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HomeMy WebLinkAboutSUBMITTED PAPERWORKI Office Use Only I Master # I Permit # a O 1 —4'Z �E �y St. Lucie County Building & Zoning 2300 Virginia Avenue Ft. Pierce,FL34982-5652 - SCANNED YFr Tel. 772-462-1553 F<oa�oP� BY APPLICATION FOR ROOF PERDR+ucie County SEE REVERSE SIDE FOR INSTRUCTIONS Date: d S 1. Location/Site Address: % I O I 8 c- �x r, , , �„ D r FT p; etr '-e. 5 / 9 g 2. Parcel ID Number: 39 O Z — / © — O e) Lf Q Office Use Section Townshi Range I Ma Page Zoning Land Use Initials Only II 40E 1sal i t,, 3. Description of Project or Work Activity: R!c e.-e— ,ra o-C n r I, Engineering required for Rigid Tile roof coverings per FBC 1507.4 & 1606.3.3 Engineering required for Metal Roof Panels 4. Total Roof Area (square feet): L-f ",3 0D 5. Roof Pitch: :a, 6. Type of Roof: EXI Fiberglass Shingle [ ] Barrel/Tile Ceramic [ ] Wood Shake Shingle [ ] Tar & Gravel 7: Owner Information [ 1 Modified Bitumen [ ] Other (specify) Name:_Dc�rYy l PG a Address: to I I G3 69 r Ina n ti ' r City: �E State: 51-/_ Zip: 399 :j� 2 Phone: %7Z- 2g4J-,T,35 9. Value of Construction: $ / 2.I?,Oo Note Dry -in and Final Inspection Required 8. Contractor Information FL Reg/Cert / County Cert Business Nam . O FeesDue:t I�a� Receipt # �d OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laS{wws's regulatingfjconsuuction and zoning. /�� ////f �p� PRINT QUA IFIERSIO NERS NAME SIGNA RETU OF QUALI IER/OWNER STATE OF FLORIDA, COUNTY OF L i'e-- f,6 ACKNOWLEDGED BEFORE ME TIIIS DAY OF 2(, IIY p PERSONALLY KNOWN TO ME OR WHO HAS PRODUCEI:IS'u c �— Li Ccnl1 S ID 3 G4i1'PIOS®Mt, ISS- R DD 092245 �. :; ;,,,,, ,a •EXPIRES: February 14, 2W6 RfA 5w&dThm N=ryPWllcundamNere SIGNA OF N A Y TYPE OR PRINT AME OF N TARY se TITLE: NOTARY PUBLIC COMMISSION NUMBERSiJCf J@Q 4,f) NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This roof permit application is to be used only for those activities that are not otherwise include under a primary building permit. This application may not be used for any activity that includes structural alteration. Building activities involving structural alteration, in addition to the roof work, must be permitted through the regular building permit review process. The information to be provided with this application includes: 1. Location/Site Address Indicate the street address or general location of the property where the building activity is taking place. 2. Parcel ID Number Indicate the tax identification number of the property when the building activity is taking place. 3. Description of Project or Work Activity Briefly describe the building activity to take place. 4. Total Roof Area Indicate total roof area to be affected by this permit. Also indicate the pitch of the roof, expressed as a standard ratio of run rise. 5. Type of Roof Indicate the type of roof being repaired or resurfaced. 6. Owner Information 7. Contractor Information 8. Value of Construction Indicate the name and address of the owner of the property on which building activity is taking pl `ace. Indicate the State of Florida registration_ number (if applicable), St. Lucie County contracior license number anc the name of the business doing the; work: t Indicate the total value of the work to take place. Total cogf of construction includes all material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. 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. This application can be submitted to St. Lucie County Building`and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications will be . accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours,(8-''00 AM - 5:00 PM), Monday through Friday. Upon issuance ofthis permit, required inspections can be scheduled by calling (772) 462-1261. `E Gy St. Lucie County - ii Building & Zoning Department SCANNED 2300 Virginia Avenue BY �ORtO Fort Pierce, FL 34982 561-462-1553 St. Lucie County OWNERIBUILDER 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 supervise the construction yourself. You may build or improve farm buildings, a one -family or two-family residence or a commercial building at a cost of under S25,000.00. The building must be for your own occupancy. It may not be built or improved for sale or lease. If you sell or lease the building you have built or improved yourself within one year after construction is complete, the law will presume that you built or improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. 