HomeMy WebLinkAboutSUBMITTED PAPERSI Fee
Permit #
Planning-& Development Services
Building & Code Regulations Division
.2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
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SPECIALTY PERMIT APPLICATION
0 Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:# `,:P <e.L J er@ M y L7,
2. Parcel ID Number: 7 O 1. 4 O _o 4/- • o O O
office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work: / A/g Y 4 Lt ,q -Jr- i a ,) G /: 14) ,k z
4. Owners Information 5. Contractors Information
Name: FL Reg/Cert #:
Address: ,;, i a County Cert#:
City: / r : C:1-� State:`-, Business Name:
Zip:Phone: Fax:
6. -Value of Construction: $jie 4:." , �71 / • �c�
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 regul g constriction and zoning. ,
PRINT OWNER OR CONTRACTOR NADI t SI ATURE F'O R OR CT
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS �— DAY OF 20, BY�fI�V
• 4
WHO.IS PERSONALLY KNOWN TOME OR WHO RODUCED Ar PA
AS ENTIFICATION. �`� ° I. D 1 • - / I V
(sue)
SrUNATURE O OAR tYPE OR PRINT AME OF NOTARY. `117
COMMISSION NUMBER
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 ATTORNEYBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: AIC.HEAT REPLACEMENT WITH CONTRACT UNDER $7500:00
Revised 04/26/2010
�QA fp MY COMMISSION u# EE 6E 159
EXPIRES: March 6, 2015
Bonded Thru Notary PubNc underwriters
NOTICE TO OWNER: FAILUREr RECORD A NOTICE OF COMMENCEMENT MF___'WULT IN YOUR PAYING TWICE FOR
WROVI v_. -;ITS TO YOUR PROPERTY. IF YOU INTEND�, �/ 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 Indicate the street address or general location of
property where the building activity is taking place.
2. Parcel ID Number Indicate the tax identification number ofthe
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/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 ofthis permit, required inspections can be scheduled by calling (772) 462-1261.
Planming & 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 applica le 1 ,
ordinances, building codes, and zoning regulations. Initialk
I understand that the building official and inspectors are not there to design or give advice on ho toe t
the minimum code. Initial _ �' f_
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 Iia fo
cost of the license. Initial 0
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 m i
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
Ste_ day of D %�6_ of 20.
Owner/Builder ignature
STATE OF FI
COUNTY OF
The fogs,ing
by
Title:
SLCPDSD Revised 07/22/2010
a-/ 4- /, /,/ O' -T
before me this _T_day ofQ- 20 /
-K,
who is personally knoAV to me, or who has
as identification.
e or Print ame oftotary (Seal)
.ommission Number
4—.,
k AE- > > ll rd" o; -' 77���
o
,y,,,
ti� f�: AUDREYB.HUMPHREY
MY COMMISSION # EE 061159
45 EXPIRES: March 6, 2015
Bonded?hru Notary Public Underwriters
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Wednesday, Jan 08, 2014 01:35 PM
Property Appraiser - St.Lucie (7A,,,nty, FL
Page 1 of 1
Carol A King Record: 1 of 1
Property Identification
Site Address:
186 LIBERTY WAY
Sec/Town/Range:
12 :34S :39E
Map ID:
13/12S
Zoning:
RMH-5
Ownership and Mailing
Owner:
Carol A King
Address:
5310 Fort Pierce Blvd
Fort Pierce FL 34951-1905
Sales Information
Date Price Code Deed
9/30/1991
30000 00 WD
3/1/1977
19000 00 CV
Exterior Features
PROPERTY RECORD CARD
«Prey Next » Spec.Assmnt, Taxes Exemptions Permits
Home Print
��UCIEC0
ParcellD: 1312-701-0004-000-1G2
Q �
Account #: 4323
_
Use Type: Mob Homes
.
