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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due., Bece' t# (7� ��,' `. Permit # b 7. u Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, IFL 34982 -(772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical 13 Plumbing ❑ HVAC Fence 0 Shed - 0 Demolition 0 Gas O Siding Seepage 2 for instracdons and additional pWerworkrequired forspeciad& Pernik 1. Location/Site Address: 2. Parcel ID Number:. 3. -3-3 D 61)ffe7 6)� - RIi-000q - ©I412= NMI office Erse only NO um sum - no I CNIM Away Erg _11� WA. of Project or Work: I ,� 4 t �41t aF T w idto C A i Lo 1 vo c-t�( 4. Owners Information 5. Contractors Information , ,) ` f Name: �AA jm e 5 �. �v �t ti e « FL Reg/Cert #: w ' � UAL, Address: b5 CE, r i Qy City: t r, e, e e State: t I Zip: 3 U Ci 9( Phone: V6 6 �� I 6. Value of Construction: S -2 2Lf OWNER'S AumAvTT: i cermy that au or the mrormauun c P { compliaance with all applicable laws f�voe5 C I'vIQbi3O t PRINT OWNER OR CONTRACfORNAM \ STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS I I DAY OF WHO 19 PERSONALLY KNOWN TOME COM OSIONNUNIBER County Cert#s Business Name: Phone: Fes' this application is correct construction and zoning/ (SeA NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENMUNT MAY RESULT IN YOUR PAYING TWICE FOR EMPROVEMENTS TO YOUR PROPERTY. IF YOU MIND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: AIC-BEAT REPLACEMENT WITH CONTRACT UNDER $5M0. NOTICE TO OWNER FAILURE 11 ` 3CORD A NOTICE OF COMMENCEMENT MA-°`' 7SULT IN YOUR PAYING TWICE FOR I PROVEN ,`S TO YOUR PROPERTY. IF YOU INTEND 1. BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURNOTICE OF COMMENCEMENT. EXE1VIPT: 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 13 Siding Attach 2 copies of manufactures specifications ❑-]VAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for ;t new system or-fullreplacement This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34082. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 PAL 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 Services Department t� = Building & Code Regulations Lip o o 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 1 s, 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 Met 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 Arhe cost of the license. Initial G 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 m ical cost, which could include loss of wages during recovery from their injury. Initia 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 y of 201( A erBuilder Signature STATE OF FLORIDA COUNTY OF /, The fore n instrument was acknowledged before me this J day of , 20 by 5 U MCl/ who is personally kno to me, or who has produced as identific n. 00 �2, Signature of tary §L;4a4�e`or Prin Nam of�tary ) Title: Notary ublic Commission Number SLCPDSD Revised 07/22/2010 Ai,A rpy°4 AUbREYB. *. MYCO HIhMPHREY � ;Q E MMISSI9NHEE,REY XPIRES• March 0 2015 •1if „�' Bonded Thru Nol� 0io Undenvrilers Property Appraiser - St.Lucie r-»nty, FL Page 1 of 1 PROPERTY RECORD CARD James C Purnell Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��,UCIE CO Site Address: 3305 Cortez Blvd ParcellD: 2420-311-0004-010-2 CT" 2� Sec/Town/Range: 20 :35S :40E Map ID: 24/20S Account #: Land Use: 27614 SF Res Zoning: RS-4 City/Cnty: St Lucie County �! Ownership and Mailing Legal Description Owner: James C Purnell Beverly D Purnell 20 35 40 E 85 FT OF W 185 FT OF E 400 FT OF S 185 FT OF N 204 Address: 3305 Cortez Blvd FTOF NE 1/4 OF NE 1/4 OF SW 1/4 (0.36 Fort Pierce FL 34981-6047 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 50800 Land Value: 10400 Acres: 0.36 7/1/1979 29200 00 CV 0313 / 0219 Assessed: 50800 Building Value: 40400 12/1/1977 0 01 CV 0278 / 2543 Ag.Credit: 0 Finished Area: 2369 SgFt 5/1/1977 21500 00 CV 0268 / 2647 Exempt: 25800 Taxable: 25000 Taxes: 526.16 BUILDING INFORMATION 10 e 0 10Po 10 3] 35N 11 BPS �� t0 Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD+ - HD+ YearBlt: 1958 Frame: Grade: D+ - D+ EffYrBlt: 1976 PrimeWall: BP - Conc Block StoryHght: 0015 - No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 1 HeatType: AvgHt/FI: STD 1/2Bath: 0 HeatFuel: - Prm.Flors: CU - Carpet %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 210 -Front Ft 85 185 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasle.org/pre.asp?prelid=242031100040102 7/11/2011 cnrtea 6�uj