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Home My WebLink AboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 01 Date: Permit Number: VIO J 91ro RECEIVED p • .. . s MAR 2 4 1011 Building Permit Application Permitting Department Planning and Development Services St. LUde my Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1S53 Fax: (772)462-1578 PERMIT APPLICATION FOR: JUt4o NIL_L,e5 l*"E_-ROD F PROPOSED IMPROVEMENT LOCATION: Address: 6.35 L ox)L ra, PP K.-T C>F Gy3 SI�dGrf. Cap)( �. 3�i9s� soJ Property Tax ID#: 3 4 1L{ ' 501- 0215- 190 --G l Lot No.Cf Ldj Site Plan Name: <APT L_dCIG 4,4ADFI,� al- %� LMAP 3y� i� Block No. 3 Project Name: /,�4IL_Lll�s DETAILED DESCRIPTION OF WO O ALIZ00 005 6Y q6l (WiE4 Rt FY�ST824 J,�LI I .5V /&>F)A)C f!X)UEJ 5 aP New Electrical Meter !%J A Second Electrical Meter :4 —1 CONSTRUCTION INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Pond ;c _Electric _Plumbing _Sprinklers _Generator Roof 3 Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: i Cost of Construction: Utilities: _Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name �n hrJ Name: Address: S1LV�•(L c)i>l< PrL, _ Company: City: 5 I PJ wr. (f_ State:r L_ Address: Zip Code: Fax: WA City: State: I Phone No_ of e,ARL, ; L{Lk Zip Code: ax: E-Mail:�� dr pio�3 P aNrx I ; cc Yrl 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 CONSTRUCT N LIEN LAW INFORMATION: DESIGNER/ENGINEER: _I Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: S✓.N j P L),s; Address: Address: PC> LSo' `-11 City: State: City: AL;T ,>>^_ State: mb Zip: Phone Zip: 2i2.-+!J 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 lender or an attorney before commencing work or recording our Notice of Commencement. /J�,/_yz'� 4 1 /'� Sign ure of Owner/Lessee/Contractor as Agent for Owner Signature Contractor/Lic I r STATE OF FLOR DA STATE OF FL RIDA COUNTY OF ! LLA C',t� COUNTY OF Swor to(or affirmed)and subscribed before me of Sworn to(or affirme and subscribed before me of P ysical Pres nce or Online N tarization Physical Presence r Online Notarization this day of C:r� 202$ by this day of 2020 by e 5 Name of person making tatement. ✓ Name of person making state\nt, Personally Known OR Produced Identification Personally Known Od Identification Type of[den ati n Type of Identification Prod cedes ri ell 4CPa'l� Produced at Y Lori A. Desalvo < NOTARY PUBLIC (Signature of Notary Public-State of ` 4 Comm GG1 g ignature of Notary Public-State of Florida ) 'soh Ill. Expires 10120110 Commission No.641306 (Seal) F01mmission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. (�l UUoIudC L� �J O Planning&Development Services Department J • Building&Code Regulations 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 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. �e C 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 Here9 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 an zoning regulations. Initial Here. 9�1 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. 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.�s� /r 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. 9'-" 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. ,— 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 Zoning Z3rJ Department to the Florida State Department of Professional Regulation. Si ed and acknowledged on this]ft� day of A/LL�of 20 z1. Builder Signature STATE OF FLO COUNTY OF �`�— yrIL The f oing i acknowledged before me this t33 day of ,20 c; , by n who is personally known to me,or who has produced vt UCCA-1 as identification. , h 4& P 'O.A'0.4 It y Lori A.DeSalvo Signature of Notary Type or Print Name of Notary a< NOTARY PUBLIC Title:Notary Public Commission Number GO 130(D4 iq o -,STATE OF FLORIDA W Z ?Comm#GG130649 SINCE 19�� Expires 10/20/2021