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HomeMy WebLinkAboutSUBMITTED PAPERSa ` Date: Fee Due: Planning & Development Services Building & Code Regulations Division .2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION 0 Electrical • ❑ Plumbing ❑ HVAC [ff Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding f ��/�� C��% y See page 2 for instructions and addihbnal paperwork required for specialty permits Coon 1. Location/Site Address.# (l J I nA 1CA Y1 r i Ye i Pr 2. Parcel ED Number: # 3 532. 9)02 ab 1 +d — 000 — 0 Office Use . Only Section Township Range Map Page, Zoning Land Use Initials dCA 3. Complete Description of Project or Work: 200 f-T W OD J;1 tH3p uT 1 r5) 0 V1 o G L t VW5 5 i-irA K t 5 weoo is G' ►�,�. - 4. Owners Information 5. Contractors Information Name: O AcViZEEN lV L FL Reg/Cert #: Address: 6 11731 S i rid iaYl 91 Yer PX County Cert#: City: i'1 State: Business Name: Zip: r71 Phone: 172-i®1 ?02 Phone: Fax: 6. Value of Construction: $ . Iit%i% 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 regulating construction and zoning. r. �. ePRIN GONER OR CONTRACTOR N SI O WNER OR ONTRACT R STE OF FLORIDA,F�COUNTY O . ACKNOWLEDGED BEFORE ME THIS _ DAY OF 20 � . , BY � eee �� v ,n WHO. IS PERSONALLY KNOWN TOME ORWH01VPRODUCED AUDENTIFICATION. ad A%.1!44q - ."., � 0 SIGNATUREOTPLARx TYPE OR PRINT NW& OF NOTARY COMMISSION NUMBER NOTICE TO OWNER FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MROVEMENTS 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 $7500.00 Revised 04/26/2010 AUDREY B• HUMPHREY 4�Y• P� MY COMMISSION # EE 061159 EXPIRES: March UIICU 205 erniters o Bonded ThN Notary f CF n NOTICE TO OWNER: Fr''_JRE TO RECORD A NOTICE OF COMMENCE$,'__°4 MAY RESULT IN YOUR PAYING TWICE FOR Il; )VEMENTS TO YOUR PROPERTY. IF YOU,", ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EIEINPT. 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 & Contractor Information 6. Value of Construction ❑ Gas ❑ Shed: ❑ Fence 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 thepame 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'. 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 ❑ 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 1 epartment 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 laws, ordinances, building codes, and zoning regulations. Initial Ui I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial e I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled in a civil comt with die advice of air attorney. This depar tinent will lot mitigate airy conti act di OF- ute S. - . 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 liable for the cost of the license. Initial XfV_,1 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 relat d, di at 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 :VrtmDepaent to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 OwnerBuilder Signature STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged by MAlf Pt°PI) CB DL- Title: Notary Public SLCPDSD Revised 07/2212010 before me this day of 20, who is personally kno to me, or who has as i ntification. a . 4k M P# If 16Fy or Print Name of Yotary nission Number \,�, VAS i I I m v e w\ 4-kr � s, dm •e- i V\d TVl e il,o� Cam,' L + �&� 00 �- (Seal) " AUDREY.B. HUMPHREY :y4r r rYQr - F - MY COMMISSION # EE 061155 :\ EXPIRES: March u, 2015 . .....Bonded Thru Notary Public Underwriter` Property Appraiser - St.Lucie County.,T7, Page 1 of 1 Deutsche Bank National Trust (TR) Record: 1 of 1 Property Identification Site Address: 11939 S INDIAN RIVER DR Sec/Town/Range: 32 :36S :41 E Map ID: 35/32S Zoning: RS-4 Ownership and Mailing Owner: Address: PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print ,�u1CIE CO ParcellD: 3532-802.00�1 5,000-0 , G. Account* 1 f;422 Use Type: SF Res NY City/Cnty: Saint Lucie County Deutsche Bank National Trust (TR) 7255 Baymeadows Way Jacksonville FL 32256 0 Sales Information Date Price Code 8/21 /2012 100 0312 10/23/2007 100 03 12/19/2001 360000 02 10/23/2000 199900 00 3/26/1992 100 01 1 /17/1992 100 01 4/1/1978 56000 02 Deed Book/Page CT 3424/2809 WD 2897 / 0066 WD 1472/2623 WD 1341 / 0767 WD 0785/1233 QC 0785 / 1230 CV 0286/0779 Legal Description MAP OF CLEARVIEW BLK A THAT PARTOF BLK LYG WITHIN N 150 FT OF S 706 FT OF S/D BEING LOTS 12,13 AND1 More... Assessment 2013 Total Land and Building 2013 Final: 258100 Land Value: 166000 Acres: 0.65 Assessed: 258100 Building Value: 92100 Ag.Credit: 0 Finished Area: 1568 SgFt Exempt: Taxable: Taxes: 5227.11 BUILDING INFORMATION m CVA ew (' 10 (>m ) 1 II Exterior Features View: - RoofCover: TN - Metal RoofStruct: HP - Hip ExtType: HC - HC YearBlt: 1953 Frame: - Grade: C - C EflYrBlt: 1976 PrimeWall: WN - Wood no Sh StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 0 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/26ath: 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 DOK2 - WOOD DOCK Y 1 2242 AV AV 2005 1 0100-SF Res 235 -Front Ft 150 190 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=353280200160000 1/2/2014 JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3910599 OR BOOK 35Sa­,PAGE 417, Recorded 12/30/2013 at 08AM Doc Tax: $2156.00 Prepared by and Return to: Genesis Title Company Shawntel Rumer 1140 Kyle Wood Lane Brandon, Florida 33511-4731 Our File Number: 10 13 075 COUNTY OF SALT LAKE ) (Corporate Seller) THIS INDENTURE, made this day of December, 2013, between Deutsche Bank National Trust Corporation, as Trustee for WAMU Mortgage Pass -Through Certificates Series 2006-AR3 Trust, a national banking association organized and existing under the laws of the United States of America, whose mailing address is: 3815 Southwest Temple Street, Salt Lake City, Utah 84114, party of the first part, and Maureen E. Cool , a married person , whose mailing address is: 11939 S. Indian River Drive, Jensen Beach, Florida 34957 , party/parties of the second part, 4it p for and in cbnsiHe ion f the sum of a undred igh Thousan doll s & no ents (.$�08, 0.00) andother valuablid rations, receipt whereo is h reby acknowled ed, oes he by ain, el, aliens, wises, eases, conveys and wnun o second party/parties, is/h r/their heirs and assi s, the ollowing descri propertyto itin aCountyofSt. Lucie, Sf F orida: All that tract or parcel of land lying in the Plat of CLEARVIEW, as recorded in Plat Book 1, page 119, Public Records of Brevard County, Florida; and in Plat Book 1, page '204, of the Public Records of St. Lucie County, Florida, boundaries as follows: Beginning at a point on the East boundary of the Florida East Coast Railway Company's Right of Way which is on a line 586 feet North 25015'00" West from the South boundary of the town of Clearview, and which is also the North line of Lot 11 of Block A extended Westerly to the Florida East Coast Railway Co.'s Right of Way; thence Easterly along the said extended North line of Lot 11 of Block A, 946 feet to the water's edge of Indian River; thence Northerly along the water's edge of Indian River to the South line of land deeded to Harry Jennings by Harry Richards and wife, recorded in Deed Book "FF", page 313, records of Brevard County, Florida, and which South I o I d deeded Jennings�ar;Tr rds an w�i€e 27 feet rth 25 15 00.' est o he said ex ded orth line of Lot o Block A the ce er Ion4 a li e 1 el and 75 fee fro rt ffie aid ten ed orth 'no n of of 11, fl 11 oc A(Ri is also t S uth lirao land de de to Ha Je ni gs by Harry icha wife, r-co de in D ed ook "F , p ge 313, P R cor s of Brevard Courida, 930 f et t