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Home My WebLink AboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: VZ Per Number: 1 1 y 3 RECEIVED O ° -:`" Building Permit Application DEC 1-3 2021 Planning and Development Services gt., ucie my Building and Code Regulation Division Commercial Residential iriing 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Address: � �• �JrC= r Property Tax ID#: 3�}C� t_P V .• ®��' 0 QIO 1 Lot No. Site Plan Name: Block No. ?Z Project Name: ow Ift-01 MA M, M '517, 1,ww cnD� n. exi5 q�l e -7 ' 1 L F wi& Z S/f 2 G�11 G�/OGIb Q�2� 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: r^ Cost of Construction:$ter(✓D 0 Utilities: _Sewer _Septic Building Height: SU - Name k 0� �S2 1 G� Name: Address: S51! Se_0 rg PC ` Company: City: 4 'J 1Ei C e. State:R Address: Zip Code.34q gZ Fax: Q City: State: Phone No.__J1a-`'� 93-T5J 1 Zip Code: Fax: E-Mail: 10�2V\y VA 1y 0(0( .0 0o Car' 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. I_ DESIGNER/ENGINEER: _Not Applicable MORTGAGE,COM�ANY: _ Not Applicable Name: Name: �( i Address: Address: &ZO ✓I ;X W City: State: City: S+IAOLS State: Zip: Phone Zip:�_9- Phone:M 2�q 77 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. *, nature of Owner/Lessee/Contractor a gent for Owner STATE OF FLORIDA COUNTY OF �� Sworg4o(or affir ed) and subscribed befor me of Physical Presence or Online Notarization this- day of 20,:Rl by �SLk C 1 Pq �J i �. Lie 9,nS Name of person making statement. 4-10 Personally Known O Produced-44entific tion E e of Identificati n Produ d 46 'A k'U (Signature of otary Pub ic-State of Florida) Commission No. (Seal) ` ,��P, KP,REN S. NIELSEN 4 UB ;_0 ��;State of Florida-Notary Public ;• *_ 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 Rev S 2 21 p Planning&Development Services Department rx; o ✓y Building&Code Regulations - -_ ----`= 2300 Virginia Avenue Fort Pierce,Florida 34982 (772)462-1553 OWNERBUILDER 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. GkIli 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 coFet d zoning regulations. tons. Initial Here. I understand that the building official and inspectors are not there to design or give advice on how toe minimum code. Initial Here. P I 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 t 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, w is could include loss of wages during recovery from their injury. Initial Here. Q�� 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 Zon g Deparfttnt to the Florida State Department of Professional Regulation. Si ed and acknowle a on this day of of 20N Owner/Builder Signature STATE OF FLO COUNTY OF The oregoin in men w acknowledged before me this A3_day of Ci ,20 by who is personally known to me,or who has produced —{r as identification. Signature of Notary Type or Print Name of Notary (Seal) Title:Notary Public Commission Number ZZOZ 'ZL aunp K7Fd IELSEN sajldx3 uolsslwu.woC AW rd. �SPRY P49i Yn a° :StatNotary Public17817LOZ `JG # uoisslwwoCCoGG 2O7484 oilgnd AjeloN-epiiol3 }oale1SMn Expires N3S�3IN 'S N3l�t1)l2022 LOT 37 wl z FND IR (NO ID) N89°55'31 "E �i� FENCE TIE Q (0.3' NORTH, (0.9' NORTH, 125.04 (C) o FENCE TIE FND IRC = o= 0.3' EAST) 0.1' .EAST (0.4' NORTH) (ILLEGIBLE) 0 ILA125r 0 (P) LJJ N N > I Q 46.3' 32.1' EXISTING —CONICCONIC DRIVE � W co � SLAB .` LLJ j Z v C EXISTING -3 -U W � d Lr) -0o RESIDENCE o v � 00 `� LOT 38 `0 z =� In 0 Q CD z o o 0 BLOCK 23 0 �o . 0ICY- 0 0 °° 0000 0 z z V Q 332.1' 46.4' LLl x qCONC SLAB FENCE TIE (0.2' EAST) _ CHU—� FENCE IE S89°55'31 W or FENCE TIE 30.00' (0.1' NORTH, x (0.5' SOUTH) o_ 0.2' EAST) 125.05 (C) 0 —nLo �I 06 U d Z �� H �� - 0 o 00 ¢ Z LOT 39 z" 0 z N LEGEND A — CENTRAL ANGLE R = CURVE RADIUS L = CURVE LENGTH CERTIFIED TO: W E (P) = PLATULATED ALICIA M. VILLEGAS AND JOSE A. VILLEGAS—GOMEZ FND = FOUND eMORTGAGE MANAGEMENT LLC, ISAOA ATIMA IR = 5/8" IRON ROD S IP = 1/2" IRON PIPE CHICAGO TITLE INSURANCE COMPANY FPL = FLORIDA POWER AND LIGHT JOHN EDGAR SHERRARD; P.A. SCALE 1"=30' OHU = OVERHEAD UTILITIES CM = CONCRETE MONUMENT DESCRIPTION FFE — FINISH FLOOR ELEVATION NO = NAIL AND DISK LOT 38, BLOCK 23, INDIAN RIVER ESTATES UNIT 8, ACCORDING TO THE PLAT THEREOF, P.L.S. = PROFESSIONAL LAND SURVEYOR AS RECORDED IN PLAT BOOK 10, PAGE(S) 73, OF THE PUBLIC RECORDS LB = LICENSED BUSINESS OF ST. LUCIE COUNTY, FLORIDA. P.B. = PLAT BOOK R/W = RIGHT—OF—WAY SAID LAND CONTAINS 0.23 ACRES, MORE OR LESS. 0 = STREET LIGHT ® .= CABLE TELEVISION BOX SURVEY NOTES o = AT&T PEDESTAL ® = WATER METER 1. This survey is not valid without a signature and original embossed seal of a Florida cD-, = WOOD POWER POLE Professional Land Surveyor. ® = EXISTING WELL 2. Description provided by client and/or their agent. 3. The last date of field work was November 6, 2018. = GUY ANCHOR 4. Underground improvements and foundations were not located as part of this survey. O FND IR (NO ID) 5. Bearings shown hereon are based on the West R/W line of Seagrape Drive, bearing CONC = CONCRETE S00'04'40"E, as monumented. All bearings are relative thereto. IRC = #5 IRON ROD & CAP '6. All boundaryInformation shown is calculated per lot, Unless otherwise shown. D.U.E.= DRAINAGE AND UTILITY EASEMENT P P U.E. = UTILITY EASEMENT 7. Property lies in flood zone "X", per map 12111CO281 J, dated 2-16-12. —X— = 3' CHAIN LINK FENCE 8. Additions or deletions to survey maps or reports by other than the signing party or —O— = 5' WOOD FENCE parties is prohibited without written consent of the signing party or parties. ALUM = ALUMINUM 9. Ownership of fences is unknown. ® = FPL TRANSFORMER PAD LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHT OF WAYS. RESERVATIONS, AGREEMENTS, AND/OR EASEMENTS OF RECORD. SUCH / INFORMATION, IF DESIRED, SHOULD BE OBTAINED AND CONFIRMED BY BY: ^' OTHERS THROUGH APPROPRIATE TITLE VERIFICATION. D,C. L VE T FLORIDA P.L.S. 5209 RICH R A N # DATE REVISION I DESCRIPTION DATE `/