HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04-06-2021 Permit Number: 6d -/,,
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: FENCE
k�� f*�77
PROPOSED IMPROVEMENT LOCATION:
Address: 5966 GRAHAM RD
Property Tax ID #: 2313-412-0003-000-3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
FENCE, WOOD, LINEAR FOOTAGE=62 FEET
HEIGHT:6FT TALL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1000
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BR ITTNEY , JOSEPH HURT
Name:
Address: 5966 GRAHAM RD
Company:
City: FORT PIERCE State: _
Zip Code: 34947 Fax:
Phone No. 5642025472
Address:
City: State:
Zip Code: Fax:
Phone No
E-Mail: BLOVEJOYHURT@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
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: X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FFF CIMPI F TITI F HOLDER- X Nnt Applirable
BONDING COMPANY- X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDV!T: n,pPlicat!on ,s hereby made to obtain a permit to do the':rork 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 !ender or un attorne ,before commencing .vork or recording* your Notice of Commencement
Signature o essee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA 1 L J uL
STATE O FLORA'
COUNTY OF f
COUN
Sworn to (or affirmed) and subscribed before me of
Sworn to (or of med) and subscribed before me of
Physical Presence or Online Notarization
Physical Pre nce or Online Notarization
this ",_ day of 2020 by
this day of 2020 by
Name of person making statement.
Name of person making tatement.
Personally Known OR Produced Identification `�
Personally Known R Produced Identification
Type of Identification
Produced
Type of Identification
Produced
(Signature of Notary Public ate of Florida)
= p'=
(Signature of Notary Public- State f Florida)
Commission No. Seal
(
„II
ommission No. (Seal)
�o
_
i0 ° 2
T-<3mm
REVIEWS
FRONT
ZONING
SUP
(Du p
PLANS
VEGETATION
SEA TURTLE{
✓S O N T -i
COUNTER
REVIEW
RE
A11_ a
EVIEW
REVIEW
REVIEW
DATE
I�
mo c,o
N� �o c
RECEIVED
NmM v
Rx
DATE
Af11
�
N — W
N'CD
y N C _,
�Q�
/'/fin CTCII
�..VIV11 LLILV
cD
�Q
ev. F
91r. FLUME
O f 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 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 codes an
zoning regulations. Initial Here
I understand that the building official and inspectors are not there to design or give advice on how to meet thr
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 license. Initial Her cost
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,
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. Si ned and acknowledged on this -�_
day of of 20
,1 k Q?4
O er d r e
STATE OF FLORIDA
COUNTY OF �Sjo- 1�IJG� 1C
The foregoing instrument was acknowledged before me this --7— day of , 20__-Z
by who is personally known to me, or who has
produced sw=as identification.
�/849
S� nature of Notary Type or Print Name of Notary ;o��•P�;;��e�IfATHER BURFORD
,a e : state of Florida -Notary Public
Title: Notary Public Commission Number =* *E Commission # GG 183217
0;F1;oW My Commission Expires
February O6, 2022