Loading...
HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: C1 Permit Number: RECEIVED SEP 2 4 2019 Building Permit Applicatio ST. 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 X PERMIT TYPE: F1 W,P0 8.9 1 DI IMPROVEMEN LOCATI©N. p Address: I U 5 S Co,?C-v t-A+ 6 Z__ J,-:D PropertyTaxlD#: `23 � L`-Iy I�VV�©t�c�}- Lot No. Site Plan Name: Block No. Project Name: D 1"AfCED DESC ,IPT10N OF WORK: NTTGa- Tt e Te7,vC 'F(5-Z- 1T (p �c'FLG� t vDQp CON-TRUCTIO INiPOR,MATION: 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: 0J0'&c'T Sq. Ft. of First Floor: Cost of Construction:$ �D� D0 Utilities: —Sewer.- _Septic Building Height: OWNER/LE�SSf E; CONTRACTOR: Name e-)W1 i IJ 6,A&AS'f UME Name: Address: Company: City: State: Address: Zip Code: 3�j Fax: City:- zt State: Phone No. 772- 55rl eycAL,i _ -+12 (-e432t"3 I Zip;Code: Fax: �{ E-Mail: K5c(Jct5*UA4e_J d 1-Jgt m- ccv� Phone"Nb` --...._ 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. SUPPLEMENTAL CONSTR+UCTION 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 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 yAND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ITH YOUR LENDFJ1 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of wrier/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FL RIDA STATE OF FLORIDA COUNTY COUNTY OF OF The forgoing instrument was acknowledged.before me The forgoing instr ent as acknowledge before me this day of 20_ by thiday of 20q by Name of person making statement. Name of person mak g statement. / Personally Known OR Produced Identification Personally Known OR Produced Identification V Type of Identification Produced Type of Identifi on Produced rLb L (Signature of Notary Public-State of Florida) (Signature of Notary ublic-State of Florida) Commission No. (Seal) tp`,`µY PVB/ KARE,�IS� NIELSEN Commission No. ;o tate of R+Z'rfti�-Notary Public YF Commission #GG 207484 My Commission Expires June 12, 2022 REVIEWS FRO PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 2/7/19 SN' aAvd dhaaNn Uva WJIUvtl m - 0A4d NOLLT= TOMIrma=a�re.7�d tl , a `Q' a/N Q m0d ty r Q[ON 'Sldid F HI 9t8tZ 7d'Si098id SIOd -. 0 [ORaKO Me tmdvlNad00 9981 ` q y n m oTaea-WOlT6Y0vS d Turas g D O 9 on Z M :O.L G'GATJ HOco x$ G LIDVAILTISSamown . $�}m -+ vamma =I do 41-29 aararso xi'ani,1cunLiis vo>eau 1st a ea sv 80110nd do soaralms zu Iua!i$ldltm di[48n2 SNI ant ��D>A aM�noly r r o E99 'Od lv ��I xR do�8B7 a7 atBl=aT 184408 Mev dnl SML N003gIId69 laffiR xl[IIaNa 90 i0v r $ I 949E HMO O ITD 1a aatolMaeaa ladsas aNnoa7 as:Na 7valar Nr miat9t�dn[am 1>raans lerminoa tams 8 Inavu)Ong p 9 m C.O dO N6LYQ=IM MMM MOH O1 GMIZOMM SUN ND8ffi H.i BNOUVANE 7V IS n ^ 7.102'9t MITIMU d a nva Y 491031tial'am dill SOLva BONnaL'OII aomd No aSl. V '.1.faxtuxamSa aa02 a007d v Madve vnv xv Nmtta immal mi Aumurdd Y181809.03 O 7 '8N010.40d onvas aH4 8840 qLqMm&OUM ROM d0 I A ILI MUM=a8S 7OHMOD?lIms NUM RHOM OO im Y.ENIT IRI 60 w1-9G SPUMM Q v D i �T•p T•p 7aammi NIS.Im diagma wise sat SO,rar8n7e a7nrpcl amaR o7 N NHBH acre NdDBB 6108812 aN► HN0[tv7N9Sd8dttl amdv80 '[SOIriBHI 87!09 NI 'd q 1•�[86$ SItI (a) L4SY 3862 SIR ZdH Ewa sct�eoaare 9 BNOILvaNaod '9aaffim dLUMOI asn�odiwfos=�n 9 azo Yui Mod ,00'BBS i,44.ct.893 O!II Y9E QNIIOd. 