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. u i Initial N I understand that the building official and inspectors are not there to design or give advice on how to meet�tiha minimum �� code. Initial) �J— I understand that as an owner -builder that any contract disputes with sub -contractors and myself must be hanf, dd in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial --D I understand that if I compensate any person or company for work performed they are required to have a business licenses in this jurisdiction. If for some reason they do not posses a business licenses I will be responsible and liable for the cost f tho4icense. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction project -they are entitled to workmen's compensation. I could be held liable for all doctor, lawyer and related medical cost, which could incl I 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. r 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 •Z. day of )_ fpv , r�y of 20�_. '— �OwnerBuilder S�nature STATE OF FL ID((��� COUNTY OFF i l`C1C Th oregoing instrum�n was ack owledged before me this day of byir�i C� 4e who is personally known to me or who has L.� as identification. 'i'e�'• EMILYDAY . =_+� x MY COMMISSION if DD 092245 EXPIflES: February 14, 2006 ���„t4���• awMed7lw Nahry Publlc Urdemtltera Signature of • ry Type or Print Name of N ary (Seal) Title: Notary Public Commission NumbeI:fl aO CommorVMasterForms/Building/Applications 11/08/02 EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 2549442 OR BOOK 2151 PAGE 179, Recorded 02/02/2005 at 02:44 PM Permit No. State Of NOTICE OF COMMENCEMENT Tax ID # County Of 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 Comoneneement. street Fee Simple Title 6older(ifother than owner) _ SCANNE® BY PhoF=# # ---mot, Lucie County Surety 7 . Phone Address Fax #, Amount of Bond S Phone # Fax # Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: Name Phone# Address Fax # In addition to himself, owner designates of (Phone # Fax # 1 to receive a copy of the Lienor's Notice as pmvided in Section 713.13(1)(b), Florida Statutes. Expiration date of notice of commencement is one year from the date ofrecording unless a different date is specified. STATE OF FLORIDA, COUNTY O '1- Acimowledged before me this c,1_, day of IIJLIQ . 2 by r{u who is personally known to me or who has Produced as identification. (seal) $1ENA OFMO7 Y [M t 11 JCX-s-.( FHRYPAy TYPE OR PRINT NAME OF NOTARY NY lYMP1ISSI0N amPlFQ215 E7��PES; Fecnarrte100s NOT YPUBLIC TITLE eenamowmrwKwr.w. COMMISSION NUMBER STTJE STA. UC E FLORIDA THIS TO CERTIFY THAT THIS IS TRUE AND CORRECT Copy OF THE ORIGINAL. ST.AUPIE CO — �.Iny Date: Property Appraiser - St.Lucie County, FL Page 1 of 1 Daryl R Paget Record: 1 of 1 Property Identification Site Address: 6101 BUCHANAN DR Sec/Town/Range: 11 :36S :40E Map ID: 34/11S Zoning: PROPERTY RECORD CARD ecPrev Next» Spec.Assmnt Taxes ParcellD: 3402-603-0047-000-5 Account#: 36631 Land Use: SF Res City/Cnty: ST. LUCIE COUNTY Exemptions Permits Map 9 y e FAw PPOPP`v Ownership and Mailing Legal Description Owner: Darryl R Paget INDIAN RIVER ESTATES -UNIT 02- BLK 6 LOTS 70 AND 71 AND N 18 Address: 6101 Buchanan or FT OF LOT 72 (MAP 34111S) (OR 1521-2752) Fort Pierce FL 34982-3214 Sales Information Assessment Final Value Total Land and Building Date Price Code Deed Book/Page 2004 Val: 144600 Land Value: 39000 Acres: 1.03 4/29/2002 151000 00 WD 1521 / 2752 Assessed: 125643 Building Value: 105600 Finished Area: 1548SgFt 3/15/1994 114000 0 WD 0889/2516 Ex mpt�t 25000 SCANNED 3/17/1993 112000 00 WD 0832 / 1435 Taxable: 100643 BY 9/l/1987 11/111985 24000 01 19000 02 CV CV 0557 / 1565 0486/0415 TotalTax: 2208.62 9t. Lucie County 1A/1982 75000 00 CV 0369/2171 Exterior Features View: ExtType: Grade: StoryHght: Interior Features BedRooms: FullBath: 1/2Bath: %NC: HD+ - HD+ D+ -D+ 0010 - 1 Story 3 2 100 RoofCover: YearBlt: EffYrBlt: No.Units: Electric: HeatType: HeatFuel: %Healed: BUILDING INFORMATION SA - Asph Shingle 1987 1987 1 MX-MAXIMUM FHA - FrcdHoUtir ELEC - Electric 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qua[. Cord. Wall. No. Land Use SWAV - RES POOL AVG Y 1 450 AV AV 1987 1 0100SF Res PA01 - POOL DK-AVG Y 1 702 AV AV 1987 3CCT - 3CCT S 1 1 AV AV 1987 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 RoofStruct: HP - Hip Frame: PrimeWall: WS - Wood/Sheath SecWall: PrmintWall: DW- Drywall AvgHt/Fl: STD Prm.Flors: CU- Carpet %Sprinkled: 0 Type Measure Depth BI-Front Ft 150 300 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasle.org/PRC.asp?prclid=340260300470005 2/2/05