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Home My WebLink AboutSUBMITTED PAPERSDate: F Fee Due: __ " K r- Permit # 4 �aA�'K .f,�z�e�u..:v-'-$•-�1 �.nP{�'y#�'� �-we3�r;?£ Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 'SCAIveo By St (uC% (;p,,nt Y SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: if 7&1/ dJ lfaa e � 2. Parcel ID Number: Office Use Only Section Township Range Map Page Zoning an Use Initials _ . 19 3. Complete Description of Project or Work: 4. Owners 0,ormation Name: I / "qiw o .5 5 . Address: y-?if( ,� &11 t;t e- City: 7:—State: y If Zip: �� / Phone: R'Rit"• '. 6. Value of Construction: 5. Contractors Information QT�, FL Reg/Cert #: County Cert#: Business Name: 11-10- Phone: Fax: 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. PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF II,A� ACKNOWLEDGED BEFORE ME THIS DAY OF .20 BYvy • WHO IS PERSONALLY KNOWN TO ME OR, WHO HAS PYtOD. CED �i AS ID TIFICATION. V ��•� �� •�cJ SIG AT F OT T OR PRINT NAME OF NCVARY COMMISSION NUMBER mom M 6 M } x ~ O 0 277y3A oCrn9Q '7ksn-P, aw 0S a C: rn rn m = N 757s• o 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 NOTICE TO OWNER: FAILURE 1 � .::.'CORD A NOTICE OF COMMENCEMENT MA'_-__�7SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YO.UR..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 complete411"inf6rmation in the space provided. All information must be printed (use black or blue ink only) or typed. This permif"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 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 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 p that the submitted figures -are not consistent with similar type4 of construction. ❑ Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance ,s ❑ 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 of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications ❑ HVAC Attach 2 residential energy studies, 2 manual4 calcul'aiions. 2 sets of duct layouts for new systetn 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),1Vlonday''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. Property Appraiser - St.Lucie -mty, FL Page 1 of 1 PROPERTY RECORD CARD Thomas S Vaughn Record: 1 of 1 "Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��,UCIE CO Site Address: 431 enu J ParcellD: ®Ir240Q-80,1QQ039 000_0& G,L Sec/Town/Range: 06 : :40 Account #: 19779 y� Map ID: 24/06S Land Use: SF Res ' Zoning: IL City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Thomas S Vaughn Sandra L Vaughn qW16MQED.Si,D BL- 5 -OTS 1, 2, , 4, 5, 6, 7 8 ND W 1 2 OF LOT Address: 4318 Avenue J 1 A D j O .S 1 I —. -I Fort Pierce FL 34947-1716 ore... Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 174200 Land Value: 146900 Acres: 2.81 6/24/2008 100 03 QC 2988 / 2392 Assessed: 174200 Building Value: 27300 6/1/1986 79800 02 CV 0503 / 1503 Ag.Credit: 0 Finished Area: 1350 SgFt Exempt: Taxable: Taxes: 3544.22 BUILDING INFORMATION Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HD- - HD- YearBlt: 1953 Frame: Grade: D- - D- EffYrBlt: 1976 PrimeWall: WN - Wood no Sh StoryHght: 0010 -1 Story No.Units: 1 SecWall: BP - Conc Block Interior Features BedRooms: 1 Electric: MX - MAXIMUM PrmintWall: WB - WB FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: SP - Sing Pine %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 1 0100-SF Res 303 -Sq Feet 122403 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=240680100290000 5/17/2012 y.. St. Lucie County 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 fora permit under an exemption to that law. The exemption allows- you,. as .the owner of your -property to -act as our own contractor_ even thou - — - ou.do_not;have-a,license..You-mustprovide direcf on=site'supervision of the co' strection 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 yourself 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 re-quired_by state�aw_ 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 -mu st deduct.: F.I.C:A-.—and withholding -tax -and -provide woke s -- compensation for that employee, all as prescribed by law.