Loading...
HomeMy WebLinkAboutSUBMITTED PAPERS�4 QFFICE USE t3 XN1 DATE FILED: '?LANMVIEW FEE: ; CONCURRENCY FEE: V 2. 4. 5. ��. ..� -T0 sop—C RECEIPT NO.: PERMIT NUMBER: 17_02 — O 1 � RECEIPTNO.: �'CERT. CAP. NO.: ALL I FO MIDST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue to(k Ft. Pierce, FL 34992-5652 S0 772-462-1553 �� �1/E®✓ - f �` ' APPLICATION for BUILDING PERMIT le you"tj/ CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION /D 867 S. 6 6,54 nl LOCATION/SITE ADDRESS: # la-7 Gr�ihi2� rs� f��! A (YE *ALA. eAl' Ma FL soy ,0 I PROJECT NAME: SITE PLAN NAME: PROPERTY TAX ID #: �,�//- a'!D D dD ,5- LEGAL DESCRIPTION (attach extra sheets if necessary): PLAT BOOK 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. PARCEL SIZE (ACRES/SQ FT.): ! — . LOT DIMENSIONS: i0 C�OWLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTMTY:.ZN 57-iRLL &,WdRETE 0 dN �iIIT.°e F ID%/�f 1119"7r �Fle �EIP Zn a- , 5T,/Q(r &EARt';rEn�„�L_ d�pcn_; F;�oQE 6N� >`r�rr l D 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: LEFT SIDE: g TYPE OF CONSTRUCTION (Check all appropriate boxes). NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL OTHER (SPECIFY) C,0 D13 DESCRIPTION OF PROPOSED USE: /C �S ; r�6 �V % i'A L " M E 14: SQ. FT OF CONSTRUCTION: 0 D,6 89, I- %• 15. SF. FT 1st FLOOR: ea 16. VALUE OF CONSTRUCTION: $ T �.-U.. The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 6%/05� G ® s" 477-4041,e0 OWNER INFORMATION NAME: ,44i 1 Ed C.5 / G. ADDRESS: 12441267Li CITY: ' STATE: Al 1/ ZIP: �- PHONE (DAYTIME): 016 f h'� �<-2 — Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: - STATE: ZIP: PHONE (DAYTIME): (_) CONTRACTOR INFORMATION ST. of FL REG.CERT #: BUSINESS NAME: QUALIFIERS NAME:. ADDRESS: CITY: PHONE (DAYTIME): (_) ARCHIT/ENGINEER: STATE: FAX NO. ADDRESS: CITY: STATE: PHONE (DAYTIME): C__) BONDING COMPANY: ADDRESS: CITY: STATE: MORTGAGE LENDER: ADDRESS: CITY: STATE: ST. LUCIE COUNTY CERT #: Email: ZIP: VP; ZIP: ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it wig be voided and returned to you by mail CERTIFICATION: - -- -This ap lication is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict_with any applicable Homeowner Association rules, bylaws or any covenants that may restrict:or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. _ The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS. SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. M OWNER OR CONTRACTOR SWEMMA REw STATE OF FLORIDA COUNTY OF �CcruG Ca� The foregoing instrument was acknowledged before me this 13 day of k6 20 12 by who is personally known or has produced 0- �* Lt e- ASS g27.33gs identification. Signature of Notary Commission No. (Seal) CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of . 20 by who is personally known or has produced as identification. Signature of Notary Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERBUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY ' Blw ••_� SECTION I f TOWNSHIP 27 RANGE MAP NO.