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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: �J RECEIVED 4■►_ Building Permit Application ANN 0 8 2019 Planning and Development Services 5T' �M�f4 Aunty, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT TYPE: PRORC}SED INRu�ME LQCATION. Address: 1003 �. � L I JA (0( Property Tax ID#: ' ��L' �� 066– Lot No. Site Plan Name: Block No. Project Name: DE 1LED DE=�SG •i�PTtON OF �JRK: Q COX 22 CCl -TRllCTtON 1`N JIG Additional work to be performed under this permit–check all that apply: _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: $ �� 1 � Utilities: —Sewer Septic Building Height: QVIIRjLE aSEE• CUNTRACTCIR: Name L ✓ uj-. Name: Address: �O(�`j J�JIA n :g)4&(- ' `- _ Company:-.---_---_ - City: fD- 11 &1, state: - 'Address': E' Zip Code: 9 Fax: City`. State: Phone No. 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. If value of HVAC is$7,500 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 thefiwA_jj0spePttop. If you intend to obtain financing, consult with lender or an attorney before comme n wo r re0ording your Notice of Commencement. /1 G Signa re of her/L see/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORI STATE OF FLORIDA COUNTY OF l �l(°�[. COUNTY OF The f oing instrent was acknowledged before me The forgoing instrument was acknowledged before me this day ofu 2019 by 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 Ident)fia'tion Type of Identification Produced Y L_ Produced (Signature of Notary Pu ic-St `!■ ature of Notary Public-State of Florida) KAREN S. NIELS N Sta of Florida-Notary u ) Commission No. = 'A S 1, fission No. (Seal) mission#GG 20:7 %?o��F I My Commission Expi es June 12 2099 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.9/26/18 Planning&Development Services Departure t RECEIVED f Building&Code Regulations 2300 Virginia Avenue - Fort Pierce,Florida 34982 JAN 0 8 2019 (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT ST. Lucie County, Permitting F.S.489.143(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 Iicense. 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 H d contractor who is not licensed to perform the work being done. Your construction must comply with ag le laws,ordinances,building codes,and zoning regulations. Ini . i I understand that the building official and inspectors are not there to design or give advi to eet the minimum code. I `al I understand that as an owner-builder that any contract disputes with sub-contractors d I st bedied in a civil court with the advice of an attorney. This department will not mitigate any contract disput tial i I understand that if I compensate any person or company for work performed they e r `ed o be licensed in this jurisdiction. If for some reason they do.not possess a license,I may be responsible da le cost of the license. Ilia I understand that if any person that is unlicensed and uninsured gets injured on my . nstru on roj .t- they may be entitled to workmen's compensation. I could be held liable for all doctor,lawyer and elat edcal cost,which could include loss of wages during recovery from their injury. in aI To qualify for this exemption under this subsection,an owner must personally appear an 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 _t% Dep ent to the Florida S Department of Professiona707wnuilder ed and acknowledged on this day of of 20 Signature STATE OF FLO COUNTY OF Q( T e foregoing instrumg as aCkno Ledged before me this day of .g 2} '1/'r . by who is personally known to me,or who has produce as identification. Signature of Not&y Type or Print Name of Notary ryt` (Seal) Title:No Public Commission Number SLCPDSDRevised 05/15!2014 �,YPv KAREN S. NIELSEN State of Florida-Notary Public �* •- Commission #GG 207484 e� -9xofr`o�� My Commission Expires rrrnwrti" ,lune 12, 2022 -�oI NIM, Planning&Development services ASBESTOS NOTICE TO OWNEWBUILDER Building&Code Regulation Division. 2300 Virginia Avenue FortPierce,FL. 34982 Phone:(772)462-2172 Fax:(772)462-6443 January 08, 2019 DANIEL J FITZPATRICK 17357N 89th N PL Loxahatchee, FL 33470-2668 RE: Building Permit Number 1901-0145 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. i Owner Signature& Date 1/8/2019 4:27:08 PM