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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED` Date: j Permit Number: SGANNEU DY St WHP rinob MAR 8.10 Building Permit Applicaug , Planning and Development Services f' Lift ftelit Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 C. mmercial Residential PERMIT APPLICATION FOR: I PROPOSED INPRNA E;MiENT LOCATION: Address: 298 N FFA RJ Legal Description: J o 3.S -Mt N i b( F to W) D 1' 1U I) D- -E i IN of- Sw IN OF N w 1 /4 - Lass w Lty r d — L) U 14c) (I)R 39 bb - .Ty 7; Property Tax ID #: Q_a3':� W02 —01 oA Lot No. Site Plan Name: I Block No. Project Name: I / Setbacks Front Ste() o Back: 361 Right Side: QO 9 Left Side: I - DETAILED DESCRIPTION OF WORK: l'q'x36' 'qe.-4J 6 �.��.�1�.J �., Dy y3.-/ Co ere s6b . Sl/ is0' 'S1.4 �7lcro'11'-[ )2'X1 Io7�i IS..,T�.,-�I i CONSTRUCTION bNFORMATION: i ional work to be pe orme un er t °s pe 1mit — c ec a t at app i y: _Mechanical _ Gas Tank _IGas Piping _ Shutters _ Windows/Doors _ Electric _ Plumbing I Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: &go , Sq. Ft. of First Floor: sN o Cost of Construction: $ M,000 I Utilities: —Sewer —Septic Building Height: OWNER/LMR&@ CONTRACTOR: Name Name:. //�� Address: 99e . A)FPd (2d Company: City: Fr-1- State: F Address: Zip Code: 31q Fax: I '.Citjr_ r State: Phone No. 7 7 )L f 31 00� 6 I Zip Code: Fax: Phone No E-MailALLA). Al. RuPPERTaMATL, 60AA Fill in fee simple Title Holder on next page (iif different:, E-Mail State or County License from the Owner listed above) I If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. I r r 0-- SUPPL10DNTAL CONSTRUCTION LI;DN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: _ Name: Address: - : r" 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded 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 Own r/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA p STATE OF FLORIDA COUNTY OFC_ COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 36 day of 20_ by this day of 20_ by (Nam f person acknowle gi g) (Name of person acknowledging) (Si at re of Notary Public- State of FXrida) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification=�,- �. 1 Type of Identification Produced "" ""'' y "` <PRY P�'� LASNAHNA INGR AM Produced ` NoMr p Commission No. .: :P My C y Public State of Florida � f 1)=xpires Dec 20, ' Commission No. l (Seal) 'o;FOFF�gtl' 2018 Commission # FF 177249 Bonded thro an. REVIEWS FRONT ZONING SUPERVISO PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 7/2014 & Development Services Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.1031(7) EXEMPTIONS State law requires construction to be done byllicensed 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 provideI 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. 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. 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 employee by you have licenses required by state law and by county or municipal licensing ordinances. 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 regulatiops. Initial A i2, I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. I Initial AL— 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 A a. 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. I Initial 4111f,__ 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 Alt_ To qualify for this exemption under this subsection, an owner must personally appear and 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 Z mng Departme t to the Florida State Department of Professional Regulation. Signed and acknowledged on this . day of �a of 20 'e�4 OwnerBuild 'ignature STATE OF FLORID f1 COUNTY The foregoing instrument was acknowledged before me this �`q day of . , MIS—,; by who is personally known to me, or who has pr uced as identification. Signature of Notary Type or Pnnt Name of Rotary (Seal) Title: Notary Public Commi Ision Number SLCPDSD Revised 05/15/2014 20< `pia•,, LASHAHNA INGRRAM ,• •*� Notary Public MC -State of Florida a = y omm. Sxpires Dec 20, 2018 .....oFF�Q:�`' Commission YE FF "" Bon ri 177249