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HomeMy WebLinkAboutBuilding Permit Package AII.APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED. Date: - cJ Permit Number: 4:)� J� RECEIVED Buflding Permit Application MAR 2 8 2022 Planning and Development Services St.-Lucie County Permitting 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: IM -i.�g-yt� - l� �* �„r2 x �'e :. ,3- '`•4 gnu - �.uN' .` k 1iY 3 ' . '''S-'�^�'a. " �R` -y�.s. 9:�.a "" .� "s. -c_ Address. ' - Property Tax ID#: 3y©2-' �� l f� Q �J • On ' l Lot No. I Site Plan Name: Block No. Project Name: kgp ec t c,e- New Electrical Meter Second Electrical Meter (Affidavit required) Fs L�YF'ux -_;'�:.�'`..z 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: $ C�(� Utilities: _Sewer _Septic Building Height: x,. # Wye 4.� -af....aa }0 F s'`� "$.s,r - .saws ,-•.¢ s ��-,y{ Name UTv Name: Address: jCtyCII �c`pQ i >` Y Company: City: 1���� ' State: 'F- I Address: Zip Code: Fax: City: State: Phone No. Scot ( (rD- D3 0 E- Zip Code: Fax: Mail: 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 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such 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 or an attorney before commencing work or recording our Notice of Commencement. Signature of Contractor-or-Owner Builder as applicable STATE OF FLORIDA COUNTY OFF Sworq V(or affirmed)ands bscribed befor e of Physical Presence or Online Notarization this�day of 20= I!L�t)0 0 &_Li gOn1 Name of person making statement. Personally Known OR Procu-cled Identification V Type of Identification Pr uced �. 1 (Signature of Notary ublic-State of Florid ' KAREN S. NIELSEN Commission No. (Seal) _ ��,state of Florida Notary Public #n °= Con-,rniaion # GG 207484 C:nnimission Expires u=v June 12, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev 10 2 Z1 IT7.LAIC � O ; Planning&Development Services Department • . Building&Code Regulations 2300 Virginia Avenue RECEIVED Fort Pierce,Florida 34982 (772)462-1553 MAR 2 8 2022 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT St.Lucie County F.S.489.103(7)EXEMPTIONS Permitting i 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. 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, d zoning regulations. Initial Here. 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. Lt (< I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handled in a civil an 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 the 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 which could include loss of wages during recovery from their injury. Initial Here. 1 \ 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 he Florida Stat Department of Professional Regulation. Signed and acknowledged on this o day of of 20&ol- ��`� vj��Vn v \ *WTVAA nerBuilder§ignature STATE OF FLO COUNTY OF ��tk_)QjC � � The oregoing ins ent was acknowledged before me this day of{{�n1(CJII�. ,20 o"1a by Zk©h who is personally known to me,or who has produced L, as identification. Signature of Notary Name of Notary (Seal) Title:Not Pu K A R E tJ S. NT6 i o umber tPPY PUB i 1 _20 �� State of Florida-Notary MIMIC -. Commission # GG 207484 ?9 p c My Commission Expires .;une -12, 2022 � rnn� �o Planningand Development -Services Department Building & Code Regulation Divisio r I i I 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 j 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. I • Locate your address or permit number, the screen will show the inspector name and whether the inspection is in the morning or afternoon. j • 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 i I RECEIVED MAR 2 S 2022 - �. St.Lucie County Permitting i Request for Real Property Combination Tax Year 60aa List parcel numbers you wish to combine. Detailed Instructions Pf�ase confirm .and initral he�following as accepted Sand completed I am the owner of record, legal agent or have power of attorney for the owner of record. Written proofis required for agents and those with power of attorney. l Real Estate taxes are current. . � Parcels are contiguous and in the same jurisdiction. n� itle (ownership) is the same for each parcel. LJ Verified with the St. Lucie County Planning and Development Services or other Jurisdictional Agency as to what adverse effects, if any, this combination may have on the property. I All mortgage lenders (if applicable) have been notified of this change. Combin/ng mortgaged property with un-mortgaged property may create an escrow shortage resulting In a.higher mortgage Ellpayment and could create significant Issues In the case of foreclosure. ElI understand combining parcels may increase taxes by affecting existing capped values and/or exemptions. L I decline Contiguous Homestead, which was explained and presented as an alternative to a combination. Owner Signature: C;� { '(��11 1J�Ulf 1 Date: +7-Tz Printed Name: %1 j �� ��U L) Phone:�C .— 10-0Fs J2b_ - i i Deputy signature:` Date: 2- 2 Printed Name: AA r ph sry :772-462-1000 M wcbsate:Nc-A,%v,pas1c,or9 2300 Virginia Avenue, Room 107,Fort Pierce,FI,34982 RECEIVED MAR s 8 2,022 St. Lucie County Permitting IMPORTANT NOTICE A parcel split/combination by the Property Appraiser is for taxation purposes only and does not imply legality of new land description created by owner's.request, the legality.for such parcel to be conveyed via land title, nor the suitability for such parcel to be developed. Contact the appropriate land development,'zoning, and/dr--planning-department of your jurisdiction for questions concerning property development. Pursuant to Florida Statute 197.192 the Property Appraiser's office shall not split or combine parcels until all taxes due or delinquent have been paid to the Tax Collector. I 1/ HOMESTEAD PROPERTY: The land split of a homestead property Will result in the removal of the Save Our �J Homes 3% assessment cap limitation from the newly created (split-out) parcel. The new (split-out) parcel will be assessed at market value,generally resulting in an increase in taxable value. If at a future date the property owner desires to re-combine the property,the new (split-out) parcel will be combined back with the homestead parcel at its current market value. The Save Our Homes cap will not be restored to its former level. When combining any parcel with a homestead parcel,the full market value of the non-homestead parcel will be added to the assessed value of the homestead parcel for the current tax roll. In subsequent tax years, the Save Our Homes assessment cap shall protect that value. NON-HOMESTEAD PROPERTY: The land split or combination,of non-homestead property will result in the removal of the 10% assessment cap limitation and'the assessment of the parcel(s) at-full market value. Per Florida Statute 193.1554(7)and 193.1555(7) F__/T Parcel Contiguous. to Homestead Property. Vacant property.contiguous/adjacent to homestead property is eligible to receive the Save Our Homes assessment cap limitation, provided that the contiguous parcel is used in conjunction with homestead property. The contiguous parcel will retain its unique parcel identification number and legal description. Per Florida Statute 196.031 (1)(a) By signing below, whether by the owner or the owner's representative, acknowledges they have read, understand, aforementioned. Owner `r S lJ ! U Signature: '1y l Date Print Name: C���15�� ��U `� Phone: 3 '2<,� _Z�Zi Representative: TO BE COMPLETED BY REAL ESTATE DEPT 772.460.3315 This split/combination will be effective for the 20Z-1tax year... - Deputy Signature: - ~- -----Date:--- J/��- 2�--- ---- -- Deputy Print Name: Phone: 7 -Ke LV I Phone: 772-462-1000 wchsi c-4,vi,%iv pas1c,org 2300 Virginia Avenue,.Room 107, Fort Pierce, FL.34982 t li ;c :Qj 7 cla N N W O.C:LU �vCJ > Ott U LLI m No CC- .� �`7 � , J