HomeMy WebLinkAboutBuilding Permit - Overhead to Underground All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/15/2020 Permit Number:
•
Building Permit Application
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:Overhead to Underground Conversion for Power
PROPOSED IMPROVEMENT LOCATION:
Address: 911 Emerald Ave Fort Pierce, FL34945
Property Tax ID#t: 2309-801-0037-000-1 Lot.No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Converting Electrical Service from Overhead to Underground. Service provider is FPL. FPL has supplied the 2"Conduit and
instructed the conduit to be burried in a trench at a minimum depth of 28". See attached map for conversion.
CONSTRUCTION INFORMATION:
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:$ 11QUO Utilities: -Sewer —Septic Building Height:
OWNER/LESSEE:Matthew Guettler CONTRACTOR:
Name Matthew Guettler Name:
Address:911 Emerald Ave Company:
City: Fort Pierce State:_ Address:
Zip Code: 34945 Fax: City: State:
Phone No.772-216-2579 Zip Code: Fax:
E-Mail:matt@guettlerconstruction.com 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.
SUPPLEMENTAL CONSTRUCTION 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 AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR ANATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF semi u,ua COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this +6 day of April 20Z0 by this day of .20_ by
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
C 1-, /?? k'44
Signature of Notary Public-State �tA„ da) I;NARON M.MORRIS (Signature of Notary Public-State of Florida)
Commission No. X.33y2L „ Commloolon#GG2334
; 1) Expillniloti ir lul1,2022
Commission No. (Seal)
ma, Wary SON11e
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
F�Uned Map Legend
escription for your map. Of #1 - 911 Emerald Ave
#2 - Pole Location
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■ #3 - Meter Location
#4 - Existing Overhead Wire
�► �. cS #5 - Trench Route
#6 - Emerald Ave
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O Planning&Development Services Department
P • Building&Code Regulations
2300 Virginia Avenue
Fort Pierce,Florida 34982
(772)462-1553
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.
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.
Initial Here.
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.
Initial Here. �J
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 Here.
I understand that the building official and inspectors are not there to design or give advice on how to meff"he
minimum code. Initial Here. 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. 0
Initial Here.
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 Here. C ,
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, h
could include loss of wages during recovery from their injury. Initial Here.
To qualify for this exemption under this subsection, an owner must personally appear, 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 Zoning
Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this `51i
day of h4wr I of 2020 . // /
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Owner/Builder Signature
STATE OF FLORIDA
COUNTY OF Sr Lucr6
The foregoing instrument was acknowledged before me this /5""day of 4Pri 1 20_6 ,
by MA4ke d Cwd4t.e-✓ who is personally known V to me,or who has
proutwed / as identification.
mil /
. )7). SXArON A7• MOtY/s AV PUeq SHARON M.MORRIS
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Signature of Notary Type or Print Name of Notarryy e I tSe�ammisslonBGG233422
Title:Notary Public Commission Number CC 233YzZ Explres July 31,2022
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