�� / ZONING l I . LAND USE —wm LOT CVG % TAZ NO. FLOOD ZONE. FIRM MAP # Isr FLR ELV MAX HGT ; ,.r; , .. CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 111990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE LIBRARY PUBLIC BID PUBICBLD PARRS BRACT BRACT FEE IMPACT BRACT FEE- CORRECTION FEE FEE GENERAL SCHOOL. ROAD CRPa7 Y. N LAW ENF BRACT BRACT BRACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE, BRACT REQUIRED FEE v %. IV FEE SPECIFY MECHANIC ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD r . FEES ^ j REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER. REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED �•/ • /2 DATE COMPLETED ' INITIALS JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3674996 OR BOOK 33 ?PAGE 1255,..Recorded.02/15/2012 at PM NOTICE OF COMMENCEMENT Permit No. Tax Folio State of Florida County of St. Lucie The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. !✓ill�dl i l L1/l 6' LG 7FfE .SElt�u�r�t, ro: cf �h Nc 1 UN?r 157 Legal Description of Prope : (and stree ddress if vailabl�� n� "��: fly .5"7 General description of Improvement: h'>°/ / S ?_p �Xr 5 TI A/d 6 i �)r.n/rr, AWX owner infor atian or Lessee�forination if the Lessee contracted for the improvement: Name AJ Address L Interest in property: Name and address of fee simple titleholder (if different from Owner listed above): ContractorsName: s A /i1('�n� i��i —A— Q [�Iy�ie Contractor Address: Phone Number:, ,;�-_ p7�jr Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ 4d11-- — Name and address: Phone number: Lender Name: Phone Phone Number: 'ender's address: Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 71r .13(1)(a)7., Florida Statutes: Name: _ N/ �� Phone Number: !n addition to himself or herself, Owner designates of Lienoes Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number of person or entity designated by owner: to receive a copy of the Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPEcriON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knoMedge and belief. o (Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager (Signatory's Title/Office) The foregoing instrument was acknowledged before me this day of � , 20� , C By Czorcy' as i'�1��C for Name of P son �M Type of authority (e.g.officer,trustee) Party on behalf of whom Instrument was exxeeccutied.�--�f� Y ' 1 Personally known_or produced Identification (Signature o Notary Public -State ANGELA M. HUFF I _ (Print, Type, or Stamp Commissio a N�I i�Qy� 12EMIS p Type of Identification produced Balled ThN Na1�yPu6sc UnJe�wlfen STATE Of FLORIDA ST. LUCIE 1iNTY TV14S IS 10 GEATIFY THAT TH TRUE-W-C 94ECT COPY TOE ' OR PM ITN LE K B �, nerrrtt iet'k. w„��• �•t���' Date 2 emu,' r BUILDING & CODE SYSTEM You are logged s: Version l 857 Version 21.13A Property I Valuation ( Property Alert I Edit Permit ( Search Permit Review I Inspection I Permit Fee/Payment I Misc Fee I Contractor ( Reports I Malnt I Fiscal I Post Date Maint I ERD r View Edit or Add Permit Submit Query Pnnt A. EDIT PERMIT Add`I ewRenewa�,Permftl printALL'Formsr i ............ _! Permit # Confirm # Status �Enter Permit#: (Press ENTER) i-1-2-0-2---0-1-3-6 1202-0136 ` 752 Finaled print Flood Hazard Form .nter.............. .............i �6 Enter ZC Proposed Bus Name(Press ENTER) Edit Address DR 157 _ ........................... JENSEN BEACH................................. _. FL.... 34957............................._ Historic: NO....... OUNTy Owner(s): CARMEN CESTA Block: r Lot #: F,,,,,___,___,_, , Zoning:HUTCHINSON ISLAND R( Flood Map: PANEL 313 OF 410 Flood Elevation: IB ... _ Flood Zone: 227766 Add Contact Type (Contractor Ownerii* Tenant Applicant* PermitRunner) I ___...._ _ a_a - W.. .......................... . 