HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St, Lucie County
Permitting
have agreed to be
Company Name/Individual Name)
the rR Sub -contractor for Nwnp_I(� l) 1p
(Type of Trade) (Primary Contra or)
For the project located at t ER W l /J ✓C CJ7
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
zo.z
C NTt2ACTOR IGNAT RE (Qualifier)
PRINT NAME
Ow\reg
COUNTY CERTIFICATION NUMBER
State of Florida, County of '4�. LA )e�
The foregoing instrument was signed before me this day of
who is personally known _or has produced a }-(-
as identification.
C ll
1 STAMP
Signature of Notary Public
Print Name of Notary Public
RMD
, NIE��r'ritle-Notary Publicon N GG 2074g4ission ExpiresRevisal I1/16/2016 12, 2022
SUB-CONTRAC SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER LL
State of Florida, County of �V
The foregoing instrument was signed before me this al day of
11P4"� 2a, by �LVA J� -� R Kflg
who is personally (mown or has produced a F(, p L.
as identification. C
S AMP
Signature of Notary Public
Print Na
KHREN S. NIELSEN
state of Florida -Notary Public
Commission a GG 207484
a N1y Co,;mjssi Expires
JunG 12, 202
PERMIT # ISSUE DATE
the
(Type of Trade)
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County
permitting
have agreed to be
Sub -contractor for- yw rE,� I I • y_l e F_
(Primary Contra r)
For the project located at ; X r p W 11V /J vt
(Project Street Address or Property
ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
C NTIRACTOR'SIGNA (Qualifier)
PRINT NAME
owy f Ul IAQV
COUNTY CERTIFICATION NUMBER
State of Florida, County of C
The foregoing instrument was signed before me this day of
12QS&y �_t 1�taI3
who is personally known _or has produced a
as identification. k ��
$��U� STAMP
Signamre of Notary Public
Print Name of Notary Public
KAREN S. NIELSEN
Florida -Notary Public
My CCommission # GG 207484
Revisal 11/1620ommission Expires
16 """'P June 12, 2022
SUB-CONTRACT/OR SIGNATURE (Qualifier)
PRINT NAME
(11a MOT vi�ez
COUNTY CERTIFICATION NUMBER
State of Florida, County of 16
The foregoing instrument was signed before me this &J day of
��, 2Q!), by !X7L ft , AiK-AA
who is personally (mown _or has produced a r (, D l,•
as identification. /`
l
AMP
Signature of Notary Public
Print Na sJJ'
,moHF S.NIELSEN Stalcl
a cf orida-Notary Public
- = COMIT1iLi'A❑ # GG 207484
n - h,y Commission Expires
Jur 12, 2022
nun
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT J [A 2 i 2O L 1
St. Lucie County
Permitting
have agreed to be
(Co`mpany Name/Individual Name)
the ---E-'\eC,}IrjC+, Sub -contractor for
(Type of Trade) (Primary Contra)
For the project located at IK r t p W j jU Ay/
(Project Street Address or Property
ID #)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
zo.zz-
CONTIRACTORSIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of o. '
The foregoing instrument was signed beforemeth`s(�-21 day of
a�1OaA
who is personally known _or has produced a }�(_
as identification.
Signature of Notary Public
Print Name of Notary Public
9MED
N S. NIELSENFlorida-Notary Publicssion N GG 207484mmission ExpiresRevised I1/16/2016ne 12, 202y
SUB-CONTRAC SIGNATURE (Qualifier)
PRI. T VANE
®Uynex Me); 2
COUNTY CERTIFICATION NUMBER
State of Florida, County of �j/L
The foregoing instrument
^^was signed
''�fbeforeby
me this V day of
496
who is personally known or has produced a i (� D L..•
as ! identification.
S AMP
Signature of Notary Public
Print
`M1�r,;�,,, I<P.REN S. NIELSEN
io ��; State of Floritla-Notary Public
Comm+ss�un M GG 207484
"s�i;c M Co. mission Expires
�,,, JUnG 12, 2022
7PERMIT# ISSUE DATE
(Company Name/Ind
the (`(�p1r�1AY1 t
(Type of Trade)
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County
Permitting
have agreed to be
Sub -contractor for (ti\ 1)ngPY 11`�l p
(Primary Contraac or)
Way Jam!
