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Home My WebLink AboutBuidling Permit I All APPLICABLE INFO MUST BE COMPLEI FOR APPLICATION TO BE ACCEPTED Date: Permit Number:—Ool IS23 Building Permit Application JILL 91- 5 2011? Planning and Development Services Building and Code Regulation DivisionUCie COU e F'rRit�l f-il�dC -2300 Virginia Avenue;Fort-Pierce FL 34982 - - Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Address: 72-o-o �-�+ �s 6 r), , efeG •� Legal Description: 1�} 9h e.0 Se 2 1'01 q -) q g Il Property Tax ID#: 1301 0 14- Lot No. Site Plan Name: Block No. Project Name: etbacks Front Back: � -./� Right Side: Left Side: I I�li'IM a� gloc,�s, 1��Pr�� a� ed itiona wor to a performed under this permit-Check all tat appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbingc _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: a J Sq. Ft.of First Floor: D-� Cost of Construction:$ 0� Utilities: —Sewer _Septic Building Height: f Y Name rn•e. JelikvSame: 1 & + 0 Address: -7 2ov be r s Com ny: e V r -Y �► Ir City: kDr ��.ree. State:�� Address: S. u S i L� Zip Code: qlSf Fax: City: v C State: , Phone No. �� ' gob- 9 b g D Zip Code: > Fax: 77,E- 9 & E-Mail: A0P) H ro�G�rS (, � q�A fit`< cvy✓1 Phone No 7 Fill in fee simple Title Holder on next page(if different' E-Mail W from the Owner listed above) State or Co ty License �L If value of construction is 2500 or more,a RECORDED Notice of Comm cement is required. 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: ddress:-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 thepermit 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 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 vyrk or recording ur Notice pf Commencement. Signature of Owner/Lessee/Contracto s Age for Owner Signature of Contractor/License Holder STATE OF FLORIDAI - STATE OF FLORIDA COUNTY OF LA)QJJ t' COUNTY OF The forgoing instr me t was acknowledged before me The forgoing instrument was acknowledged before me this day of 201'1 by this day of ,20_ by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Pubis-State of Florida) / (Signature of Notary Public-.State of Florida) Personally Known OR Produced Identification V Personally Known OR Produced Identification Type of Identific tion Type of Identification Produced Produced `\�10.RY P4C i� ,. rcpR_N_7__ rE�s '° � eaapaim ission No. (Seal) Commission No. `� mission F MY CommissionF 11,637 JU F pir� REVIEWS FRONT ZONING SUPERVIS R_- JNS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 7/2014 Planning&Development Services Department Building&Code Regulations L7fl jIZZ' s a 2300 Virginia Avenue Fort Pierce,Florida 34982 P (772)462-1553 JU L ;9 & i 6 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT PEIvI r,!•}•'ri,,, F.S.489.103(7)EXEMPTIONS 5t. Lucia Goun& FL 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 toa ed contractor who is not licensed to perform the work being done. Your construction must comply with al le 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 me t the minimum code. Initial I understand that as an owner-builder that any contract disputes with sub-contractors and I must be h d 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 r h cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction p t_ they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate a 'c 1 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 any violation of the terms of the owner/builder exemption shall be reported by the Building and Z nmDepartment to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of K of 20 . W� OwnerBuilder Signature STATE OF FLqRJD COUNTY OF The fo egoing in um was acknowledged before me this day of �,20�rl , by who is personally known to me,or who has produced as lentification. —------ . KgREN S. NIE1156 `,,ippY PUD�c ii Cornmission# FF 5�es Signature of Notary Type or Print Name of Nota 1)My c o n,m i s s i o n F x n June 12, 2018 Title:Notary Public Commission Number - SLCPDSD Revised 05/15/2014 PLANNING &DEVELOPMENT SERVICES DEPARTMENT OW Building &Code Regulations Division F7 -- 177 D 1 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT F E I""I INIG 5A. Lu ae Gounty, FL I,the undersigned, am the owner of the following described property, (Parcel ld#/Le-gal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. I /. eVle4e LO Proper)y Owner Wme(Please Prmt) j Property Owner Signature U Date STATE OF FLORIDA,COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 1204q-, BY PI� ,jjoyS_WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. 60— SIG14AfDRF FIROtAAY PUBLIC TYP2 ORP INT NOTARY- f-C-AROCOMMISSION NUMBER KAP r NIELSEN Cot-nmission 4 FF 115637 N!y Commission "M 'ryiSsio Expires June 192, 2018 SLCPDSD Revised 04/11/2011