Thef going instr en was acknowledgebefore me The forgoing instrument was acknowledged before me thi day of 20_IX_ by this day of 20_ by M V)P.YC::�A Nam f 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 Public-State of Florida ) (Signature of Notary Public-State of Florida) Commission No. „��„ KA>�N S. NIELSEN Commission No. (Seal) ?o` <;-;State of Florida Notary Public •= Commission #GG 207484 ; � My Commission Expires un�� REVIEWS FRON I G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 Y Planning&Development Services Departure RECEIVED ® Building&Code Regulations o 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 OCT 0.3 2018 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT ST. Lucie County, perMiti inQ 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 aapplicable 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 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 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 Pos 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 day of p�_��t .*r of 20 1T. OwnerBuil r Signature STATE OF FLOA� COUNTY OF j Th regoing instrument s ackn wledged before me this day of-0 .12018 , b) - ►1(�� ('�T'VNV3ef1P1 who is personally known to me,or who has produc d as identification. cr1 ignature of Notary Type or Print-Name of No (Seal) Title:Notary Public KAREN S. N public " -�v state of Florida Notary SLCPDSD Revised 05/15/2014 '_ .= Commission #GG 207484 _•®�_ fires ,s; MY Cornmissi 2022P %.'�oF,�,\% June 12,. '�nnna� afsuRVEYII(OT COMPLETEWNTHOUTAW,SHF,ETS - SHlrET N OF 2(SURVEY SKETCH) - QF -OII170AR QRVVYPRRPARED FOR GRRGQRYB M ERG �lawl, .,, a RECEIVED BEACH AVENUB OCT � 3 2618 1B'ASPIlAMROADWAY LuC1Q - i tau jt -)P�Permitting S89'49'00'E . y S89049 00'E 75.00' 335.00' P.C. FIR1/2" ID) SIRC ) 1/2' (LB-6912 U� BASIS tp v .5' -4.0'� 0.8 - V o #586 ® o ONE STORY CBS a �� ev r. . ...�,s• RESIDENCE S ,o" .c�•1 LOT 2 / 19.5 4.2' BLOCK 19 LOT 4 - BLOCK 19 r. m o) c 10, 0 r., z: .6. ti y o ro LOT 3 BLOCK 19 tu o: U . 2 .'SIRC 1/ p� (LB 6912 SIRC 1/2' (LB 6912) WOOD DECK N89'49'00'W 75.00' PLAT LIMITS m NOTABLE LWOOD DECK NOTES: NOIMRfARR LLOW& PROPER7YAPPEARS MBESERVR:ED'BYPV&X vnU7= GRAPHIC',- ABFIUWOSANDDWAN=SHOWNARSREND CORDAMEASURED,U=WSOTHERWISESHOWN. ALE P.U.&D.B-PMUCU7kl&ANODRAINAOEEASEMENT - ® BEARINOSARE BASED UPON 7HE RECORDBEAR/NO FUR 7NE S0U9lERLYR7OHT OF WAYMS OFBEACHAVENUE. OT ' ✓081-1808-071 -:"": RgWSlON- MUDDAM-°8120120 KNOW IT NOW INC.. . . RBNSIOIY- ORAom. rbc REmsoN- PROFESSIONA REV/SIsiOxL SURVEYING AND MAPPING REv1SION- 5220 US HIGHWAY I,#140 ' REwslOx- REv1SroN- VERD BEACH,FL 32967 • ''- REvrsox- Rewsox- PHONE-(888)396-7770 FLORIDA BUSINESS CERTMCATEOFAMORMATTONNUMBERLB6912 4VWW.K(NSURVEY.COM