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HomeMy WebLinkAboutSUBMITTED PAPERS►� • I I . Fee Daei= Receipt# 1) 7 n:a Planning Development Services SC Building & Codeo Regulations Division St u e y�V COUNTY • r Fort Pierce, FL 34982 c/® Coun�� (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ SVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for inmactilow and addn'ional paperwork reyuked forspecAy permi/s Site Address: ` 0 R� v� la^Ak `)r` -� ` P�P.� �� `-f i �� 1. Location/Site p 2. Parcel ID Number: Office Use Only Section Township Range IWMP Irage Zoning Land Use Initials 1 3. Complete Description of Prtet or Work: 4. Owners Name: csL C,SG�,c'C�iL (�c Gt 5. Contractors Information FL Reg%Cert #: 6U)��e_- Address: 4 q u County Cert#: City: f - State: ® F Business Name: Zip: l'i Phone: 7 I Phone: Fax: I000 orJr" 6. Value of Constriction: S ' NAa OWNER'S AFFIDAVIT: 0 t all of the information contained in this application is correct and with all applicable laws regulating construction and zoning. PRINT OWNER OR CONTRACTORNAME - SGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS _ OC _ DAY OF 20� BY � e D) s M C a-)0 w WHO IS PERSONALL' Y KNOWN TO hS OR WHO PRODUCED 1 iT • • r/ AS IDENTIFICATION. -Ras- S� -,�Wn - al'i � mot, �- �� SIGNATURE OF NOT Y TYPE OR PR]NT N OF NOTARY COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COAgdENC©HENT MAY RESULT 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 $500. NOTICE TO OWNER: FAILURE 1 f MRD A NOTICE OF COMMENCEMENT NIX, ' ISULT IN YOUR PAYING TWICE FOR iV OVEN? °,s' ),5 TO YOUR PROPERTY. IF YOU INTEND 'L _ JBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIb MCEMENI: EXEWT: A/C -BEAT REPLACEMENT WITH CONTRACT UNDER S5,000. 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 1D 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 ifit 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 _._13 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 ❑ 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 fall 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. ArcReader Fi:e Edit View Bookmarks Tools Window Help LI Layers 9 Parcel Boundaries Basemap Markers County Boundary overlay zones ',tj C1 Historic Structures jo 21 Address Master 0 Hydrology Names El Road ROW Dimensiot. it, El Parcel Dimension Anr. El Managed Care Factit C1 ROW f-i Major Roads Ft Pierce Streets HistoricSites AR-1 RS hydrology Zoning AR- I RS Future Land Use 'Ij El Flood Zones -t 5 Airport Runway C1 Site Plans ip C:1 Mobile Home Parks I-zl El Solid Waste Service AR- I RS p. R Major Hydrology R. OvI Zip Codes I LV Z VASE yk 45 FILE Lo"#40r'u'Y ,Y) A-Z) cl, To z � F k: 07. VA---Lf'l) iii \3 I D R y NN IRG W.1 117 1: :71, SUR VIEVING, UC 7-".70 w -.7 3: - 39 -rz Clyde mx�r rl� p: e,- !7LL rA o 1-3 _0 AQI�L FLIC-11RICA GOIJKMES Planning & Development Services Department ® �y. Building & Code Regulations 1' 2300 Virginia Avenue .�_ Fort Pierce, Florida 34982 v c=r (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 V I understand that the building official and inspectors are not there to design or give advice on how to rlieet 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 �� v� 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 f r the cost of the license. Initial 0s ss 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 a ical cost, which could include loss of wages during recovery from their injury. Initial d 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 oning Depaztm t the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20,�. n n - � STATE OF FLORID / COUNTY OF The foregoing instrument was acknowledged by .'f0 F-Z) 1 s yy'CaWPn produced t/ 1" O Z G• D 2' 1 Signature of6Notary Title: Notary Public SLCPDSD Revised 07/22/2010 w�- � I Signature before me this day of , 20 � c who is personally kno me, or who has identification. a 0 E =1 3? m as ER �`�/ � "" ��zs m s� Ve or Print Name otary (Seal) a g `n Commission Number i a Audrey Humphrey From: Jennifer L. Evans Sent: Wednesday, July 06, 2011 4:45 PM To: Audrey Humphrey Subject: 6418 Riverland Drive Hi Audrey, If the above address is just putting in a fence and they will not be ripping out any native vegetation (this does not include piles of dead landscaping debris) they do not need a veg removal permit or exemption. If they will be removing any live shrubs or trees a permit or exemption may be required. Thanks, Jenn Please Note: Florida has very broad public records laws. Most written communications to or from County officials regarding County business are public records available to the public and media upon request. It is the policy of St. Lucie County that all County records shall be open for personal inspection, examination and ! pr copying. Your e-mail communications will be subject to public disclosure unless an exemption applies to the communication. If you received this email in error, ';3ease notify the sender by reply e-mail and delete all materials from all computers.