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Home My WebLink AboutSUBMITTED PAPERS,All APPLICABLE INFO MUST BE COM' ,'ED FOR APPLICATION TO BE ACCEPTEE' 1 Date: Permit Number: SCANNED By St. �uc ie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR L 4M �--k,,_µ�J�o,�� Z Legal Description: Prop yTa D-#: /li - Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Additional work to be pertormed under tnis permit- cnecK all tnat appry: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric YPlumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: �'�- Cost_of C-onst""-rucTiart: $ 2�5�d � cry GIM Address: 6 602 AJ City: -T / Z - State: Zip Code: Fax: Phone No. E-Mail: Sq. Ft. of First Floor: _ Utilities: —Sewer —Septic Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: Company: Address: City: Zip: Code: Phone No. E-Mail: State or County License: Lot No. Block No. Windows/Doors _ Roof Building Height: Fax: State: If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a.permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or that and covenants may restrict or prohibit such . structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before comm.Sncing work or recording our Notice of Commencement. Ile Sign= re of Owner/ Agent/ Lessee Signature of Contractor/License Holder STATE OF FLORIDA. STATE OF FLORIDA COUNTY OF ��! �_�Q COUNTY OF fore me The fgr ing instr ent was nowledgMy The forgoing instrument was acknowledged before me thi day of 20 this day of - 20_ by (Na of person acknowledging) (Name of person acknowledging) (Signature of Notary Public- Sta of Florida) (Signature of Notary Public- State of Florida) ,_.. Personally Known O P o u d Identification Personally Known OR Produced Identification Type of Identification Prod uc Type of Identification Produced . Commission No. =�`P °�°Z wP AWN MILONE 4 " Nd ublic �� ommission No. (Seal) - State of Florida A• �� My COMM. Expires Mar 22, 2017 �i9 V OTE 3101, �' O c 11110, Bonded Thro 1 g - REVIEWS FROq PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 7/2014 P Property Appraiser - St.Lucie �77^rmty, FL Page 1 of 1 PROPERTY RECORD CARD James C Hauser Record: 1 of 1 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 6002 Balsam Dr ParcellD: ��'3402 610-0539 000k3 1 ��UCIE��G2 .. Sec/Town/Range: 12 :36S :40E —� Account*: 38643 ye "t Map ID: 34/12S Use Type: SF Res Q, a Zoning: RS-4 City/Cnty: Saint Lucie County Ownership and Mailing Legal Description Owner: James C Hauser Rebecca A Hauser INDIAN RIVER ESTATES -UNIT 09- BLK 88 LOT 7 (MAP 34/12S) (OR Address: 6002 Balsam Dr 3657-1363) Fort Pierce FL 34982 Sales information Assessment 2014 Total Land and Building Date Price Code Deed Book/Page 2014 TRIM: 81500 Land Value: 7700 Acres: 0.23 6/21/2014 93900 0112 SP 3657 / 1363 Assessed: 74400 Building Value: 73800 4/1/2014 100 0112 SP 3626 / 2576 Ag.Credit: 0 Finished Area: 1556 SgFt 3/24/2014 74100 0112 CT 3614 / 2978 Exempt: 49900 8/23/2002 105000 00 WD 1571 / 0111 Taxable: 24500 7/19/1994 75900 00 WD 0911 / 0621 Taxes: 665.28 11/9/1993 9400 00 WD 0869 / 0827 8/1/1978 3500 00 CV 0293 / 1896 2/1/1977 1400 00 CV 0265 / 2481 BUILDING INFORMATION Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC - HC YearBit: 1994 Frame: - Grade: C - C EffYrBlt: 1994 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 AvgHUFI: 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 ENC2 - POOL ENC-AVG Y 1 759 AV AV 2004 1 0100-SF Res 215 -Front Ft 80 125 PA01 - POOL DK-AVG Y 1 409 AV AV 2004 SWAV - RES POOL AVG Y 1 350 AV AV 2004 DWC - Driv-Concret Y 1 720 AV AV 1994 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=340261005390003 8/27/2014 Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNERBUILDER 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 for your use and occupancy. You may also build or improve a commercial building at a cost not exceeding $75,000.00 as long as it is for your own use or occupancy. You may not build or improve said structures for the purposes of selling or leasing that building. If you sell or lease a building you have built or improved within one year after construction is complete, then a presumption is created that it was built or improved.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. Your construction must comply with all a y laws, ordinances, building codes, and zoning regulations. Initlaa I understand that the building official and inspectors are not there to design or give advice on ho a the minimum code. Initia� I understand that as an owner -builder that any contract disputes with sub -contractors and I must be h dled 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 o be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible an�l-lia I t _ 1 cost of the license. InitiaJL � ' a tT I understand that if any person that is unlicensed and uninsured gets injured on my construction ject- they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relat c 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 Zoig Departure to the Florida State Department of Professional Regulation. Signed and ac owledged on this day of of 20 b4. % O erBuilder Signature STATE OF FLORID COUNTY OF The r o' ins,,1,,umentw�cknowl�edgedefore me this rday of 20� by �who is personally known to me, or who has nrntivserl identi tion. Signature ofNotary Title: Notary Public SLCPDSD Revised 05/15/2014 Type or Print Name c Commission Number Notult Plllili§ = §E§'tH B(i "t 'ia ti My Wfln €IflIr@§ M§r ??P17 j Bond@# Through National Notary Assn. A r2308 VITILITIESRGI EF FORT PIERCE, FL 34982 TERMINAL ID: 003054111 MERCHANT 1: 425162443997 VISA #xxxxxxxxxxxx8398 SALE BATCH: 000956 IHUOICE- 856687 DATE' AUG 27, 14 AUTHINO, 027964 TOTAL $522-00 i CUSTOMER COPY i Hmount Palo: 522.00 Change Due: 0.00 Thank You User ID: RODRIGUEZM ST. LUCIE COUNTY NAME ACCT. # SERVICE ADDRESS 61 SUBDIVISION LOT BLOCK l_ BILLINGADDRESS r PHONE # r';i� I MOVE IN/CLOSING DATE This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or, future rates, rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay the Utility promptly for.such services in accordance with the established: rules and.regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.