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HomeMy WebLinkAboutPermit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED(� Date: 1- Permit Number: AUG : 9 2020 0 a., permitting Departmen Building Permit Application St. Lucie county 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: PRC�}P"OWED IMpROUEMENT LOCAT1i43N: 2 (� Address: 5../ I nj ��"T"C.+� {�. 1' 'r-P'J Property Tax ID,#: 02,- 0 Lot No. Site Plan Name: Block No. Project Name: d: TAILED DFC«RIPTION OF WOR L A e New Electrical Meter Second Electrical Meter CONSTR++ CTI'ON INFO- MATION: 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: [a Sq. Ft. of First Floor: Cost of Construction:$ ���•Q� Utilities: —Sewer —Septic Building Height: OWNERjLE=�SSEE: CONTRAC�"OR: Name d L Name: Address: / Company:, City: T F f 6� C� ,State: Address: //// p —� 4 Zip Code: .25# 9Z Fax: City: State: Phone No. 772— —'/00 Zip Code:" _,_-., Fax: E-Mail:-130$F3111if1"q��R$T. 7- 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. i SUPPLEMENTAL �aNSTRUCTION Li LAW f �1"ORMA l0 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 ncj 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 with lender or an attorney before commencing work or recording our Notice of Commencement. S ature of Ow Lessee(/Con actor as A ent for Owner Signature of Contractor/License Holder STATE OF FL RI A STATE OF FLORIDA COUNTY OF�. �=`(�,I� , COUNTY OF _Swc n to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of PAysical Pres nce or Online Notarization Physical Presence or Online Notarization this day of 2020 by this day of 2020 by Name of person rn kin atement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of[den ifi�ation Type of Identification Produced L Produced (Signature of Notary Public-S a is 1 _ (Signature of Notary Public-State of Florida) ,�tpp•PUa%, R E 7da;N IN �74c Commission No. �° � (5e,a of Fotary , issionNo. (Seal) Commission o; GG 20 4 My Commis _June 12, 2022 REVIEWS FRONT ZONI } S VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW DATE RECEIVED DATE COMPLETED lev. 5/6/20 Planning& Development Services Department RECEIVED &Code Regulations 2300 Virginia Avenue AUG �.91010 Fort Pierce,Florida 34982 (772)462-1553 Permitting Department OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT St. Lucie County 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 county or municipal licensing ordinances. Initial Here. 9.(K 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 code and zoning regulations. Initial Here. &1j I understand that the building official and inspectors are not there to design or give advice on how to mee minimum code. t�h'�'e�(( Initial Here. r; 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 Here. 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 he license. Initial Here. �� 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 medical cost, which could include loss of wages during recovery from their injury. Initial Here. 7-9? 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 Building and Zoning Department to the Florida State Department of Professional RegulatiFner/Buiflde ede d on this day of of 202Ct e STATE OF FLOR/I COUNTY OF Th reoing i sfrument was ackno ledged before me this--,_day of l 20 produced 1 «� who is personally known to me,or who has by produced as identification. B Etvo�o �`w"11 , Lr 7.oZ ,Z i. ';0 03f Signature of Notary Type or Print Name of Notary sejidx3 uoissi1eTitle:Notary Public Commission Number 484LeePl( } aeS , N3S-131N 'S N3�f del Planning and Development Services Department ' Building & Code Regulation Division Inspectio' ns 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 772-370-2539 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 St. Lucie Count�1- RECENED 08-19-2020 :17:16 ST LUCIE COUNTY UTILITIES- P.O. BOX 728, FT. PIERCE, FL 34982 7:16 1992%527 AUG 1.9 2020 NAME'F'F MAXWELL ROBERT 5911 MYRTLE DR permitting department !/� FORT PIERCE St.Lucie county ACCT.# 4% FL 34982 Amount Tendered: 519.00 5911 MYRTLE Amount Paid: 519.00 SERVICE ADDRESS Change Due: 0.00 Thank You SUBDIVISION IRE LOT 22 BLOCK 66 Jser ID: MURRAYA BILLING ADDRESS . CFC/WATER EMAIL ADDRESS: FPUA CFC PHONE#? MOVE IN/CLOSING DATE CFC/SEWER GUAR. REV. This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or future rates, rules LATERAL and regulations,which by reference are made a part of this contract.Applicant agrees to pay Utility $ $519 TOTAL promptly for such services in accordance with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. CUSTOMER Q SIGNATURE SOCIAL SEC/FED ID'k 0/1 NAME OF SPOUSE- SPOUSE SOCIAL SEC. OFFICE USE ONLY /DATE RECEIVED ( �"' CASH CHK# r2" 6 RECEIVED BY l I acknowledge Base Facility Charges beginning for water and/or wastewater on the day the meter and/or service is installed by the County,regardless of when a customer connects to or starts utilizing the meter and/or service. I acknowledge upon activation of service,I will be billed and am obligated to pay the Base Facility Charges.