the ast oundary f the Flori C astRailway Companyof Way; t en a Sou her a said East o nd of the Flo a ast Railw y mpan 's r ght of.Way 275.4 feet Poi of me tspar n ri to act of land. rights way. LESS AND EXCEPTING from the above described tract of land the following: Begin at the Northeast corner of the foregoing described land, run thence in a Southeasterly direction along the water's edge of the Indian River a distance of 125 feet; thence in a Westerly direction paralleling the North line of the foregoing described property to the Eastern boundary of the Right of Way of the Florida East Coast,Raiiway Company; thence in a Northerly direction along said Eastern boundary of said right of way to the Northern boundary of the foregoing described property; thence run in an Easterly direction along said Northern boundary of the foregoing described property to the point of beginning. ALSO LESS AND EXCEPT THE FOLLOWING: All that tract or parcel of land lying in the Plat of CLEARVIEW, as recorded in Plat Book 1, DEED - Special Warranty Deed - Corporate OR BOOK 3591 PAGE 418 r \ 6 page 119, Public Records of Brevard County, Florida and In Plat Book 1, page 204, of the Public Records of St. Lucie County, Florida, boundaries as follows: Beginning at a point on the East boundary of the Florida East Coast Railway Company's Right of Way, which is on a line 556 feet North 25°15'00" West from the South boundary of the Town of Clearview, and which Is also the North line of Lot 11 of Block A extended Westerly to the Florida East Coast Railway Company's Right of Way; thence North 65°47'00" East along the said extended North line of Block A, 242.14 feet to a concrete monument set on said extended North line of Lot 11, Block t e Toa n • of 4 olnt m thorooerty convevled by is Instrument, then North 65047'00 Ea t on a fneof l arel to the to ed o Ine o t i Block , UdIsIta of 00. fehe ce North 24 1 00W t a distanc of 50.00; the65 47'0 W ta Il a parallel to the a ten ed North line of t 11, Blota a of 20 .00 eto concrete monume t; hence South 4°1 'Ob" aste f 110,00 f t to the Point of Beginning f t e property c ve ed. 62: All that trbckor parcel of nd lyinbJn the Plat,& CLEA VIEW, as rec rded in Plat ook 1, page 1 c Records of Br ounty, Florl a an n lat Book 1, page , o the Public Records of St. Lucie County, Florida, boundaries as follows: Beginning at a point on the East boundary of the Florida East Coast Railway Company's RightV Way, which is on a line 556 feet North 25015'00" West from the South boundary of the Town of Clearview, and which is also the North line of Lot 11 of Block A extended Westerly to the Florida East Coast Railway Company's Right of Way; thence North 65°47'00" East along the said extended North line of Block A, 242.14 feet to a concrete monument set on said extended North line of Lot 11, Block A; thence North 24°13'00" West a distance of 40.00 feet to the Point of Beginning of the property conveyed by this instrument, thence North 65'47'00" East on a line parallel to the extended North line of Lot 11. Block A, a distance of 200.00 feet; thence North 24°13'00" West a distance of 110.00; thence South 65°47'00" West on a line parallel to the extended North line of Lot 11, Block A a distance of 200.00 feet to a'concrete monument; thence South 24°13'00" East Subject how ver, to all covenants, c !by restrlctioas, r lions, ors a ants d to all a licable Wingordinances �d/or triinsand prohibity govemmen es, ' any.TO THER with all the tan aereditaments d es ong-g or in a ap ertainingVEANDTO in fee sim fo r.the first art wi aid p fthe art, that it is 1 se' d land in fee simple: that i good right lawful rity to sell convey aid land; that i hereby fully w is the title to aid land and will defend the s e lawful clsons claiming by, ou or under the party of the first part. IN WITNESS WHEREOF, first -party has signed and sealed these present the date set forth above. Signed, sealed and delivered in the presence of: Deutsche Bank National Trust Corporation, as Trustee for T,aessAeeti%etters, REO Closer State of County df Sa# Lake •�D:i WAMU Mortgage Pass -Through Certificates Series 2006-AR3 By: Print Name: Mike Sanders, Doc. Co.