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Home My WebLink AboutSUBMITTED PAPERS• t J . Date: - Fe Due: I Recei t# Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. s't e yN�CO Fort Pierce, FL 34982 4UCj� (772)462-1553 C'p4i7ty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ Shed ❑ Demolition ❑ HVAC ,Fence ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 150 )1W�gJNkA �\Q W/�/1kbeff `5k • LUC-\e 2. Parcel IDNumber: 3 (- / q - 5-�v W — d� F - 00 ,d Township Range Map Page oning Land Use Initials Office Use Section r 7,I Only \, W \ 3. Complete Description of Project or Work: I U[1C-AQb n`j i-1�0; VJ b D 1-1�a s / ial�T �L\P QV)75\vk&� tti'I-Y-\A - (ate IS X�at \(C� A CA\kD� �C 4. Owners Information Contractors Information ��r' Name: .l Re / Cert #: _. /DTI / �� I;l Address: CJ' �C.L l') C County Cert#: City: ��_ - State: /� L Business Name: Zip: / . Phone: S Phone: Fax: 6. Value of Construction: $ OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correcganha l will do %W arI% VV Jb ,compliance with all applicable laws regu g construct( zoning. cc �4PRINT OWNER OR CONT CTOR NAME SIGNATURE OF WNER OR NT STATE OF FLORIDA, COUNTY OF Avlwo—) ACKNOWLEDGED BEFORE ME THIS r DAY OF 20 BY WHO IS PERSONALLY KNOWN TO ME JZOR WHO HAS PRODUCED _ MARY HIGGINS KNAPP ro .� N IFIC ION. = Notary Public •. State of Florida My, Comm:15 plr"i`Jun 29. 2017 (seal) SIG E O ARY TYPE P COMMISSION NUMBER fC"'LJ NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR' AYIN ' R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAN�,z�FISI3_ILYVLTI�'9 R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF G�OI6I1i IE17�CE1C2 NTANGEIA M. HUFF EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 �S c D.4Y cowSSION # EE 0835 0 _* s EXPIRES: April 12, 2015 Revised 04/26/2010 'T� �,• o' BondedThru Notary Public Urdenvfiters NOTICE TO OWNER: F "L o;�E TO RECORD A NOTICE OF COMMENCEML�` 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 $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 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 Indicate the- tax identification number of the property where the building activity is taking place. 3. Description of'Project or Work Activity Fully describe the activity to take place. 4. Ownef-Information Indicate the name and address of the owner of the property' on which activity is taking place. 5. Contractor Information Indicate the State 'of Florida registration number (if :.:,',,;;''.applicable), St. Lucie County, contractor license number and the name of the business doing the work. 6. Value of Construction' = 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-- -- 7'-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. ❑ Gas Attach 2 piping schematics with tank size,location, and BTU of -each appliance ❑ Shed:,_ Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot plans -showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies' of manufactures specifications ❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This application canCar tec�t�oSt� pcie Caatiit,�.� lding and Zoning, 2300'Virginia Avenue, Fort Pierce, FL 34982. All permiatip mutitglfilled'' letely before submission. No applications will be accepted for procesirL4-30.V.".9 �'6y a$�' eE completing this application, please call,(772) 462-1553, during regl �iours `� A1V�'°�' %� ��b , 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 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 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 ap I', le laws, ordinances, building codes, and zoning regulations. Initia ^Z= I understand that the building official and,inspectors are not there to design or give advice on ho o meet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must 4 handled in a civil court with the advice of an attorney. Tjl ,department will not mitigate any contract disputes. Initi 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 posses's a license, I may be responsible and lia or the cost of the license. Initial lhll- 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 rela edical cost, which could include; loss of wages during recovery from their injury. Initia 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 exemptions be reported by the Building and '_' Zoning Department to the Florida State Department of Professional Regu n. d acknowledged on this day of of 20 -Xz wner ui der ature STATE OF FLORIDA i COUNTY OF �'7�✓ / iThereoin in truument �as ckwle ged beforemethis � dayof Q �// who is person/y know ✓ to me, or who hasas_ identification. i S1 a of Type or Print Name of Notary (Seal) Ti Notary Public Com ' s' u b�� J\ 618E10 ��.# UOiS81Wut0� ;eam'o, `o»io.�; SLCPDSD Revised07/22/2010 L10Z.'6Z unr sojidx3.wwoo A =� = +` o1a:-f"', AfVGELA.Iy. Fil1FF ` moij ►o elelS n!IQnd 6ie16N = &+ * ~ +, MY COMMdSSION # EE 083530 ddVN)I SNhJ91H.AklgW '� �'p-,° Bonded Thru Notary PublicUnderwriters Y I i � Y �_ to C S LT r !! Property Appraiser - St.Lucie Counf-j- vL -. Page 1 of 1 i PROPERTY RECORD CARD Mark W Hill Record: 1 of 1 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 150 Banyan Dr ParcellD: 3411 • "2 0 8-000-8 Gay Sec/Town/Range: 22 :36S :40E Account #: 42354 Map ID: 34/22S Use Type: SF Res Zoning: RS-4 City/Cnty: Saint Lucie County ' Ownership and Mailing Legal Description Owner: Mark W Hill Paula M Bohlayer RIVER PARK -UNIT 3-TRACT E BLK 135 LOT 7 (MAP 34/22S) (OR Address: 150 Banyan Dr 3376-2849) Fort Pierce FL 34952 Sales Information Assessment 2013 Total Land and Building Date Price Code Deed BooklPage 2013 Final: 47500 Land Value: 8300 Acres: 0.22 4/3/2012 65000 0001 WD 3376 / 2849 Assessed: 47500 Building Value: 39200 3/22/2010 42000. 0112 SP 3185 / 0838 Ag.Credit: 0 Finished Area: 1875 SgFt 11/19/2009 100 0112 CT 3161 /0797 Exempt: 6/21/2005 200000 00 WD 2285 / 1363 Taxable: 3/8/2002 110000 00 WD 1521 / 0278 Taxes: 961.99 3/8/2002 83000 00 WD 1521 / 0274 10/6/2000 60000 00 WD 1334 / 1227 8/29/1996 59000 00 WD 1033 / 2404 11//1992 100 01 QC 0819 / 1810 11/1313/1992 65900 00 WD 0819 / 2738 2738 9/1 /1979 51000 00 CV 0316 / 2897 BUILDING INFORMATION Exterior Features View: - RoofCover: ExtType: HC - HC YearBlt: Grade: C - C Ef1YrBlt: StoryHght: 0010 -1 Story No.Units: Interior Features BedRooms: 4 Electric: FullBath: 2 HeatType: 1 /2Bath: 0 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qual. Cond. YrBlt. SWAY - RES POOL AVG Y 1 450 AV AV 1977 PA01 - POOL DK-AVG Y 1 867 AV AV 1977 - CHAINLINK 4' Y 1 125 AV AV 1977 SD - Dim Shingle RoofStruct: HP - Hip 1959 Frame: - 1959 PrimeWali: BS - CB Stucco 1 SecWall: FS - Frm Stucco MX - MAXIMUM PrmintWail: DW - Drywall FHA - FrcdHotAir AvgHt/Fl: ELEC - Electric Prm.Flors: CT - Tile -Ceramic 100 %Sprinkled: 0 Land Information No. Use Type Type Measure Depth 1 0100-SF Res 215 -Front Ft 75 125 FEN4 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. t,rn,•//xxnxnxr naclr. era/nacl�/nrc_asn?nrelid=341952000080008 4/15/2014 6�1 / 0 6�klkft\j