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HomeMy WebLinkAboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building pp Permit Application SEP 15 2021 Planning and Development Services fit,Luci® ounty Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 CBDG Funding PERMIT APPLICATION FOR: E�G yP��?PESSEfl IM `R(`�1f�MEfiIT LQC�T��]N > fi � � _ r � Address: 56(o t. A-Jl5 — I k -C Property Tax ID#: 13 � Z �-- OO � Lot No. Site Plan Name: Block No. g Project Name: DETAILED ©ESCREPTIDN QF WQRK _ lall ColUMAIS 4' .Fb 101,9 N T fF f5r-- S 0PPOL`C121D Z� fr000t� P©5 i 5 Au /I IJ .1- 6 E �ae- " LS New Electrical Meter Second Electrical Meter (Affidavit required) Ca( STRUC�ION tNFQR 9IN't, 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:g Cost of Construction: D Utilities: Sewer —Septic Building Height: ®UVNER/LESSEE a CONTRACTOR _ _ v Name Name: Address: Company: City: ` If R W State:FL Address; _ — , Zip Code: Fax: City: State: Phone No. Zip Code: Fax: E-Mai : - QI • C Phone No Fill in fee simple Title Holder on next Pa Ye (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. O Planning&Development Services Department • o Building.&Code Regulations RECEIVED 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553• S E P 16 .2021 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT St.Lucie County F.S.489.103(7)EXEMPTIONS Permlttlr+Po 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, 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 perform the work being done. Your construction must comply with all applicable laws, ordinances, building co es, and zoning regulations. Initial Her 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' 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 co he license. Initial Here. I understand that if any person that is unlicensed and dninsured gets injured do my construcfion projebt-they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost t 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 rep rted a Building and Zoning Depa n to�eoWa,State Department of Professional Regulation. Signe a ackn wledged on this day of 0_ZOL OwnerB 'er gnature STATE OF FLO A COUNTY OF ,9 Th&furqgoing instru was c wledged before me this day of ,2002 by 4<L1 who is personally known; to me,or who has produced as identification. �v Sigria�ureofotary . Type or Print Name of Notary (Seal) Title:Notary Public Commission Number ""'.1YPV i� KAREN S. NIELSEN P State of Florida-Notary Public * Commission # GG 207484 OF Ff My Commission Expires June 12, 2022 L A L vJ O O f� �A 2.1L -----�----------�---- ---------- _..._...._ RECEIVED SEP 16 2021 St.Lucie County Permitting CIO >;►O T Tv i GCALE . : y a J o i �? �l U N 0 14 V / ? ARr Y�t,GaT • ParlrMGATr ~ N �•--.._..._____.------•---.—.._._.V,.. __�..__i.__.^ - - _ - _ --EOca�—. DAVEMENT � E L L � ,� i R ,� vC .