The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED . Permit Number: Date: Olio L t RECEIVED SEP 13 2021 g 9 Building Permit Application Planning and Development Services St.peCr rnnitie tinry ng Building and Code Regulation Division Commercial Residential 2300,Virginia Avenue,Fort Pierce FL34982 Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding PERMIT APPLICATION FOR: Cyr Wr ug sa,.. ;a :m, B...�„ ,- tis,-a �. .._ _2.IN Address:'yF Property Tax ID#: 3yD (etc, DO 70 000 z Lot No. 3 Site Plan Name: Block No. 7a Project Name: IN lu M is Co LT New Electrical Meter Second Electrical Meter (Affidavit required) CCI � � QI Titer �� r c A a _men,"R"W z" .r ,.�%i'fr` 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: Sq. Ft,of-First.Eloor:. Cost of Construction: $ 1g- Utilities: _Sewer, ' ' Septic Building Height: 70 a-.. .�s' � S' xi Sa L 'Ke 51 Name Name:_ Address: S1l� (,I SQA Company: City: —b-&-t F—r me-e State:, Address: _ Zip Code: Meg.9 e g Fax: City: State: Phone No. ITfnl - 431p -7 16y Zip Code: Fax: E-Mail:D? Ry lh(RO WQ (pm u•c'm 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. 9 •* 8 N' Y Now IN H N KNOW a 011, 0 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. ignature of Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF , `_ , (�A Sworn_Jo(or affirm and iubscribed befo a me of Physical Presence or Online Notarization this day of 2@ � by e0t jo t Name of pereon making statement. / Personally Known OR Pro I tification ✓ Type of Identification Produced Len (Signature of Notary Public-State of Florida) s KAREN S. NIELSEN `�O4�Y PV9�i Commission No. (Seal) ;� tare of Florid a-Notary Public �� ac Commission# GG 207484 My Commission Expires June 12, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION 'SEATURTLE MANGROVE COUNTER REVIEW REVIEW . REVIEW •;REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 5/20/21 91T.LUC�� O Planning&Development Services Department • a Building&Code Regulations ( RECEIVED 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 SEP 13 2�21 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT 3t.Lucie County F.S.489.103(7)EXEMPTIONS Permitting 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. `w 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 thisi exemption. Initial Here. 1z6 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. 1X__ 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..TR:� 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. `�?j 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. -10 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 owner/builder exemption shall -be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Sig an ac w edged cn this day of � of 20 -L1. O rBui er Signature STATE OF FLO IJA COUNTY OF lC� Th foregoing instrum. t w c wledge before me this�day of � 20oZ� , by L, who is personally known to me,or who has produced as identification. 0 AA Signature of Notary T e or Print Name of Notary (Seal) Title:Notary Public r KA ;State of Florida-Notary Public �* •_ Commission #GG 207484 My commission Expires 12, 2022 i ' ✓\►1 JCS t J_ '- �`'"rj( l-C�1J � ._ ... ��,,,,IJ .. (/ RECEIVED ;n ST LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE, FL 34.982 SEP 13 2021 St.Lucie County **NAME Doug Brown Permitting. St. Lucie Count yy - PUTIL ACCT.# 09-13-2021 U3:22:56. 21293/4158 - BROWN :DODUG SERVICE ADDRESS 5500 Cassia Drive, Fort Pierce, FL FORT OIERCE 34982 Amount Teniyered: 519.00 72 SUBDIVISION IRE LOT 12, 13 BLOCK Ali plant Paid:.r 619.00 _ Chance Due;` o4b BILLING ADDRESS 5500 Cassia Drive Fort Pierce FL Thank You User I0: MURRAYA EMAIL ADDRESS: PHONE# - 561-436-7704 MOVE IN/CLOSING DATE 07-01-2020 GUAR. REV. This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or future rates, rules LATERAL and regulations,which by reference are made a part of this contract. Applicant agrees to pay Utility $ $519 TOTAL promptly for such services in accordance'with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. CUSTOMER SIGNATURE SOCIAL SEC/FED ID NAME OF SPOUSE NA SPOUSE SOCIAL SEC. NA OFFICE USE ONLY DATE RECEIVED_C CASH CH # RECEIVED BY X I acknowledge Base Facility Charges beginning for water and/or wastewater on the day the meter and/or service is installed by the County,"regardless of when a customer connects to or starts utilizing the meter and/or service. X I acknowledge upon activation of service,I will be billed and am obligated to pay the Base Facility Charges.