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Home My WebLink AboutSUBMITTED PAPERSPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 Virginia Ave. CAI Fort Pierce, FL 34982 (772)462-1553 S/ �QQie.-.County. SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC -(;Fence ❑ Commercial Irrigation 13 Shed ❑ Demolition ❑ Gas ❑ Siding 'Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: i N:S 9 l c-- V---\ _ e ,r c-e 2. Parcel IDNumber: -G% (-3 9 — 0 b 0 — 3 3. Complete Des cription of Proposed Work: k k) e-r) Ae v% g�'- 4. Owners Name: Address, Lk5cii) C_ City: Q1 e r c State: et Zip: `��-\ °�'l— Phone: 6. Value of Co struction: $ 5. Contractors Information FL Reg/ County Cert#: Business Name: Phone: Fax: Email: OWNER'S AFFIDAVIT: I certify that all of the information contained in thus application is correct and that all work will be done in jcompliance with all applicable laws regulating construction and zoning. PRINT OWNER OR CONTRACTOR NAA4E SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS `a DAY OF 20-11— BY WHO IS PERSONALLY KNOWN TO UE ( l O HAS PRODUCED �SIOXAT�UREOF'�NOY�� IDENTIFICAION•�* Notary Public - State of Florida . - =• .. . •_ My Comm. Expires Dec 16, 2016 �a • y Y• 9l o� c Commis EE 858761 TYPE OR PRINT NAME OF NOTARY Bonded Through National N�' i r CONIMISSION NUMBER�� NOTICE TO OWNER FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF VOU INTEND TO OBTAIN FINANCING, CONSULT wrm YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. **EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 01/03/2014 Flease complete all information in the space provided. All information must be printed (use black or. blue ink only) or typed. This perm' plication is to be used only for those i "rities that are not otherwise included under a primary building I ___sit. This application may not be used:- _ -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. 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 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 offence and type of fence 0 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 Fr .'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 - 5:0.0.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. aneunuocanon rerma PLEASE LOCATE SHED AND ALL BUILDINGS WITH SETBACKS TO THE PROPERTY LINES. Example of Plot Plan for shed. Please show distance from shed to the lot lines Smith Lane FRONT PROPERTY LINE ON ROAD Shed All applications for Shed - Locational Permits are to be submitted to the St. Lucie County Building and Zoning Department, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for. Shed - Locational'Permits must be complete and filed with the Department no later 4:30 P.M. each business day. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please contact the St. Lucie County Building and Zoning Department, at (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Following the, issuance of this Shed - Locational Permit, the scheduling of all required inspections may be made by calling (772) 462-1261. SLCPDSD 4/11/2011 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 M 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 t l8ugh 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 Z(- I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial ,i 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 kL C1 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 VL LJ 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 lLy -t 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 tand that any violation of the terms of the owner/builder exemption shall be reported by the Building and Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of tc �„ �� of 20 k \-k . Owner/Builder Signature STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this %G'-4day of fit,1 , 20 � by v who is personally known to me, or who has produced -C ! CAo as identification. t>Q.a?•r,\G�v-,v,\5 ture of Notal Type or Print Name of Notary (Seal) Notaa Public Commission Number DEANNA GIVENS ,".PAY Ply, "i ?_°. .`�• Notary Public - State of Florida iSDReAsed07/2212010 ?' : My Comm. Expires Dec 16, 2016 Commission # EE 858761 Bonded Through National Notary Assn. Property Appraiser - St.Lucie County, FL Page 1 of 1 l ' I Kimberly L Tayl r Record: 1 of 1 Property Identification Site Address: 4590 Elm Av Sec/Town/Range: 04 :36S :40E Map ID: 34/04N Zoning: I RS-3 Ownership and Mailing Owner. Kimberly L Taylor Robert A Taylor Address: 4590 Elm Ave Fort Pierce FL 34982-4127 Sales Information Date I Price Code Deed 6/112002 1 123600 00 WD 12/1&1993 77000 00 WD 7/1/1993 100 01 DE 12/1/1978 0 01 CV PROPERTY RECORD CARD «Prey Next >> Spec.Assmnt Taxes Exemptions Permits Home Print t^Q ParcellD: 3404-111-0009-000-3 1 . Account* 39624 Use Type: SF Res City/Cnty: Saint Lucie County yafl ( 1 F Legal Description 4 3640 FROM SW CDR OUTLOT 1 RUNN ALG W LI AND PROJECTION THEREOF 771.05 FT, TH E 30 FT TO POB, TH C More... Assessment 2013 Total Land and Building Book/Page 2013 Final: 84800 Land Value: 14100 Acres: 0.48 1550 / 0657 Assessed: 84800 Building Value: 70700 0877 / 0007 Ag.Credit: 0 Finished Area: 2490 SgFt 0856 / 1489 Exempt: 50000 0300 / 0760 Taxable: 34800 Taxes: 886.21 BUILDING INFORMATION Exterior Features 4PM Il (IDJ g � S View: RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HD+- HD+ YearBlt: 1963 Frame: Grade: D+- D+ EfiYrBlt: 1977 PrimeWall: BP - Cone Block StoryHght: 0010-1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX-MAXIMUM PnnlntWell: DW- Drywall FullBath: 3 HeatType: FHA - FrcdHotAir AvgHUFI: 1/2f3alh: 0 HeatFuel: ELEC- Electric Prm.Flars: CU- Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qua[. Cond. YrBlt. No. Use Type Type Measure FEN4 - CHAINLINK4' Y 1 2D0 AV AV 2000 1 0100-SF Res 213 -Front Ft 92 �I THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. Depth 215 http://www.pasle.org/paslc/pre.asp?prclid=340411100090003 2/10/2014 FILE C®F'"Y. �b�h n T 0 4 r V � 51 J f� r J' l AppIicant has been advised NO structures be eroded within any easement or right of way uniess othwwiso approved. AppRWt Initial@ ,ILL ,i