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Home My WebLink AboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 91)'o WII CE RECEIVED ca C) L9 Building Permit Application NOV 19 2020 Planningand Development Permitting Luc Department P St.Lucie County Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address:—':)3 ) 7 Etm fe/ � 0a k--r, S� _ Property Tax ID#: 34D4- 7 I (20010 — 000 — I A-132511 Lot No. Site Plan Name: P-LZ)VC Block No. Project Name: IU Ri ye DETAILED DESCRIPTION OF WOR lim ovl NOv1-�i Sio(el 3000 psi �'' w/ �l� ickev►e ff!? e. 0 New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: 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: `ISD Sq. Ft. of First Floor: Cost of Construction: $ Utilities: -Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name POdxt't kicAoQ Name: Address: 5- 1Yl Stc6c'W Oafs SF Company: city:Fovt DleVice Stater Address: Zip Code: 3q9g1 Fax: City: State:_ Phone No. 1-1�• 391 qlOb a— Zip Code: Fax: E-Mail: YQbe►-t. kidAQ4 PAVVIGLI CVVVI 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: 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 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 paying twice for improvements to your property. A Notice 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 lencler or an attorney before commencing work or recording our Notice of Commencement. Signature of 6,Ainerl Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF , l)CIC. COUNTY OF Swo to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of 71P ysical Prese ce or Online Notarization Physical Presence or Online Notarization this AT day of 2020 by this day of ,2020 by Name o person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identific r Type of Identification Produced Produced IL In A-K (Signature of N Uh - (Signature of Notary Public-State of Florida) KAREN S. NIELSEN o,�peva�e State of Florida f5ewly Public Commission No __ �- Commission No. (Seal) - ommission # GG 07484 F`0;� My Commission Expires REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Te—v. 5/6/20 O �p Planning&Development Services Department RECEIVED Building&Code Regulations 2300 Virginia Avenue NOV 1°.9 2020 Fort Pierce,Florida 34982 (772)462-1553 Permitting Department St. Lucie County 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 exen. initiamp re. 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 Bodes, zoning regulations. not there to design or give a how to I understand that the building official and inspectors are dvicinnitial Here.meet the minimum code. 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 Here. C 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 InitialHe license. 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 I edica nitial HeCe,� "Which 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 that I further understand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Zo g Department tote Florida Stat Department of Professional Regulation. Signed and acknowledged on this day of � of20�. Owner gui lder Signature STATE OF FLO COUNTY OF dayof Th in "is nt w cknowledged before�mheothi is personally known�J�y to me, whoi as by as identification. produced Signa a of Notary Type or Print Name of Notary (Seal) Title:Notary Public Commission Number KAREN S. NIELSEN =o State of Florida-Notary Public _* Commission # GG 207484 My Commission Expires ''�PiMO June 12, 2022