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Home My WebLink AboutOwner Builder Affidavit0 Planning & Development Services Department Building & Code Regulations _ 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNER/BUILDER 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.A")i 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. initiaHere. 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 bullding Hereodes, Initialzoning regulations. INN I understand that the building official and inspectors are not there to design or give advice Initial Here.Xtth minimum code. 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 -Ad 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 lialle for Herethe cost of th license. I understand that if any person that is unlicensed and uninsured gets injured on my construction project-the.y ay 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. )RLJ 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 Zorg DeparqAent to the Florida State Department of Professional Regulation. Signed and acknowle ed on this L_ day of of 2021 OwnerBuilder ignature STATE OF FLORIDA COUNTY OF Zl� Vkr I � 20� Th foregoing instrument was acknowledged before me this day of -tome, or who has by who is personally known 3ac ed FL + V. as identification. C e ofNotary Type or Print Name o otary (Sea',,, Title: Notary Public Commission Number {pl{NAtNGRAM_pAgM1NNGG '4n CpMM1SS10N # GG * 20,2022 *' e,�? EXPIRES: December era oe: ^-_�� lyO" pub9c Under+ ':EOF FV.•• U11��' �ti�o All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: `(oCjiC CG r- �D J r 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 CBDG Funding PERMIT APPLICATION FOR: Address: 0 2 Property Tax ID #: Lot No. Site Plan Name: Block No. Project Name: "I Effi-._ _ _T =� ate" - m—Mv- Y�i )�"o� New Electrical Meter Second Electrical Meter (Affidavit required) _ _ NMW M, ll A � _H MWROR 'M _211-1. - RUN,— 06 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: $. Utilities: —Sewer _ Septic Building Height: �- -1 REM Name Name: Address: d Company: -� State: City:"- Address: j Zip Code: 7`(? lZ Fax: City: State: Phone No. ft'y- (.ky- bZ,d �/ E- Zip Code: Fax: Mail: < fr Lo-s, Phone No j Fill in fee simpl Title Holder on next age (if different E-Mail i from the Owner listed above) State or County License I 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. DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: ll Address: I j Address: I City: State: City: State: I Zip: Phone Zip: Phone: i FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable I Name: Name: Address: Address: I City: City: Zip: Phone: i 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 Association rules, bylaws or and covenants that may restrict or prohibit such which conflicts with anapplicable Homeowners which may apply. structure. Please consuft with your Homeowners Association and review your deed for any restrictions {y. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work Codes and St. Lucie County Amendments. in accordance with the approved plans, the Florida Building The following building permit applications are exempt from undergoing a full concurrency review: room additions, fences, walls, signs, screen rooms and accessory uses to another non-residential use accessory structures, swimming pools, WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for must be recorded in the public records of St. improvements to your property. A Notice of Commencement Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorne before commencing work or recording our Notice of Commencement. i i 1 :Signature of Own Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization i this _ day of 20_ by i - Name of person m ing statement. Personally Known OR Produced Identification Type Identification Produced ,060 (St nature of Notary Public- State Florida) ' ' r E)FM Osoanbet 20, 2C22 Commission No. (Seal) ` Bonded 7WHOWY Pvbk UNd i REVIEWS FRONT { ZONING ! COUNTER REVIEW SUPERVISOR I REVIEW I PLANS REVIEW VEGETATION' REVIEW SEA TURTLE REVIEW MANGROVE REVIEW i 1 DATE I RECEIVED DATE ' 11 COMPLETED Rev BENCHMARK ENGINEERING OF THE TREASURE COAST 806 DELAWARE AVE. FT. PIERCE, FL. 34950 (772) 772-267-1399 12108/21 To: ST. LUCIE COUNTY BLDG. DEPT. ATTN: MICHEAL CICIO BUILDING & CODE REGULATION DIVISION CASE #106826 RE: GARRY L.-WILLIAMS CODE VIOLATION 11097 S. INDIAN RIVER DRIVE. a FT. PIERCE, FLORIDA FOR: YARD STRUCTURE (NO PERMIT) ENGINEER'S CERTIFICATION LETTER Gentlemen, I hereby certify that the fountain with the sailfish statue as built by the owner with no permit was built insubstantial compliance with the plans and specifications that are submitted herewith the "After the Fact" permit application. The fountain and statue as constructed meets the 2020 FBC (7th Edition) and the ASCE/SEI 7-16. Certified by: Bowdoin G. Hutchinson Digitally signed by Bowdoin G. Hutchinson Date: 2021.12.08 22:34:21 -05 00 Bowdoin Hutchinson Fl. Lic #70878 This item has been electronically signed and sealed by Bowdoin G. Hutchinson, P.E. using a Digital Signature and Date. Printed copies of this document are not considered signed and sealed and the signature must be verified on any electronic copies.