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Home My WebLink AboutSUBMITTED PAPERSee Due: 9 7s-v U Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SC ay St. Lucie Coun SPECIALTY PERMIT APPLICATION El Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits. 1. Location/Site Address: / 0,9 3 w!�-O� -f effG-g S 'F /�',O 2. Parcel ID Number: ` -? 2-9/ ^ U61& Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Name: k'y /J l L(- ! AM 0F401- FL Reg/Cert #: Address: City: Zip: / a ; 33 0x� �"! r Z,P County Cert#: lrC� K �ti' State: /� C._. Business Name: 7j T �J Phone:7/ 2-Z U('S6 2 PhonV2- A;g fax: 6. Value of Construction: $ al) I-IC5 e. OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be compliance with all applicable laws regulating construction and zonm li. PRINT OWNER OR CONTRACTOR NAME / SIGNATURE OF OWNER OR CO CTOR V C /,�pp STATE OF FLORIDA, COUNTY OF �[ 4, � ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY V(/J• (/ Q Ar WHO IS PERSONALLY KNOWN TO ME ORWHOHAVRODUCED r •ENTIFICATION. • If CONMSSIONNUMBER 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 K Revised 04/26/2010 NOTICE TO OWNER: FAILURE TC' ",CORD A NOTICE OF COMMENCEMENT N.`--;7ESULT IN.YOUR PAYING TWICE FOR IMPROVEM _. ,,'TO YOUR PROPERTY. IF YOU INTEND OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMBNCEMENT. 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 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 of the 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, ofthe,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 _detennir e,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 type's,of construction: ❑ Gas Attach *2 piping schematics with tank Ake, 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 offence 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) --" irohP=SOD"PM ,"MoidaY ugride6rrelar officeliours - 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. The foregoing instrument was by i /l1 R� 11 i /?gym >< 4 Planning & Development Services Department i Building & Code Regulations Division 2300 Virginia Ave Wr Fort Pierce, FL 34982 772-462-1553 - ---- — - - - -- -- ----Owner-Buiider-Affadavit-� Electrical--Cottraeting - - --- - -- - - - - - - -- DISCLOSURE STATEMENT F.S. 489.503-(6) EXEMPTIONS --- State law requires electrical contracting to be done by licensed electrical contractors. You have applied fora --permit-under-an-exemption-to-that-la'w.--The exeffpfion-allows you, as the owner ofyour property, to act as your own electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wir ng_in_a_commercial--building-the-aggregate --- construction costs of which are under $75 000. The home or building -must be.foryour. own use and -occupancy.- It --may riot be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. 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 Community Development Director to the Florid State Department of Professional Regulation. Signed and acknowledged on this _ 4__ day of t1 Al C 20 /2— OWNER/BUILDE GNATURE STATE OF FLORIDA COUNTYOF .before me this _� day of 20 , who is personally known to me or has Droduced as identification. M > 1�( S7J Signature of Notoy Pr Pr name of Notary rn� om v a,' z g Title:- Notary Public C! c ommission Number �, m -� `'1� ONLY = o o FOR DEPOS SLCPDSD Revised 7123Z2010 ST LUCIE COUNTY BOARD SIONERS OF COUNTY C®NIMISa St. Lucie County Owner Builder Affidavit -Electrical Contracting 13l11LDING &ZONING 2415 2000050999392 i Property Appraiser - St.Lucie .7 ,nty, FL - Page 1 of 1 PROPERTY RECORD CARD William P Cofer Record: 2 of 5 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 10333 OKEECHOBEE RD ParcellD: 2327-231-0002-000-4 Q Sec/Town/Range: 27 :35S :39E Account #: 14355 y Map ID: 23/27N Land Use: M-F < 10U Zoning: AGA City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: William P Cofer Michelle L Cofer 27 35 39 FROM SW COR OF NW 1/4 RUN S 89 DEG 19 MIN 50 SEC Address: 10333 Okeechobee Rd E 52 FT TO E RAN CANAL #51, TH N 0 DEG11 M Fort Pierce FL 34945-2342 More... Sales Information Date Price Code Deed 4/1/1987 95000 00 CV 2/1/1983 18000 00 CV Assessment 2011 Final Total Land and Building Book/Page 2011 Final: 163500 Land Value: 49100 Acres: 2.73 0537 / 0519 Assessed: 163500 Building Value: 114400 0394 / 0843 Ag.Credit: 0 Finished Area: 4235 SgFt Exempt: 50000 Taxable: 113500 Taxes: 2506.19 BUILDING INFORMATION Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC - HC YearBlt: 1969 Frame: - Grade: C - C EffYrBit: 1969 PrimeWall: BW - Brk/Wd Frame StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: AV - AVERAGE PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/28ath: 0 HealFuel: 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. Land Use Type Measure Depth DWC - Driv-Concret S 1 720 AV AV 1969 1 0800-M-F < 10U 536 -Acres 2.73 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.pasle.org/paslc/PRC.asp?move=next&card=l&prclid=232723100020004 6/6/2012