HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due:j I I Recei t# Permit #
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982 �l _ BY
(772)462-1553
4Cie County
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing 0 HVAC
❑ Shed ❑ Demolition ❑ Gas
Seepage 2 for instructions and additional paper
1. Location/Site Address A -
IS -
IN Fence
❑ Siding
required for specialty permits
2. Parcel ID Number: 13 `t" ( I - -5� 10 - 0 ')-19 ' oc-XD - 7
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
I ' 'als
3. Copplete Description of Project or Work: I .lhs:✓�}U
r..�.e� d - -a —
%o "k- L .5-1 acted /
4. Ownerpnformation I� C tra�c�to(r's Information
Name: W � 0eg/Cert #:
Address: ®z Jr- C) ,QAJU-Q/ County Cert#:
City: '(. Sr l�.C.IR/ State �PltlI' Business Name:
Zip: Phone: z; b t
00
6. Value of Construction: $ 650, l
Phone: Fax:
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done
gpqiance with all applicable laws regulJ'gons ctionand zo miofKRA (X) - Z— b ✓O 1 �z� �
PRINT OWNER OR CONTRACTOR NW
SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF l� / °— BY`1
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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
Revised 04/26/2010
Monday, Jun 03, 2013 02:59 PM
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Monday, Jun 03, 2013 03:00 PM
Property Appraiser - St.Lucie 0---*y, FL
Page 1 of 1
Wilbur C Schwartz
Record: 1 of 1
Property Identification
Site Address:
225 OLIVE AV
Secrrown/Range:
22 :36S :40E
Map ID:
34/22S
Zoning:
RS-4
Ownership and Mailing
Owner:
Address:
Sales Information
Date Price
11 /1 /1973 12000
PROPERTY RECORD CARD
«Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
,'%33CIE CO
ParcellD: 3419-510-0279-000-7
Account #: 42019
Use Type: SF Res ,:,, p," •�
City/Cnty: St Lucie County
Legal Description
Wilbur C Schwartz Anna M Schwartz
RIVER PARK -UNIT 2- BLK 19 LOT 48(MAP 34/22S) (OR 221-596)
225 Olive Ave
Port St Lucie FL 34952-1347
Assessment 2012
Total Land and Building
Code Deed Book/Page
2012 Final:
156900
Land Value: 72200 Acres: 0.27
01 CV 0221 / 0596
Assessed:
156900
Building Value: 84700
Ag.Credit:
0
Finished Area: 2084 SgFt
Exempt:
50500
Taxable:
106400
Taxes:
2346.88
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
SA - Asph Shingle
RoofStruct:
HP - Hip
ExtType:
HC- - HC-
YearBlt:
1976
Frame:
-
Grade:
C- - C-
EffYrBlt:
1977
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FuilBath:
3
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Fiors:
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 Depth
DOK2 - WOOD DOCK
Y 1
60 AV AV
1977
1 0100-SF Res
CIUA-Front Ft
98.9 121
SWAY - RES POOL AVG Y 1
450 AV AV
1977
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001
PA01 - POOL DK-AVG
Y 1
687 AV AV
1977
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=341951002790007 6/3/2013
Planning & Development Services Department
Building & Code Regulations
.e..
2300 Virginia Avenue
Fort Pierce, Florida 34982
L (772) 462-1553
OWNERBUILDER AFFIDAVIT DISCLOSURE STATEMENT
---------- — -------------------------�.5:._489.103-��-EXEMP�'IONS----- - - -- - -- - - -- - - — - --
---- — -- State law requires construction to be done by hcensed=contractors:- You have applied -for a perrriit under ail
exemption to that law: The -exemption allows you, as the owner of your property, to act as youf 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--famiiy--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-havebuilt-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-"ormunicipal -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 applicab
ordinances, building codes, and zoning regulations. Initial- m r,
I understand that the building official and inspectors are not there to design or give advice on how to ret
the minimum code. Initial
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 Haler the
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 relat%dical
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.
5• a ' c �-
Owner/Builder Signature tJa -------
STATE OF FLORIDA
COUNTY OF
The' oregoing in e t w
o
(, ��
acl owled_ged before me this,/ day of 2015
by d
% who is personally known to me, or who has
p uced
' as identification.
JT�- `)\
%
'M
4 Wp/ 1 0
�((eal)
ignature o otary
Type or Print Narr;6 of Notary
Title: NoIlic
Commission Number
SLCPDSD Revised 07/22/2010
Pi?, UDREY B. MMPHREY
fiNMI
COMMIS510N # EE 2601159XPIRES:
March 6dThruNotaryPublicUndewiters
Applicant has been advised NO structures
can bo orected within any easement or
right of way unless otherwise approved.
Applicant InItW§
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