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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: <e�k-b1l Permit Number: �Q�0ra-�a1 S .-2 .iw• RECEIVED r • " _ JUN 1 ?O19 Building Permit Applic t ,qn 'S1• Lucie County, Permitting 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 PERMIT TYPE: RROP©SED IMP OVEMENT LOCATION. Address: U 4 c "l Property Tax ID#: – "'(�Oo�3 ~ Lot No. Site Plan Name: Block No. Project Name: [7E AILED DESCRIPTION OF WORK: 5 v c P a%, C.0 ty-r ,-w dam; uo kjorN -`-- s�. OA Y01t-. 1AS Additional work to be performed under this permit–check all that apply: +� � �LICQ cr _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors" �ectric _Plumbing —Sprinklers —Generator —Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ V . 6f Utilities: —Sewer _Septic Building Height: Lu" IN OKI NER/LESS E: CO ,I 1 • R: Nam Name: Address: � � �� L��. Company: City: P1 Stater Address: Zip Code: Fax: City: State: Phone No �a l– �pl 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. SL1F'F'10 M, EN L M@ 0' LIEN LAW INFORMATION: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANAOIRANEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Sign ure'o Owner Less /Contractor as gent for caner Signature of Contractor/License Holder STATE OF FLORIDASTATE OF FLORIDA COUNTY OF �-Oc�C COUNTY OF The forgoing instrument was acknowledgebefore me The forgoing instrument was acknowledged before me this k\ day of SJ v►-� 20\ by this day of 20_ by Name of person making statement. Name of person making statement. Personally Known kV OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Pu1�RIECt C 1', (Signature of Nota Public-State of Florida GG 022023 ( g Notary ) YPV' :Pg:..o�'•' ��NlY CQ,IIF�lIS510 mbet 16.2020 Commission No. _ �'oi3 CP1RE( PubttcUndenxrher. Commission No. (Seal) ° doh iQotaN �-!"c„A gcitt�e i eoF ego REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW . REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19 C ST LUCIEIII Planning&Development Services Department C 0 U t4l T Y Building&Code Regulations F L 0 R I D A 2300 Virginia Avenue RECEIVED Fort Pierce,Florida 349 (772)462-1553 JUN I 9 T JUN I 2,9�9 OWNERIBUILDER AFFIDAVIT DISCLOSURE STATE LENT ��q J()t F.S.489.103(7)EXEMPTIONS STI COL _arm County, POrmitting 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 able laws,ordinances,building codes,and zoning regulations. InitialW , V I understand that the building official and inspectors are not there to design or give advice on how t the minimum code. Initial I understand that as an owner-builder that any contract disputes with sub-contractors and I must be Bled 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 liab o 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 relate . I cost,which could include loss of wages during recovery from their injury. Initial ZW 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 _L0 day of -of 20 vq r:_4 9A 0 wn- uilder S nafore STATE OF FLORIDA COUNTY OF 1,�. The foregoing instrument was acknowledged before me this \N day of Its 20_q by k t+$.5 who is personally known to me,or who has produced as identification. DEMNp,mAPUE GNEN.,%, Signature�of No Type or Print Name of No MY COW Commission Number Title:Notary Public EXPIRES: Co _ Banded Thru 1,10tWY F k.U�L SLCPDSD Revised 06/13/2014 Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:1204 W JOY LN Parcel ID:2303-610-0023-000-6 Sec/Town/Range:03/35S/39E- Account#: 12879 Map ID:23/03N Use Type:0200 Zoning:RMH-5 Jurisdiction:Saint Lucie County Ownership RECEIVED Jennifer Gross r Kenneth Gross J t j{� 3 ^ 9 1204 W Joy LN Fort Pierce,FL 34945 Fercrtltting ST. Lucie Countyt Legal Description AVON.MANOR S/D-UNIT 1-BLK A LOT23(0.19 AC) Current Values Just/Market Value: $12,800 Assessed Value: $9,680 • Exemptions: $0 Taxable Value: $9,680 Total Areas Property taxes are subject to change upon Finished/Under Air(SF): 1,152 change of ownership. Gross Sketched Area(SF): 2,184 Land Size(acres): 0.19 • Past taxes are not a reliable projection of future taxes. Land Size(SF): 8,276.4 • The sale of a property will prompt the removal of all exemptions,assessment caps,and special classifications. Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel:Download PDF All information is believed to be correct at this time,but is subject to change and is provided without any warranty. ©Copyright 2019 Saint Lucie County Property Appraiser.All rights reserved. https://www.pasle.org/RECard/ 6/11/2019 E ILEcrizeC. CONTRACTORS LLC Date Invoice No. *1x*_,...r.�y..,.:_�.�._.r, .r 813 SE 9th Court Lic#13008118 6/12/2019 Office:(863)261-0816 Okeechobee Florida David Earnest eecllc.okeea-gmail.com Service Location St Lucie County building Dept Jenifer Gross/ 1204 W Joy Ln Ft Pearce FI Ft Pearce FI 34954 Jenifer Gross/1204 W Joy Ln Ft Pearce FI Description The said property,is found to be properly wired and terminated from the service pole to the new panel inside.All 200A serevice rated all RECEIVED ro erly installed . This property is good to energize JUN David Earnest 5T: r Earnest Electrical ContractorsLLC �vin)nt etrick St Lic# 13008118 �LL L00 SC_ Serving South Florida since 1974 License#EC0001074