HomeMy WebLinkAboutBuilding Permit \ MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
"f 94 Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:MICHAEL MCCONNELL
PROPOSED IMPROVEMENT LOCATION:
Address: 10607 PINE NEEDLE DR FORT PIERCE FL 34945
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name: L SHAPED VINYL WHITE IN COLOR AROUND AC UNIT AND WELL WATER TANKS
DETAILED DESCRIPTION OF WORK:
L SHAPED VINYL WHITE IN COLOR AROUND AC UNIT AND WELL WATER TANKS.DEMENSIONS 5FT TALL 25 FT LONG L SHAPED
NO SWING GATES
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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:$ 440.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MICHAEL MCCONNELL Name:'
Address:10607 PINE NEEDLE DR Company:
City: FORT PIERCE State: _ Address:
Zip Code: 34945 Fax: City:.' State:
Phone No.772-713-4402 Zip Code: Fax:
E-Mail:MCCONNELLEMAIL@YAHOO.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 HAVC 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
WARN TO OWNE .Your failure to Record a Notice of Commencement may result in paying twice for
im r ements t ur property. A Notice of Commencement must be recorded in the public records of St.
u 'e ou ty an sted on the jobsite before the first inspection. If you intend to obtain financing, consult
I d rIT orne before commencingwork or recordingour Notice of Commencement.
Signature of w66r/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA_, STATE OF FLORIDA
COUNTY OF c` L.oae, COUNTY OF
Swi3Kto(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
V Physical Presen r Online Notarization Physical Presence or Online Notarization
this_&_day of / 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification V/ Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced D� Produced
0
(Signature of Notary Public-Sto of Florida) JRE1g1W*W
^0�- ignature of Notary Public-State of Florida)
Commission No. (Seal) o mmission No. (Seal)
CD
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T_REVIEWS FRONT ZONING 9fgLAMS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW VIEW REVIEW REVIEW REVIEW
30
�DATERECEIVED ,DATE WCOMPLETEDNC XJ
.ev.5/6/20
Oyr,o ILUICM a ,
Planning&Development Services Department
L� L C iT,, ice= 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 buildin it
is your responsibility to make sure that people employed by you have licenses required by state law and b n
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 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 pe orm
the work being done. Your construction must comply with all applicable laws, ordinances, building c d
zoning regulations. Initial Here.
I understand that the building official and inspectors are not there to design or give advice on how to me
minimum code. Initial Here. '
I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled i - it
court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial Here
I understand that if I compensate any person or company for work performed they are required to be licensed' is
jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the ct
license. Initial Here.
I understand that if any person that is unlicensed and uninsured gets injured on my construction project-they
entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical co is
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 ement and' t
further understand
that any violation of the terms of the owner/builder exemption shall ed by uilding and Zoning
Department to the Florida State Department of Professional Regulation. i o edged on this 03
day of AucusT of 24R.
O i der Signature
STATE OF FLORIDA
COUNTY OF db.j- j„>SC p "
The foregoing instrument was acknowledged before me this 1p day of (� ,20 ,
by who is personally known to me,or who has
produced L.- as identification.
Qzkmaer
Signature of Notary Type or Print Name of Notary
Title:Notary Public Commission Number .,, HEATHER B U R F O R D
e�;State of Florida-Notary Public
=* * Commission # GG 183217
S,5
"M My Commission Expires
'���"` February 06, 2022
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Planning and Development
® i.. Services Department
Building & Code Regulation Division
I nsp ections
Helpful Hints for Owner Builders
Scheduling Inspections
• Inspections are typically performed the day after the inspection is scheduled.
• There are two ways to schedule an inspection:
a. Call 772-462-2172 or 462-2165 between 8 a.m. and 5 p.m., or
b. Go to St. Lucie County's Website, click on permits, click on online building
inspection system.
1. Enter permit number
2. Enter confirmation number(this number is on the top of your building
permit next to the building permit number.)
3. Enter
4. Click on the request next to the inspection you want to schedule.
5. You can schedule an inspection online until 9 pm Monday—Friday for next
day inspection service. On Friday, the inspection will be scheduled for
Monday. On Saturday and Sunday, the inspection will be scheduled on
Tuesday.
Day of Inspection
• Go to St. Lucie County's Website, click on permits, click on daily inspection
schedule.
• Locate your address or permit number, the screen will show the inspector name
and whether the inspection is in the morning or afternoon.
• Inspections are listed in order of scheduled site visit.
• Inspectors are available by phone at the numbers listed below from 7a.m. until
4p.m.
Andy Wentz 772-249-9502
Greg Smyth 772-370-0482
Walter Pride 772-37072539
Dave Johnson 772-370-2548
Wanda Gahn 772-204-4237
Mary Chissoe 772-370-2543
Stephen Poreba 772-475-1063
Clyde Heffelfinger 772-200-6386
Doug Harvey .772-370-2542