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HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INF6 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y47 Date: ' �'�� Permit Number: �� �'!R . RECEIVED 9TL Lac ri ;1 NOV 2 3 2021 Building Permit Application St. Lucie County ri 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 CBDG Funding PERMIT APPLICATION FOR: C j FRQFQSp MPROVEMENT LOCATION: -� Address: �--C2 kg-(Ci`1d r�;OOIf r a.'J zb�--L 1), P✓c -e- Property Tax ID #: ow-7 Lot No.� rr�, //Q Site Plan Name: Lk S I�voo Ao qvI Block No. __ Project Name: �// �'I' tlo. DETAILED 6tRiPTION OF WORK: f�©s R,06 2Gc C / �A C r^� fJ/ �/r-E1,'y �UW 0,1- 50,: � �j w fl�j kL (-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 _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: � -5 - o '� %�" l Aq Sq. Ft. of First Floor: Cost of Construction: $ Z Q 5-0 Utilities: —Sewer _ Septic Building Height: c _ Name: Name oLfbtitp r( J /S9 Address: D 2 d /" Company: City: fPiCp State:L Address: Zip Code: ;3 S(%51 Fax: City: State: Phone No. ?4'2-3 9SS E- Zip Code: Fax: -?-o,1- Mail: YY115(ald GI�Y!CJ � Mai t . t6,4 Phone No Fill in fee simple Title Holder on next page (if different E-Mail _ State or County License i 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. �K)cs(-? 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 Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such which conflicts with any, applicable structure. Please consult with your Homeowners 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 r an attorney before commencing work or recording our Notice of Commencement. Signature bf caner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF 5)�7 L.uca (, Sworn to (or affirmed) a d subscribed before me of '�Cycal Presence or Online Notarization this lkday of M20 by Name of person making statement. Produced Identification Personally Known OR Type of Identification Produced _ (Signature of otary Public- Sta of F orida) HEATHER BURFORD ``OtiPPY9 Commission No. (Seal) _2 ,State of Florida Notary Public •= Commission # GG 183217 °' My Commission Expires FOFLOP 'F � February O6, 2022 ��lllll\\ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev O " Planning & Development Services Department 11 • _. • — i - 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. aAA 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. 6 L A t — 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. i n L 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. nI u ft I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in acivil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial Here. �J # R 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. t t# n 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. 00- 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. Signed d acknowledged on this F�-- day of of 20DI. ' OwnerBuilder Signature STATE OF FLORID COUNTY OF a� The foregoing instrument w ackno ledged before me this day of N 20d by f I %%'who is personally known to me, or who has prod ced f as identification. m Signature of NoW lWe or Print Name of No ary Title: Notary_Public Commission Number AUDREY B. HUMPHREY gib? ...qro . MY COMMISSION # GG 300817 N • EXPIRES: March 6, 2023 ,i ••.FUF ,�,: Bonded Thru Notary Public Undervtite^• I -- OFEM I m A ti meWl w arrwyI - wm wiem c ur c mr u uescnpoon, Lermr uws, rropeny am omer purvey rm m Una. fit, N BEARING REFERENCE: CENTER LINE OF LAKELAND BOULEVARD AS N 90'00'00" W i6 ALL BEARINGS SHOWN HEREON REFERENCED THERETO. I � i LOT 30 I LOT 29 LOT 28 BLOCK 101 BLOCK 101 BLOCS'0+ SCALE:1 "=30' 5900 "'G OOT 75.00' (FtM) 5ET IRON SET RO'd — ROD ;12 C .c;C.E r.ER a+�-1 �P ROD 112 X FENC`_ 0.4 CFF WELL-� _ I CONC. PU L 70- I 0 0 5LY.80 �0.50 N o LOT I LOT 2 ' n BLOCK 101 BLOC.( 101 ONE 5TOKY AFENCE _ ' $ RE51DENCE #7204 EM 1.4 0 27.45 20.10 10.2E - COVERED CCNC. y CONC. OUT WAS CONC. Cn DRIVP.VAY R, FOUND 5/8 iRON ROD 5ETIRON 0.05 N 1 ROD 12' 0.05''N —�— 74.05 (M) .. BLOCK 75.CO (P) ' COM OF LOT I N900 00' 001w BLOCK '0+ FOUND 518' .•'i Ln IRON ROD LAKELAND BOULEVARD A51"HALTROADWAY !+Ens LAT 70 %GMT -OF -WAY AERIAL PHOTOGRAPH (MAY NOT SHOWLATEST 1MPROVEMENTS) (NOT -TO -SCALE) MIN. SETBAC REQ. FRONT SIDES CNR SIDES �— REAR ZNG. TECH., LOT 3 BLOCK10' WELL TO MIME: 33.00'± WELL TO E PROPERTY LINE: ' 6.00± WELL TO N PROPERTY LINE: 22.00 ± FILE COPY THE 5E CORNER Of LOT 4 BLOCK 10+ FOUND 516 IRON ROD 0.36 E ONUNE "CP' = CONTROW NG POINT (POINT OF ROTATION) 'HFA' = HELD ALIQWM - ALL OTHER NONUMENTATION AND L RELATNE THERETO Platted Easements, Notable orAdveme Conditions (Implatted easements also listed if provided by client): IF APPLICABLE, RECIPIENTS OF THIS SURVEY SHOULD REVIEW THE POSITION OF ANY FENCE LINES SHOWN HEREON AND THEIR RELATIONSHIP TO THE BOUNDARY LINE - 10'U.E.,D.E. ALONG NORTHERLY BOUNDARY LINE OF SUBJECT LOT. This survey has been issued by the following Elevations, If shown: Revisions: Landtec Surveying office: - 700 West Hillsboro Boulevard, Suite 4-100 Bench: L Deerfield Beach, FL 33441 Benchmark Elev.: Office: (561 ) 367-3587 --L --J. r% Job Nr. 125877-SE Date of Field Work 09/20/2021 } Dtawn�by. Z11. LANDTE-.:,' C