HomeMy WebLinkAboutUntitled (2) RECEIVED
Planning&Development Services Departm nt
® Building&Code Regulations AUG 0 6 2019
o' 2300 Virginia Avenue
Fort Pierce,Florida 34982
(772)462-1553 ST. Lucie County, Permitting
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�aapp�lH ble
laws,ordinances,building codes,and zoning regulations. Initial 1!
I understand that the building official and inspectors are not there to design or give advice on h t et
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 frf}T the
cost of the license. Initial,M
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
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
�g Department to the Florida Stag�yy Department of Professional Regulation. Signe nd acknowledged on this
((��ll day of of
C#A6r7BuVde `
STATE OF FLORII)d2J
COUNTY OF GX�//�� /��
The foregoing,instrume• as ac owledged before me this= day of / ✓ ' ,20
by who is personally known to me,or who has
pro uced -WA C,,J V 9 as identification. ^-
Signature of Notary T or P ' ame of Notary (Seal) /
Title:Notary Public Commission Number
SLCPDSD Revised 05/15/2014
AUDREYB.HUMPHtiEY
' - MY COMMISSION#GGI 300617
EXPIRES:March 6,2023
Tluu Notary Public Unde�ers
c Bonded
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4597026 . OR BOOK'4299 PAGE 951 , Recorded 07/23/2019 04: 47:31 PM
AUG 06 2019
This Instrument prepared by:
ST. Lucie County,
Janet Mausl ty, Permitting
under the direction of
Daniel S.McIntyre,County Attorney
2300 Virginia Avenue
Fort Pierce,FL 34982
REVOCABLE LICENSE AGREEMENT
THIS AGREEMENT, made and entered this,(_ day of2019, by and between
ST. LUCIE COUNTY, a political subdivision of the State of ftidae County) and MELISSA P..
BUCHEBNER,whose address is 766 Altura Street,Port St. Lucie, FL 34952 (the Owner).
WHEREAS,the Owners own 766 Altura Street in Port St. Lucie
Parcel ID 3419-515-0108-000/3
WHEREAS, the Owner is requesting to install a 6ft wood fence across the rear and sides of her
property in the drainage/utility easement. As Shown on Exhibit"A".
WHEREAS, the County is willing to permit the Owner to use the drainage/utility easement on her
property for her fence and maintenance along the fence and not to go past the utility poles, subject to
the terms and conditions set forth in this Revocable License Agreement.
NOW, THEREFORE, in consideration of the mutual covenants set forth herein, the parties agree as
follows:
1.The County agrees to grant the Owner a Revocable License Agreement for the purpose of installing
and maintaining fencing in the County's drainage/utility easement on her property, as indicated on the
attached map and incorporated herein as Exhibit"A".
2. The sole purpose of this Revocable License Agreement is to allow the Owner to install fencing and
maintain the area around the fence in the drainage/utility easement along the side and rear of her house
on her property not the large drainage easement off of her property line. It shall not extend to the
construction and/or installation of any additional structures or utilities.
3. Pursuant to the terms and conditions contained in this Agreement, the County authorizes the
Owner to install the fence and maintain the area along the fence at the location identified in Exhibit"A".
1
OR BOOK 4299 PAGE 952
4. The Owner shall install the fence in accordance with -Standard Specification for Public works
Construction In St. Lucle County. The fence shall not interfere with the use of the drainage or utility
easement of the County or other Utility Services that may be using said-easements. Any damage to the
easements shall be repaired by the Owner.
5. This Revocable License Agreement shall be binding on future successor and assignees of the
Owner provided the Owner give adequate notice to the County pursuant to Paragraph twelve(12)of this
Agreement.
6. The County shall have the right, at the sole discretion\of the County Engineer to terminate this
Agreement with or without cause and require removal of the fence at the Owner's sole expense upon
thirty (30) days written notice to the Owner. The County Engineer may, in lieu of termination, request
that the Owner perform certain alterations to the fence and location in the drainage/utility easement
mentioned in Exhibit "A" at the Owner's sole expense. However, if such alterations are not performed
to the satisfaction of the County Engineer,the County shall be entitled to exercise its right to terminate
this Agreement.
7. Upon the expiration of this Revocable License Agreement,or the revocation of this Revocable
License Agreement, whichever occurs first, the Owner shall be responsible for the removal of the fence
and restoration of the easement and/or property as directed by the County Engineer, consistent with
the specifications of the County in force at such time.
8. The term of this Revocable License Agreement shall begin.on the date first above written and
shall remain in effect unless otherwise revoked or abandoned as provided herein.
9. Owner agrees to relocate the referenced fence, at any time and at no cost to the County, if
necessary for the maintenance or improvements of the easement and or County property.
10. The fence on the County's property shall be in accordance with all applicable codes and
permitting regulations of the County and shall be maintained solely at the expense of the Owner. Any
maintenance activity will be subject to the written approval of the County Engineer.
11. The Owner agree to allow County employees access to the location of the fence for County
purposes as determined by the County Engineer.
2
OR BOOK 4299 PAGE 953
12. All notices, request and other communications dealing directly or indirectly with this
license shall be in writing and shall be (as elected by the person giving such notice) hand delivered by
messenger or carrier service, telecommunicated, or mailed by registered or certified mail (postage
prepaid)return receipt requested,address to:
As to Owners:
As to County: Ms. Melissa P. Buchebner
County Engineer 766 Altura Street
2300 Virginia Avenue,2nd Floor Port St. Lucie, FL 34952
Fort Pierce, FL 34982
County Attorney
2300 Virginia Avenue,3rd Floor
Fort Pierce, FL 34982
or to such other address as any party may designate by notice complying with the terms of this section.
Each such notice shall be deemed delivered (a) on the date delivered if by personal delivery, (b) on the
date upon which the return receipt is signed or delivery is refused or the notice is designated by the
postal authorities as not deliverable, as the case may be, if mailed.
13. As consideration for the County granting this Revocable License Agreement the Owner agree to
indemnify and hold the County harmless from and against all claims, liability, demands, damages,
expenses, fees, fines, penalties, suits, proceedings, actions and costs of actions, including reasonable
attorneys fees of any kind or nature arising or in any way connected with the use, occupation, ,
management, or control of the above property by County or its' agents, servants, employees, patrons,
or invitees, or resulting in injury to persons or property, or loss of life or property of any kind or nature
whatsoever,sustained during Owner's use of the property.
14. The Owner shall pay to record this Revocable License Agreement in the Official Records of St. ;
Lucie-County, Florida. The Owner shall pay any document excise taxes and the cost of recording this
Revocable License Agreement.
3
OR BOOK4299 PAGE 954
IN WITNESS WHEREOF, the parties have executed this Agreement on the day and year above
first written.
ST. LUCIE COUNTY
BOARD OF COUNTY COMMISSIONERS
DEPETY CLER� 0
co CHAN
M APPROVED As TO FORM AND
Cam CECTNESS-
COUNTY ATT?7
WITN ESS:
ME P. BUCHESNER
STATE OF
COUNTY-OF CC
The foregoing instrument was acknowledged before me this day of�: . 2019,
by MELISSA P. allCHEBNER who produced (type of identification) and
who did take an oath.
WITNESS my hand and official seal,this
day ofv--- .2019.
J—�
NOTARY SIGNATURE
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