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Home My WebLink AboutSUBMITTED PAPERSDate: Fee Due: ( Recei t# Permit # • C: St. Lucie County,Builcling &.Zoning 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 Tel. 561-462-1553 S ECYALT'Y PERMIT APPLICATION SC,q� 4� e y FD El Electrical. Plumbing ❑ H VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additionalpaperwork k required for specialty permits 1. Location/Site Address: 5t7ocl pulon P�P-o-) 2. Parcel ID Number: 3 ®� - 09 - D 36 3 -�Od 4. Ow Name: Office Use I Section I Township Range Ma Page I Zoning I Land Use Initials Only S/ S. Contractors Information FL Reg/Cert #: Address: h'N County Cert#: City: "C-j P1.0 State: 1�A Business Name: Zip: 314-011gat �h z�: `-ttOg&Phone 6. Value of Construction: OwNER'S AFFIDAVIT: I certify that all of the information contained in .this application is correct and that al I work will be done in compliance with all applicable laws regulating construction and zoning. �' 0A 1-i Ulvi'oe zae/z, PRINT QUALIFIERS/OWNERS NAME STATE OF FLORIDA, COUNTY 0 20��,BY R TITLE: NOTARY PUBLIC NATURE OF QUALIFIER/OWNER ACKNOWLEDGED BCFORE ME-1.111S �� DAY OF WI -TO ILLY KNOWN TO MR, OR WIIO HAS PRODUCED —AS IDI:NTI � cn•r[oN. TYPE Olt 1'RI 'I' NAM . OF NOTARY COMMISSION NUMBER <'�Y'Y" AUDREY B. HUMPHREY r2q•.. *; .= MY COMMISSION H EE 061159 a a EXPIRES March U 2()i5 p� Bonded Thru Notary Public Underwriter;, St. Lucie County Specialty Pcnnit Application rcv. R/25/OS ding Property Appraiser - St.Lucie rA?.nty, FL Page 1 of 1 i PROPERTY RECORD CARD Joan L Baumberger Record: 1 of 1 «Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 5704 PALM DR ParcellD: 3402-609-0363-000-4 Sec/Town/Range: Map ID: 11:36S:40E 34/11N Account#: 37892 Land Use: SF Res y._t RS 4 City/Cnty: St Lucie County �. Zoning: Ownership and Mailing Legal Description Owner: Joan L Baumberger INDIAN RIVER ESTATES-UNIT-08- BLK 62 LOT 5 (MAP 34/11 N) (OR Address: 5704 Palm Dr 3072-630) Fort Pierce FL 34982-7583 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 33400 Land Value: 10400 Acres: 0.23 3/11/2009 39000 0001 SP 3072 / 0630 Assessed: 27748 Building Value: 23000 7/21/2008 100 01 WD 2998 / 1218 Ag.Credit: 0 Finished Area: 884 SgFt 5/15/2008 100 01 CT 2979 / 0882 Exempt: 25000 5/23/2007 158000 00 WD 2843 / 2754 Taxable: 2748 1/11/2002 20100 01 WD 1492 / 2160 Taxes: 57.12 11/29/1995 50000 01 WD 0990 / 0197 1/1/1987 39900 00 CV 0530 / 0116 1/1/1980 38000 00 CV 0323 / 2762 7/1/1977 26000 00 CV 0271 / 1393 BUILDING INFORMATION Exterior Features View: - RoofCover: FS - Fibrglss Shg RoofStruct: HP - Hip ExtType: HD+ - HD+ YearBlt: 1976 Frame: - Grade: D+ - D+ EffYrBlt: 1977 PrimeWall: WS - Wood/Sheath StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 1 HeatType: FHA - FrcdHotAir AvgHUFI: 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: WDLM - Wood Laminat %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth DWC - Driv-Concret Y 1 600 AV AV 1976 1 01 00-SF Res 215 -Front Ft 80 125 FNW6 - WOOD FEN 6' Y 1 66 AV AV 2000 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=340260903630004 7/6/2411 7;T—F"77' COMM ST. LUCIE COUNTY UTILITIES 410. B6XJ28, FT. PIERCE, FL 34982 .......... RES (L NAME'. an METER-SZ.'. M[/F- :% ACCT. # IRR-1- /;`7 -7-1 SECURITY DEP SERVICE ADD RESS c-x SERVICETEE SAME DAY. FEE r SUBDIVISION LOT. BLOCK 57 7(--, LA i OVERTIME FEE C) BILLINGADDRESS o A METERINSTALL.' CFC/WATER 1— 33 Yq 9, FPUA CFC' PHONE # L/ MOVE IN/CLOSING DATE CFC/SEWER GUAR. REV. This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accOrdanc6 with the Utilities present or future rates, LATERAL rules and regulations, which by reference are made apart of this contract. Applicant agrees to pay the Utility promptly for such services in accordance with the established rules and regulations. TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. CUSTOMER SOCIAL SEC/ -7 SIGNATURE FED .ID, NAME OF. SPOUSE SPOUSE SOCIAL SEC. OFFICE USE ONLY \I 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. At Initial U I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. iW 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. AW 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. AoInitial 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 Departm t to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 �J O er/Builder Signature STATE OF FLORIDA COUNTY OF `,, The fo oin instru t as ackn ed ed befo gg,me this 6 dayoAe� 20/by g Vtwho is personally kn me, or who has produced as identi ation. Signature otary e or rint Name of N ary (Seal Title: Not ry Public ommission Number SLCPDSD Revised 07/22/2010 ,io}'fir PN� ; AUDREY B. HUMPHREY +; r MY COMMISSION # EE 061159 o EXPIRES; March 6, 2015 ��'p� o'' Bonded Thru Notary Public Undenwiters