HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services Department
Building &- Code Regulation Division
9 131011
2300 Virginia Avenue
Ft Pierce, FL 34982-5652 4
Tel. 772462-1553 "Cie 00
APPLICATION FOR ROOF PERMIT
-;r� '—( A��REVERSE SIDE FOR INSTRUCTIONS
1. Location/Site Address: C < :13 o Z)
2. Parcel 11D Number: i'SO I - (,to - 0o815-000 - 9
M"JIM
.W
W &=Q"
W
1'140�
[all
3. Description of Project or Work Activity:
4. Total Roof Area (square feet): �6 600 5. Roof Pitch:
6. Type of Roof: [/--fFiberglass Shingle Concrete Roof Tile Wood Shake / Shingle
7.
[ I Tar& Gravel [ I Modified Bitumen [ I Other
[ I Product Approval required for all types of Roofing Material (2 Sets)
All Commercial Roofing requires design by an Engineer or Architect (2 Sets) with Product
Approval attached
Roof Mitigation per F.S. 553.844 will be required.
Owner Information 8. Contractor Information
Name: r-lovd-r-4- 11- C--"C -� �/V' /V rJu Megm-en
Address: f7dcf a-7-r-f,-r Pxtz(' -Tc-W,
City: //—/ f-;7-e9cZ- State:
zip: 2 q (? 5- / — Phon e: 270 - AV- �6 30
9. Value of Construction: $ -7,50, 0!N0
County Cer
Business Ni
Cell Phone:
"Note Drywin and Final Inspection Required. Additional inspection may be required per Product Approval.
CONTRACTOR/OWNER'S AFFIDAVIT: I certify that all ofthe information contained in this application is correct and that all work will be
done in complianc-11�1 e laws regulating construction and zoning.
PRINT QUAIJFIERS/OWNERS NANZ SIGNAII�QF �10JOWNIER
STATE OF FLORWA, COUNTY OF L
ACKNOWLEDGED BEFORE M THIS DAY OF 20 1_1_,BV_ D�—kNZ4
WKO IS PERSONALLY KNOWN TO ME OR HAS PRODUCED�� n' t-k T ) TON
--- V I . N I )L \'-� J
SIGNATURE" IZ5xoTARY E0kPRgfrNANZ0FN0aTAR111Y--1 I 'ANGELA M. HUFF
7
W COMMISSION # EE 06M
C05EMSIONNUMBER EXPIRES; ApdI 12,2015
WIG U dorwrIters
onded Thru Notary PublIc Underwdters
JrJx.J JuqJ
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY =
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Revised 442612010
INSTRUCTIONS-
J
Please complete -all information in the space provided. All information must be printed (use black or W6 ink
only) or-typpid. This roof permit application Is to be used only for those activities that are not otherwise. included
under a prima'ry I building permit. This application may not be used for any activity that includes structural
alteration. j3ui , Wing activities involving structural alteration, in addition to the roof work, must be permitted
through the regular building permit review process. The information to be provided with this application
includes:
1. Location/Site Address Indicate the street address or general location of the
property where the building activity is taking place.
2. Parcel ID Number Indicate the taxid�ntificationi number of the property where
the building activity is taking place.
3. Description of Project or Work Activity Completely describe the building activity to take place.
Please indicate if tear -off or shingle over shingle etc.
4. Total Roof Area Indicate total roof area to be affected by this permit. Also
indicate the pitch of the roof, expressed as a standard ratio
of run rise.
5. Type of Roof Indicate the type of roof being. repaired or resurfaced.
6. Owner Information Indicate the name and address of the owner of the property
I- on which building activity is taking place.
7. 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.
8. Value of Construction Indicate the total value of the work to take place. Total cost
of construction includes all 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.
This ap Count� Building and Zoning:
plicition can: be so�mittqd to. 5t. Luci� �300 Virginia Avenue, Fort Pierce,
FL j4982. All p`erm'it aipplications.mus� �q Alled out coi�plkely before sub mission. No applications will be
accepted for processing aftei'4:30 RIVURr-assiAmicein completing this application, please call (772)
UP
hours (MW 5:0 - M-) MOP
e f ��if required inspections can be scheduled by calling (772) 462-1261.
�o thi
St. Lucie County Roof Permit Application rev. 3/l/2009
Property Appraiser - St.Lucie'(�q�nty, FL
Page 1 of I
PROPERTY RECORD CARD
Denzil T Velarde Record:
I
I of I
<<Prev Next >> Spec.Assmnt Taxes
Exemptions Permits Home Print
Property Identification
Site Address:
8704 Citrus Park Blvd
ParcelID: 1301-610-0085-000-9
co
Sec[Town/Range:
Map ID:
02:34S:39E
13/02N
Account#: 2399
Land Use: SF Res
Zoning:
RS-4
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner:
Denzil T Velarde Tanya A Vitacolonna LAKEWOOD PARK -UNIT 8-B- BLK 5 LOTS 15 AND 16 (MAP 13/02N)
Address:
8704 Citrus Park Blvd
(OR 3303-2441)
Fort Pierce FL 34951
Sales Information
Date
Price
Code
6/8/2011
175000
0001
6/1/1992
183000
00
11/2/1988
16500
05
1/1/1982
0
01
3/1/1979
8000
00
Deed
WD
WD
WD
CV
CV
............... ..............
(2134)
Assessment 2010 Final Total Land and Building
Book/Page 2010 Final: 149300 Land Value: 22200 Acres: 0.45
3303/2441 Assessed: 149300 Building Value: 127100
0793/1126 Ag.Credit: 0 Finished Area: 4778 SqFt
0611/2590 Exempt: 50000
0370/2590 Taxable: 99300
0305/2802 Taxes: 2268.3
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
FS - Fibrglss Shg
RoofStruct:
GA - Gable
ExtType: HC- - HC-
YearBlt:
1989
Frame:
Grade: C_ - C_
EffYrBIt:
1989
PrimeWall:
BS - CB Stucco
StoryHght: 0020 - 2 Story
No.Units:
1
SecWall:
Interior Features
BedRooms: 4
Electric:
MX - MAXIMUM
PrmlntWall:
DW - Drywall
FullBath: 3
HeatType:
FHA - FrcdHotAir
AvgHt/F1:
STID
1/213ath: 1
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
SWAV - RES POOL AVG Y 1
450 AV AV
1989
1 0100-SF Res
LFI -Front, Ft
75.7 135
PA01 - POOL DK-AVG Y 1
953 AV AV
1989
2 0100-SF Res,
230 -Front Ft
70.5 132.5
ENC2 - POOL ENC-AVG Y 1
1403 AV AV
1989
DWC - Driv-Concret Y 1
765 AV AV
1989
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=130161000850009
7/11/2011
J
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 applicable laws,
ordinances, building codes, and zoning regulations. Initial _:i>_1 I/
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
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 --,Dr/-/
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
Zoning Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of -J-61 L V _of20
Ov9e_r
STATE OF AZ
_
COUNTY OF
The regoing instr t was cknowl ged before me this day of 2.J
P
cknowl is P��
rsc
by eD who is personally known to me, or who has
produced as identification.
A-\ Lk,
SignaltA ZrfNarK�-' YyN or Print e of Notary �10 Psi% (Seal�NGELA M. HUFF
Title: NotarOublic Commission Number My COMMISSION # EE 08=
EXPIRES: Aprii 12,2015
Bonded Thru Notary Public Underwriters
SLCPDSD Revised 07/22/20 10 _ _ ]m