The URL can be used to link to this page

Home My WebLink AboutBUILDING PERMIT APPLICATIONARAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:�s o`. LCsCQr r r �° : • T Building Permit Application Planning and Development Services 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: WIN �� Address: Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: 0. _ -. _ MEMBER /sue-j�_ [kXL v New Electrical Meter Second Electrical Meter (Affidavit required) 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 Floor: Cost of Construction: $ f �(�, C�� Utilities: —Sewer —Septic Building Height: s. IBM.:-.-. o. Name -Name: " / Address: (y (/ (/ . Company: City: State: ,Address: Zip Code: Fax: City: State: 00 Phone N Zip Code: Fax: E-Mail: •P& o Fill in fee simple Title Ho er on next page ( if (ifferent 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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. MORTGAGE COMPANY: _-Not Applicable DESIGNER/ENGINEER: _ 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 le r or a ttorney before commencing work or recording our Notice of Commencement. Si Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF 57k„A,j ( Sworn to (or affirme )and subscribed before me of C,Physical Presence or Online Notarization thj� day of 20_Z� by Name of person making statement. Personally Known OR Produc d Identification Type of Identification Produced[, (Signature of Notary Public- State of FI i a-) Commission No. (Seal) ZZOZ 'go Alenlga j S811dX3 Il01SSlwwoo AW L LZ> 81. uolsslwwo0 31Ignd Alelo-pp!,' 8 alcl� Jo alel amend yz: REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW Gq S URTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Rev 5 2 2 Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERIBUILDER 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 c or municipal licensing ordinances. Initial Her . 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. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to e orm the work being done. Your construction must comply with all applicable laws, ordinances, buildin odes, a 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 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 owner/builder exemption shall be re orted b the Building and Zonin Departme t to the Florida State Department of Professional Regulation. Sign d a a owledged on this day of of 20'Z,-/ bwTr6r7ui r Signature STATE OF FLORIDA COUNTY OF S4-- W WC The foregoing instrument was acknowledged before me this Z!;�ay of 20 S by who is personally known to me, or who has produced DL as identification. r. - Signat re of Notary Type or Print Name cf Notary Title: Notary Public Commission Number _ 90 j,aenJ4 ,,jiidx3 uolssiwwo0 AW �l.Z£SL go #i uolss! o a° �S oll4nd AieloWePi3old 1 as0�bns a3Hi�� St. Lucie Count - PUTIL 08-24-2021 �9:37:27 2�250/5332 MORTAPINCEANOY L 34962 $ Amount Tendered: 520.00 Amount Paid: 520.00 Change Due: 0.00 Thank You User ID:. MURRAYA -, .,ATER FPUA CFC CFC/SEWER GUAR. REV. LATERAL $ $519 TOTAL UCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE, FL 34982 *Candy McTeague # cot ).m-- �332- -E ADDRESS 5612 Sunset Blvd., Ft. Pierce, FL 34982 VISION IRE G ADDRESS 5612 Sunset Blvd., Ft. Pierce, FL 34982 EMAIL ADDRESS: cdmcteague913@gma(( com PHONE # 706-231-0688 LOT ,�2 BLOCK_Gv MOVE IN/CLOSING DATE already living there 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 and regulations, which by reference are made a part of this contract. Applicant agrees to pay Utility promptly for such services in accordance with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. CUSTOMER ****310-84-6235 SIGNATURE �`�"' SOCIAL SEC/FED ID Michael McTeague -NAME OF SPOUSE SPOUSE SOCIAL SE 592-96-8176 OFFICE USE ONLY DATE RECEIVED — q� CASH ✓CHK # RECEIVED BY 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. I acknowledge upon activation of service, I will be billed and am obligated to pay the Base Facility Charges.