The URL can be used to link to this page

Home My WebLink AboutBuilding permit, original submitted, ok per doug h to update to fence permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:�,�� id Permit Number: �✓®�� lsn(� "VAC) Building Permit Application JUNI Planning and�pevelopmentServices ST. Lucle County, permitting Building and CI ode Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: - -a�,-z�;`s t*^-��5...:,r�'.�t '�s;,r =�+�" ,Wiz^ c..,,�^�'R. -,.., �' � �'�r .�. �, ..u,t '�"- ...� �-• �,'== '`r "' �'- '�� _ r �K=t'r4� ��fi/�' •1�� tt# �r•g �'�j �y },,,� `F�'was" a.,.�'',``�"��.,�'* ��-..�"".r.�'��}_"�.s*.�,��eq�i��+-"�zV`�Z.Jc �"wa�. ��A� 'L,y .,�t Address: 490 been 67 P'io',eew Property Tax ID#: '///`��/�, �01-JDO yti ,OQO- 7 Lot No. Site Plan Name: YU�1�)P,R�j�� p Block No. Project Name: / 'i t -�S ss♦ Y ro a �a "`"' .'C e fi dwJ ow Q J New electrical Meter Second Electrical Meter 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:$ '- '00.DD Utilities: _Sewer _Septic Building Height: Name o Name: Address: �f�,. Company:: State: Address: Zip Code: 3:�94,19 Fax: City: State: Phone No. 6.n-MY/- (�'SYaj Zip Code: Fax: E-Mail: R . CO 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. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not-Applicable Name: Name: Address: Address: City: State: City: Stater 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 testri-t or prohibit such structure.Please consult with.youi Home Owners Association and 'review your deed foe any restrictio lwhich 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 post don the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an atto ne before commenting:work'or recordin our N.oticill Commencement. 7Z Signature of Owner/Lessee/Con actor as Agent for Owner Signature of Contractor/License•Holder , STATE OF FLORIDA STATE OF FLORIDA COUNTY OF . Sk. 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 7S'y ni .2Ad 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 (Signature of Notary � EGNENg (Signature of Notary.Public-State of;Florida.) „Y ..., DFJW N Go O?20Zg Commission No. • • �YDOM�i18�2020 Commission No. (Seal). . PllNotary,�ublloUndanwfllor� Bonded REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE-- COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.5/6/20 Planning&Development Se De ;� ,TY P Department P Building&Code Regulations s A 2300 Virginia Avenue y— --- Fort Pierce,Florida 34982 '_ (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEME F.S.489.103(')EXEMPTIONS ST. Lucie County, permitting jState 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 goynty or municipal licensing ordinances. Initial If you sell or lease a building you have built or improved wit hin.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 :nz 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 -Z't/ I understand that the building official and inspectors are not there to design or give advice on how to meet . 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 7y 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 7 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 7`V To qualify for this exemption under 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 cknowledged on this dayof �"' of 20 ® . cJ un P '�_ . Owner/Builder gignature STATE OF FLORIDA COUNTY OF �e- The foregoing instrument was acknowledged before me this \4 day of S O ,26- , by who is personally known to me,or who has produced T-L Du as identification. AEANNAMARIEGIVENS MY COMMISSION is GG 0=23 Signature of Atary Type or Print Name of Notary ? K ExPIREs�16.2020 Title:Not Public j Commission Number G(S0 - '• '«ti°`�, sondedTlwNomry undenhttaro ary SLCPDSD Revised 02nl20 i r