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Home My WebLink AboutBuilding Permit All APPLICABLE INFO MUST BE COMPLET O,RAPPLICATION TO BE ACCEPTED ' Dater �� Permit.Number.. ui s. RECEIV-7D JUL .0. 2917 . Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 WrginiaAvende,'Fort-Pierre FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: 514 d�1 Address• !` 1 1' L Legal Description: 15 �' d MAP ��I WIN I -�,I`, ' - , .. Property Tax ID#:J?)r` O cob—" Lot No. � Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 17 ,Trr,r-": 1 . .Flea etalm 12--47--w 14-14 Additional work to be performed un er t is permit—check all that apply: _Mechanical _Gas Tank _Gas Piping Shutters _windows/Doors _Electric _Plumbing Sprinklers _Generator _Roof ' Pitch Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ �i 7 e Utilities: _Sewer Septic Building Height: Name Name: Address: Company: City:.Tr, IERCE State: Address: Zip Code: ^^ Fax: City.: State: - Phone NoI� Zip Code: Fax: E-Mai ��( �� 'St)'114`IL.C1�_ 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. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: . Not Applicable . Name: Name: Address: Address: City: State: City: State: Zip: Phone Tip. Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: =Not Applicable Name: Name: Address: Address: City: :. City: Zip: Phone: Zip: Phone: - work and installation as indicated.. to do thework , OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit r I certify.that.no-work.or installation has commenced prioeto 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 l will..'in alf 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 your paying twice for improvements to your property.A Notice of Commencement must be recorded 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. tomA Signature of Owner/;L'essee/Contractor..ast for;Owner Signature_of,Contractor/Ucense;Holder - y STATE OF FLORIDA . ' ,;-..s A...`: .STATE OF FLORIDA COUNTY OF T��1�� 1 � COUNTY OF 1z The fbw— instrument as acknowledged_before me The forgoing instrument was acknowledg 1.. before me this E day of T 20 by . this day of _.by df4— llaA (Name.of person acknowledging) (Nameof person acknowledgin ) (Signature of Notary Public State of Florida) (Signature of Notary P lic-State.ofFlorida Personally:Known.. ' . ..: OR.Pioduced Identification , Personally Known OR Produced Identification, Type of Identification Type of Identrf'i ion Produced L b o.0y LAWRENCE luced c NOTARY PU LIC Commission No. STATE OF FL C&l6nis ' n No. (Seal) .. a Comm#FF17 i396 ExpIF6511�1 /RO1 REVIEWS ., FRONT ZONING SUPERVISOR LANS VEGETATION SEA TURTLE MANGROVE . COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW .': REVIEW 'DATE RECEIVED . . L DATE COMPLETED Te—v.7/7-014 f Planning&Development Services Department COUNTY Building&Code Regulations • 2300 Virginia Avenue E C E I b' D J U L 0 z��7 Fort Pierce,Florida 34982 (772)462-1553 OWNERBUILDER 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. 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 cable laws,ordinances,building codes,and zoning regulations. Initial _ 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, - 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. t Initial _ I understand that'if any person that is unlicensed and uninsured gets injured on my. construction project-, f. they may.be entitled,to.workmen's compensation.. I could be held liable for all doctor,lawyer_and relatelL 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. I hereby acknowledge.that I have read and understand the above disclosure statement and that I further understand that anviolation of the terms of the owner/builder exemption shall be reported b y the Building and Y P P Y g Zoning Department to he Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 1 Owner/Builder Signature STATE OF FLORIDA COUNTY OF Sk.\.•V The foregoing instrument was acknowledged before me this 'fid day of J U y ,20_11 , by C 4•ne�\a►8N\a an.7l who is personally known to me,or who bas produced \. p L as identification. +P DEANNA MARIE GIVENS Signature of Notary Type or Print Name of Not '? Q = MY COMMIPOY GG 022023 Title:Notary Public Commission Number EXPIRES:December 16,2020 •.,F��Flo?•' Bonded Thru Notary Publle underwriters SLCPDSD Revised 05/15/2014