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HomeMy WebLinkAboutSUBMITTED PAPERSReceipt# _ Permit# 71 Planning &Development Services lqld-,? wilding & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 -1553 21 SPECIALTY TPE6RMIT APPLICATION. CUCI e o4 ❑ Electrical ❑ Plumbing ❑ RVAC ■ e ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2for instructions and additional paperwork required for specialty permits 1. Location/Site Address: R 6 U (o /7 /'DOA I i Arc 40—t 2. Parcel ID Number: 13 a l- <G S- a z ely- l o o- 6 Office Use Section Township Range Map Page Zoning Land Use initials Only 3. Complete Description of Project or Work: 6 r reµ, [ • f /t e A r - w 00 A OL C L91 A 1 / A. tY I�t tC-t A C v 1.4 J I e G/w j/t f fitly a v-f F."O A 7t y .0 r.1 'no L 4. Owners Information 5. Contractors Information Name: /elftlrl ei%% A7y %%%AocJ- Address: „2 S / ,,2 S / 0't 1 S/- City: jr;4 liyre. w State: IVA FL Reg/Cert #: County Cert#: Business Name: 01A,l..,rA 03/I/ Zip: .3 Y,70 1 Phone: a ! % q p yy Phone: Fax: 6. Value of Construction: $ Dd.' o v owNER•s AFFIDAvfr: 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 laws regulatin�n an . iYlpA.A PRINT OWNER ORCONTRACTORNAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF Sf L R 4 e. ACKNOWLEDGED BEFORE ME THIS /6+'h DAY OF-701te- , 20 % 3 BY R i d-i6t ✓ d rylzi n r) WHO IS PERSONALLY KNOWN TOME 11 ORWHO HAS PRODUCED AS IDENTIFICATION. / 1111CONNIECHILDS OYVytAQ �t tQ� L012 CA 06 = Comrign # DD 891196 SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY '?.'••as Expires August 31, 2013 15fl 8�i11 •'Fefh's'' aaamsnNT�yF�uaN�essaesisis COMNIISSIONNUMBER Q6 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04t262010 NOTICE TO Ow1ER: FAIIUT, _ 0 RECORD A NOTICE OF COMMENCEMENT ,, " RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURNOTICE OF COMMENCEMENT. F ENIPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address Indicate the street address or general location of property where the building activity is taking place. 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction ❑ Gas ❑ Shed: ❑ Fence ❑ Siding Indicate the tax identification number of the property where the building activity is taking place. Fully describe the activity to take place. Indicate the name and address of the owner of the property on which activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name•ofthe business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all current retail material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserve's 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. - Attach 2 piping schematics with tank size, location, and BTU of each appliance Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications Attach 2 plot plans showing location of fence height of fence and type of fence Attach 2 copies of manufactures specifications e ❑ EIVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement 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. NOTE: Emergency electric service change out inspections will not be performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. Planning & Development Services Department Building & Code Regulations 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 all a plicable 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 hw 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 liab a for the cost of the license. Initik -N 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 relateg medical cost, which could include loss of wages during recovery from their injury. Initial 11 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 Zoging Departm ntg, to the Florida State Department of Professional Regulation. Signed and acknowledged on this dayof of20 Owner/Builder Signature STATE OF FLORIDA COUNTY OF ' // The fo oin instrument was acknowledged before me this �_ day of �� 20/V by who is personally known to me, or who has produced as identification. Signature of Notary L Type or Print Name ofNotarF2-1 " Title: Notary Public Commission Number DAWN MILONE SLCPDSD Revised 05/15/2014 Z�e In U Ci / P � / H Notary Public - State of Florida My Comm. Expires Mar 22, 2017 Commission # EE 877571 Bonded Through National Nolary Assn. /-/&C' J 4 W X V N /a // CG &1'P /mac /'-el Property Appraiser - St.Lucie C ,ty, FL Page 1 of 1 PROPERTY RECORD CARD Richard W Mann Record: 1 of 1 «Prev Next » Spee.Assmnt Taxes Exemptions Permits Home Print Property Identification 419—yI /� . UUOIEC Site Address: 86066rookline Ave ParcellD: �7304-BO8i02A.4_<100-6r Sec/Town/Range: 02 :34S :39E Account #: 2211 yrP/ Map ID: 13/02N Use Type: SF Res Zoning: RS-4 City/Cnly: St Lucie County Ownership and Mailing Owner: Richard W Mann Mary M Mann Address: 2812 S 10th St Fort Pierce FL 34982 Sates Information Date Price Code Deed Book/Page 2/2712013 58000 0001 WD 3490 / 0484 10/10/2012 33400 0112 DE 3443/2472 7/9/2012 0 0112 SP 3412 / 1042 12/15/2009 100 0112 CT 3166 / 2398 4/20/2001 78000 00 WD 1384 / 2725 1126/1989 66000 00 WD 0621 / 1066 9/1/1981 3400 00 CV 0363 / 2367 BUILDING Legal Description E1fdFiPAR =UN BGBLK-93hOT MA - 702N 8R.349 Assessment 2012 Total Land and Building 2012 Final: 58700 Land Value: 4500 Acre Assessed: 58700 Building Value: 54200 Ag.Credit: 0 Finished Area: 1538 SgFt Exempt Taxable: Taxes: 1187.58 Exterior Features View: - RoofCover: SD - Dim Shingle RoofStmct: HP - Hip ExlType: HD+ - HD+ YearBlt: 1984 Frame: - Grade: D+- D+ EfIYrBlt> 1984 PrimeWall: BS - CB Stucco StoryHght: 0010-1 Story No.Units: 1 SecWall: - Interior Features SedRooms: 3 Electric: MIX -MAXIMUM PrminlWall: DW-Drywall FullBath: 2 HeatType: FHA - FrodHotAir AvgHt/Fl: 1/2Bath: 0 HeatFuel: ELEC - Electric Pnn.Flors: CU - Carpet %A/C: 100 %Healed: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cand. YrBlt. No. Use Type Type Measure Depth 1 0100-SFRes BI-Front Ft THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. d r Al ie, Lo&j.ernen�- o�n fear - http://www.pasle.org/pasle/pre.asp?prelid=130160802441006 6/19/2013 Wednesday, Jun 19, 2013 11:17 AM Wednesday, Jun 19, 2013 11:17 AM Property Appraiser - St.Lucie C, `,y, FL Page 1 of 1 PROPERTY RECORD CARD , Richard W Mann Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification y �jy�Jyj7CIE� r" Site Address: 8606 Brookline Ave PafcellD: `s" i�16'© �4 0, Sec/Town/Range: 02:34S:39E Account#: 2211''<' Map ID: 13/02N Use Type: SF Res Zoning: RS-4 City/Cnly: St Lucie County Ownership and Mailing Legal Description Owner: Richard W Mann Mary M Mann �IEEWt�nn'nau+cNt�rB= BI1craol-rn'a-rou�sP-.Z3tO2Nltf013�g4g0� Address: 2812 S 10th St Fort Pierce FL 34982 Sales Information Assessment 2012 Total Land and Building Date Price Code Deed Book/Page 2012 Final: 58700 Land Value: 4500 Acresi 2/27/2013 58000, 0001 WD 3490/0494 Assessed: 58700 Building Value: 54200 10/102012 33400 0112 DE 3443 / 2472 Ag.Credit: 0 Finished Area: 1538 SgFt 7/92012 0 0112 SP 3412 / 1042 Exempt: 12115/2009 100 0112 CT 3166 / 2398 Taxable: 420/2001 78000 00 WD 1384 / 2725 Taxes: 1187.58 1/26/1989 66000 00 WD 0621/1066 9/1/1981 3400 00 CV 0363 / 2367 BUILDING INFORMATION Exterior Features View: - RoofCoven SO - Dim Shingle RoofStmct: HP -Hip ExtType: HD+ -HD+ YearBlt: 1984 Frame: - Grade: D+- D+ EflYrBlt: 1984 PrimeWall: BS - CB Stucco StoryHght 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX-MAXIMUM PnnlntWall: DW-Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Use Type Type Measure Depth 1 0100-SF Res BI -Front Ft a7� 1: THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. (;lr ain a j Lo",ernen� 0 Y1 �Ca i http://www.pasle.org/paslc/pre.asp?prelid=130160802441006 6/19/2013 �- -----'-----[�- M --- - cat- V M - -- -- - ` -M ---- --CC '1.1- --- --`C I - -"(-i ------`—'M -- - --- ----M -"-- - V � 75 75 75 75 75 75 75 (� (� 210 6 0 M 7 0 M 8 M o 10 0 11 0 12 o i h, r � � �— � r�- i i �i ' 75 75 75 75 75 290 Wednesday, Jun 19, 2013 11:06 AM OFFICE USE ONLY EP #: SECTION TOWNSHIP RANGE MAP NO. ZONING LAND USE LOT CVG% TAZNO. FLOOD ZONE FIRM MAP # 1 sr FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 111990 LOT OF REC After 1(1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA (RADON) RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACTFEE CORRECTION PUBIC BLD IMPACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIREIEMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED MECHANIC_ ROOF _ ELECTRIC GAS PLUMBING _ NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: ! / REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW. MANGROVE REVIEW DATE RECEIVED DATE COMPLETED INITIALS I ! m /D » �6 % /� \§j £aw\<y y 6 � A �f K