- Your -construction must comply with all applicable -laws, ordinances, -building codes, and zoning regulations. Initi� I understand that the building official .and inspectors are not there to design or give advice on to meet the minimum code. oIniti I understand that as an owner -builder that any contract disputes with sub -contractors and Imust 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 he for e. 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 relato3medic 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 a ,, Z, offing Depar went to the Florida State Department of Professional. Regulation. S" ed and acknowledged on s 0 day of of 20 o Crn T I I bm O= P�m_r8 er uilder Signature a o " X STATE OF FLORIDA jdd COUNTY OF �/1 � •y The foregoing instrument was a knowledged before me this , / day of Zp� by who is personally known to me, or who has pro uce as identification. 7q .3((,S*. 4stuie o t-G1L ary PAT r Print Name �Ilol (Seal) Title: Notary Public Commissi, N b roc. .:.�0MY —e:29M 1''3 Fort Pierce Utilities Authority -'Committed To Quality" Key Accounts 206 S. 6th Street Fort Pierce, FL 34984-3191 Phone (772)466-1600 Fax (772)465-6984 Job Location: 4311 AVENUE J Invoice Number: KA-72-12 Account Name: Contact Name Billing Address: RANDRA L VAUGHN SANDRA L VAUGHN FORT PIERCE FL 4318 AVE J Phone: f7721882-8259 Fax: ( ) - PCN:240680100290000 FEI# 34947 Cell: ( ) Cust Type Residential City Limits Outside 4f,� ra j�7Jy� (yj� ; N7 snK.. }4yyerymd 0- s, r i. r. rM.� ry '. t- ky 'E ..,i - q�t c ',si{�`':" Y"�II�Stf,�l G•.! tC. k.' n!e.G.Tftl�A! ^dGa^s1t n, ~L �,.. £,SµY"" w'1,'}'" v +ypD�' v.P �.'`"i 1i.,' �(+^.` T �.1. ; us a .a ., �. _,i„ s k •il;1� �' er r{}y. * i : Y` TM r �P :uii4'Yv. a` Y 06-3-060-43701-0000 1 .75 Water Meter and/or Service Installation $250.00 Water Security Deposit $60.00 06-2-000-23500-0000 Water New Account Setup Charge $40.00 06-3-060-48800-0000 06-3-060-43702-0000 Water Capital Improvement Charge W ERC's 0.00 $0.00 *Water Accrued Guaranteed Revenue Charge $0.00 06-3-060-49525-0000 Meter Verification Fees $0.00 Wastewater Security Deposit $0.00 08-2-000-23500-0000 08-3-080-48800-0000 Wastewater New Account Setup Charge $0.00 08-3-080-4880-0000 Wastewater Capital Improvement Charge WW ERCis 0.00 $0.00 *Wastewater Accrued Guaranteed Revenue Charge $0.00 08-3-080-49525-0000 Lien Fees 0 0.00 a k' A.Y' C'a'Ivn4""St S j¢kP- ••_ �' T YY`ii 0 ,Ni" K C%c:, ,i��F'i 'mar � {f 01 T w .+.,.•:`S:£.du'.h , 4<.n�kZ^'`i, .s , Gs��h..+a�?:`- .3. �. i,:��tk'n..a.a.�.u�.i eiYRL{,ri`,',r�... n.c�i.�'c.n� ,Fz?i 0.00 0.00 +'�i'cS'13' k f sjA CI q $0.00 Down Payment: i �� feesvlll �Pleas`econ o tedee� a r 4t {� o }�r�eW a" I act of oefoi ,= Invoice Total: $350.00 . .,.."�.u.w .��a�..n.a•w.a,..,_. �r.,S.1.. .r.r.2u,rri-vt,..l• •.«...w. .eLw ....,...ul...i .-�s51� ......w.,.. . Description for service order: INSTALL 5/8 X 3/4" WATER METER ONLY SUNLAND GARDENS MSBU DP. jfCheck Number: Date Paid: `+! Total Paid: ,. C tlo Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater onnec n Charge Is paid - whichever is first. The cost of the service line from the point of delivery at the property line to the house/building is the responsibility of the customer and is not included in this invoice. State laws require that a permit from the Health Department must be obtained Prior to initiative a septic tank abandonment. Contact the Health Department at (772)873-4931. Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at the completion of the project. Should unforeseen circumstances be encountered during construction, including but not limited to adverse weather conditions and construction conflicts, the customer will be responsible for increased costs. Additional costs incurred by'the customer shall not exceed fifteen (15) percent of the total estimated construction costs shown above. Estimated costs paid by the customer that exceed the actual cost of construction will be f led b Fort Pierce Utilities Authority. re un y Reviewed By: Lori Battil3acillia Key Accou Specialist Date: 05/171/2012 Customer's Signature: f ' Date: Printed Name:/a-1�i1 1 ��✓✓ '