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Home My WebLink AboutBuilding Permit Package All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3/28/2022 Permit Number: (�Ir LUCE RECEIVED MAR 3 0 2022 Planning and Development Services Building Permit Application St.Lucie County Permitkg 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: 6 ft Fence PROPOSED, MPROVEMENT LOCATION: Address: 212 Corinne Road Fort Pierce FL 34945 �, - 11 23, Property Tax ID#: 2311-601-0024-000-0 Lot No 24,25, 26, 27 28, 29, 30, 31 Site Plan Name: Block No. Project Name: I ,:D, T ILfD.DESCRIPTION-OF WORK:.; New Electrical Meter Second Electrical Meter (Affidavit required) I CONST.RU:CTION INFORMATION., 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: I OWNER/LESSEE;. CONTRACTOR:., Name Jason Selph Vl5�GV11�: I Name: Address: 212 Corinn Road Company: City: Fort Pierce State: FL Address: Zip Code: 34945 Fax: City: State: Phone No. 772-201-1878 E- Zip Code: Fax: Mail:Selphcm(cD-gmail.com 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 I �t SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: l DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: i FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: i 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 jobsi before the first inspection. If you intend to obtain financing, consult with lendeMr an attorne ore mencing work or recordin ur Notice of Commencement. Gk�CZaSt�� mil. Si u of contr or-of-Owner Builder as applicable a KAREN S. NIELSEN w Y PCB 4� STATE OF FLORIDA \ '1 . - State of Florida Notary Publi COUNTY OF ST -° `r Commission s GG 207484 t , P,c ommiss, 2 Expires ` June 12, 2022 Sworn to(or affirme )and subscribed before me of —Zphysical Presence or iz ion O7 this—af"day of \ 202,Lby Name of person making statement. •.a....snb�rMl� Personally Known OR Produced Identification JESS�ANERI�N01°Z Type of Id en ifica od d ' '• '_Cwo*sW#Ga26= =•� :�� Expires September 27,2022 .,,c�a°p. Ba�Oed ThnJTt�F�In hsurma 600J1s•1011 (Sign tur o ota lic-State f Florida) Commission No.�'G�6J�y-' (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev .,•„ ..vac�..,,.c_.i.�u1':.��i:'..:�rW.-:N.wi•�8!'�c:.:�'ur..xs':,S ,... 9 F .�� '. '-_."fie."3f ... . ... Y ...Y <.o.3 eF.^Y•R'1N's1si::iY•4y �Y. Q Planning&Development Services Department Building&Code Regulations RECEIVED y 2300 Virginia Avenue RECEIVED Fort Pierce,Florida 34982 (772)462-1553 MAR 3 0 2022 MAR 3 0 2022 St.Lucie Coun OWNERIBUILDER AFFIDAVIT DISCLOSURE STATEMENT .St. Lucie County ty Permitting F.S.489.103(7)EXEMPTIONS Permitting 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/ t�"Y 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 Her . 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 cod , d zoning regulations. Initial Here{' I understand that the building official and inspectors are not there to design or give advice on how to e minimum code. Initial Here I understand that as an owner-builder that any contract disputes with sub-contractors and I must be handle a civil court with the advice of an attorney. This department will not mitigate any contract disputes. I Initial Here I understand that if I compensate any person or company for work performed they are required to be licensed in s jurisdiction. If for some reason they do not possess a license, I may be responsible and liable for the co of license. Initial Here I understand that if any person that is unlicensed and uninsured gets injured on my construction project-they entitled to workmen's compensation. I could be held liable for all doctor, lawyer and.related medical co', , whi could include loss of wages during recovery from their injury. Initial Here i 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 ning Department tote Florida State Department of Professional Regulation. Sign d acknowledged.on thisV) day of of 2� erBuild Signature STATE OFFLO A COUNTY OF The foregoing instrument was acknowledged before me this 3o day of i ,20 a. by r'Ny(k��\,,P, =L p who is personally known to me,or who has produced as identification. Signature of Notary otary (Seal) Title:Notary Public ,,YP�„ K i State of Flon a- =2 Commission 4 GG 207484 Commission Expires June 12, 2022 1 RECEIVED r! T MAR 3 ® 2022 ST. Lucie County, Plermitting Of 04 so i 40 V;,"' 00 - a- 10 C�p �. I