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Home My WebLink AboutBuilding Permit All APPLICA LE 1 FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5 n Permit Number: RECEIVED 4 ��-`L� L!.C....L � -- JAN 2 5 1011 -iiiiiiil,� : �� Permitting Department s '� Building Permit Application St. Lucie Count Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 5gbbS �cE� Coo pl . �T. eler .E Property Tax ID#: 13 — 02 —00 OOO —v Lot No.��o Site Plan Name: Hcui OAy Pioes sID- P " = - L6T (J MA 0 114 Block No. Project Name: FE►YE DETAILED DESCRIPTION OF WORK: it C PIN LINK FEPCE 16 L,V4CAP, er �4 FT Hie-K , Two 0ooG _e I New Electrical Meter Second Electrical Meter �I CONSTRUCTION INFORMAT,ON: (s 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: -_ OWNER/LESSEE: CONTRACTOR: EI Name JoNli Name: Address: 5g35 QCEe, k0t,1 T)C-- Company:__ City: 1 P,C E State: k-L Address:_ Zip Code: 95I Fax: I City: __— State: Phone No. �c�1Z 577— q� I Zip Code:_ Fax: E-Mail: & CDMCa5"' jjg:�- _ Phone Fill in fee simple Title Holder on next page(if different E-Mail__ I 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. � DESIGNER/ENGINEER: Not App11C,30!e M01IRTC—AGE: COMPANY: Not Applicable Address: Address: State: City: State: i p: 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. � 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 Ownefs AssorJation 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 thisroquested permit,I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans,thct:iorid�Building Codes and 4�1. ou-cie County Amendments. The following building permit applica!ionb are exer-opt frorn undergoing a ful!concurrency review:room additions, accessory struCtUres, swimming poois,fenccs,wa;ls, signs,screen morns andiaccessory uses to another non-residential use WARNING TO OWNER: Your failure to Recoroda Notice Of COIrknenceerient.may result in paying twice for improvements to your property. A Notice of Commencement —,ust be recorded in the public records of St. Lucie County and posted _. the —_—' . --- the firs --,—__.I certify that no work or installation has commenced prior to the issuance of a permit. . you intend _sical Presence or Online Notarization Physical Presence or Online Notarization —_'_� 'inanci��"" --'--- with lender or an attorney be are ccirnrnencin�awcirk rjr rec in y Sig4ature of Owner/Lessee/Contractor as Agent tor Owneir Signature. of�_ontracxor/l_ice n sp Holder STATE OF FLORIDA STATE OF FLORIDA � Sworn to(or affirmed) and subscribed before me of *)worn to(or affirmed)and subscribed before me of day of 2026 by this day of Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identificat'l Type of Identification (Signature of N ic-Stabi- (Signature of Notary Public-State of Roricla State Of Floridatotary Pu blic 2 , 2F21 REVIEWS FRONT ZONING SUPERV!SOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE � � Ya � O Planning&Development Services Department • • Building&Code Regulations RECEIVED 2300 Virginia Avenue Fort Pierce,Florida 34982 JAN 2 5 1011 (772)462-1553 OWNERUILDER AFFIDAVIT DISCLOSURE STATEMENT Permitting Departm ounty t B St. Lucie County 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. SCE 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. 9nc 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.LG 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. 3cc— 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. Sccl 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. se-L 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. f✓ 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 Zonis Department to the.Florida State Department of Professional Regulation. Signed and acknowledg on this day of �iPF `l of 24A. .S�� C. Owner/Builder Signature STATE OF FLORIDA COUNTY OF AA:. The foregoing instrumfnt was acknowledged before me this a6 day of Sa ,200_, by 'S JGA 4% <��`O%c who is personally known to me,or who has produced PNIA- as identification. Signature of Notary Type or Print Name of 1 P1/', E L L E N VAUCFIBO Title:Notary Public Commission Number '' ��;State of Florida-Notary Public = mmission p GG 270079 My Commission Expires = October 22, 2022