City/Cnty: Saint Lucie County
Legal Description
BEL-AIRE ESTATES BLK 1 LOT 3 (OR757-2400)
Assessment 2013 Total Land and Building
Book/Page 2013 Final: 17600 Land Value: 10200 Acres: 0.23
0757 / 2400 Assessed: 17600 Building Value: 7400
0267 / 0773 Ag.Credit: 0 Finished Area: 660 SgFt
Exempt:
Taxable:
Taxes: 356.42
BUILDING INFORMATION
View:
RoofCover:
-
RoofStruct: -
ExtType: MHL - MHL
YearBlt:
1970
Frame: -
Grade: MANH - MANH
EffYrBlt:
1970
PrimeWall: -
StoryHght: 0010 - 1 Story
No.Units:
1
SecWall: -
Interior Features
BedRooms: 0
Electric:
-
PrmintWall: -
FullBath: 0
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/26ath: 0
HeatFuel:
ELEC - Electric
Prm.Flors: -
%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
1 0200-Mob Homes
210 -Front Ft 85 120
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
1,f 5;?, 1
http://www.paslc.org/paslc/pre.asp?prclid=131270100040001 1/8/2014
Wednesday, Jan 08, 2014 01:34 PM
Wednesday, Jan 08, 2014 01:33 PM
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
A ,v _
r. -1 - - .1 A 2,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
V 0 B f-0 ) )V
Property Owner Name (Please Print)
1
Property Owner Signature
STATE OF FLORIDA, COUNTY
BY
PRODUCED
SLCPDSD Revised 08/24/2010
BEFORE ME
THIS - DAY OF
1 ' 20;/ UU [T 1 WHO IS PER'
COMMISSION NUMBER
OR
c3 / - (0 f'-')'"
Date
Y KNOWN TO ME
(SEAL)
20 � . .
OR WHO HAS
IDENTIFICATION.
MyCOMMISS1011gEE pellets
Fy,PIRES'.M p bN6cUnd
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Applicant has
been advised NO structure ----- _.. I i�n be erected whhin
right Of way unless any or
_ -- -f Applicant lnftlals ( approved.
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USE (3}:W BEAUS FOR MRCS
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ALL AROUND)
IWIOD SUBFLOOR, JOISTS AND BEDS A7710N 18'
OF DIP TOP W GROUND SHALL BE PRE5ERYA71W
TREATED IN ACCORDANCE R1TH AWPA UT ALL
FASTENERS SHALL BE HOT DIPPED CALM.
2'x8' TRULOX PLATE r/(4) NAILS �2 - 2 x 6 BEAU (BEVVA
70P & BOT. & (4) 70E NABS ® 3/4' PLYWOO FLOOR
2 x 6 HEADER BOT. OF FA STUD (TrP. 0 J_
BENT & 70P & ROT. OF END
WALL S10S)
SIDE ELEVATION w/ DOOR & WINDOWS
SCALE- 1/2'=I'-0'
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ENDS OF BLOC 16 =0' LONG
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ALL Mr-MMUFACRINED DOOMS 70
MEET THE RORLOA ODROLNG 2010
COVE FOR WAD SHORN ON THIS OHM
2 x 4 COLLAR STREIT 0
EACH BENT
1 x 3 BlVCSRG
new aaFIRRG —
2 x 4 BENT (RP.)
1 x 4 1ARIVGMG
HINDOW OPENING
2 x 4 ROT. PLATE 1
1 xe TRULOX PLATE
(TIP. 0 EACH DENT)
I' x 4' ALPINE 3/4' PLMOOD FLOOR
PLATE (US - FS)
2 x 4 COLLAR STRUT
x 3'-7 ± 0 EACH BENT
7TP. ROOF SLOPE 12 2 % A ? SPAN (7)P. FOR BUGS
4 5 10' x 16' & LARCM)
EAVE K A N 2 x 6 HEADER
2 xJ4 DOOR HEADER 3'-6' ALLUNUU
2x4 2 x 4 2x4 2x4 5 DOOR W/LOCK
31-6' 70 5' 0'
VARIES W/ DOOR rooaR ava) VARIES W/ OOOIL 112--- lYP. 9.OPE 0 KNEf
2 x 4 BENT OPNG & "a OPNa & BLOC JV'NT OF BENT
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1 x 3 BRIDGING
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TOP OF 2-.&6 BELL,
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1. FLORIDA 2010 BUILDING CODE
■■ ■■
'y,
D'O CU A i� EN1
- END ELEVATION w/ DOOR
2 ASCE/SET 7-f0 CODE
CAI- 1/2*-I`O'