1. Click to Edit Property Owners and Then Retum I 2. to Update Property Owners S/D: � E SYRANSE NY 113203-1130 Owner CESTA I 2525 � AVE Type Name Company art # ,Phone Fax I Cell Email Street Addr City State Zip � 641 i Property `CARMEN SCOVILL PERMIT INFORMATION Add Sub Permit Type Permit Category;_RESIDENTIAL Permit Type: BUILDING (MIS Date Applied: 2/13/2012 Date Issued: 2H5/2012 Date Finaled: 2/15/2012 Date Voided: Date Expired: _- 8/13/2012 Status I Contracti Compami Cert# I Status No data to display Permit Status: I_Finaled US) ..........................................:.......................................................................... Taken By: �nel __ Issued By: anpla Posted By: Voided By: ta9— 1777 Expired By: .....- Renewed By: _ Max Expire Date: j2/14/2014 ... ...... ..... ... ._..._._........_..__.......__..........._........ _...._..........__... ._............._......_...�...._._........ ... ...._....... ........_._................... _..... ._. Tenant Phone I Job_ Date Q Filed By EDIT Construction, Zoning, and Temnorary Snecial Permit Information Permit #: 1202-0136 Confirmation 0 ;i # New Units: 1 # New Floors: ' 1 # New Buildin s # New Bedrooms: � # New Bathrooms: L:_::::........ g i._.._...... ;---1 h......._.._ ';Exterior Type: L.,._......._........._...........__..........................-....._...__......! NOC Required: C i NOC Received Date:' .' ....... ) NOC Expire Dater CertCAP Required: F1 Setbacks: Front: ! Back: T.eft Side: �� Rieht Side: Status M j; ;n http://code/(S(41ckcfdps5tzymyi2zniecc3))/Add EditPennit.aspx 3/11/2014 2 Fence Permit Number: LO--- Pool Ladder Description: Fy I i PERMIT RECORDS REQUEST Employee Requesting File I Date Requested I Date Returned I Notes w No data to display i http://code/(S(41ckcfdps5tzymyi2zniecc3))/Add EditPennit.aspx 3/11/2014 FLE COPY 1 FROM: STEVENS. WOOD, P.E. FEBRUARY 7, 2012 FL PE No. 34398 950 SULTAN DR PSL, FL 34953 (772-878-7324) TO: ST LUCIE COUNTY BUILDING DEPT SUBJECT: CERTIFICATION FOR 'AS BUILT' CONCRETE SKIRTING AND MASONRY VENEER CONSTRUCTION REFERENCE: CASE #, 65743 & 68093 CARMEN CESTA RESIDENCE @ 10851 S OCEAN DR LOT #157 (WINDMILL VILLAGE MHP) JENSEN BEACH, FL 34957 a. /7 X BACKGROUND: THE PURPOSE OF THIS LETTER IS TO CERTIFY THE 'AS BUILT CONCRETE SKIRTING AND STONE VENEER CONSTRUCTION AT THE ABOVE REFERENCED MOBILE HOME ADDRESS. • THE SUBJECT MOBILE HOME IS A 1989 CHARIOT EAGLE DOULBE WIDE UNIT APPROX 40 FT LONG BY 24 FT WIDE ANCHORED TO A CONCRETE SLAB. • STORM SURGE FROM HURRICANES FRANCIS AND JEANE IN THE FALL OF 2004 CAUSED SIGNIFICANT DAMAGE TO THE UNDERSIDE OF THE MOBILE HOME DESTROYING THE SKIRTING, THE AIR CONDITIONING UNIT, PLUMBING, DUCTING, AND OTHER MECHANICAL EQUIPMENT UNDER THE MOBILE. • SOON AFTER THE HURRICANES (WHEN PERMITS WERE NOT REQIURED FOR CERTAIN REPAIRS), THE CESTAS BEGAN REPAIRING THE SKIRTING BY INSTALLING 4"X8"X16" CMU BLOCK ANCHORED TO THE CONCRETE PAD WITH REINFORCING BARS AT 36" O.C. IN FILLED CELLS. (SEE ATTACHED SKETCH) • IN AN EFFORT TO FURTHER FORTIFY THE HOME, SHEETS OF 2" DUROCK CEMENT BOARD WERE ATTACHED TO THE EXTERIOR WALLS UPON WHICH 1" THICK MASONRY VENEER (PAVERS) WERE ANCHORED ON THE EAST, WEST AND NORTH WALLS. (SEE ATTACHED SKETCH). • BASED ON A RESIDENT COMPLAINT, THE ST LUCIE COUNTY BUILDING DEPT ISSUED A NOTICE TO STOP WORK UNTIL A PERMIT WAS OBTAINED. TWO CASE NUMBERS HAVE BEEN ISSUED. CASE # 65743 FOR THE SKIRTING ISSUE AND CASE # 68093 FOR THE PAVERS. • THIS ENGINEER PERFORMED AN INSPECTION OF THE SUBJECT MOBILE HOME ON 1/28/12. Steven G. Wood, P.E. Florida P.E. No. 34398 950 Sultan Dr PSL, FL 34953 FILE C'Omh'PY FINDINGS: BASED ON THE INSPECTION, REVIEW OF THE MATERIAL'S/PROCESS, PHOTOS, PAPERWORK AND DISCUSSIONS WITH THE OWNER/BUILDER (CARMEN CESTA), THE FOLLOWING FINDINGS WERE MADE IN REGARD TO THE 'AS BUILT SKIRTING AND MASONRY VENEER: • THE CONCRETE SKIRTING IS INSTALLED AROUND THE ENTIRE PERIMENTER AND CONSISTS OF 4"X8"X16" CMU BLOCK ANCHORED TO THE CONCRETE PAD WITH VERTICAL REINFORCING BARS DRILLED AND EPDXYED AT 36" O.C. IN FILLED CELLS. THERE WERE AT LEAST (6) ACCESS PANELS THRU THE SKIRTING FOR ENTRY UNDER THE MOBILE. IMPACT TESTS ON THE SKIRTING WALLS DID NOT RESULT IN ANY DEFLECTION, MOVEMENT OR SHIFTING OF THE CMU'5. THE SKIRTING IS SOLID. SEE SKETCH. • ON 100% OF THE EAST AND WEST WALLS, 2" DUROCK CEMENT BOARD WAS ATTACHED THRU THE VINYL SIDING INTO THE STUDS OF THE MOBILE HOME USING STAINLESS STEEL SCREWS AT 12" O.C. ALONG EACH STUD. ANCHORS WERE PRE -DRILLED TO VERIFY ADHEREMENT TO WOOD STUDS. • OVER THE DUROCK IS A THIN -SET MORTAR USED TO SECURE THE 1" THICK PAVERS. LIFT TESTS ON THE PAVERS COULD NOT DEFLECT, SHIFT OR REMOVE THE PAVERS. THE PAVERS ARE FIRMLY SECURED. SEE SKETCH. • THE BACK (SOUTH) WALL DID NOT HAVE ANY DUROCK OR PAVERS INSTALLED AT THE TIME OF THE INSPECTION. • ON APPROX 50% OF THE FRONT (NORTH) WALL Z" DUROCK CEMENT BOARD AND/OR WIRE MESH HAD BEEN ANCHORED TO THE STUDS WITH SST SCREWS AT 12" CENTERS. PAVERS WERE INSTALLED OVER THE WIRE MESH (AND DUROCK) WITH THIN SET MORTAR. LIFT TESTS FOUND THESE PAVERS FIRMLY ANCHORED TO THE WIRE MESH AND DUROCK. CONCLUSIONS: • BASED ON THE ABOVE FINDINGS, THE 'AS BUILT CONCRETE SKIRTING AND PAVER VENEER WILL NOT ADVERSELY IMPACT THE MOBILE HOME'S ABILITY TO WEATHER FUTURE HURRICANES. IN FACT, IT MAY PROVIDE ADDED PROTECTION. • THEREFORE THE'AS BUILT CONCRETE SKIRTING AND PAVER VENEER CONSTRUCTION IS ACCEPTABLE AS I5. • CONTINUED PAVER VENEER CONSTRUCTION (PER ABOVE DOCUMENTED PROCESS) MAY PROCEED ONCE THE PROPER PERMITS ARE OBTAINED. • DUE TO THE FIRM ATTACHMENT OF THE PAVERS TO THE DUROCK/WIREr MESH, ANY ATTEMPT TO REMOVE THE PAVERS WOULD LIKELY RENDERJHE' MOBILE HOME COMPROMISED AND IRREPARABLE. a 1-711 1;11-V,; C i1 ii<:111, ST LUCIE COUNTY DUILDING DIVIWR REVIEWED BY V DATE ' 80 PLAN AND PERMIT MUST B KEPT ON JOB OR NO INSPECTION WILL BE MADE „t� �Swnm a emmm CARMN CMA RESIDENCE foj3�t 5. ocaw DR, - ;71577 E)3SnKG ROOF CONSIRUCWL r D0FRIOR SfOIE PA1 M SEE IN THH -SEf UtJRTAR m Z 1i31 X CMQ&X SILL aTV010 TO cmu SKZtdWG 4 a8 jc46" HRX CIO AT900 TO 10P OF 1W 47 CM NM 4 OM SKffff iG { AT HAM OF DOS= TRAILER• CORE MU" SOLE) AT FEW LOCAMN REMFOR(RG BAR t?RM0 AND GROUT tHrO DUSI-M OOtiE UE' PAD AT @ 36' o c .. DUS111+iG CONCREIE PAD •�• ERR SUPPaRr pC Steven G. Wood, P.E.'