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Home My WebLink AboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: (`��n(y 00sg Building Permit Application Planning and Development Services I / 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: _PROPOSED IMPROVEMENT LOCATION: Address: � r�_� 1�I�� GCk "1/ � C�Y1e- Ei Vle'(Ce, L L � Y2S � Property Tax ID#: D(nl T3D • S-W - W�r 'OL. Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: lIStNC� �`7G CI / New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _ Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Y`/-0 " Z i 3 -0 Sq. Ft. of First Floor: Cost of Construction: $ 4- 12 o Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name lq na I c,, ��iY"1\CJ Z Name: Address: l-(( -�, 6 T. ,.(*")a C Company: City: { (C`Ccc State: a. Address: Zip Code: Y / Fax: City: State: Phone Nof 7 7_-),) 4L�-�6 7 0 Zip Code: Fax: E-Mail: 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 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: 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. lj�oyj r C-c�__ GC( me-Z Signature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORI COUNTY OF�� -.��►r�o Sworn to(or affir )and subscribed before me of Physical Presence or Online Notarization this day of AiLA 21Qa� by 4A,&YTA , J".�W Name of person making statement. 0 \ Personally Known + OR Produced Identification \v Type of Identification Produced (Sign Xur of Notary Public-StatY of Florida ) Commission No. (Seal) i„r * W MYc�MIMISSION GG 275060 December 20,2022 71W REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev PLANNING & DEVELOPMENT SERVICES DEPARTMENT COUNTY Building& Code Regulations Division 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 (772)462-1553 FILLED LAND AFFIDAVIT I, the undersigned, am the owner of the following described property, � • spa -emu coo.;- (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. W ad i c G cA VA Property Owner Name(Please Print) �n av�eZ -03 - I Property Owner Signature Date STATE OF FLORIDA,COUNTY OF %J^ ACKNOWLEDGED BEFORE ME THIS (9 DAY OF BYju�&. WHO IS PERSO LLY KNOWN TO ME([a OR WHO HAS P UCEDPt* AS IDENTIFICATION. TW SI ATURE OF NOT P LIC TYPE OR PRINT NOTARY COMMISSION NUMBER _ : '?"'•S LASHAFtti WWAM-PANNING .; ��_'MY COMMISSION#t3G 2150�0 r =? E)fPtRES Deowbet 20.2022 B=M Thro Notary PubNC UaienNiteta SLCPDSD Revised 04/1 l/20l l �4o d�C�GC� Q 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, hen 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 license to perform the work being done. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial Here. I understand that the building official and inspectors are not there to design or give advice on hog wl{25 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. 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. WVG 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. me 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 Zon ng Department to the Florida Stat Department of Professional Regulation. Signed and acknowledged on this day of of 2 . M� -'//l N (C�G Ciyy eZ OwnerBuilder Signature STATE OF FLO DA COUNTY OF A� The for 'ng instrument was acknowledged before me this�day o 20 c: , b , who is personally kno to me,or who has oduced FL /.Q( _as dentification. LASSNAHM "gna of Notary Type or Print Name of Notary } �'QSMAp6S10N=tif327506ptary Public Commission NumberEXP Beeember20,2022 Raided�Mr Notary PuWlc