DESIGN LOADS
IRM MEETS DE
CODE FOR
RLTS
END ELEVATION
SCALE t/z'=i' D���' >. •� ;.��/ -
I. FLoQ4 uw LOAD --- 75 P.sF. (ms7s L7 24. O.a)
2 FLOOR uw LOAD ---- 125 P.sF. (usis ® 16' aC)
3 ROOF ME LOAD —=-- 20 P.S.F.
4 I9ND LOAD ------- NO NPH
5 STRUCTURE CATEGORY --- I
6. EXV%RE FACTOR --- --- C
7. ORARNAL PRESBlRE COfFAl7ENT - 3a 18
a BLOC LTASURm AS TYPE (NOT FOR HABITA NON)
GENERAL NOTES
1. FLOOR JOISTS AND BEAUS SHALL BE NO. 3 SOU NERN PINE (P. T.)
2 PLYWOO FLOOR SHALL BE 3/4' DOCK SW1H£RN PINE, 5 PLY, EamoR
CRAD& TONGUE AND GROOVE ('STURD-I-FLOOR ).
.1 2 x 4 WALL AND ROOF FRAMING SHALL BE Na 2 SOUD/£RN PINE
4. ROOF AND WALL SONG SHALL BE 1/2' CORRUGA7m ALUUWU W N A
267' P1701 OR A 4' LAP 90ING Hf7H A 3/B' STEP. B07H SHALL BE
UWFAC7URm nW 00/9' nVCK 9/FET ALULRNUN 3005 11-14 ALLOY
5. 7HRXD FASTENERS FOR ALUMINUM ROOc AND STRING MALL BE / 8
NAdLE SCREISS INSTALLED AC"OROING 70 BRING MANUFACTURERS
SPEOIRCADOVS
5 AL UN7HR£ADm WOO FASTENERS ARE BOX NAILS WIH A a131'
DMUETER BY 3 1/4' LWa UN(ESS H07EV 0110 15E
7. AL COED -FORUM SIRLIVURAL STEEL CONNECRON PLATES SHALL BE
) NUFAC7R£BYRWSnASM'ACECALM?0E(
ALPNNA.EPRIN!N/OBUEG AM-87
CRADE'A OR BETTER 91ECIRCA770H.
.a UNDIREADm FAMERs FOR 7HE 7RULOX COANECTRAV PLATES SHALL BE a1205'6
9. AS AN)OPRO �J 1722 VW SOUO CO°PW NRES RUN RF 1/2' CONDUIT
OPERATES ONE OVCANDESCENT LKNT WIN A WCLE POLE WALL SWITCM
la NQD UFSTALL£D UW SVSZCT ID LOCAL APPROVAL'
A WORN OF UNIT TO STE
S. RECIRICAL CONNECDON FROM POUFR SOURCE TO CBOT.
a END WALL - EXIMOR SOW AND AMBLES, 2-2i8 DOOR HWER 7--O'x
9'-0' GARAGE DOS GALY. 7HR£SNOm, FL SWO AND CUTTERS
RLD LNSTALLEU GUTTERS & DOIWSPW7S SHALL MEET 5ECRON
16037 OF )HE AOVDA SLUNG CODE 2010 & SECRW R31B6
OF THE FLOMDA SUYOUNG CODE 1010 (R£SDOMAL).
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A A McCARTHY ENGINEERING, INC.
STREAMLINE STYLE BUILDING
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3 30 12
�/Q 57RI1CTURAL CONSULTANTS LAKEIAND, FLOPoDA ,
4w5 MANGE OD OME - LWELANDJ FL WMa
PHONE (663) 646-9MO
CERTIFICATE OF AUTHORIZATION N. 6394
- Wdsam J McCarthy P.E. 24553
TYPICAL PORTABLE SINGLE WIDE
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3 30 12
SMITHBILT INDUSTRIES INC.
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AUBURNDALE FLORIDA
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