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Home My WebLink AboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �J • �.2I_ Permit Number: RECEIVED ° Building Permit Application BAR 2 2021 Planning and Development Services Permitting Department St. Lucie unty 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: (9 f-�• Wood PrNckcy knw- PROPOSED IMPROVEMENT LOCATION Address: 5(005 Ki Mmou aye. 1:1 Pipsce 1;I 3�-I951 Property Tax ID#: (Z)(� - �' ��' Lot No.� Site Plan Name:?on l n+fod Horne_ Block No. I5 Project Name: k_nCe_. DETAILED DESCRIPTION OF WORK ,QC R. boo-re, on bdo.M QYNacu :DZ nro w 44n 2 Q o-hj New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION Additional work to be performed under this permit-check all that apply: �Mechanicat Gas Tank Gas Piping !Shutters Windows/Doors Pond Electric !Plumbing !Sprinklers !Generator !Roof Pitch Total l<Ftt OL of Construction: 202.$� Sq. Ft. of First Floor: Cost of Construction: $ 2,4 56. C O Utilities: —Sewer _Septic Building Height: (0 OWNER/LESSEE ..Y4 ;,. CONTRACTOR: Name M on ah A bLP-A C G,n+hL6 Name: Address:S(oOS IC►11nrmq uvQ Company: City: I5-t. 1P(Qrc2 State:EL Address: Zip Code:3y951 Fax: City: State: Phone No. -1-12- 323 - $7 S 5 Zip Code: Fax: E-Mail: Qb1�nnK�riro.�1,i Vic•Qc!V 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. e-"J. PPLEMENTALCON R NIAWIN ,,;SUPPLEMENTAL vA-,e 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. RECEIVED The following building permit applications are exempt from undergoing a full concurrency review:room additions, MA 12 2021 accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residentialuse WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in paying P,' Ca ,,19 partmept improvements to your property.A Notice of Commencement must be recorded in the p ic 6966F&r6f 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 your Notice of Commencement. &-- Signature of Owner/ieYsee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA k STATE OF FLORIDA COUNTY OF SA . L--X)r_ke_ COUNTY OF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of )&� Physical Presence or Online Notarization Physical Presence or Online Notarization this \%-- day of- YN%A 2024 by this_day of 2020 by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of[dentificatio Type of Identification Produced L Produced (Signature of Notary DEAN A GIVENS (Signature of Notary Public-State of Florida Notary P blic state of Florida Commission NoAkk 359 Commission No. (Seal) COM49W'1H 08 My Comm.Expire,Jan 28.2025 National Notary Assn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Te—v-.-5/6/20 gu. O Planning&Development Services Department Building&Code Regulations RECEiVED 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)4624553 MAR 12 2021 Permitting Dapartment OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT 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-faultily 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. M A 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. M A 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. MA 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. M A 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. M A 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. MA 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. M A 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 to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20_ OwnerBuilder Signature STATE OF FLORIDA COUNTY OF 54. The foregoing instrument was acknowledge before me this Va day of -VN A ,20"4-1 , b o"a V\ k who is personally kno produced as id t'�,�� ;L DEANNA GIVENS "`�p�, r°• y. �: Notary Public-State of Florida a o; Commission;HH 086359 ? o- ''F °. My Comm.Expires Jan 28,2025 Signature of No Y Type or Print Name of Notary """ nded through Nat' g tary Assn. Title:Notary Public Commission Number H9