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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED al Date:08-6-2021 Permit Number: RECEIVED o LIMilo*- Building Permit Application AUG 10 2021 St.Lucie County Planning and Development Services Permitting Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address:_1107 Kingswood Lane Fort Pierce FL 34982 Property Tax ID#: 3404-807-0012-000-3 Lot No. DRIFTWOOD MANOR-SECTION TWO- LOT12 (0.49 AC Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: Heat pump plumbing e- ©C� 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 _X_Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 170.00 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Michael Kessler Name: Address:-1107 Kingswood Lane Company: City:_Fort Pierce State:_FL_ Address:_ Zip Code:_34982 City:_ State:— Fax:— Zip Code: Fax: Phone No. 772-559-0614 Phone No E-Mail:_michaelfreakinkessler@gmail.com E-Mail Fill in fee simple Title Holder on next page( if different 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 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 w' h le r an attorney before commencing work or recording your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner; STATE OF FLORIDA; - - - -- - COUNTY_ _ OF �Gf/E__ Sworn o(or affirm�d)angubscribecl befS�r me of V Physical Presence or Online Notarizationl this day of 20aC�by Name of person making statement. Personally Known OR Produce tadetiffication Type of Identifi ion Pr ced (Signature of Notary-Public-State of Florida) ��`,1 Y P���i Commission N KAREN S. (��DSEN 17 �; ate of Florida-Notary Public _* Commission # GG 207484 My Commission Expires June 12, 2022 REVIEWS FRONT ZONING SUPERVISO PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW R REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE O V Planning&Development Services Department RECEIVED Building&Code Regulations 2300 Virginia Avenue AUG1 Fort Pierce,Florida 34982 O 2021 (772)462-1553 St.Lucie County OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT Permitting 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. r/ 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. /V 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. le 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. 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. 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 owneribuilder exemption shall be reported by the Building and Zoning Departme t to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of (/ of 20A. Owner/Builder Signature STATE OF FLOWAA COUNTY OF • U R, TT nn The oing nstr ent w ckno led OE before me this (V day of ,20 O� , by who is personally known to me,or who has produced as identification. Sign a e of Notary Type or Print Name of Notary (Seal) Title:Notary Public n Number ;; YP�a,, KAREN S. NI7EN ==o �,,State of Florida-NoCommission # GMy Commission e. June 12, 2022 5. r.<,