(Project Street Address or Property Taak ID #)
� J \
i
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
Z.Z- -
C NTttACTOR IGNAT (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of I
The\ foregoing instrument was signed before me thiss[� day of
who is personally known or has produced a
as identification. --
i
—� �/TAMP
Signature of Notary Public
Print Name of Notary Public
gim
S. NIELSENrida-Notary Publicon # GG 2074B4ission ExpiresRevised 11/16l2016e 12, 2022
SUB-CONTRACT,ft SIGNATURE (Qualifier)
So'n-4 \ a Ic+gf�
PRINT NAME
A(I )VIPY JIAtJ in162
COUNTY CERTIFICATION NUMBER State of Florida, County of �. t 16
The foregoing instrument was signed before me this &A day of
who is personally known _or has produced a FZ D L.
as identification.
� (`/
3 S3•AMP
Signature of Notary Public
Pri"011nt Na
,, KARE1 S. NIELSEN
;"oer'�V State of Florida -Notary Public
- = commis'; 0 GG 207484
tvly Corr ,;ssio2nE22Pires
12,0
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When you submit your building permit application for a new single-family residence or duplex, you should use the following
checklist to determine if your application submittal is complete. Only complete applications filled out with ink can be accepted for
processing.
Building Permit
1
A completely filled out building permit application must be
Application
submitted, including all required information. The
application must be signed by the applicant(s) and the
signatures must be notarized.
Notice of Commencement
l
A recorded Notice of Commencement for all construction
with a value exceeding $2,500 has to be submitted at time
of building permit application.
Construction Plans
2 sets
All proposed construction must be accurately shown on the
plans including but not limited to electrical wiring,
plumbing, heat/air-conditioning, gas piping, windows and
doors. The minimum plot size for these plans is 8 '/2 by 11
inches - maximum size is 24 by 36 inches. Both sets of
plans need to be signed and sealed by a Florida registered
Engineer or Architect and include truss plans. Both sets of
plans must be stamped by the Health Department, if a
septic permit is required.
Vegetation Removal Permit
1
All residential properties of any size require a completed,
Application
signed, and notarized vegetation removal application. A
vegetation removal plan is required, including plans for
Need (1) Survey or Plot Plan
preservation, re -planting, and tree mitigation as applicable.
A survey and a landscape plan (if applicable per Land
Development Code Sections 7.09.03 & 7.09.04.1) must
accompany the application. If you have any questions
please contact the Environment Resources Dept at 772-
462-2526.
Surveys
2
Surveys are required for all building permits involving a
primary structure or for accessory structure with a
construction value exceeding $10,000. All copies must be
stamped by the Health Department if a septic permit is
required. The surveys must be signed &/sealed by a
registered Florida surveyor.
Lot Splits
Any parcel or parcels not meeting the minimum
Non Conforming Lots of
requirements of the lot size and dimensional requirements
Record (NCLOR)
must be reviewed by the Zoning Department. Any division
of property not subject to Site Plan review through the
Growth Management Department will require review by
the Zoning Department. Please contact 772-462-1553.
Wind Load Calculation
2
This form must be signed/sealed by a Florida
Form
registered Engineer or Architect
Subcontractor Agreement
1 each
One subcontractor agreement with original signature is
required for each subcontractor on the job. The building
permit cannot be issued until it has been determined that all
subcontractors are properly licensed and registered.
The use of unlicensed contractors is strictly prohibited.
Energy Calculation Form
2 each
Both forms must bear the original signatures of both the
&
creator and contractor.
Manual J's
Filled Land Affidavit
1
This form is required for all construction, except for
interior renovation. It must bear the original notarized
signature of the property owner. This affidavit serves to
notify the property owner of their responsibility not to
adversely impact their neighbor's properties with
stormwater drainage and runoff.
Product Review Affidavit
2
The Engineer or Architect of Record must certify all
components listed on the product affidavit per the
submitted plans. To be accepted for review this affidavit
must be completely filled out and signed and sealed. The
actual design pressures must be noted on the sealed
drawings for each component opening.
Recorded Warranty Deed
l
If the property has been purchased within the last six
months, the Property Appraiser records may not be to date.
In this case we must see a recorded warranty deed in your
name to verify ownership.
Owner/Builder Affidavit
1
When the application is applied for under the owner/builder
provisions of Chapter 489.103(7), F.S., the applicant for
this building permit must personally appear to sign the
appropriate affidavit.
