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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: /Address: I �) Property Tax ID #: Site Plan Name: Project Name: RI;ft© Building Permit Application 1111'25 20Z, pe1fiitting De St. Lucle CParry/ent Commercial Residential Lot No. Block No. Additional work to be performed underthis permit -check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters ; Windows/Do rs _Electric _ Plumbing _Sprinklers —Generator __L/Roof, /!Pitch Total Sq. Ft of Construction: p���C. I Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer _Septic Building Height: MARNi ,v,�a��� 'gr ga Y , r '" x f sb�= �' e.:"',-' .ham'?',:` r Name r Name: - Address: Company: City: State: _ Address: City: State: Zip Code: Fax: Phone No. Zip Code: Fax: one No E-Mail: r "107 , Fill in fee simple Title Holder on next page ( i(different E-Mail State or County License from the Owner listed above) 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 ORTGAGE COMPANY: _ Not Applicable Name: Name: Address: A Address: City: St t City:,,,State. Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ t Ap lica 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 IM V ENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON 9 SITE BEFORE 3::F?ST INYPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO ENDR OR ANAdORNEY FORE oQji-i eG Yg!rR NOTICE OF COMMENCEMENT." ` � r _b Signature of Owner/ Le see/Con racto as Agent or wer Signature of Contractor/License Holder STATE OF FLORIDAn-� ' STATE OFFLORIDA COUNTY OF UN The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20.')-( by if this day of 20_ by Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identifica ' n Type of Identification Producedy Produced (Signatur (Signature of Notary Public- State of Florida ) VELIN, ELLEN VAUGHN P(,B /ii Commissi 1PPY `;State of Florida-Noc��rr����P�ublic -. - n # GG7iJb79 Commission No. (Seal) My Commission Expires REVIEWS SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE yFRONT ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 2/7/19 ONTO LUCIE O U NTT'Y 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 Hero///— If you sell or lease a building you have built or improved within one year after construction is completesthen a presumption is created that it was built or improved for sale or lease, which is a violation of this exemption .�/ Initial Here.J( 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, % zoning regulations. Initial Here. 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 court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required to be jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction proje entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medi could include loss of wages during recovery from their injury. Initial To qualify for this exemption under this subsection, an owner must personally appear, sign the I application, and initial the above I hereby acknowledge that I have read and understand the above disclosure statement and tat I further and rst 26 that any violation of the terms of the owner/builder exemption shall be reporte y e Buil ing an o g Department to the Florida State Department of Professional Regulation. Signe d owl on s day of of 20c'34. wnerBuilder Signature STATE OF FLORIDA COUNTY OF The fore oing i strument was a owledged a re me this day of 0, by is personally known t me, or who has produced as identifica CELLEN VAUGHN ;20&'pState ofFlorida-Notary Public Signature of Notary Type or Print N e o o aC �e(aC on s GG 270079 f�17 b�mmission Expires Title: Notary Public Commission Numbe �°QO October 22, 2o22