The URL can be used to link to this page

Home My WebLink AboutBuilding Permit ApplicationTO: building FROM: 77259519i9 DATE,: 2020/06/26 13:06:11 3� g000 "%fzZ All APPLICABLE'NFO MUST BE COMPLETEp FOR appE1CA710AI 7O BE ACCEPTED n� Date; TED Permit Nurnber( % �uLLEf Planning and oeveloPmentSenrires Building Pormlt A ppticatian —9ving and Code.Regulatlon Division 2300 Virginia Avenue, Ftrrt pierce FL 94982 Phone: (.772) 4624553 6ax:.(77Z) 462-257a i Project Name. Commerciai Residential New Electrical Meter Second Electrical Meter Block No. A - 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: 5q. Ft. of First Floor: _ Cost of Construction: $ l , Utilities: _ Sewer Septic Name Addre55: / l_J ,y%:f f yt'/�!' -C .city: 4Co;r1,/plca.-r State:�L Zip 'Code; Fax: E-Mail: 6i gtJV �F:trl Gf'SCi7 1. ?Cl%SOc� �1, r/t'� Fill in fee -simple Title.Holder on next page ( if.different Name: Building Height: Company: Address.: City: State: Zip Code: Fax. Phone No________ from -the Owner listed above) I State or County License, If value of.construction is Z500 or more, a RECORDED Notice of,Commencement is required. Ifmalue of HAVC is $7,501) or more, a RECORDED Notice of Commencement is required_ REF ## 5939749AO01 PAGE 2 OF 3 'TO: permitt, 7724621578 FROM: 7725951919 DATE: '2020/06/26 13:09:17'' I G ?5r D S ar�r��eee�s�i� b/Soar DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: Citys State: City: State: zip.,Phone Zip- Phone: FEE -SIMPLE TITLEHOLDER: _ 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 representatfon that. is granting a perniit.will authorize the permit holder to build the subject structure which is in conflict with any applicable Aome-Owners.Associatlon rules; bylaws of Arid covenants: that may restrict:or prohibit such structure: Please caricolt with your Home -.Owners Association and review your deed for any. restrictions which may apply, in consi deration. of the granting of this retiuested permit, l: do hereby agree -that I will,. in all respects,' perform .the work. in acco.tdance with the :approved plans, the Florida Building Codes and St: Lucie County amendments. The following building permit applications.are.exemptfrom,undergoing a full.concurrency-review: room additions, accessory sti;uctures; swimming pools, fences, walls, signs, screen.rooms.and accessoryuses 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 Cornme.rtcement must be re-orded' in'tho public records of St. Lucie Courity-and. posted on -the Jobsite before the first.inspection. If you intend. to obtain financing, consult with lerideror an attorney -before commencing work orrecordin our Notice of. Commencernerit, Signature wner/ Lessee/Contractor as Agent.forOwner Signature of Contractor/License. Holder STATE OF FLORID STATE OF FLORIDIA COUNTY OF COUNTY -OF Sworn to (or a ' med) and subscribed before me of Sworn to. (or affirmed) and subscribed before me of Physical �-- Online Notarization Physical Presertce.or .Online Notarization this ^ day of. 2020 by this.__--_ day of 202i) by Name of.persok aking statement. Name of person making -statement. Personally Known OR Produced Identification Personally Known ,OR Produced Identification Ty . ofildentifcation • Type of Identification Pr d' ced Produced Signature'of Notary Public- Stft of Florida) (Signature of.Notary-Public- State: of Florida) Commission : NA IN-RAH041NG . _,..:.. Commission No. (Seal) ;c MY COMMISSION # GG 275060 , REVIEWS . i_ o: ''' hIT Bond ecem d Publi Z !Sd_ EVIS.! R PLANS VEGETATION SEA TURTLE MANGROVE ' REVIEW REVIEW REVIEW REVIEW DATE. RECEIVED — - — —.—...--- — — -- — - OATE COMPLETED • REF # 5939827AO01 PAGE 2 OF 2 £ 30 £ HJdd T00V6DL6£69 # 3SIi Planning J4.Development Services Department Building & Code Regulations 23b0 Virgi1ds•Avtnue Fort Pieree,:Ftorida 34982 (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.-S. 489.103 (7)'EXEMPTIONS State law requiresconitructign.to.be done by licensed contractors: Youbave applied fora permit under an exemption to that. law. The exemption allows you.;:as the owner of your property,. o.act as:your own contractor even 'though- ydd do.not have.:a.licensc.1 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 al§o build or improve. corn_ mercial. b.tiilding. at -a cost. not exceeding S7S,QQQ:00. as long as it is. --for your own use:.or'occupancy: You may not build or improve said strucuures for the: purposes of.selling or leasing. that building. Xou may not:hire: an unlicensed person:to.act.as your contractor or -to supervise.people'w6rking on•your'building; it is your responsibility to make sure that•people employed by you have licenses required by state law and.b 'county or municipal, licensing ordinances, Initial 5 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 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 Yegulations. Initial SS T understand that the building official and inspectors are not there to design or give advice on howto meet the minimum code. Initial �� [understand that as an owner-builder.thatany- 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 S j� I understand, thit 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 C I understand that if any person that -Is unlicensed and uninsured gets injured on my construction project they maybe entitled to workmen's compensation.. I could be held liable for all doctor, lawyer and relatdd. medical 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'liereby 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 Zo ing• Departm t to the Florida S ate' Department of Professional Regulation. Signed and acknowledged on this day of of 2 1 1 STATE'OF FLOW Owner/$ er ignature COUNTY OF �%� The .fore oing instrument w acknowledged before me this0ut/ day of . by. p ce who is personally kno to me, or who has () 11. as i entification. nature of -Notary Title: Notary Public J Type or Print Name of tary SLCPDSD Revises py7rzo Commission Number ?� SHAHNAINGRAM RAHMING *: *_ MY CMIMISSION # GG 275060 o`c EXPIRES: December 20, 2022 :For . ;.. Bonded Thru Notary Public Underwriters TT:90:£T 9Z/90/OZOZ :HZdQ 6T6T969ZLL :WOHA 2uTPTTnq :01