01FRO •aetsrma w Naris SONmvae 9=0 711- %8.0.61495 arem 01 MOM SI 51ra:L 5181908 MU d0 4IO7 781-4 SU '4 Z Y.•4. 9S 77vY ares H SMANSIM ssxM .Uvada 1a48O3 Cold. v MM99M IAN Oa N.Qa898 tKORSN ENOISTAM '9 81ffiL1N00 OyLwd •etoo'41 17a2 On!max nu d0 uva am zmL '9 °= anno7 '(2884 vHnbs 9T•O40'd9)am fio SHOW%MY 94'T SNMMOO EIMZdM 514!968 't C Sa6Oa p 909 a=7•78'8182 aOYd•4»1008 SaBm9a 7MIU0 M QYaSOM HOLLVIMOAM NO�aaSV r 9,4 91 Nam= NxasS MoudmO98Q RAUTJN88a4d4a SSIIB,L fio 4ffif0 {8 a428W81Id UOat u)trl .B'SZ1. ,•,9'2! _ v NrB:t a�LO.Vi51d0ad.rn4ntna 887 NO 8Na@169 84870 ao S1N�142R'dvx-d0-at9O@ •i HH b°i �.` X b, 'dm28'dNYO 7YOM IMLOY 1dM41 01 21014di62 MM 1S 24VR 9Yx Java728v ON 'Z ti 4 :It s 1lmWON �07 rml.um, mumu Saacm sivom�aYLIDxwos"�dl1Z16000 ML�4mR�eNOdi°Bfe Ri7t�101Y 'z �A y m m O i l6ors-t \ / d aaddrR w IO£1 UMS az NEM vOM07d v ,0'91 do 7Y88 04 M UMOMO ML M 8HUMOM SU 100=9 a2Jrd IAN 91 Ilaama0a SIM 'T SSZON• aNaasToa � roo 1oamR 'o `• 9•a s1 c 3'� asrlurt ar�e9—-— .1'91 � o 2 � _Iaj a ¢laa a1dMa aoox ro., � o o •;� Nous -r ,�a,m u J.'Oa�r®tia 41184 4004.9 g Ia8787t 41sT. # a91 .00'88S S,G9■6i 89td a T•p (a) u - ZG8 .01LUM a1 Herd D g a / asys r,T6o e� 'o %9.0 a j --- M=xm m Hd3I0H J.)+�S Sdid Kom EMM0 It;02II 170MI R 1lrsnlrs amoil Md and M fa RKDBMM IS 1-9 ° IM 1a1a91 m aReas 1 MMZLUW 'b ON AMMIA "070MUS St47vd e44v1 4x 140 aw 7Ri a/N a 4967 '9d ava ro SIMM 1-/e am a am awn 1.89E EMO 2NZKQKM x1a0a�d88 ANINII o aha 998M aa► e7 NOLL1gsszw do LOOd Id "a•409 Mm am pt� INSHIM91Q[m d0 LQad•M'O'd a011UM—on.., am �i•.33 flNM0ffi N110 SNIOd Ir4rd ONmM aa0S1 8741 ]002 60a0a011v[aldd0 880 vad ST7d (d) Ulava am OR (OMISTER Q M 9 ll WANG 7v LIM Nvanumv BMW OUR a8it1 �0) SNOLLYMMY ~ m `�� 84!4®7 1.TdHt ec!78►8 87 vNM u�Ott,BMW 9 RML 10 M00Er 1�_8nirDia�LOd al�OlalM7� M twos 92 dal8 wL' Now=ddo&Uad am an M o�O&affiv6M 18►88i au IImL&D BMW lied==SM A IDOMON !„� ��•---333 � \ NOLLdE3ossa'IY9S'I i .164324 7- Planning&Development Services Department RECEIVED Building&Code Regulations ' 2300 Virginia Avenue Fort Pierce,Florida 34982 SEP 2 4 2 0 1 9 (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 Iicensed 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 l use or occupancy.You may not build or improve said structures for the purposes of selling or leasing that building. If you sell or tease 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 applicable laws,ordinances,building codes,and zoning regulations. Initial 45• S I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial E • 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 C 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 for the cost of the license. Initial (F_ 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 he 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. 3 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 Z�g Departent t the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 OwnerlBtl der Signa e STATE OF FLO A COUNTY OF f(I _ T foregoit;g ins ment w acknowl d Wore me this day of �,20-a, b V who is personally known to me,or who has produce as identification. Signature otary Type or Print Name of Notary (Seal) Title:Notary Public Corn is�sio��u KAREN S. NIELSEN `�SpPY PUB//r SLCPDSD Revised 05l15l201 _=b �-State of Florida-Notary Public Commission 0 GG 207484 C 4 My Commission Expires June 12, 2022