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Home My WebLink AboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Residential Phone:(772)462-1553 Fax: (772)462-1578 Commercial PERMIT TYPE: 2 � Property Tax ID #: �l,�1 3-I Block No. Site Plan Name: Project Name: x RWA - CA 6-ffi � Y -�v L CLC Cam•- w.' +`3' �:-3 •. "�': - y�-_ ,y�''u h•.-�^y.sq g_s."��'' �" 3" � � h ''�'�� ; p :�. � ... Ate._��'� �;xY�`&�`FYr- �.-"J•..s�r3-` 3.g� -�W� Additional work to be performed under this permit-check all that apply: Shutters Windows/Doors. . _Mechanical —Gas Tank —Gas Piping _ — S Sprinklers Generator :Roof Pitch _Electric _Plum g — P — � r Total Sq. Ft of Construction: � ;•Sq. Ft. of First Floor:.,; . ; Cost of Construction: $ Utilities: —Sewer _Septic Building Height: a,• ..rs �; tv'� Svc:"z��e "�$ �- " � r�"� '�..F�T � - _ Name l� Name: Address: �° } -�.�_ _ ilV -p.tr ,.ta �,,x1�lfgt,�}°7's'i��ti Mw'`,rt}:;.�•.. tp', State Address:• '• Cit it ;, �t' �R t `:` %', i y t,) )4c+ Fj r611ira:.•r.,t�.:Yir. ' + State: Zip Code: - -"c,� r=� Zrp'Coie:. ��••Fax: Phone No. 03. E-Mail: vi 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 HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. 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 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE,TIIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." i Signature Owner/Lessee t for Owner Signature of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF COUNTY OF The 2forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thi k_day oft-JD0AAC L. _ 20 by this_day of 20_ by Na of person making sta ment. Name of person making statement. Personally Known OR Produced IdentificatioJ Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced na ure of Notary PIhlicNtatp c)f FI rida (Signature of Notary Public-State of Florida ) 2wkell IN MING Seal Commission No. ,! YCOM N�I-9GO275060 Commission No. (Seal) , EXPIRES:December 20,2022 113ondedibu_ - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEAURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW , REVIEW REVVIEW REVIEW DATE RECEIVED LA Z DATE COMPLETED Rev. 2/7/19 l r. ...•.tilt?Yf,G Ct'�,.�.0 i5;p'4 t ELLYJ I . I,L 00, N � , „�� fro 01T.LUC E O Planning&Development Services Department Building&Code Regulations 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 OWNERBUILDER 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 exemption. Initial Here. 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 s, d zoning regulations. Initial Here I understand that the building official and inspectors are not there to design or give advice on how to meet/#ie 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. 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 f the license. Initial Her 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 c st Thich 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 Department t the Florida State Department of Professional Regulation. Signed and acknowledged on thi day of of 20 2v O erB ilder Signature STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me thisa L day of ftApy_A%_. ,20V ; by who is personally known to me,or who has oduced 0�.. as identification. igna ure of Notary Type or Print Name o otary Title:Notary Public Commission Number 'r•''"� �' s Lq014MINGRAM.tiAWING W COMMhSSiON#GG 275060 EXPIRES:Dewder%2022