-- Doc, Control Officer- Select Portfolio Servicing, Inc. Attorney -in -Fact 3815 SW Temple Street Salt Lake Citv. UT 84114 C T) �012B6gB+fg fN5 TJt wm--r i owled d befo me this day of tY' " 2013, by Mike San rs. Doc. Co nl n«, as Doc ontrol0 cerofSelectP tfolioServicin Inc, asAttorna -in-Fact for Deutsche Bank National Trust Corporation, as Trustee for WAMU Mortgage Pass-lbrough Certificates Series 2006-AR3 Trust, who is person known to o who has produced valid driver's license as identification. T VANDER1.1h, N t),' N0,,1 f•ubllc nM Commisaion bcpir�i on: r Octobar 10, 2016 Print NotaryNama My Commission Expires: b Z1 i Notary Seal DEED - Special Warranty Deed - Corporate �LyGIE� 4 &W LLudt lVlrk4 Aa y y�f k Oft* IyAppraim Criteria Results Save Detail Mail Labels i+ Records Selected: 1 3532-802-0019-010-4 Deutsche Bank National Trust (TR) �= 11953 S INDIAN RIVER DR Purchased: $100 Aug 21 2012 Show Map I Show Card I+s'$ Y'0:5 UUMBO LIMBO) LN Ken Pruitt `P^V AWvftW • atry� � ry,p • 312 13 t �A t ttt � t t t 40 :�409 t tt� t 34. 39~ �35 t 25 D 38 t 19 36 �411t-23 24 10 - 23 •5 71 ryry9 9 .'61 r8 22 i• ��a T 7 tf 12 10 I '`rLANNING AND DEVELOPMENT SERVICES DEPARTMENT w BUILDING AND CODE REGULATIONS DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772)462-1553 Fax (772) 462-1578 PERMIT NUMBER: 10—M66 ADDRESS: �IQ53 �o ��lo�aan V%Yer I, 6hm K W %n n k , am requesting that the above permit be renewed. I understand that I must schedule and pass all required inspections for the permit to be fmaled. 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 month period during the renewal period. Justification gfr,I`ence L04 VV-r(--d OWNER/BLDR OR CONTRACTOR SIGNATURE Name STATE OF FLORID COUNTY OF �& &'44� ACKNOWLEDGED BEFORE ME THIS BY HAS OF FLORIDA, County of SIGNATURE OF NOTARY FOR OFFICE USE ONLY: 1/31 /its DATE DAY OF 20 ' "J WHO IS PERSONAL Y OWN TO ME OR ASW4WiDMS1T ONLY UCIS COUNTY BOARD \ DAWN MILONE F9F C UNTy COMMISSIONERS ^v; {--1Qotara you T - State of on DING gf ZONIN( 415 * My Comm. Expires Mar.22,02 Z9®®®56�999392 Commissiop � E 571 F`S Bonded Through Nations o a �.Assp. . Number of Open Inspections: Total Inspections: (Divide open by total to get % of open inspections) Percentage: Original permit fee: x % open = $ Renewal fee Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee) Revised 7/21/2014 A 2q©' 1-emp THESE PLANS AYD ALL. PROPOSED WORK ARE SU'BJEC°T' Tr) AMY COPAC11OWS RENRED RY RELO INSPECMAI MT . MAY 8E N. CE,"ARY IN ON* R TO `s COMPLY WITH ALL. APP'LICADW :{ Igol. - D "SAT LUCIE COUNTY ® DING DIVISIMC FOMR" REVIEWED DATE_—�1 NO INSPECTION WILL BE MADE CONCEALED FASTENERS ORATTACHMENT ARE THE RESPONSISILP OF THE CONTRACTOR OF RECORD p� 12 -f �v cum. Contractor Copy 11,130 S. ,,.jICE "j F- 60 &, 51 5' Z'7o , Contractor Copy TWA -CA 50 �' 2�A;� 9401 1 Utoov 5,0 THESE PUNS AND ALL PROPOSED WORK ARE SUBJECT TO ANY CORRECTIONS RECUIRED BY MELO IN CTORS THAT MAY BE NECESBARY IN OPMR TO COMPLY WITH ALL APP'1,104 CODES, �lR�5u�7� UCIE COUNTY E3U16 A DIV1910 pW FOR COMMAMI DATE LANS AND PERMIT UST BE KEPT ON JOB OR NO INSPECTION WILL BE MADE CONCEALED FASTENERS OR ATTACHMENTS ARE THE RESPONSIBILITY OF THE CONTRACTOR OF Ripm 9 3L I no c -1 Al u� f 4f I� R \ vt-r ISO, MpN�nl Coo c, %--"fr rw�y44 A• 51 6 a,11,11 like r� `�s �00 / t3 ` /ID e-- L-" .n Zgo,-'x GLL�'Vt � 2•✓?avV I