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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 I Date: ( al O oao Permit Number: a� L O 2-6 C t RECENED 04 IWOIR SCANNED Nov 12 2020 0 p o o —Ky permitting Department Building Permit Application St. LucieCOun� / Planning and Development Services Building and Code Regulation Division Commercial Residential 1300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PFOP F'S` IMF Address: 1-16n�- 1'yC.VIJ--�y- fj2( t Ile rce // Property Tax ID It: 3 4�2— t0 O L� 01 -7 / —CJQO 3 Lot No. Site Plan Name: Block No. Project Name: MEW 1111 r_ hatse elfcl>;z -Its deFa�d e �, /lih /094 SL th un�l {�� oP etct Fl od eu-a L p New Electrical Meter Second Electrical Meter ���6 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: $ Utilities: —Sewer Septic Building Height: Name n Name: Address: 1✓t ' Company: City: 1:11ty Ct State: Address: Zip Code:'?)Lk4 d Z Fax: City: State:_ Phone No. 7 Zip Code: Fax: E-Mail: (Yl 1 C:Zvr Phone No Fill in fee siWple Title Holder n 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. 0 �� _ Planning&Development Se es Department Dy„•; Building&Code Regulations lil'" —• °,- - - 2300 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 haveact applied for permit contract under even an exemption to that law. The exemption allows you,as the to_owner of your property, y he construction yourself-You though you do not have a licentsbe l� must one-family or two-family residence for your use and occupancy. You may build or improve farm outbuildingsas long as it is for your own may also build or improve a commercial bolding at a cost not exceeding$7 Se 0of s 1 ng or easing that building.use or occupancy.You may not build or improve said structures for the pure You may not hire an unlicensed person to act as your contractor or r toosupervise l pens s equirled by working e law and by co building; it em employed by y is your responsibility to make sure that people P or municipal licensing ordinances. Initial Here. uilt or improved ithin one p you sell i lease a building that itwas built or improved for sale orvlease,which is alviolation of construction this exemption. then a presumption is created Initial Here. You may not delegate the responsibility forsup comply with all work to a liervising censed ble laws, ordinances, building codes, d the work being done. Your constructionInitial Here. zoning regulations. I understand that the building official and inspectors are not there to design or give advicI on h ow to Here.meet e minimum code. I understand that as an owner-builder that any contract disputes with sub-contractorsdisputes.and I ust be handled in a civil court with the advice of an attorney. This department will not mitigate anyInitial Here I understand that if I compensate any person or comp an for work performed they are required to be licensed in this y jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the cost of the He license. Initial, 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 nitial could include loss of wages during recovery from their injury. 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 thaBui dgerunderstand oi that any violation of the terms of the owner/builder exemption sh e r e ckn a ed on this Departmen to th Florida State Department of Professional Regulati n. i day of of 200P.L Ore STATE OF FLO Ct h COUNTY OF oc, day of--J�©� 20 0a6 , The foregoing ins ent s ackno ed before-mheo is this known to me,or who has by as identification. produced (Seal) Signature of Notary Type or Print Name of Notary r Title:NotayPublic KAREN S. NIELSEN �uuu, 'Y PUB''. � State of Florida-Notary Public Commission # GG 207484 g, My Commission Expires June 12, 2022