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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.-BE ACCEPTED Date:` Permit Number: 07. .I - Building Permit Application Planning and Development Services Building and Code Regulation Division COmmerdal Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772Y462-1578 PERMIT APPLICATION FOR: Address:!'6p_f Property Tax ID#: 202 -500 - 000T-000 -c) Lot No. Site Plan Name: Block No. Project Name: c'�r� L l y r i New electrical Meter /r 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:$ O ® Utilities: _Sewer _Septic Building,Height: 1220 i 's.'+C,F,.rlr �tit`'„',1+�y?.p".. .. '',,.--�„K',° �1nx.rl'•b.'�" .rn'1,- i;' v}� = 1220t rtx. r "' t'*-•x`. �55.' F+.,'"Ln'.`ccM1r'.,'.�d s��. i� :.7'�?rr.,ua„,.• :r??-c aAa .3 �, z ....,�- �. a�ii3a.> ^aw.' � _.i3+,w r._alL`�?., .+'.`c..;s,...r-t.Srr.�.z �` ,. 6';:i., v .J�""`..�5 Q�s:x�i:•5 � Name_��i l ; z� �rcE1C`�rA�1 Name: Address:_1 yj a rogc33_n,r-- Company` City: r-o ao , State: cr['; Address: Zip Code:.; ry_-7<p Fax: City: State: Phone No. 21�3 g Zip Code: Fax: E-Mail:_ A9vA,,nVo,r'2 P_ 1\_QA Mein( Low 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. RMI: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: State: City: State: City: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable 7 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 ! structure.Pl conflict nsult any your Home Owners Owners iation and review your deed for any restr restrictions which ay applyhibit such 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'Floricia 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-N.otice 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 attorneybefore commend work or recordin our Notice of Commencement. 19 Signature of owner/Less ee/Co ntracto r as Agent for Owner Signature of Contractor/License Holder . STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 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 L day of _Yko f 20.. by this day of 20_ by C 1 �)f•' P111 Name f person making statement. Name of person making statement. Personally K own OR Produced Identification / Personally Known OR Produced Identification Type of Identt i ion Type of Identification Produced Produced I (Signature of Not Public-State of Florida . (Signature of Notary Public-State of Florida) otPt:!?q;•.; P,�L�f3tNY B.HUMPHREY Commission No. (Sell) Commission No. I='_ •s: �l�jjr Rdl' SSION#E GG 300817 °A,'•� EXPIRES:March 6,2023 h ers �:+iM1Rrtec-•r,-.iiiitvc:.. aysw:z: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. � o LLILi�tz- o „ Planning&Development Services Department Building&Code Regulations Fort P 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 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. 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. n 6 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 Here. 1-1,g I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial Here. A[3 I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled in a civil l court with the advice of an attorney. This department will not mitigate any contract disputes. Initial Here. fir, 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 Here. a% 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. A B 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 Regulation. Signed and acknowledged on this day of 9_ I of 20 2D. STATE OF FLORIDA Owner/Builder Signature COUNTY OF - S The foregoing instrument w acknowled ed befgre J.his �5 day of 20 b lc>7 �-3 v A r G- P rrkt /)i p �f o isp;ersonally known to me,or who has produced v as identification. D P,C L , la a f Y?FW ka 'Signature o t ry Typ, r Print Name of Not Seal Title:NotaryRu lic (Seal) Commission Number .•O'(�Y PV9'. a• •�� AUDREY B.HUMPHREY _ MY COMMISSION#G -='•��•'��' EXPIRES:March 6G 300817 ,2023 Bonded Thru Notary Public Under writers Planning and Development Services Department Building & Code Regulation Division Inspections Helpful Hints for Owner Builders Schedulinq 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.rn 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 77.2-200-6386 Doug Harvey, 772-370-2542