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HomeMy WebLinkAboutSUBMITTED PAPERSDate: I a Due: 1,Recei t# Permit # J o� Planning & Development Services Building & Code Regulations Division 'SC,G� 2300 Virginia Ave. F Fort Pierce, FL 34982 St e (772)462-1553 UCie CoUhty SPECIALTY PERMIT APPLICATION, ❑ Electrical ❑ Plumbing ❑ HVAC MFence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: ✓ Office Use Only Secdon Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: j�-r 4. Owners Information 5. Contractors Information 20 rS F�0 F / Name: Ptw lf-y—p ��/�//�'j A U4�6f FL Reg/Cert #: �Z- G 19Li "rs �. Address: 1� City: State: Zip: j ��� Phone: 6. Value of Construction: $ County Cert#: Business Name: 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 laws regulatin s ction and zonq��x ' mvl-c-oz PRINT OWRER OR CONTRACTOR NAME SIGVA—TUPW MAR OR coiqTRACrOR _ STATE OF FLORIDA COUNTY OF — ACKNOWLEDGED BEFORE ME THIS , DAY OF ( 20 a� BY v%& Artkir 1 !! t�k (�,jl I'ay WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED L+ .M " C, « k -? q ( LL^h / — v az�. '"•"•Y °'' r.. ,,:' . �1Y CC:�r(Se�l9)nti Ef 083530 .a., EXPic�cS: SIGNATURE OF NOTARY TYPE OR PR11AME N ARY j;r '' 4 , t°P'' Bonded n� n �. �+pri! 12, p0I5 COMMISSION NUMBER otary Public Underwriie� 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 04/26/2010 NOTICE TO OWNER FAJOTO 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 $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 Vindicate 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. Owner 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 building/constructiori 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 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. Property Appraiser - St.Lucie Jty, FL Page 1 of 1 PROPERTY RECORD CARD Raymond A Muller Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \UCIEO0G�L Site Address: 120 IMPERIAL WAY ParcellD: 1312-701-0051-000-5 Sec/Town/Range: 12 :34S :39E Account #: 4369 Map ID: 13/12S Use Type: Mob Homes Zoning: RMH-5 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Raymond A Muller Virginia K Muller BEL-AIRE ESTATES BLK 3 LOT 10 (OR 3139-1577) Address: 120 Imperial Way Fort Pierce FL 34951-2016 Sales Information Assessment 2012 Total Land and Building Date Price Code Deed Book/Page 2012 Final: 18500 Land Value: 10600 Acres: 0.3 10/9/2009 27000 0112 WD 3139 / 1577 Assessed: 18500 Building Value: 7900 12/16/2008 100 01 CT 3052 / 1214 Ag.Credit: 0 Finished Area: 672 SgFt 12/4/2006 85000 00 WD 2715 / 606 Exempt: 18500 1/8/2002 36000 00 WD 1479 / 0726 Taxable: 0 11 /8/1991 0 01 QC 0767 / 2092 Taxes: 0 7/1/1975 6000 01 CV 0241 / 1818 BUILDING INFORMATION Exterior Features View: - RoofCover: - RoofStruct: - ExtType: MHL - MHL YearBlt: 1967 Frame: - Grade: MANH - MANH EffYrBlt: 1982 PrimeWall: - StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWall: FullBath: 0 HeatType: - AvgHt/FI: STD 1/2Bath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Use Type Type Measure Depth CNC2 - CONCRETE LOW Y 1 972 AV AV 1982 1 0200-Mob Homes 205 -Front Ft 107.54 120 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/paslc/prc.asp?prclid=131270100510005 3/14/2013 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 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 appli a la s, 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 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 or the cost of the license. Initial aa/ 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 relate 5l dical 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 Ify of 20 . Owner/ Ilder Sign to STATE OF FL0_RIDA COUNTY OF , by egoinS. instiV ent was 11-e before me this 1-7day of RQr , 20� whQ is personally known to me, or who has PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE. FORT PIERCE, FL 34982 (772)462-1553 PERMIT RENEWAL REQUEST ADDRESS: ��� �h9�i-��// L G//%�� PERMITNUMBER. f t- C /3 D 3-012Z 4Z I, ��l�/m�'� �2 y%% v LLy� , AM REQUESTING THAT THE ABOVE PERMIT IS RENEWED. I UNDERSTAND THAT I MUST SCHEDULE AND PASS ALL REQUIRED INSPECTIONS FOR THE PERMIT TO BE FINALED. FURTHER, I UNDERSTAND THAT THIS IS A ONE TIME RENEWAL AND THE PERMIT SHALL EXPIRE SHOULD I NOT RECEIVE A PASSING INSPECTION DURING ANY SIX MONTHS PERIOD DURING THE RENEWAL PERIOD. 