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Home My WebLink AboutSUBMITTED PAPERSDate: Fee Duel -- - Receipt# Cam ' "Permit # Planning & Development Services Building & Code Regulations Division ��I�D 2300 Virginia Ave. Fort Pierce, FL 34982 ��Cie (772)462-1553 CUnf V SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC LX Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: Office Use Only Section Township Range Map Page Zoning an Use Initials 3. Complete Description of Project or Work: ke p,u� e)osS lm 4,1CQ with MAX (000 OLAd w i Ce, -eQ (— fl 7 lQ k dl Z580 (i VI P_al"fp—�+- 4. Owners Informa/jtion / 5. Contractors Information Name: I� 11 it e g-Aau Q,1 FL Reg/Cert #: Address: ��J�o J ` +g�ccSU�.� Lj` County Cert#: City: 4 (q FCq, State: F- Business Name: 7-7Z-,%'f 5y70 Zip: 7J(i� T� Phone- Phone: Z-o' ZFax: QUO. o0 6. Value of Construction: $ OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating construction and zoning. PRINT OWNER OR CONTRACTOR NAME jJ SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF Uf • LU CA 9— Me, ACKNOWLEDGED BEFORE ME THIS DAY OF jilts" 0 It BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS ENTIFICATION. U v /O' V (seal) SIGNATURE VNOTARY TYPE OR T AME OF NOTARY COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 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 TG �:r>_ORD A NOTICE OF COMMENCEMENT MAN ; IULT 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 $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 rriodify 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 B,TU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications 01ence 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. Property Appraiser - St.Lucie (.Pinty, FL Page 1 of 1 PROPERTY RECORD CARD Keith J Schemenauer Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification vUC)E 00G Site Address: 3550 S Brocksmith Rd ParcellD: 23 50.1-00066201Q:,9, Sec/Town/Range: 29 :35S :39E Account #: __ 133755 `tee'_ Map ID: 23/29S Land Use: GRZNG SLD CP City/Cnty: St Lucie County �' Zoning: AG-5 .• Ownership and Mailing Legal Description Owner: Keith J Schemenauer Elizabeth A S/D OF ALL 29-35-39 FROM NE COR OF NW 1/4 RUN S 00 DEG 05 Schemenauer MIN 16 SEC W ALG 114 SEC LI 2532.33 FT, TH Address: 3550 S Brocksmith Rd More... Fort Pierce FL 34945-4411 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 299155 Land Value: 134355 Acres: 10.29 7/10/2009 325000 0001 WD 3108 / 1686 Assessed: 133220 Building Value: 164800 4/26/2006 900000 00 WD 2548 / 0780 Ag.Credit: 86330 Finished Area: 3411 SgFt 3/17/2003 495000 00 WD 1675 / 2366 Exempt: 50000 6/2/1992 275000 00 WD 0793 / 1736 Taxable: 83220 Taxes: 3691.89 BUILDING INFORMATION Exterior Features View: - RoofCover: CT - Conc Tile RoofStruct: GA - Gable ExtType: HB- -HB- YearBlt: 1961 Frame: Grade: B- - B- EffYrBlt: 1975 PrimeWall: BS - CB Stucco StoryHght: 0020 - 2 Story No.Units: 1 SecWall: - Interior Features BedRooms: 4 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: STD 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: HW - Hardwood %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 EXTR - EXTR S 1 20090 AV AV 1977 1 6000-GRZNG SLD CP 527 -Market 7 Acres MISC - MISC S 1 21310 AV AV 1977 2 IP01-IMP PASTURE N -Class Acres 7 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 3 0100-SF Res 560 -Acres 3.29 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=232950100060109 7/1/2011 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 () 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 le 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 h 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 lia leJ the cost of the license. Initial 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 relat d dical 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 Dep t to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 �. O erBuilder Signature STATE OF FLORIDA COUNTY OF Q11 The fo egoing ins ent was acknowledged before me this r day of , 20 1 , by who is personally knowi to me, or who has produced as identification. J o' rv- v Signature Notary Type or Print a of Notary Title: Notary Public Commission Number SLCPDSD Revised 07/22/2010 ,•:;;�Ygy., AUl)REY B. HUMPHREY MY COMMISSION # EE 061159 * EXPIRES: March 6, 2015 ' iters Bonded Thru Notary Public Underwr JOSEPIfE. SMITK,C'LEA'k"Q F-lHE,-CJRCtAT"c6URT ,AFII.R RFC.0RDjNr R FTjIRNT0. SAINT LU7-j!E COONTY FILE # 36(W6 0Tf2;.1Cj-kjf)3,, j,j QR:806K,3307. p4C;E. . 15 1 '54%pi,4. .06. ikld Doc Tvw, NC NOTICE -OMMENC'EMENT OTI E OF-C The un&rs I i - gned hercby given ncmce.tltal tmpruvemcnt will be.nude .tuxerwin* real'propeny, and in accordance with-iffhap(er 14i.: ,I -0F8C , XI PIROPEUT - V, iLcgal iestripiioll and .m mdr addrcs. i TAX 4.0 L- IGN tj MIER, --LOT. 2. GENE RA-LDESCRIPTION OF 3. OWNERINFURMATION: Name KC :b. Address 35 6P . dName "and address of, fee simple titleholderlif ether than owney 4- CONTRACTOWSAANIF, ADI)RFS8 ANDPHONF NUMBER: �5AME 5 220 VE 5-,SU , WrIP's NAME; AhMiESSWDPHO' A M):B6NDA-MOUN,r- . , VENUMBF -A -fi, LENDWS-NAME, AQP]KESS,ANlD,PHQN 9t VIM M wlihill dwnur upon -w hom,not,i'wsor:or6r docurrients.may ibe:serve4 a,; provided 6y F onda Sitalute%. Scefi6n717�J3�fl)(07-',,� '1-4- '' -- NA.Ml-w ADDRESS AND PHONE NUMBER-- em`A,Qd%'ihSd6iCih 71.1..13 f I-)(b), Florida S.1.51.Ws, NAM AbbRESS AKIYAWNE NU%V'lljFR- ').'EXpir-.Mopllatc of nolic'e.of commencement (Lhe--e . Xpiraflori I y. q:0f;'rqc rding:qnte." a different date h� ear-frorti-the dace: —0 .qpecirle,d) SiOialuri oife,Owyker, or y.i 9Titlw70ftise Owner's Au,i.horiz.t.d,Oft,cer/D'.IrectoriPa.rtn.e��.M-anager State of Flail The mas acknowledoa'Mure (Name of persolly v=. 2U 't 1 !U&,j—p,ty...c.g.'0wncr. OffiCCT. irustee..ittomey in fact) Pdr%onully'Knqwn— orproduced ifte following type of lb: (Prim(ed a bliq kE§xiqtu of eotaryTublic) Under ponallies, oPper-jury, .1 dptlarc the facts inAtare:tru to,k4ehesv,6Umy.kpowjedgeand sli . nature(s) o. r qwne!7,(s) or:0 I'Au&Azed'*Fer rector/j?irtner/Manager,who.sigped'Eibovo.*