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HomeMy WebLinkAboutSUBMITTED PAPERSrfee lyue: rermit i7 —Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, TL 34982 (772)462-1553, SPECIALITY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed demolition 0 Gas ❑ Siding Seepage 2 for instructions and ``a��dditional paperwork required fo�r/sppecially peer,{m�its, / 1. Location/Site Address: 670.5 G 601q w J �� R: V l7 IZ DO*& V 2. Parcel ID Number: � F 01 -So 2 —000 00c) — 0 I I Z). - 0.-.: � C G Sc COO hty Ofjyre use Only Section Township Range Map Page Zoning Land Use Initials - 3. Complete Description of Project or Work: mio 900 'CAVAod FV0T 4. Owners Information % 5. Contractors Information Name: Address: S- So 4&9"k�Jr�D�ArJ RtJl�2. City: �IA�-� �� I `C� 'State: 'r Zip: S Z Phone: ? 6. Value of Construction: $ 170 0- owNEws AFFIDAVIT: I certify that all of the information contained compliance with all applicable laws regvlatu go PRINT OWNER OR CONTRACTORNAME ` .D S STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS / W DAY OF FL Reg/Cert #: ©Ui IV (3 ► Lo L i �� ty Cert#: Business Name: OR Fax: and that all work will be done in -- k WHO IS PERSONALLY KNOWN TO ME . OR WHO MAS PRODUCED /� `% ENTIFICATION. �7 �/ /� 7 V_ 0 -2 1.4 d f7 1A SMATUMM, V TYPIMPKINT-RO NOTARY COMMISSION UMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT .MAY ,RESULT IN .YOUR PAYING TWICE F IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH QR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR KOTICE. OF COMME CEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 . I J)eX AUDREY B. HUMPHREY MY COMMISSION # EE 061159 (( 1 EXPIRES: March 6, 2015 v SAP, Bonded Thru Notary Public Underwriters11 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR RVIR ���3MENTS TO YOUR PROPERTY. IF YOU . ?III' TO OBTAIN PINANCING, CONSULT WITH YOL _ ,'NDER OR AN ATTORNEY BEFORE RECORDS OUR NOTICE OF �O1VEVIEIEMENT. w 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; block 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 10D Dumber Indicate the tax identification number of the property where the building activity is taking place. 3. Description of Projector Work -Activity , Fully#scribe'the- ctivity 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 tlie'work to iake'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.-si: 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.BIt of each- appliance ® Shea.: Attach 2 plot plans, 2 copies of DCA letter and plans,`2=a6chor 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.I calculations. 2 sets of ductlayouts 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 he 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. STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: Ronnie Klein PROPERTY ADDRESS: 8705 S Indian River Dr Fort Pierce, FL 34945 LOT BLOCK: SUBDIVISION: PERMIT #:56-SF-1612852 APPLICATION # : qP 1130680 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR925700 PROPERTY ID #: 3519-502-0001-000/0 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS' OF SECTION• 381.0065, F.S., AND CHAPTER-64E-6, E.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT -DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. T [ 900 ] GALLONS / GPD Septic Tank CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D E O T H E R [ ] FILLED ] BED SYSTEM SYSTEM [ ] MOUND ][ / ][ABOVE/ BELOW] BENCHMARK/REFERENCE POINT ][ / ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT ILL REQUIRED: L U.UU 1 INUMS5 - EXC.AVATIUN REQUIRED: L J INURES Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. BY: ,J R TITLE: APPROVED BY•. TITLE: Environmental Specialist II Andrew R Ga_W0_ DATE ISSUED: 12/31/2013 DH 4016, 08/09 (Obsoletes all previous editions -which may not be used) Incorporated: 64E-6.009, FAC St. Lucie CHD EXPIRATION DATE: 03/31/2014 v 1.1.4 AP1130680 SE-1 Page 1 of 3 Property Appraiser - St.Lucie County, - FL Page 1 of 1 Tilghman O'Neill (TR) Record: 1 of 3 Property Identification Site Address: 8705 S INDIAN RIVER DR Sec/Town/Range: 19 :36S :41 E Map ID: 35119N Zoning: RE-2 Ownership and Mailing Owner: Address: Sales Information Date Price 10/27/20U9 100 6/111984. 