6W-NERrZRORCONTRACrOk&9NXTURE DATE STATE OF FLORIDA, County of S/4-/ yi v ear ACKNOWLEDGED BEFORE ME THIS 3 DAY OF © c i "g 20 BY 'Q Ir WHO IS PERSONALLY KNOWN TO ME , OR HAS PROVIDED V% " AS IDENTIFICATION. STATE OF FLORIDA, County of S-� , L v C'% -e,, SIGNATURE OF NOURY FOR OFFICE USE ONLY: SEAL COG MMISSION NUMBER DEANNA GIVENS NotaryPublic - State of Florida • My Comm. Expires Dec 16, 2016 Commission # EE 858761 Bonded Through National Notary Assn. RENEWAL FEE: S No. of Open Inspections _ Total No. of Inspections = (% of Open Inspections). Original Permit Fee S x Open Inspections (%) _ $ (Renewal Fee). Example: [15 _ 23 = .65(%)] $175.00(permit fee) x .65(%) = $113.75 (Renewal Fee) SLCPDSD REV 4/11/2011 &�"kkl �` e��ro"""' - t fie° dam' EP S 89 591 Q E 247.14 � -- FILE Vindale 1�v+�nve EP GO' RI ht—of —way) 13': Pavernont - w P. ±CENTER OF SWALE ~N.E'fAL METAL PIPE PIPE t S89"59' 1.0"E 133. �' M. ---- = -- -- ________________________-, - S. VEYC)R NOTES: FIRC CONCRETE FIP ,�_y 1 Bearings ahown- hereon. ore based on the DRIVEWAY centerline of Imperial Way as platted and bears a2; N- 45'32'00" E. jg( - o ' '�pQ �FA Written -dimensions take precedence over f scaled dimensions and distances are not to be _ in"� vv� WELL scaled for ,- construction and/or design purposes. � ._' 3. All distances and bearings . are as field measured and .are coincident with "PLAT" and LOT0 _ FIR p description data. unless otherwise noted. v j 4. This drawing is not valid without the - BlockJ signature and original raised seal of a Florida i- ��O p CONCRETE licensed Surveyor &Mapper. 0 ? 9 -FOUNDATION _ _ 5. This survey is based upon a description furnished by the client, there hasbeen no '�? search of the public records, done by this office_ 'Y ,��,1' �• '� 6. Property lies In Flood Zone as scaled �" -, from the National Flood Insurance Program Rafe �► i ONE—STORY Q�' 3�Qq�'� "'' ° - _ wJ _____________ M BILE HOME- _ - - _ - with an effective date of February" 16," 20i 2. 7. This survey is -not -covered by � � _ professional liability insurance. fl! Q? END C CLF (fl 1�W) sr• b'`� `• , _ 8. City water &sewer are available in this area: -improvements _ PANEL 6� �� �� '\ • 9. No underground utilities or located ' a �9.4� �,. ak. f were unless otherwise shown. ------------- - -- $- f3ox C C� r .tij N, l� Oki %�>� �4w� `��CERT1 FtEQ T0: RAYMOND A. & VIRGINIA K. MULLER Cn z o,` r d tip' `°- LEGAL DESCRIPTION: LOT 10. BLOCK: 3., BF-L—AIRS ESTATES, according to the map or plot thereof, as recorded in Plat Book 14, at Page 21, of the Public Records of St. Lucie County, Florida. =� t1FtE FIP Q� LOT AREA: 13.196 So Ft! 0 30 Acres± - P S89'59' 1®"E 51.51' LOT 11 Blcc1 (OCCUPIED) MARCH 11, 2013 Date of Signature Professional Surveyor & Mapper Florida Certificate No. 63$3 LB No. 7608 STREET ADDRESS: 120 imperial Way, Fort Pierce, Florida. LEGEND - ® =.SANITARY CLEANOUT CONC = CONCRETE CL = CENTERLINE RIGHT OF WAY 9 = TELEPHONE RISER EP = EDGE OF PAVEMENT A = WATER METER - FIRC = FOUND 5/8" IRON ROD A/C = AIR CONDITIONER PAD & CAP (NO I.D.) CLF -- = CHAIN LINK FENCE li( = CABLE TELEVISION RISER H2o = WATER TREATMENT PAD -OHE- = OVERHEAD UTILITY LINES AP = FOUND 1" IRON PIPE 0 = WOOD POWER POLE ± = PLUS OR MINUS E = POLE ANCHOR - LIGHT POLE Mcinity Map (Not To Scale) - Date of last field work:03/06/201 Boundary Survey ePrepared oh the order of: �e n n le t t Bennett Surveying, Inc. Ray Muller 10M Hunt Cab Lane Field: LIB $B Job No.: 13�-030Q Palm Beach Gardefle, Florida 3341$ tel: 772.336.4033 fox:772.330.8689 Drawn: WEI Date:03/11/2013 email: bennettsurveyingOyahoo.com Seals: 1 "=20' sheet: 1 of 1