HomeMy WebLinkAboutBuidling Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cc t r, /l
Date: July 24, 2018 Permit Number: /� l ( y3y
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 303 W. Arbor Avenue, Port St. Lucie, FL 34952
Legal Description: River Park-Unit 1-Blk 9 Lot 20 and SWLY 15 ft of Lot 21 (Map 34/22N)(OR 3906-1873)
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
PVC/Vinyl Fencing Installation � u)l th Z- +tle-r 60t v 1YtI4 0
house .
CONSTRUCTION INFORMATION-
Additional work to be nerformed under this permit—check all that appy:
HVAC Gas Tank 0Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
i
Total Sq. Ft of Construction: 3 ao Sq. Ft. of First Floor:
Cost of Construction: $ a.000 Utilities:0 Sewer Septic Building Height:
OWNER/LESSEE: Owner CONTRACTOR: Owner
Name Debora DeCara Name: Same As Above
Address:303 W. Arbor Avenue Company:
City: Port St. Lucie State:FL Address: _
Zip Code: 34952 Fax: City: _State:
Phone No.772-834-9859 Zip Code: Fax: _
E-Mail:trekkychicky@gmail.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:Debora DeCara Name:Same As Above
Address:303 W.Arbor Avenue,Port St.Lucie,FL 34952 Address: 303 W.Arbor Avenue
City: Port St.Lucie 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.
'y 01 1 /
Sig a ure of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ,$� �„riu., COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Zf/ day of 20_laby this day of 20_ by
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 Public ate of Florida) (Signature of Notary Public-State of Florida )
Commission No. (Seal) Oa� Commission No. (Seal)
CICa'N m
C) C1
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REVIEWS FRONT ZONING S 1*S
i � PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW E co REVIEW REVIEW REVIEW REVIEW
DATE f—w.9 oa
RECEIVED Q ° Ec�LL
DATE _ c°,
It
COMPLETED
Rev. 8/2/17 ies
— Nvsr _.�^Y•F. tel'—«.:
Planning&Development Services Department
OUNTY Building&Code Regulations
• R I • A 2300 Virginia Avenue
Fort Pierce,Florida 34982
(772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
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 a p 'cable
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 ho o 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 li I or 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 relat ical
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 Departm�e�nt to the Florida State Department of Professional Regulation. Signed and acknowledged on this
�(:i day of NUyC,tir►bCrof 20 1�- .
/Go;�dt&
wner/Builder Signature
STATE OF FLORIDA
COUNTY OF J
The foregoing instrument was acknowledged before me this 2U day of N 1)✓ —$20
by IN— — fS G C-J-A, who is personally known to me,or who has
produced 16 L_ as identification.
Signature of Notary Type or Print Name of Notary (Seal)
Title:Notary Public Commission Number
SLCPDSD Revised 05/15/2014
" HEATHER BURFORD
State of Florida-Notary Public
`'. ,` Commission # GG 183217