HomeMy WebLinkAboutDoty Shed - Sunshine Strucures Invoice.I ,j I `•I t, _1AVA. s. ` Planning & Development Services Department
P L L CLE Building & Cade Regulations
2300 Virginia Avenue
Dort fierce, Vinrlds 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 al lows 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 co
7
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. to
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 cod d
zoning regulations. Initial Here.
I understand that the building official and inspectors are not there to design or give advice on how to mectilk
minimum code. Initial Here
1 understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in
court with the advice of an attorney. This department will not mitigate any contract disputes.
Initial Here.
I understand that if I compensate any person or company for work performed they are required to be licensed in thi
jurisdiction. if for some reason they do not possess a license, I may be responsible and liable for the cost f e
license Initial here.
1 understand that if any person that is unlicensed and uninsured gets injured on my construction project -they may be
entitled to workmen's compensation. 1 could be held liable for all doctor, lawyer and related medical cosZ
could include loss of wages during recovery from their injury. Initial Here.
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 fiuther understand
that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zoning
Departm rnt to the Florida State Department of Professional Regulation�, and ack �d on this 10
11,
day of Z&f,>6er- _ of 20Zt5. / [ r d
a i n i n %j r r LAjm un
COUNTY OF
The fpregoing inst gent acknowled
by r _
produced
Sigrtsturc of,
Title Noun
uildif Signs
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before me this 1U day of 20 2-A] ,
who is personally known to me, or who has
as identification.
Type or PnnfName of Notary
Commission NumberC'tD tCn
is Syr NCWV Pubk Stall of Fbnda
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OCEAN RESORTS CO-011, INC.
5101 N HIGHWAY AlA
FORT PIERCE, FL 34949
(772) 464-4803 FAX (772) 464-0709
NEW HOME, EXTERIOR RENOVATIONS & REMODELING APPLICATION
Date: (I lag I
jm mac)
L
Owner Name: Uwl-)
Lot No 0 Address:`r
Mailing Address:
(If other than Ocean Resortl
Phone: Mb �� t� - � 3 ) i5
Please consider the following for approval: (Use additional sheet if necessary.}
f_: -A l to
Submit detailed plans, pictures and quotes including samples of colors, materials, or
specifications, detailed location plans and/or construction plans if applicable. The follo-Anng
contractor information must a included: 1. Insurance 2. Permit 3. FL License
r
Signature of Owner(s):
Denied _ Approved { it contingences listed below) /�� y�
Contingen ies: '11-� 1� -Uyi I LA 1 I or�
Riot
W,
Manager: Date:
APPLICATION 15 VOID AFTER NINET (90) Y5 FROM DATE OF FINAL APPROVAL IF WORK 15
NOT STARTED,
PLEASE SEE THE RACK OF THIS FORM ADDITIONAL INFORMATION.
Sunsine Structures
Dealer
CHRIS DOTY
Name
Address (Building Delivery Address)
FORT PIERCE
Florida's Leading Source for Quality Sheds
Invoice #
863-446-7357
Phone Number
5300 JIB WAY
FL
City state
Type of structure (circle) : Storage Shed j
Style' Eave Streamline
TIMBERSTONE SLAT[ TIMBERSTONE SLA
Body Root
Anchoring Surface: ❑ Concrete
Bam Ranch
POLAR WHITE
Trim
O Soil ❑ Asphah
(321) 426 - 0276
1725 Lee Road
Orlando, FL 32810
www surishirestruclures com
10107/2020
Date
CSDOTY@YAHOO.COM
Email Address
34949
Zip
Monoslope
WHITE
Door
Comer
other (Addtl fee)
Final deliverylrnstallatfon location must be cleared from aH obstructions prior to the date al scheduled delivery.
6 10
Size: W X L
Sidewall: 10
Roll Up Doors Size: QTY:
1Nalk-in Door
Qty I
Windows:
Qty
Other:
Qty -
Other.
Qty
Other.
- - -
Qty -
Other.
Qly -
Method of Payment
^
F 1 CASH
ID CHECK
M✓ CREDIT CARD $208.00
Approval #
NotesiSpecial Instructions,
Price: Shed Diagram:
Price:
Price:
Price:
i
Price -
price: --
Price:
Price:
Price: - - - -
TOTAL RETAIL: $1,935.00
TAX
SUBTOTAL: 7.5% S145M
TOTAL: Zl"ZrVCV.VV
Payment Schedule
;Deposit (to%) $208.00
'check #1
Delivery (90%) $1.872.00
Check #2 - -
Delivery) Additions
Fuel SfC
Blocking
Mileage
Total Delivery
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10/07/2020
Customer Signature Date
1 C ALEXANDRA MORALES
P4011 Name Stnshlne Slntctures RepresMarive
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