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Home My WebLink AboutSUBMITTED PAPERSFee Due: M1 1=1MIM Planning & Development Services Building & Code Regulations Division .2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION Electrical M'Plwnbing; ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: !~ vim% / KO 1/ ►' i 1/ 2. Parcel ID Number: 63 n 0 46 — 0 Sc� �4C/ ey Fo e cototy Office Use Only Section Township Range Map Page,/ Zoning I Land Use .Initials 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Name: 6 l,, � FL Reg/Cert #: Address: 7� S(� S� �.� 718i..�P �� County Cert#: City: tiJ n State: / Business Name: Zip:7 v/ Phone: �� /lJ Phone: .2 - 6. Value of Construction: Fax: owNEws AFFIDAvrr: I certify that all of the information contained in this application is correct and that all work will be done in com a -with all applicable laws regula ' g con ction and zoning. - L L � - PRINT OWNER OR CONTR.ACTOR NAMEGNATURE OF`OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF V'( , 1— k C i C ACKNOWLEDGED BEFORE ME THIS �_ DAY OF WHO, IS PERSONALLY KNOWN TO ME R FAILURE TO RECORD A NOTICE OF COMMENCEMELVRL IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT] EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 9 G TWICE FOR T WITH YOUR Revised 04/26/2010 `t NOTICE TO OWNER: FA-- tE TO RECORD A NOTICE OF COMMENCEMI ' " ' 4AY RESULT IN YOUR PAYING TWICE FOR IM, NEMENTS TO YOUR PROPERTY. IF YOU 1, J,D TO OBTAIN FINANCING, CONSULT WMq !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 A tivity . Wal- r^ 4. Owner Information Indicate the street address or general location of property where the building activity is taking place. Indicate the tax identification number ofthe 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. 5. Contractor Information Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name ofthe 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/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 J 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. Fbi,*istance 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 gale 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 applicabl 1 ordinances, building codes, and zoning regulations. Initial - I understand that the building official and inspectors are not there to design or give advice on 7P!2� the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be handled 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 f r 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 di al 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 of 20. LI--oQir/B�i1der l<gnatureignature STATE OF FLORI COUNTY OF Lc The nre oing in trument was ac led by CCL produced 4 SignatureotRry�Title: NotPublic SLCPDSD Revised 07/2212010 day Wbefore m this day of CA 20� personally known to , or who has as identification. Commission ANGELA M. HUFF MY COMMISSION # EE 083530 f e 'IRES: April 12, 2015 one hru Notary Public Underwriters Property Appraiser - St.Lucie Co�7 r, FL Page 1 of 1 Linda McCalmont (LF EST) Record: 1 of 1 Property Identification Site Address: 5802 TANGELO DR Sec/Town/Range: 11 :36S :40E Map ID: 34111S Zoning: RS-4 Ownership and Mailing Owner: Linda McCalmont (LF EST) Address: 4150 State Route 82 Newton Falls OH 44444 PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: � 402 610 01;988-00 0,--�. Account #: 38347 �y s h < Use Type: SF Res City/Cnty: Saint Lucie County Legal Description INDIAN RIVER ESTATES-UNIT-09- BLK 77 LOT 13 (MAP 34/11S) (OR 3102-2767:3493-2111) Sales Information Assessment 2013 Total Land and Building Date Price Code Deed Book/Page 2013 Final: 69600 Land Value: 6900 Acres: 0.23 2/25/2013 100 0114 QC 3493 / 2111 Assessed: 69600 Building Value: 62700 4/8/2009 72000 0112 SP 3102 / 2767 Ag.Credit: 0 Finished Area: 1428 SgFt 4/8/2009 0 0112 QC 3102 / 2763 Exempt: 8/22/2008 100 01 CT 3015 / 2567 Taxable: 11/13/2006 100 01 QC 2706 / 2960 Taxes: 1409.57 1/6/2004 100 01 DE 1879 / 2905 12f7/1998 100 01 QC 1198 / 2267 10/29/1995 87000 00 WD 0989 / 2524 2/22/1991 '79000 00 WD 0727 / 2815 1/30/1990 12500 00 WD 0676/1200 12/1/1984 6000 00 CV 0454 / 0459 BUILDING INFORMATION , m;rAF s Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: HP - Hip ExtType: HC - HC YearBlt: 1991 Frame: - Grade: C - C EffYrBit: 1991 PrimeWall: WS - Wood/Sheath StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/213ath: 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 SWAV - RES POOL AVG Y 1 392 AV AV 1991 1 0100-SF Res 215 -Front Ft 80 125 PA01 - POOL DK-AVG Y 1 360 AV AV 1991 ENC2 - POOL ENC-AVG Y 1 752 AV AV 1991 o , ^ DWC - Driv-Concret Y 1 800 AV AV 1991 FNW6 - WOOD FEN 6' Y 1 215 AV AV 1991 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. Jan. 2, 2014 3;37PM _ No.9846 P. 1/1 WATER COMiKi - ST. LUCIE COUNTY UT& S - P( 178. FT, PMAM FL 34982 SEWER .mod— RES NAME Lj'ln [/I / / !C- %� � _ - MVERSZ. lql 19 MIS - MR SECURITY DEP S SERVICE FEE SAME DAY FEE OVERTIME FEE r� ® o METER INSTALU c� , CFC/WATER FPUA CFC CFC/SEWER GUAR. REV. LATERAL TId7AL S 1 K. SUBDIVISXON ^^ LOT -BLOCK ILLiNGADDREIS `?a`f, Inf, PHONE 2-30 - W7 �V MOVE IN/CLOSING DAn This application hereby request and authorizes the Utility to tender water and/or sewage disposal services to the premises described above in accordance with the Utilities present or fut = rates, mles and regulations, which by reference are made a part of this contract. Applicant agrees to pay the Utility promptly for such services in aeeordaace with the cstablished rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE- ( SOCIAL SEC/ NAME OF SPOUSE SPOUSE SOCLAt SEC. O1�CE iJSE ONLY � DATE RECEIVE CASH CHIC # G RECEIVED BY