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Home My WebLink AboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I I 2 zi Permit Number:CM I •C y 0Q l V 3 "• -� Buildine Permit Application 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 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 improve nts to your property. A Notice of Commencement must be recorded in the public records of St. Lucie o niy a d posted on the jobsite before the first inspection. If you intend to obtain financing, consult wit I n er'or n attorney before commencing work or recording our Notice of Commencement. --- Signatur caner/ essee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF Swor to (or affirr'�TTl�ed) and subscribed before me of Physical Presence or Online Notarization day Iv6 this of 20�)_J by Name of p on making statement. Personally Known OR Produced Identification Type of I entification Produced (Sign a o Notary Public- State of Flokda ) Commission No. (Seal) MINGR M_RMm1NG COMM1SS10N # GG V5060 Deoembet 20, 2022 :a �: EXPIRES. •;?tF....•pQ,;� Thru WN PUbGC bor4gQ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev 914LUCER 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 stTti law and by county Ini or municipal licensing ordinances. NJ 1a 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. Initi Here. You may not delegate the responsibility for supervising work to a licensed contractor who is not lic to perform the work being done. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial Here. I understand that the building official and inspectors are not there to design or give advice on h6w'to meet the minimum code. Initial Sere. I understand that as an owner -builder that any contract disputes with sub -contractors and I must be hfin 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 bused 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 (H1,erree. I understand that if any person that is unlicensed and uninsured gets injured on my construction pro0i -fhey 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. Initli ll g Here. To qualify for this exemption under this subsection, an owner must personally appear, sign the 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 rep14,1 rtby the Building and Zoni Department t th Fl da Stat Department of Professional Regulation. Signea knowledged on this day of_i of20n. P �Cl 1 OwnerBUTer SiAature STATE OF FLORIDA COUNTY OF �U 1% The foregoing instrument was acknowledged before me this day of by o who is personally known to me, or who has (Nduc as identification. a :ure of Notary Type or Print Name Notary l ;. Notary Public Commission Number'' '= IHGW'RAHMING MY COMMSSION A GG 275060 'FaF.ta`� SIRES. Dece<nber20, 2022 Thru Notary Pobec Undernrttors „qIII-L)gS -7 SCALE:1'=30' 0 CM BASIS OF WE BEARINGS 10Q.p0(P)---- BLOCK —�— FOUND1 CORNER IRON PIPE AT LOT 12 BLOCK 52 N BONITA COURT 20' ASPHALT ROADWAY — 60' RIGHT-OF-WAY S890 56' 00"E o 2' GUTTER 75.00' "' N N LV --- - - 2 - -- _ 18.4' O \ cd LOT 12 0 `a g” COVEREI BLOCK 52 - o COVERED Zo C ad LIf \^v i 11 0 1 8' BLOCK 52 o BUILDING RESIT " ICE 0 12.1'x6.1' #1, 0 33.0' 25. V AERIAL PHOTOGRAPH (NOT -TO -SCALE) =ENCE FOUND 1" l 0.1' W IRON PIPE WALL O oz¢< ui m a c v LOT 10 w Z m cn Z ; BLOCK 52 H ww z zZ O 0 MIN. SETBACK REQ. CD FRONT�$L 16.9' SIDES o CNR SIDES �d U) REAR ZNG. TECH. FOUND 5/8" i�i IRON ROD FENCE FENCE i FENCE 0.9'N/5.6'W 2.7'N 2.4'N �1.1'E T N890 56' 00"W 75.00' FOUND 1/2" IRON ROD LOT 13 I LOI 14 I LOT 15 BLOCK 52 BLOCK 52 BLOCK 52 - ALL ANGLES AND DISTANCES SHOWN HEREON ARE BOTH RECORD AND MEASURED UNLESS OTHERWISE NOTED Thy survey map 6 report or the copies thereof are not -mild without the digitai signature and scat of a Florida llcensed surveyor and mapper Date of Field Work : 08-15-2019 ,,•'""" """�., Drawn By: Oleg Order *: 64764 Last Revision Date: 08-15-2019 ?��a+ "4* Boundary Survey prepared by: LB8111��. E * ne>a * z NexGen Surveying, LLC 5601 Corporate Way, Suite *103 West Palm Beach, FL 33407 _� SUR1%EYIWGYLC. STATE Op d 561-508-6272