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HomeMy WebLinkAboutSUBMITTED PAPERSP !-L'7 Planning & Development Services '3 Building & Code Regulations Division Cq��F .: 2300 Virginia Ave. St. B y u Fort Pierce, FL 34982 (772)462-1553 °°nty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed 1'0emolition ❑ Gas ❑ Siding Seepage 2 f or instructions and addidojnal paperwork requiredfor specialty permits 1. Location/Site Address: L (PF/o '� i' 0 0 d � F` P, 2. Parcel ID Number: �. t• =r :C� 1,- �o -� \ - v-. ®'� _ -O - 4 . Office Use Only Section Township Range Map Page Zoning Land Use Initials I Co to Descri tion f oject or Work: �= " 4. Owners Information (��� , % 5. Contractors Information Name: K • `:�,b rze' , FL Reg/Cert #: Address: to (D Q S- UM)a - County Cert#: City: t ) State: f Business Name: Zip: �� Phone: Phone: 6. Value of Construction: $ W� Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be _ compliance with all applicable laws regulating constructi n and zonm PRINT OWNER OR CONTRACTOR NAME S OF OWNER OR CONTRACTOR / STATE OF FLORIDA, COUNTY OF S•� L LU ACKNOWLEDGED BEFORE METHIS LkAY OF U 20 BY 'e� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED 'FW( -'!-f' ,5 A©--/-lS(-o •S q AS WNTIFI,CATIQN. 1 BETTY SLUTSKY .trar P a%�, al) S GNATURE OF NOTARY TYPE OR PRINT NAME OFi (�y ? *�� Notary Put�t�� -State of Florida II = • , = My Comm. Expires Feb 9, 2014 COMNMSION NUMBER l `;'� ;°�= Commission # DD 960096 ' 9ry JF f�°'`, Q ��� Bonded Through National Notary Assn. gM NOTICE TO OWNER: FAILURE T REC RD A NOTICE OF COMMENCEMENT MA 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: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR RAPROVEMENTS 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 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of property where the building activity is taking place. 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 of the 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 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. 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 applicable aws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on ho meet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must e handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. �)v" 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 or the 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 related medical 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 Regulgtion. Signed and acknowledged on this day of . fVUY-Ok of 20 13 iM; STATE OF Fl, COUNTY OF i ( j� The fo goirig . strumegt w knowledged before. me this ( day of 1 l�V �` , 20 by '� A a Y) ___,e - who is personally known to me, or who has produced V-- L_ as identification. Signature of Notary Title: Notary Public SLCPDSD Revised 07/22/2010 Type or Print Name of Notary Commission Number +'s Notary PuDHc - State of Florida • My Comm. Expire: Mar 22, 2011 Commission # EE 877571 a f,tr Annded Through National Notary ry Assn. Property Appraiser - St.Lucie Q ` ity, FL i Page 1 of 1 James R Sebree Sr Record: 1 of 1 Property Identification Site Address: 6613 Eastwood Dr Sec/Town/Range: 01 :34S :39E Map ID: 13/01N Zoning: RS-4 PROPERTY RECORD CARD «Prey Next » Spec.Assmnt Taxes Exemptions Permits Home Print Parcel I D: 1301-611-0294-000-0 IN;L Account* y� Use Type: SF Res City/Cnty: St Lucie County Ownership and Mailing Owner: James R Sebree Sr Viola A Milliord Address: 6613 Eastwood Dr Fort Pierce FL 34951-1201 Legal Description LAKEWOOD PARK -UNIT 9- BLK 114 LOTS 20 AND 21 (MAP 13/01 N) (OR 3344-2341: 3420-2541; 3424-47) Sales Information Assessment 2012 Date Price Code Deed Book/Page 2012 Final: 85400 8/16/2012 22400 0111 QC 3424 / 0047 Assessed: 85400 8/7/2012 44700 0111 QC 3420 / 2541 Ag.Credit: 0 11/10/2011 0 0111 PB 3344 / 2341 Exempt: 50000 9/30/1992 76000 00 WD 0810 / 0844 Taxable: 35400 10/2/1991 100 01 CT 0757 / 2376 Taxes: 910.46 9/26/1990 0 01 QC 0712 / 1288 11 /9/1989 100 02 QC 0663 / 2060 4/1/1980 0 01 CV 0330 / 2752 BUILDING INFORMATION Total Land and Building Land Value: 16400 Acres: 0.48 Building Value: 69000 Finished Area: 1667 SgFt Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HD+ - HD+ YearBlt: 1975 Frame: - Grade: D+ - D+ EffYrBlt: 1977 PrimeWali: BS - CB Stucco StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWali: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/26ath: 0 HeatFuei: ELEC - Electric Prm.Fiors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Quai. Cond. YrBlt. No. Use Type Type Measure Depth SWAV - RES POOL AVG Y 1 800 AV AV 1980 1 0100-SF Res LFI -Front Ft 100 100 DWC - Driv-Concret Y 1 400 AV AV 1975 2 0100-SF Res LFI -Front Ft 90 120 PA01 - POOL DK-AVG Y 1 800 AV AV 1980 FEN4 - CHAINLINK4' Y 1 500 AV AV 1980 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=130161102940000 3/19/2013 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL. 34982 Phone:(772)462.2172 Fax:(772)462.6443 March 19, 2013 Sebree Sr 6613 Eastwood Dr Fort Pierce, FL 34951-1201 RE: Building Permit Number 1303-0261 ASBESTOS NOTICE TO OWNER/BUILDER Disclosure Statement. State law mquiies asbestos abatement to e done by licensed contractors. You have applied or a permit under an exemption to that law. The exemption allows you as the owner of your property to act as you own asbestos abatement contractor even though you do no have a license. You must supervise the construction yourself. You may move, remove, or dispose of asbestos containing materials on a residential building where you occupy the building and the building is not for sale or lease or the building is a farm outbuilding on your property. If you sell or lease such building within one year after the asbestos abatement is complete the law will presume that you intended to sell or lease the property at the time the work was done which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your work must be done according to all local state and federal laws and regulations which apply to asbestos abatement projects. It is your responsibility to notify the Department of Environmental Protection of your intention to remove asbestos. It is your responsibility to make sure that the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Owner Signature & Date 3/19/2013 11:38:50 AM