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Home My WebLink AboutSUBMITTED PAPERSDate: ollA Fee Due: Receipt# ti Permit # IZC3� -Q�l '� l Planning & Development Services Building & Code Regulations Division ` CA 2300 Virginia Ave. St � y E� Fort Pierce, FL 34982 L100 (772)462-1553 cout7tj SPECIALTY PERMIT APPLICATION ❑ Electrical 13 Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: �.00 02 c %h c/ O/ V -0 ; y/ 101 E llce!J �C/o .5zi 9S % 2. Parcel ID Number: /.3 O/_ G 06 — O O 9,3 l 6 O 0^ 5— Office Use Only Section Township Range Map Page Zoning an Use Initials a 3 C 3. Complete Description of Project or Work: 0 ss'�ocv��rs"?G/ ve S1A o 4. Owners Information 5. Contractors Information Name: FI. Reg/Cert #: cc b u;- "7 NOTICE TO OWNER: FAILURE T - :CORD A NOTICE OF COMMENCEMENT N"-RESULT IN YOUR PAYING TWICE FOR IMPROVEN S TO YOUR PROPERTY. IF YOU INTENt, OBTAIN FINANCING', CONSULT WITH YOUR LENT r" OR AN ATTORNEY BEFORE RECORDING YV UK 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/She Address 2. Parcel ID Number 3. Description of Projector 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 - 5:00 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. Planning & Development Se'.- . ,-as 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 willpresume 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 applicable laws, 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 meet 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 for the cost of the license. Initial '—'? V7 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 I 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 Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this Jc) day of ,- of 20 /Z. Owner/Builder Signa e s STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this day of Ao`y, 20, by 0.-11riwho is personally known to me, or who as pr ced F(, &Pfo 8D2L f 42A asidentification. + C hqwn n1 10,qc�Q Signature of Notary Type or Print Name of Notary Title: Notary Public Commission Number SLCPDSD Revised 07/22/2010 Property Appraiser - St.Lucie C ^ty, FL Page 1 of 1 PROPERTY RECORD CARD Patricia Russell Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �VUCIE CO Site Address: 7802 Deland Ave ParcellD: 1301-606-0093-000-5 Sec/Town/Range: 02 :34S :39E Account*: 1498 d Map ID: 13/02S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Patricia Russell John J Russell LAKEWOOD PARK -UNIT 6- BLK 62 LOT10 (MAP 13/02S) (OR 1657- Address: 7802 Deland Ave 2482) Fort Pierce FL 34951-5018 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 47800 Land Value: 5800 Acres: 0.27 2/10/2003 75000 00 WD 1657 / 2482 Assessed: 47800 Building Value: 42000 9/11/1991 100 01 QC 0754 / 2899 Ag.Credit: 0 Finished Area: 1136 SgFt 6/16/1989 100 01 QC 0642 / 1258 Exempt: 25000 1/1/1985 0 01 CV 0454/1161 Taxable: 22800 11/1/1984 0 01 CV 0451 / 1674 Taxes: 463.86 8/1/1972 17600 00 CV 0206 / 1323 BUILDING INFORMATION Exterior Features View: - RoofCover: ExtType: HC- - HC- YearBlt: Grade: C- - C- EffYrBlt: StoryHght: 0010 - 1 Story No.Units: Interior Features BedRooms: 2 Electric: FullBath: 1 HeatType: 1/2Bath: 1 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qual. Cond. YrBlt. SWAV - RES POOL AVG Y 1 450 AV AV 1986 PA01 - POOL DK-AVG Y 1 642 AV AV 1986 DWC - Driv-Concret Y 1 756 AV AV 1972 FEN4 - CHAINLINK 4' Y 1 162 AV AV 1999 UTL3 - UTILITY AVG Y 1 192 AV AV 1999 SD - Dim Shingle RoofStruct: GA - Gable 1972 Frame: 1972 PrimeWall: BS - CB Stucco 1 SecWall: - MX - MAXIMUM PrmintWall: DW - Drywall FHA - FrcdHotAir AvgHUFI: ELEC - Electric Prm.Flors: TZ - Terrazo 100 %Sprinkled: 0 Land Information No. Land Use Type Measure Depth 1 0100-SF Res BI -Front Ft 90 131 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/pre.asp?prclid=130160600930005 4/30/2012