. Florida P.E. No. 34398 Aml 950 Sultan. Dr , eD NS /' )qcLCTi'e.A C`�D� 6s ,��C� /D1-6 200 aN Sp •r f r & AJ,4-L v C� (2�— D� � a BOARD OF COUNTY COMMISSIONERS Manufacturer: Model #: Serial #: Year Built: Subject: Stucco applied to manufactured housing To: St Lucie County, Building & Code Regulations Division PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building & Code Regulation Division This letter has been requested for us to acknowledge the exterior renovation of our manufactured home by adding stucco over dense glass panels and applied without permitting by the contractor. It has been brought to our attention that the application utilized in the remodel process is not approved for manufactured homes and requires additional engineering for extra weight and support on the framework. It is our understanding that cracking may occur to the exterior due to the prior application and method used, and therefore will not hold St Lucie County, Building & Code Regulations Division responsible. With this letter we also recognize that our manufactured home is not considered a site built residential dwelling and that any subsequent removal of the manufactured home from the existing site may be compromised during transport on highways and may require other means of removal or demolition. We understand that professional plans and engineering maybe required for the additional support and foundation attachments needed under the manufactured home to accommodate the extra weight and will require a final inspection report by a licensed engineer or architect. If you have any questions, please contact the Building and Code Regulations Division, Permitting Department at 772-462-1553 Owne�� 333-.7-33L Notary Seal: HR1S DZADOVSKY, District No. I • TOD MOWERY. District No. 2 • PAULA A. LEWIS, District No. ; • FRANNIE HUTCHINSON, District No. 4 . CHRIS CRAFT. District No. 5 County Administrator— Faye W. Outlaw, MPA Website: www.stlucieco.oro 2300 Virginia Avenue • Fort Pierce, FL. 34982-5652 PERMITTING AND ZONING: Phone (772) 462-1553 FAX (772) 462-1735 CONTRACTOR LICENSING: (772) 462-1672 • CODE ENFORCEMENT: (772) 462-1571 • INSPECTIONS: (772) 462-2165 FAX: (772) 462-1148 St. Lucie County Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER 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 or a commercial building at a cost of under $75,000.00. The building or residence must be for your own occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved your self within one year after the construction is complete, the law will presume that you built or substantially improved it 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. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applic ble w 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 t e 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 li 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 relat �' 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 shall be reported by the Building and Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 Owner/Build r Sign�aQre STATE OF FLORIDA COUNTY OF !(�/�_� The foregoing instrument was acknowledged before me this 49 day of f'� , 20 4(2. , by who is personally known to me, or who has produced i L!G as identification. Signature of Notary Title: Notary Public Type or Print Name of Notary Commission Number (Seal) Planning & Development Services Building & Code Regulation Division Permitting Department Receipt 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Date: 13 February 2012 Receipt #: 0000083786 Permit Number: 1202-0136 Job Address: 10851 OCEAN DR 157 amount: $50.00 Paid With: CA Check Number: Paid By: CARMEN CESTA - Received By: eileenn Online address: http://www.stlucieco.org/planning/permitting.htm Quick Links Permit Status Lookup Online Building Inspection System