131000 4/1/1984 0 6/1 /1981 170000 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print OIE ParcellD: 3519-602-0001-000-0 Account #: 115875 Use Type: SF Res ' City/Cnty: Saint Lucie County Legal Description Tilghman O'Neill (TR) T M DEAL PROPERTY -AN UNRECORDED PLAT- LOTS 1 AND 2 LYG PO Box 13599 ELY OF E R/W FEC RR -LESS IND RIV DR- (OR 436- Fort Pierce FL 34979-3599 More... Assessment 2013 Total Land and Building Code Deed Book/Page 2013 Final: 380100 Land Value: 301600 Acres: 0.97 0130 WD 3145 / 2679 Assessed: 269417 Building Value: 78500 00 CV 0436 / 0069 Ag.Credit: 0 Finished Area: 2804 SgFt 01 CV 0429 / 2484 Exempt: 50500 01 CV 0358 / 0684 Taxable: 218917 Taxes: 4615.02 Exterior Features View: ExtType: HC- - HC- Grade: C- - C- StoryHght: 0010 -1 Story Interior Features BUILDING INFORMATION L. RoofCover: TN - Metal YearBit: 1951 EffYrBlt: 1951 No.Units: 1 RoofStruct: GA - Gable Frame: - PnmeWall: WN - Wood no Sh SecWall: BR - 8in Brick BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FuliBath: 2 HeatType: FHA - FrcdHotAir AvgHtR: 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Fiors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard liems Land Information Type Y/S Qty. Units Qual. Cond. YrBit. No. Use Type Type Measure Depth 1 0100-SF Res 235 -Front Ft 211 500 2 0100-SF Res 520 -Acres 0.97 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. SL612�1� id=351950200010000 12/18/2013 Planning & Development Sen', ;Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-ISM - 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 Iaw 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 provid rs' compensation for that employee, all as prescribed by law. Your construction must comply with all appl , ordinances, building codes, and zoning regulations. Initial v I understand that the building official and inspectors are not there to design or give advice on ho the minimum.code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I in in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. I understand that if I compensate any person or company for work performed they are requ' e_ licensed in. this jurisdiction. If for some reason they do not possess a license, I may be_ responsible and H e cost of the license. Initial I understand that if any person_ that is unlicensed and uninsured gets injured on my construction ro they may be entitled to workmen's compensation. I could be held liable for. all doctor, lawyer and relate 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 understand that any violation of the terms of the owner/builder exemption Zoning Depa't�n to th Florida S t epartment of Professional Regulal day of `J �f 20 STATE OF FLO A COUNTY OFLk The fopgoing instrument cknow edged before me this by k_4 `N 1� 15��1 whom Signature of tary \ -l-jpe or Yrm Title: NotarvWublic Commission SLCPDSD Revised 07/22/2010 known that I further Building and edged on this - , 20—LS to me, or who has �,I J (Seal) a ..PSI-. ANOEW M. NUFFHEED ,• 04 A1YC0MUSS10 EXPIRES: A N r ;;5� BondedThruNota PnI12, ry Public Jndem rde, JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3408772 OR BOOK 3589 PAGE 750, Recorded 12/19/2013 at 12:52 3 Doc Tax: $1890.00 Atlantic Title, LLC 1061 E.Indiant 0 Jupiter, FL 477 File N 7-5 0 P File Num r: 09-ST Will Call o.: Spore Above Th' Line orR ing X ty e This Warranty Deed made this I Ith day of December, 2013 between ERIN ALANNA O'NEILL, as Trustee(s) of the THE TILGHMAN REVOCABLE TRUST OF 2008 DATED AUGUST 13, 2008 whose post office address is 6929 Barney Road, Jacksonville, FL 32219, grantor, and