HomeMy WebLinkAboutREVISION, ADDED OUTLETSOFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT #
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
5701 Buchanan Drive, Ft Pierce, FL 34982
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
Added extra outlets as shown in drawing
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #:
BUSINESS NAME:
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
STATE:
OWNER/BUILDER INFORMATION:
NAME: Robert Dumont
ADDRESS: 5701 Buchanan Drive
CITY: Ft Pierce
PHONE (DAYTIME: 772-370-ti308
ST. LUCIE CO CERT. #:
ZIP:
��
STATE: FL ZIP: 34982
FAX:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC: 9123109
Revised 06130/17
STATE:
FAX:
ZIP-
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Planning & Development Services Department
Building & Code Regulations
°' t ' 2300 Virginia Avenue
Fort Pierce, Florida 34982
(772) 462-1553
OWNERIBUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.I03 (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 a able
laws, ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors arc not there to design or give advice on ho eet
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 1' r file
cost of the license. Initis
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 relat ical
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.
1 hereby acknowledge that I have read and understand the above disclosure statement and that t further
understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and
Z
ipg Department to the Florida State Department of Professional Regulation. ed an lff►o ed on this
day of of 20 Al.
wner/Build&r Signature
STATE OF FLORID
COUNTY OF
Th go g i strumt was ac owledged before me this day of�1
by who is personally known to me, or who has
pr uced t. as identification.
Peofotary Type or Print Name of Notary (Seal)
Title: Notary, Public Commission Number
SLCPDSD Revised 05115/201k r S " ., I,q$I{gllhglNCRAM RAl1NitHG
i MY COMMISSION 9 GG 275060
=. • r: EXPIRES: December 20, 2022
°� it ''' 8Mded Thre Pl W Public UndMV0ters
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FI- 34982
Phone:(772)462-1553 Fax:(772)462-1578
Date
Receipt #:
Permit Number:
Job Address:
Amount. -
Paid With:
Receipt
Online address: http:/Avww.stlucieco.org/planning/permitting,htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Daily Inspector Schedule
February 24, 2020
0000160482
2002-0601
5701 BUCHANAN DR
$109.00
CHECK
Check #
2263
Paid By:
ROBERT DUMONT
Received By:
ingraml
Fee Description
Fee Amount
NBIMS651
N-BP BIMS
$5.00
NBPSur924
N-BP Surcharge - Permi701 - Electric Permit-(1&2 Family
$2 00
Residential)
NBPTru983
N-BP Trust Surcharge - Permi701 - Electrical Permit-(1&2 Fam Res)
$2.00
NPermi701
N-Permit Fee - Electrical Permit - (1&2 Family Residential)
$100.00
Total:
$109.00
2/24/2020 11:5155 AM
ELECTRICAL RISER PLAN
NOT TO SCALE
GONTRA113FTOR COPY
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1. Size Service:
2. Conductor Size: d,�;
3. a. Meter Maim
b. Meter Can Only:
Grounding Electrode Conductor Size
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Q #4
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O"YO
CONSTRUCTION TYPE:
residential
Mobile Home
New Installation