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Home My WebLink AboutSUBMITTED PAPERSDate: //j —0/_, / n I Fee Due"--u Receipt# f Permit # i Planning & Development Services OEM ": _ Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 i SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑Demolition ❑Gas ❑Siding St. 44c��y�FO e See page 2 for instructions and additional paperwork required for specialty permits COC/ntj, 1. Location/Site Address: o�! (o � �,r)\ iu -1 U N 2. Parcel ID Number: 1 13 Ll U 3 -3 n co Township Range Map Page Zoning an Use Initials Office Use Section Only 3. Complete Description of Project or Work: y'g ,1 4. Owners Information 5. Contractors Information Name: v-j S22 M.l � ��(��/ FL Reg/Cert #: Address: 13 & 3 S =JJY-)o AA County Cert#: City: PICJq State: L Business Name: Zip: 3 q CJ t-) S: Phone: 863 -qq0-17ydPhone: 6. Value of Construction: $ \ '�'Qo Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance vyith all applicable laws regulating construction and zoning. p PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME TIES DAY OF , 20,la- BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRO CED TIFICATION. 11;;: ' ;'- DAWN MILONE SSION # DD 852587 FXhiarch013 SIGNATURE OF NOTAR T OR PRINT NAME OF NO ARY r. �ded 7h ' ru Notary public Underwriters COMMISSION NUMBEI;' 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 TO .�2'ORD 'A NOTICE OF COMMENCEMENT MAY ,� -�IULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, . CQNSULT 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 ❑ 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 - 5:0.0 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 lie`scheduled by calling (772) 462-1261. St. Lucie County Building &.Zoning Department 2300 Virginia Avenue Fort Pierce, Florida34982 (772)462-1553 OWNER/BUILDER AFFIDAVIT -DISCLOSURE STATEMENT F.S. 489.103 (n FNF.WTIONS -law requires construction to be-done-bylicensed- contractors. You have applied for a permit under an . f exemption to that law The exemption .allows -you, as .the owner -of your -property, to act _as -your own contractor even _ j3 _-_ though you dasnot-have a_liceme. You-must=proved- direct, on-mte 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�youi own occupancy: - It-maynot-be, buiht:or-substantially miproved-for sale or lease: If you'sell`or lease a building -you -have built or substantiallroved our self within one year y your y after the constructioniscomplete,. 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 tared b _state�aw_and.b �coun . -or-music' al licensin -ordinances. -You-may not delegate the - ----- - -q.- y y t'contractor IP g - -_"_ _- 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 _ T employed. by °you, which means _that I:C A=and withholding--tax-and-provide work- s —� compensation for that employee, all as prescribed;by law_. _ Your.construction must comply with all -applicable -laws, --or-inancesbuilding codes, and zoning regulations. Initial - , I understand that the building official .and inspectors are not there to design or m give advice on how to meet the minimucode. Initiali 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 orcompany. 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 liable for 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 -related medical 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 Zo4m,g Department to the Florida State Department of Professional. Regulation., Signed and acknowledged on this day of of 20. STATE OF FLO ...1- f , COUNTY OF byE_M produced Signature of Notary Title: Notary Public Ownerluilder Signature F I before me this & day of Zp Z , _who is personally known me or who has as identification. Type or Print a '��a Votary DAWN MILONE Commission MYCaMMI®slbN 0 00 es Bonded T64, NNot (y P I16 NflA�nvrit�r�` MASTER PERMIT: _q .UMBER: 1. LOCATION/SITE ADDRESS: ., ST. LUCIE COUNTY PUBLIC WORKS .BUILDING & ZONING DEPARTMENT 2300 VIRGINIA AVENUE :r�' FORT PIERCE, FL 34982-5652 L�/" A 561-462-1553 CATION FOR PERMIT. 2. PARCEL ID NUMBER: SECT TWP 5 I RNG L: MAP 3< I ZNG %�� LU / UC INIT 00 3. TYPE OF FENCE: 418 TOTAL LENGTH: I- . 