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Home My WebLink Aboutbuilding permitc5vo Lam!cc �- Planning & Development Services Department 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 snake 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. 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 meet the minimum code. Initial Here. I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handle in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial Her . 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. 9,,,� 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. 1 could be held liable for all doctor, lawyer and related medical cost, hich 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 B ilding and Zoning Department to the Florida State Department of Professional Regulation. Sig ed and ac owl ed on this �4F 1 day of of 20?� O er/Builder Signature STATE OF FLORIDA A COUNTY OF The forego' g ins nt w acknowledged before me this. day of HO_ , 20 by P � '` ho is personally known to me, or who has pro i uU l _ as identiA on. � CHRISTINE R. PAGNFCC Si at u of Notary CHRISTINE hVPAdAk68t Name of Notary �� 44 HRISTIr E RL Pf Title: otay Public �� NOTARY PLIbL anussion Number o! �o STATE Or FI.ORInr� °` s STATE OF FLORIDA ,�'' Commit GG36702 Comm# GG367482 �kCE I Expires 8/19/2023 E 19�0 Expires 8/19/2023 s ops f 4Y .� ?op % S V7 c5' c4- — .-�-- C4 3 Q k,. 3 r R s � I All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: May 4 2020 Permit Number: M F 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 X Residential IPERMIT TYPE: Renovation PROPOSED IMPROVEMENT LOCATION: Address: 9650 South Ocean Drive # 1003, Jensen Beach, Florida 34957 Property Tax ID #: 4502-610-0093-000/4 Site Plan Name: Project Name: Lot No. Block No. DETAILED DESCRIPTION OF WORK: renovate bathroom . ceramic the floor and shower, new vanity, all plumbing and electric to remain in same locations. new toilet 1, CONSTRUCTION INFQI Additional work to be performed under this permit— check all that apply: _Mechanical — Gas Tank _ Gas Piping _ Shutters _ Electric _ Plumbing _ Sprinklers Generator -otal Sq. Ft of Construction: 52 :ost of Construction: $ $7500.00 Sq. Ft. of First Floor: Utilities: __ Sewer — Septic OWNER/LESSEE: Name Harold Salkin _ Address: 9650 South Ocean Drive # 1003 City: Jensen Beach Florida State: _ Zip Code: 34957 Fax: Phone No.561 714 8847 E-Mail: clacorp@bellsouth.net Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: Company: Address: City: - Zip Code: Phone No E-Mail State or County License Windows/Doors Roof Pitch Building Height: Fax: If value of constructiofff ORDED Notice of Commencers If value of HVAC is $7, Notice of Commencement' Ilyi egNOTARTY PUBLIC INE R. CF ,r o =STATE OF FLORIDA Comm# GG367482 s�'�E I9 Expires 8/19/2023 State: SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: Address: NOTICE OF COMMENCEMENT Permit No. State of Florida, County of St. Lucie Property Tax ID No. 4502-610-0093-000/4 The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of property and address if available 9650 S Ocea.n Drive # 1003 Jensen Beach, FL 34957 General description of improvements Renovation/bathroom Owner/lessee Harold Salkin Address 9650 S Ocean Drive, Jensen Beach Florida 34957 Interest in property: owner Fee Simple Title holder (if other than owner) r Address Contractor Phone # Address Fax # Surety Phone # Address Fax # Amount of Bond Lender Phone # Address Fax # Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (a) 7., Florida Statues: Name Harold Salkin Phone # 561 714 8847 Address 9650 S Ocean Drive Jensen Beach FL 34957 Fax # In addition to himself, owner designates of Phone # Fax # to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TFIE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER C11.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TIIE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT ORNEY BEFOR- COMMENCING WORK OR RECORDING YOUR NOTICE OF C'OMMENCMENT. W_ 1 Owner essee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager/ Signature ►� Signatory's Title/Office() f r State of Florida, County of 49- . 1' Acknowledged before me this , day of PA ' who is personally known to me or who has produced 20t ' by4W, as identification. Zatu�reof Notary Type or Print N me of Notar. TIMOTHY D.ERICKSON • W GOMAM 234557 Title: NotarLP ? o EXPIRgq, ublic Commission Number -0 W31,2M-, ')?:;,• ..., •,,..� Ronde! Tlwu Nobly PtlbAo