HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �//
Date: 6/22/17 Permit Number: i� ]UP-
_
Building Permit Application ST LUCIE'�j� �('�Y BOAR-
D
Planning and Development Services OF COUNT�f`L!C'IG 411M?,)NE.
Building and Code Regulation Division BU I LD i N ';k ir 2' 1`J
2300 Virginia Avenue, Fort Pierce FL 34982 r
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential �� �..
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 6311 Oleander Ave., Ft. Pierce, FL 34982
Legal Description: Long Legal, See attachment
Property Tax ID#: 3409-804-0003-000-3 Lot No.
Site Plan Name: Tatarowicz Car Barn Block No.
Project Name: Tatarowicz Car Barn
Setbacks Front Back: 20' Right Side: 25' Left Side: 81'
DETAILED DESCRIPTION OF WORK:
Residential Detached 6 Car Garage with Private Restoration Center.
CONSTRUCTION INFORMATION:
Additional work to be Derformedun er this permit—check all app y:
ZHVAC Gas Tank Gas Piping _Shutters t• Windows/Doors
�✓ Electric Z Plumbing Sprinklers 13 Generator ��J Roof 5 2 Roof pitch
Total Sq. Ft of Construction: 4938 Sq. Ft.of First Floor: 2870
Cost of Construction: $ /.Z7, G100 Utilities: 0 Sewer Z Septic Building Height: 25'
OWNER/LESSEE: CONTRACTOR:
Name Philip Tatarowicz Name:
Address:6311 Oleander Ave Company:
City: Ft. Pierce State:FL Address:
Zip Code: 34982 Fax: City: State:
Phone No.772-828-0158 Zip Code: Fax:
E-Mail:dmckenna@bellsouth.net 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.
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:
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 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 work or recording our Notice of Commencement.
�1. �Yi 2c`rLut/� s
Signature of ner/Lessee/Contractor as Ag for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF A c COUNTY OF
The forgoinginstr ment was acknowledged before me The forgoing instrument was acknowled d before me
g �
thi � day of 20 t1by this day of by
(Name of person cknowledging) (Name of person acknowledgin
ign ture of Notary Public-Stat f Florida) (Signature of Notary Pubic-State of Florida)
Personally Known OR Produced Identification y Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
A INGRZP
a —
°• �;; Notary t ublic-State of Florida
Revised 07/15/2014 : p,1y Comm.Expires Dec 20,2018
commission #. FF 177249
''•.,�;;;°° t rough Naticnal Notary T.7sn.
REVIEWS FRONT. NING 'ERR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
.NOTICE OF COMMENCEMENT 0
Permit No.
ki ��p- � � Tax Folio No.3,10� ' �dy' 0003• C)M—�
State of Florida County of St.Lucie
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement.
Legal Description of Property:(and street address if available): m o T mz7r>0
0 ca M co
P-r -Sec- 01 - 36 - I/D M T
YL IAC ET-) C—,�.eA-6E Z AWC
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General description of improvement: } P g N m<n
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Owner information or Lessee information if the Lessee contracted for the improvement: g 1 0
Name �I-1 L 0 C 7- m^ M N� .�
Address e,3,1 QLEAMDI fK ALlE FT- w-RCE 34 lea �o �
Interest in property: t: fl1 ' fZ
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Name and address of fee simple titleholder(if different from Owner listed above): m
z
Q� ,-4 n
Contractor's Name:
Contractor Address: Phone Number: z o
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z
Surety(if applicable,a copy of the payment bond is attached):Amount of bond:$
1
Name and address: Phone number:
Lender Name: Phone Number:
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes: / J
Name: PAIL)P M. �/�II1F�QW)C? Phone Number: hy—�I�B
Address: u �7/EAA,DER AVE, fT Pj RE CC FL '3�jq
In addition to himself or herself,Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Phone number of person or entity designated by owner:
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 10B SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge and belief.
fy�
(Signature of OvVer or Lessee,or Owner's or Lesse Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instrument was acknowledged before me th sC�day o+AjQ--
20A'
By s Q ti for
=&PAson +il ' ,j0 ff Wf icor2n i e arty on behalf of who instrument w cutied
a9�La; LASHAHNA INCRAM
Notary Public-State of FlorfW nally known or produced Identification
Signa ure of Notary Public-State Florida) ,`, ; MY C&M.Expires Dec 20,2018
(Print,Type,or Stamp Commissioned Name of taYS� �S COMMission #FF 17724$yp f Identification produced
ONION dlrough Natm,al Notary Assn.
if�'
Planning&Development Services Department
COUNTY Building&Code Regulations
• 2300 Virginia Avenue
Fort Pi,r ce,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 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 to a licensed
contractor who is not licensed to perform the work being done. Your construction must comply with all plicable
laws,ordinances,building codes,and zoning regulations. Initial rr i
I understand that the building official and inspectors are not there to design or give advice on how to meet
the minimum code. Initial-6-`'=
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_51r.�
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 liKle for the
cost of the 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 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
Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
9; v-Oay of of 20 LJ_.
�. r Signature
Owner/B ilder Signature
STATE OF FLORID
COUNTY OF
T oing instrument was acknowledged before me thirVc* day of ,201-71-1
by who is personally known I to me,or who has
roduced as identification.
'--gighature of Notary Type or Print Name o otary
�
Title:Notary Public Commission Number .,�<,,a�„�B� LASHAHNA ING RAM
Notary Public-State of Florida
w My Comm.Expires Dec 20,201,q=
SLCPDSD Revised 05/15/2014 COINIRission # FF 177249
''� �F�'� Boni^1i�rough National Notary Assn.