Loading...
HomeMy WebLinkAboutSUBMITTED PAPERSAll APPLICABLE INFO MUST BE COZY_ )TED FOR APPLICATION TO BE ACCEPTEI- Date:Permit Number: — V go-5 SCANNED BY 85t, Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial =ResidErrtiaA —'/— PERMIT APPLICATION FOR: Legal Description: -97HA& t 'LO2r.0OPAL � 'PapertyA_xal© Lot No. Site Plan Name: C �I"1 ,%l� %'r✓ I �� (� Block No. Project Name: Setbacks Front Eack: Right Side: Left Side: Haaitionai worK to De perrormea unaer finis permit— cnecK an rnat apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers _ Generator _ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: -os# of-Const�r-ucfion -S Utilities: —Sewer _ Septic Building Height: qg����(•.f•-�-fyFfa .. � vY .�"['y, �T�-,g&'��M y'4 `�-Yn�.Y� .�w.t�+•rv,^' �"�.�A�,�Y_��'�: N Tu-� �S „'.�^C f� S �s1Y Jv�`�t, �"�u1C.�fYsiW�v�-•PN S..�d�i...$.m.��'.�l��w-�'�:� — `"C ^'_iYV}"'. �'S"`i�-'��..� _Y�-�T `i�kM.��Tr� w.N ,#'tyxu..t'4k.fd.S:,F'#�� s YriE''.4 i �y�� 9s��:�.',�_�'l1J.W! 34L Fi-i��4-'2� �.`I ' � �/ ,C T . w �L/ �. • i �` i St t Code:Zip r Phone No. 7186 .11 9Zip--Code: Phone No. HolderE-Mail: Fill in fee simple Title page (if different E-Mail: from the Owner listed ... - or County License: If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. ESI Name: Address! City: R: _ Not Apo Zip: Phone: FEE SIMPLE TITLE HOLDER Name: Address: City: Zip: Phone: _ State: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: _ Address: City: 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,under&iiig 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 insp9ptlon. If you intend to obtain financing, consult with lender or an attorney before commencing work g5t recordine your Notice of Commencement. Signature of wne Agent/ Less Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20_ by this day of . 20= by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- State of Florida) (Signature of Notary;Public- State of Florida ) Personally Known OR Produced Identification Known OR Produced Identification Type of. Identification Produced ` ,Personally Type of Identification Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE -COUNTER REVIEW REVIEW ,REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. i/cu14 Planning & Development Services Department HE Building & Code Regulations n • 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. 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 employed 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 aWM=�_ laws, ordinances, building codes, and zoning regulations. Initial� I understand that the building official and inspectors are not there to design or give advice on h to meet the minimum code. Initial 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 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 liabl t e cost of the license. Initial 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 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 shi 1 be reported by the Building and Zo ' g Departure t tg th Fjanda S e _ partme�nt of Professional Regul tio, . Sig a wledged on this STATE OF FLORID L�f COUNTY OF %� The f. ing i m t was ackno ledged efo -e me this O day of 20 _C by o is personally known to me, or who has oduced as identification. -.. ajjn nfarvo,.-_— ai Signature ofNotary ypeor rentNameofNotary y public - State of Florida Title: Notary Public Commission Number m. Expires Mar 22, 2017 mission # EE 877571 Through National Notary Assn. SLCPDSD Revised 05/15/2014 Planning & Development Services Department ' Building & Code Regulations Division __ - -- ` • 2300 Virginia Ave Fort. Pierce,FL 34982 . 772-462-1553 .... -. _ . _. ,: _ .. - - 0 w - 3ui3ider, : f dam =_::. t -i�ak:Conl ........ ..: DISCLOSURE...... STA'IENIEIVT F.S. 489.5.63 fC):EXEMPTIONS State 1_aw_requires electrical contracting to be done by licensed electrical contractors. You have applied -for a _ -o=Permt underauxemPt-iun to lay'heexemponiosyou, athewner ofy,ureryoacapyour own electrrcal contractor even thou ou do not Have •a license. You may install electricalwiring for a farm outbu>Iding or -:a single-family or duplex residence."You may install.electrical ';,;r.in_a cnmm�r�aj ��dm�fhewa gat ­00n9zuclion co sow c are un er 00 The home or buildin rnusf be fP ou= o—YM-AS -and-occupancy. --It -- maynot be bu�It for sale:oilease: Ifyou sell or_lease more :than one building you have wired yaurselfwitiun l.year' a$er the construction is .complete, the." will presume thatyoubuik it for:sale'oraease, which.is .a violation ofthis exemption.. You aiaynot hire. an unlicensed person as.your electrical contractor...' 'Your construction shallbe`done acco dmg:to budding codes:and zoning.regulations. It is.youk responsibility to make. sure that.people bmploged by . you have licenses required by state lawand.by. county or municipal licensing. ordinmc&s.. Failure to do somay result in -a .liability for you! • . To qualify for this exemption under this subsection, -an owner must personally appeaz and.sign the building permit application: I.hereby acknowledge that I have read -and understand the above diselosure:.statement and that I :_.urther understand.that.an violation -of the termsv the owner/builder exemption sliall:be reported by tie Community Development Du- tor:to .the Florid St te. epa t of Pr fe"sional`Regulation. Signed -and acknowledged on thy---n of 8� - , IGNATIIRE .- STATE OF -FLORID COUNTY.OF The foregoing instrument was acknowledged before me this. °� 0 day of• , 20(� 7 _..... who is personally: known to me or r has roduced as identification. S' tore of Notary T1JQ (seal) ry - �Print•nameofNotary - -.Tite: NotaryPublie CDAWN MILONE ommission Number. ; tPpY a ,2 Notary Public - State of Florida My Comm. Expires Mar 22, 2017 BiCPDSD-Revised 7/23/2010 '�:� Commission # EE 877571 "0 ... oP�, Bonded Through National Notary Assn. St. Lucie County Owner Builder Affidavit -Electrical Contracting