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Home My WebLink AboutSUBMITTED PAPERSDate: 4. :;Y7- Fee Due: C. F Permit # 12 ati• 0Y03 Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SC 4c1� Cole, SPECIALTY PERMIT APPLICATION P41 ❑ Electrical ❑ Plumbing ❑ HVAC 14 Fence ❑ Shed ❑ Demolition '❑ Gas ❑ Siding See page 2 for instructions and additional paperwyork required for specialty, permits Q 1. Location/Site Address: 3 I l 5 S 1 1 s t S 1 ae+ . fo(I Pl e(C'Lt 3 H 9,2 , 2. Parcel ID Number: 2 J� g" o n " Q (•3u — 000 f 3 Office Use Only Section Township Range Map Page Zoning an Use Initials 3. Complete Description of Projector Work: to c'+0 n I c, r-ia P/a Ae f4q_ . 1 V 4. Owners Information 5. Contractors Information Name: cre(l of , FL Reg/Cert #: Address: ' County Cert#: City: rV ('T , f I t(C, State:,. Business Name: Zip: 3 19 8 ,1— Phone:% -1— — Phone: 6. Value of Construction: $ ISO() Si 8, 2 OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correc and that all work w co liance with all applicable laws regulafl9kconlruction d zoning. PRINT OWNER OR CONTRACTOR NAME SI OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF be .f. ACKNOWLEDGED BEFORE ME THIS C>� _7DAY OF 20BY 'h V � 'C WHO IS PERSONALLY KNOWN TO ME COMMISSION NUMBER a OR WHO HAS PRODUCED 7LA . ddC - S3�'S/•�y(v•� M PAA54!�/ 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 ' ;0 ECORD A NOTICE OF COMMENCEMENT TAA V RESULT, YOUR PAYING TWICE FOR ROPROVEI: ''TS TO YOUR PROPERTY. IF YOU INTEN ) OBTAIN TWN NCING;..,CONSULT WITH YOUR LE14!,, ;n OR AN ATTORNEY BEAORE RECORDING N min 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 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 'Projector Work Activity 0 Fully describe the activity to take place. 4. Owner Information ` ` Indicate the'name arid'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 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,] calculations. 2 sets of duct layouts for new system or full replacement . This application can be'submittekl.#o 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 4c30 P.M. For assistance in completing this application, please call (772) 462-1553` duriri re ular office hours 8:00 AM 5:00 P Monda through'Frda . g g ( M) YY NOTE. Emergency electric service change out inspections will not he 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. Planning & Development Services Department Building & Code Regulations 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 required 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 applic a ws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how to et 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 liable fopt4e cost of the license. Initial f 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 relate meal 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 owneribuilder exemption shall be reported by the Building and Zonin2 Departm t to thg F orida Statepartment of Professional Regulation. Signed and ac owledged on this ,=17day of of 20 --4 1 STATE OF FLORIDA COUNTY OF The foregoi>Zg instrument w s acknowledged before me this 11 day of 20 by who is personally known to me, or who has. produced as identification. h e�n_ _-4, 4u A 06L.-i r a • .Pfit. r? Vfq MwAr Signature of N ary ,Typeg Print Name of Notary f (Seal) Title: Notary Public Commission Number SLCPDSD Revised 07/22/2010 AU►DREY B. HUPdPHREY * f �= :A,' MY COMMISSION # EE 061159 EXPIRES: arch Bonded Thru Notary Puti Und nvriters Property Appraiser - St.Lucie;'7 inty, FL Page 1 of 1 r PROPERTY RECORD CARD Joseph George Record: 1 of 1 Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 0,3CIE � oG Site Address: 3175 S 21 st St ParcellD: 2428-602-0038-000-3 Sec/Town/Range: 28 :35S :40E Account #: 32406 �a Map ID: 24/28N Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County �'• '� ,, � Ownership and Mailing Legal Description Owner: Joseph George Linda George COL H D GOFORTH S/D BLK 2 LOT 13(0.22 AC) (OR 3170-1614) Address: 3175 S 21st St Fort Pierce FL 34982 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 32400 Land Value: 4400 Acres: 0.22 2/2/2010 31500 0112 SP 3170 / 1614 Assessed: 32400 Building Value: 28000 7/8/2009 100 0112 CT 3125 / 0259 Ag.Credit: 0 Finished Area: 1000 SgFt 8/28/2006 143000 00 WD 2662 / 1148 Exempt: 7/26/1991 100 01 WD 0822 / 0090 Taxable: 2/1/1986 15000 01 CV 0490 / 1556 Taxes: 659.2 2/1/1981 10000 00 CV 0348 / 1135 BUILDING INFORMATION U Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC- - HC- YearBlt: 1986 Frame: Grade: C- - C- EffYrBlt: 1986 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 1 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/26ath: 0 HeatFuel: 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. YrBIt. No. Land Use Type Measure Depth DWC - Driv-Concret Y 1 320 AV AV 1986 1 0100-SF Res 215 -Front Ft 60 163 UTL1 - UTILITY LOW Y 1 64 AV AV 1999 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=242860200380003 4/27/2012 oPCL DISCLAIMER ul Luoe Covnyy makes no ,varran;r r=p,esen+.nlan or Bva'a My ae la Ine cvntaM, eepaence. occuro ry, limekness. or mmp:elenoss of any of [de 3evd116a Informatbn peoy,ded Uerein. me reader shpmq not vary on mp datp pro.weo nnrem mr any reason. st. �uup epunry expl,Gty dsGa�ms any rapresenlatans mm aanam�ns. muua�ng, srrtrom mneatinn, me unpeed 0 00020.004 0.008 0.012 0.016 Wrmnlixs el me¢hanlaUNly and LIne55 (er a pdrf¢ulat pwpvsa st rer , A,, eb—, pmisvons o m me Miles lormatwn Woyided regardless of Iw,y caused. ,2Anydecivon nude araGion taken ornot taken by any Wrsur, in reliance vpoo any in,nrmaUoncvr da„i fumistnd Iborovnder .4.,a e, co 1. 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Luge Count' erpAUIN Disclaims any re,rxsonLahans and wanaMlas, mqutllnp, waroM Inoltatgn, tl,x In,N!atl rmNlas of InemtanLahuty am (Moss for a parl¢uWr purposa. St �ucla County �J,all assmne no liahgtly rot. 1. Anv enure, omssons, m Inaccumnpe.!n thn (V•hIBS Infua,al!on pravkletl taFi�Idxss of how caused:or7 Any degsiah madao, aglo,lake, or not lakan by 3" pamo,Lirehancaupon -„,,-lion or do.,, rurniv,ed Well m Friday, Apr 27, 2012 04:26 PM