RONNIE S. KLEIN and BRIGITTE K. KLEIN, husband and wife whose post office address is 5803 South Indian River Drive, Fort Pierce, FL 34982, grantee: (Whenever used herein the terms 'grantor' and 'grantee' include all the panics to this instrument and the heirs, legal rcprescntatives. and assigns of individuals, mid the successors and assign of ootpontiuns, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS (S 10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has emitted. baremned. and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, t int ucieintsan to•wit: la it D IdentiBcatlon mb01 0/0 t to taxes for 2013nt y Its; coven nts,. condition restrictions, se nts, ;1o; and limitationy. e enetnents, crepurt antes eretp belonging r in anywise pertaining. ToHave'and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land, and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2013. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. M OR BOOK 3589 PAGE 752 EXHIBIT "A" Lots 1 and 2, as shown on the unrecorded plat of property of T. M. Deal in Deed Book 158, Page 480 of the Public Records of St. Lucie County, Florida, being a Subdivision of Lot 2 of Thomas' Subdivision in Section 19, Township 36 South, Range 41 East, according to a plat thereof recorded In Plat Book 1, Page 206, of the Public Records of St. Lucie County, Florida. The above p=3su be describ ollows: The North al ort -scuttth on e) Lot , of the Hal S. o as Resub ivl on f L 1, 2, 3 d of bdi IsI n of ve nt t 1, of Se on 9, Township S uth Range 41 E copl of aid re bdi sio onfiIn PiBo k 1, at Page 206 th Public Reco so S, FI da, toge er w hriparian h ; excepting there m, however, th p It avannah an rig is ofway for I la River Drive a d F ilroad. Being othe described a hat of the "Pr erty o ppearing o sketch ofsurvey thereof . Englar, , a copyched to de n Deed Book 158 at page 480 of the Public Records of St. Lucie County, Florida, bound on the north by the north line of Lot 1 thereof, on the south by the south line of Lot 3 thereof extended westerly to the Savannah, on the west by the Savannah, and on the east by the waters of Indian River, less right of way for Indian River Drive and FEC Railroad. LESS and EXCEPT that portion of the above -described lands situate West of the right of way for the FEC Railroad; and LESS and EXCEPT the South 9 feet of that portion of the above -described lands situate East of the right-of-way for the FEC Railroad. LESS and EXCEPT Lot 3, lying East of the Florida East Coast Railway right-of-way, as shown on the card-ed plat of + ee.l.. of T. M. Deal In Meed Beek 158 489 Leine + subdivision of I a No. 2 of Hal visiXn 3, and ��the o rid e uLot 1 of Se n 19 wnship 6 Sa 41 ast, a rdino said re``�311ubdsion on file in PI 1. oa 20 of Ilc R rd f St. L cleda. l SUBJECT O atters shown by t atU oft e a ve escrib p perty p paled A. Gerald We th rington on May 18 19the eof mbered 31Zandallat covnantsco ditto.., restrictionaf r cord nd stable zoning rdt ances and/or res ctl s Imposed o n s, if a y; nd taxes for the curare t y ar and subsequent ars. OR BOOK 3589 PAGE 751 Signed, sealed and delivered in our presence: ERIN ALANNA OWEILL, as Trustee State of F County of \—" '.-: The foregoing instrument was acknowledgedbefore me this 5th day of November, 2013 by ERIN ALANNA UNEILL, as Trustee(s) of the THE TILGHMAN ONEILL REVOCABLE TRUST OF 2008 DATED AUGUST 13, 2008, who L j is personally known or [X] has produced a drivers license as identification. A �- �� — V Planning & Development Services Building & Code Regulation Division 2306 Virginia Avenue Fort Pierce, FL. 34982 Phone:(772)462-2172 Fax:(772)462-6443 December 31, 2013 RONNIE KLEIN 8705 S INDIAN RIVER DR FT PIERCE, FL 34982 RE: Building Permit Number 1312-0306 ASBESTOS NOTICE TO OWNER/BUILDER Disclosure 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 Z/3//00 l-5 12/31 /2013 11:15:37 AM