Health Department Septic
2
If you are planning to use an existing or new septic system,
Approval
you must first obtain Health Department approval for the
system. Surveys and the construction plans must bear the
original Health Department approval stamp.
Driveway Permit
1
When you directly access a State or County road, you are
required to obtain a driveway permit from the Florida
Department of Transportation or the St. Lucie County
Road & Bridge Department.
Flood Elevation Certificate
2
If your property is located within a designated flood zone
you are required to file an original flood elevation
certificate signed/sealed by a Florida registered surveyor.
NOTES:
Additional information beyond that contained in the checklist may be required in order to ensure a complete review of
your building permit application.
SLCPDSD Revised 07/19/18
BOARD OF
COUNTY
COMMISSIONERS
NOTICE TO CONTRACTORS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code
Regulation Division
St. Lucie County Building Department will require the following items
with submittal for all Building Permit Applications and Vegetation Removal Permit Applications.
Residential Construction:
sets of construction plans, signed & sealed by Registered FL Engineer/Architect
surveys, signed & sealed by a Registered FL Surveyor
Vegetation Removal Permit application with one (1) sealed survey, vegetation removal
plan, & a landscape plan (if applicable per SLC Land
Development Code Sections 7.09.03 and 7.09.041).
eys signed &sealed by a Registered FL Surveyor
3 copie he Approved Site plan' if applicable
3 sets of cons n plans signed & sea a Registered FL Architect/Engineer
Electronic copy of cons on pl
Landscape plan signed & s e istered FL Landscape Architect
Vegetation Re al Permit application with one ( approved site plan', vegetation
remova and a landscape plan signed & sealed by a Regis L Landscape
If the proposed construction entails a drive-thru or if the proposed building will exceed 6,000
square feet, it will be necessary to obtain site plan approval prior to submitting a building permit
application. Please contact the Planning Development Services Department at (772) 462-2822 for
further information.
For additional information please contact the Permitting Department at (772) 462-1553.
v .stlucieco.org
2300 Virginia Avenue • Fort Pierce, FL. 34982-5652
PERMITTING AND ZONING: Phone (772) 462-1553 FAX (772) 462-1578
942CE
O 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.
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,_%—r
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.
1 understand that the building official and inspectors are not there to design or give advice on how to meet the
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 _ 4
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.,11—
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. —mac
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
Dep eat to the Florida State Department of Professional Regulation. and acknowledged on this
day o _ of 20aQ Si - iL,
L�wneABurilder gna
STATE OF FLO A _
COUNTY OF
The regoin instrt�meat was acknowledged before me this �_ day of.�f�Yy , 203��
by �(r,At' _l V:� 1t FP, who is personally known to me, or who has
produced T,—t__DAL— as identification.
Signature oflqotary Type or Print Name of Notary (Seal)
Title: Nota Publi ber
KPREN S.
State of Florida -Notary Public
Coinrnt5sjon N GG 207484
My cuinnussion Expires
June 12, 2022
Planning and Development
0 Services Department
Building & Code Regulation Division
Inspections
Helpful Hints for Owner Builders
Scheduling Inspections
• Inspections are typically performed the day after the inspection is scheduled.
• There are two ways to schedule an inspection:
a. Call 772-462-2172 or 462-2165 between 8 a.m. and 5 p.m., or
b. Go to St. Lucie County's Website, click on permits, click on online building
inspection system.
1. Enter permit number
2. Enter confirmation number (this number is on the top of your building
permit next to the building permit number.)
3. Enter
4. Click on the request next to the inspection you want to schedule.
5. You can schedule an inspection online until 9 pm Monday —Friday for next
day inspection service. On Friday, the inspection will be scheduled for
Monday. On Saturday and Sunday, the inspection will be scheduled on
Tuesday.
Day of Inspection
• Go to St. Lucie County's Website, click on permits, click on daily inspection
schedule.
• Locate your address or permit number, the screen will show the inspector name
and whether the inspection is in the morning or afternoon.
• Inspections are listed in order of scheduled site visit.
• Inspectors are available by phone at the numbers listed below from 7a.m. until
4p.m.
Andy Wentz
772-249-9502
Greg Smyth
772-370-0482
Walter Pride
772-370-2539
Dave Johnson
772-370-2548
Wanda Gahn
772-204-4237
Mary Chissoe
772-370-2543
Stephen Poreba
772-475-1063
Clyde Heffelfinger
772-200-6386
Doug Harvey
772-370-2542