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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