4. OWNERS INFORMATION �^ 5. CONTRACTORS INFORMATION Name: Etz 7At,Ll t3S 1 e D.DL— 12— FL REG/CERT #: Address:O_ COUNTY CERT#: City:Business Name: Phone:��d�7F7�z Zip: q�S 6. VALUE OF CONSTRUCTION:IJ31-1 V33 600 FEES DUE: PT: OWNER'S AFFIDAVIT: I certify that all ofpe information contained in this application is correct and that all work will be done in compliance with II applicable I re ng construction and zoning. / PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER" STATE OF FLORIDA, COUNTY OF SHERRI L. FEHLWN SWORN TO AND SUBSCRIBED BEFORE ME THIS 21� DAY OF - 2(_Z, BYA_kr a/1% MY COMMISSION # DD 970255 WHO IS P RSONALLY'XNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. EXPIRES: March 14, 2014 f'gTFOF f�oP°. Banded Thru Budget Notary Service SIGNATURE OFTOARY E OR PRINT NAME OF NOTARY. (seal) NOTARY PUBLIC TITLE COMMISSION NUMBER NOTICE TO OWNER: YOUR 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. ST. LUCIE COUNTY___, FENCE PERMIT WHEN UNDERGROUND UTILITIES ARE PRESENT, "CONTACT 'UTILITY -COMPANY BEFORE COMMENCING CONSTRUCTION. FENCING PROPOSED FOR PROPERTY LYING EAST OF.N A-1-A AND S A-1-A, ALSO KNOWN AS OCEAN DRIVE, MUST LOCATE THE COASTAL CONSTRUCTION SETBACK LINE ON THE PLOT PLAN BELOW. ENCROACHMENT INTO THE SETBACK AREA REQUIRES A DEPARTMENT OF ENVIRONMENTAL PROTECTION PERMIT OR EXEMPTION' BEFORE THIS APPLICATION CAN BE PROCESSED. & SETBACKS. FRONT PROPERTY LINE ON ROAD . All applications for'Fence Permits are to be,submitted to the St. Lucie County Building & Zoning Department, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for Fence Permits must be complete and filed with the Department no later than 4:30 P'`W`,each''business "day. No applications will be accepted for processing after 4:30'P.M. For assistancet,in ,completing this application, please contact the St. Lucie County Building and Zoning Department at (561) 462-1553,j'during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Following the issuance of this Fence Permit, the scheduling of all required inspections may be made by Planning & Development Services Building & Code Regulation Division Review Comments Permitting Department 2300 Virginia Avenue Fort Pierce, FL 34982 Page 1 Phone: (772) 462-1553 Fax: (772) 462-1578 PROPERTY INFORMATION Address: 2161 JOHNSTON RD City / State / Zip: FORT PIERCE Parcel # : 1334-433-0001-000/6 Zoning: AG-1 APPLICATION INFORMATION Permit Number: 1204-0367 Activity Type: Permit Type: Fence CONTRACTOR INFORMATION Contractor Name: Business Name: Business Addr: City / State / Zif REVIEWS AND COMMENTS Review Type Status Documents Missing Pending 04/26/2012 1 04/26/2012 2 04/26/2012 3 Front Counter Review Complete FL 34951 Jurisdiction: St. Lucie County Lot # : Block: Owner(s): JAMES TEDDER SUSAN D TEDDER Application Type: Over the Counter Permit Other Activity: Stories: 1 Automatic Sprinkler System? Fax Number - - Reviewed By Date Started Date Complete Date Released Dawn Milone 04/26/2012 N Dawn Milone 04/26/2012 04/26/2012 Plans Examiner Review Complete Ken Arnold 05/14/2012 05/14/2012 Property Appraiser - St.Lucie ,"-�nty, FL — , Page 1 of 1 PROPERTY RECORD CARD James Tedder Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ��01E��G Site Address: 2161 JOHNSTON RD ParcellD: 1334-433-0001-000-6 Sec/Town/Range: 34 :34S :39E Account #: 128417 co Map ID: 13/34S Land Use: UNCLSFD ACRG • Zoning: AG-1 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: James Tedder Susan D Tedder 34 34 39 S 60 FT OF W 341 FT OF E 381 FT AND N 150 FT OF S 1/2 Address: 13635 Indno Rd OF N 1/2 OF SW 1/4 OF SE 1/4-LESS E 3 Fort Pierce FL 34945-4004 More... Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 37700 Land Value: 37700 Acres: 3.93 8/18/2009 25000 0004 WD 3122 / 2016 Assessed: 37700 Building Value: 0 7/23/2003 12100 01 TD 1757 / 2543 Ag.Credit: 0 Finished Area: 0 SgFt 3/8/1989 100 01 WD 0626 / 2506 Exempt: Taxable: Taxes: 767.04 BUILDING INFORMATION No .Sketch. No Image. Available vailabl Exterior Features View: - RoofCover: - RoofStruct: - ExtType: - YearBlt: Frame: - Grade: - EffYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: Electric: - PrmintWall: - FullBath: HeatType: AvgHt/Fl: 1/2Bath: HeatFuel: - Prm.Flors: - %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 9900-UNCLSFD ACRG 511 -Acres 3.93 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclid=133443300010006 4/26/2012