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Home My WebLink AboutBuilding Permit PackageAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: CD I .7 2y Z Permit Number: . 3 S.Ti Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Q ,-(}�+n�x({n��r s It' [[/y l R 5k d A L Y J 1M vPRQPfJSED LSLir1YNT iY/ 1TilNh 7 YM ,€z.- 3�fit �+ ,k 3..��S;.t, _ k.ei.;. '0V1`m.cU�'.,- S. tn�,,. Ai. v—�. ^a ,_ :'� 1,-,..e .- Address: ri' M P3vGki. A c. �� r v� rn-;, -I., CC_e i C Y 9 sS Z Property Tax ID #: "Z U O S - 0 d d I Z Lot No. Site Plan Name: Block No. Project Name: �2�c ' �/ £'� V'-'-i``-� �J?w P-T Lvov,.4cC A -di- 5 T2> j'Cer "e..r O c VyE' l li LtC-t:i= v+. r-\at- (' P 0 GCii.� iU �' �— G G t ,V v 5 Y A— C� �S iS P�cq��/beimJ�l� 2- z! ( L" .>c o .. 0 4- S New electrical Meter Second Electrical Meter t-v r9 i r CQNS'RUCi'lC� (NEC►M6tTIC)N'.. `.. , �. ��,.., �`.�� _ , , Additional work to be performed under this permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ / ZQ Q - 5'f� Utilities: _Sewer _Septic Building Height: 4�1!!'NER�LESS,�E'� ' 3 ��j� = - CC►NT'RA �� ;R � �� '. -.._ h ,: - Name �/�� L Cs ,,??_� Name: Address: ski C.( Company:. Address: City: r -e �C R State: _L City: State: Zip Code: 3 V'7 R Z Fax: Phone No. Z 2- - S al Zip Code: Fax: E-Mail: 0cV1 CdnCc.S _ he Phone No Fill in fee simple Title Holder on next page ( if different E-Mail State or County License from -the Owner listed above) If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. ` .,,`^ a `. s3a aryy} Vv.u.,M +,.',.,.... Lit4°.;',,.3. Al, DESIGNER/ENGINEER: T Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: City: State: Address: 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 paying twice for improvements to your property. A, Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult leiith lonrlor nr an nttnrnPv hafr,rP rnmmencinE work or recordinE vour Notice of Commencement. Owner Signature of Contractor/License Holder Signature of Owner essee/Con actor as Agenffor STATE OF FLORI A STATE OF FLORIDA COUNTY OF COUNTY OF Sworn to. (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of �1i�f� , 20 by this day of 20_ by Name of person making statement. Name' of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signat re of Notary Pu lic te Qt F12ri nature of Notary Public- State of Florida ) KAREN S. NIELSE Commission No. c`�o'�B<-:Sttr_ea f Florida -Notary Pu I mission No. (Seal) =* •_ Commission # GG 2074 4 My Commission Expires 0 � T u ZOM 7G P EM ISO REVIEWS .FRONT PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/ b/ ZU Planning & Development Services Department Building & Code Regulations Q~. Building 2300 Virginia Avenne j 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 c9unty or municipal licensing ordinances. Initial fj,147�3i- 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 �5-%—�' 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 — I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial in -A -- I understand that as an owner -builder that any contract disputes with sub -contractors and 1 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 for the cost of the license. Initial i + 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 metal cost, which could include loss of wages during recovery from their injury. Initial To qualify for this exemption tinder 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 Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this 11 day of S v e- of 20 Z o. Owner Bldilder Signature STATE OF FLO IAA COUNTY OF _ The foregoing insfrunient wa�y� owledged before me this I 1 day of . 20Q6_,_, by _ C who is personally known to me, or who has produced n k _r, 1 _ as identification. Title: Notary Public SLCPDSD Revised 02/7/20 Type or Print Name of Notary Commission Number 006-oss3 Paul Garzon 4918 Buchanan Drive � l ST. LUCIE COUNTY DATE: ELEC: DATE: Replacing Existing PLUM: DATE: 3/0 6/8 door MECH: w/Si mi I a r 3/0 6/8 DATE: InSwi g Impact Door P Lo52(°l cg-2 5 �gGvicec� e2o= P$P.6a.sa3 copcfe�e -�o PiA D� vrtv\ 143 �. lot _7 3., AC42 M /XPOST CAP FROMCP,T, POST TO BEAM ABOVE TYP.- UPLIFT=2500 PB44Z POS' 12-16d HOT UPLIFT LOP TYP.