The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSDate: ' I Fee Due.14 qp Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 '9Cq �/V',�o 4% Co4nty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: , l0 15�SE R AJ A T-A (2 () (.P Q,T , 40o rt dT Lu ' 2. Parcel ID Number: ,3,q r 9 —540 - 0 I,3 1 e 6 0o — Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: 4. Owners Information J l7 5. Contractors Information I ' / Name: 1 %' 1,Cc M �5. MU cow,! FL Reg/Cert #: (2 u) N Address: 19 o 4 i6erm Lt d o. lam/ PT I County Cert#: City: lAC01I(A.* C r'C_ej, State: FL Business Name: Zip: 3,:-)>o i'o % Phone: 7,5q ' �� Phone: ! 4 — / Fax: 9SS 5.� — �n"7 /cZ 1aj4-q 6. Value of Construction: $"' CA U , OWNERS 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 regulating construction and zoning. M; r oa.5 M to R.►, ELL, rQa . PRINT OWNER OR CONTRACTOR NAME SIGN OF OWNER OR CONTRACTO STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS Y— DAY OF 20 1 g_ , BY e �/ ► /'r pJ / l'1 '��Jl"OI I O IS PERSONALL O O ME OR WHO HAS PRO UCED �f✓�� fJ �1�� C% %'�a• I � � """� JAtYIES ®OWEN JR A IDENTIFIC , ON.�`'sty Notary Pub k -State of Florida 2014 tSNIA OF NOTARY TYPE OR PRINT NAMEOF NOTARY 'y cComma iee May 24,��fill�Commiaalon #DD 99531313ISSIONNUMBER 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 Thursday, Jun 07, 2012 09:17 AM NOTICE TO OWNER: FAILURE 1"� *'CORD A NOTICE OF" COMMENCEMENT MA f i SULT 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 $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 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. 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 53�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 of this' permit, required inspections can be scheduled by calling (772) 462-1261. Wednesday, Jun 06, 2012 02:41 PM Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD `V%3GIE 00 Site Address: 161 SE SERENATA CT ParcellD: 3419-540-0131-000-1 Sec/Town/Range: 28 :36S :40E Account #: 42808 Map ID: 34/28N Land Use: SF Res . Zoning: RS-4- City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Miriam S Murrell RIVER PARK -UNIT 5 BLK 46 LOT 27 (MAP 34/28N) (OR 990-2740) Address: 1904 Bermuda Cr# D-4 Coconut Creek FL 33066 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 20300 Land Value: 7300 Acres: 0.21 12/15/1995 35000 00 WD 0990 / 2740 Assessed: 20300 Building Value: 13000 Ag.Credit: 0 Finished Area: 722 SgFt Exempt: Taxable: BUILDING INFORMATION D12 � e M e -i.a..•• J 1 J J Exterior Features View • - RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD -HD YearBlt: 1959 Frame: - Grade: D - D EffYrBlt: 1959 PrimeWall: BS - CB Stucco StoryHght: 'Interior 0010 -1 Story No.Units: 1 SecWall: - Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: PF - PF FullBath: 1 HeatType: - AvgHUFI: STD 1/213ath: 0 HeatFuel: - Prm.Flors: CA-ATL/CON %A/C: 0 %Heated: 0 %Sprinkled: 0 �Sp,. iType Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 3CHT - 3CHT S 1 1 AV AV 1977 1 0100-SF Res 260 -Front Ft 80 115 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 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=341954001310001 5/30/2012 St. Lucie.CouL_, Building & Zoning Department 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 regitired 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 ap ca a laws, ordinances, building codes, and zoning regulations. Initi A i I understand that the building official and inspectors are not there to design or give advice the minimum code. Imi I understand that as an owner -builder that any contract disputes with sub -contractors and I in a civil court with the advice of an attorney. This department will not mitigate any contract disput 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 li for cost of the license. Initial i I understand that if any person that is unlicensed and uninsured gets injured on my construction Iec they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer an da medic -` jr cost, which could include loss of wages during recovery from their injury. tial o s • ��sar To qualify for this exemption under this subsection, an owner must personally appear and sign the buildin permit application and initial the above. s ' ao I hereby acknowledge that I have read and understand the above disclosure statement and that 1. furthe understand that any violation of the terms of the owner/builder exemption shall be reported by the Buildng an Zoning Deparhn nt to the Florida State Department of Professional Regulation.. Signed and acknowledged on day of 20. wnerBuilder Si tore f STATE OF FLORID - COUNTY OF The foregoing instrument was acknowledged before me this dEo 20_, by & / ho is personally knto me, or who has produce as ideation. % po , 7 C) e. - - rL M\', _ Si tore of o ype or P6At Name of Not,/ (Seal) Title: Notary Public Commission Number BELGARU HARDSCAPES-- ME PREPARED FOR COMPANY:'