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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 2 Permit Number: �� J , t RECEIVED Building Permit Appl.ica ion JAN 2 8 2019 Planning and Development Services ST. Lucie County, 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: L �C� P ISED I p Address: ®� [� �� S � 1 fie- L-- C4< Property Tax ID#: 16 1 o 4-DCV0 Lot No. Site Plan Name: Block No. Project Name: DES 1 IC}N 0 fJEtK: �� a ASA est � N4 e t C N TR tCTfC # I ",V ill lQ Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Elect is _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ SCS•00 Utilities: _Sewer —Septic Building Height: � , 4 µ�Rf..ES�SE " k. SON R �� R.• .: Name 70-E)Lr Name: Address: "ecASs Company,.:. city::F-- ��fC t= Stated Address: Zip Code: `�� Fax: City: i' State: Phone No.- C9 -5T Q4 Zi,p Code:- Fax: !r: E-Mail:�^, r r I gto2-0 u�-\p) 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. SUPPL I mg,I I. ONSTR C IQN LI NLA I *3R+MATE I . rd 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 thepermit 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 comrp Eqlcingwork or recordingyour Notice of Commencement. Signat of Owner essee/Co ractor as Agent for Owner Signature of Contractor/License.Holder ST OF FLORID 1 ' ' STATE OF FLORIDA COUNTY OF • WejIe, COUNTY OF" The forgoing instru ent was acknowledge before me The forgoing instrument was acknowledged before me this day of JfW4 20by this day of 20_ by EEL Name of person making stateinent. Name of person making statement. Personally Known OR Produced Identification ✓/ Personally Known OR Produced Identification Type of Identif' 'on Type of Identification Produced I✓ Produced 1 (Signature of Nota P (Signature of Notary Public-State of Florida) KAREN S. NIELSEN tiPA�PLD Commission No. a=° 4 State oflI1§wi a-Notary Public Commission No. (Seal) CommfS510�# GG 2074$4 %y�M�F`o`c My Commission Expires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.9/26/18 l4\/ A �Le T I-,Oymm- w F. M. Planning&Development Services Department COUNTY Building&Code Regulations • R I D A 2300 Virginia Avenue Fort Pierce,Morida 34982 L ED-__ (772)462-1553 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT 2019 F.S.489.103(7)EXEMPTIONS ST. eCmittingState law requires construction to be done by licensed contractors. You have applied for a p 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 fplicab�e laws,ordinances,building codes,and zoning regulations. Initial C�tom / `I understand that the building official and inspectors are not there to design or give advice on hto et the minimum code. Initial U�✓�C'< 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 ZT�J Vk 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 fo e cost of the license. Initial c7loi 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 medi cost,which could include loss of wages during recovery from their injury. Initial c5_k U To qualify for this exemption under this subsection,an owner must personally appear and sign the building permit r}lpplication 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 Departiqdnt to the Florida State Department of Professional Wation. Signed and acknowledged on this day of kJftt4 of 20 I . - UJ O erBuilder Signature STATE OF FLO 'A r COUNTY OF Th fore omg ins ment was acknowledged before me this Yd day ofYJ 201�L by who is personally known_to me,or who,has. produced, L as identification. Signature of Notary Type or Print Name of Notary (Seal) Title:Notary Public Commission Number � KAREf`! S. NH EL SLCPDSD Revised 05/15/2014 ;:>a'"�o'. ' ?s° 4o'-State of Florida-Notary Public =• *_ Commission #GG 207484 My C.ornmission Expires June 12, 2022