HomeMy WebLinkAboutSUBMITTED PAPERSDate: %, // I Fee Due: 0 ReceiRt# Permit #
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❑ Electrical
❑ Shed
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 561-462-1553
SPECIALTY PERMIT APPLICATION
Plumbing ❑ HVAC ❑ Fence
❑ Demolition ❑ Gas ❑ Siding
SCANNED
By
St, Lucie County
Seepage Z for instructions and additional paperwork required for specialty permits
Location/Site Address:Q l ()�
2, Parcel ID Number:
Office Use
Section
Township
Range
I Map Page
I Zoning
Land Use
Initials
Only
Q
Description of Project or Work Activity:. tn
10 Owners Information" S. Contractors Information
Name: �� FL Reg/Cent #:
Address: <,76e(,(L #2— County Cert#:
city: State: Business Name:
Zip: �9 Phone: 7?� —3j � 94ZPhone , ax _
6. Value of Construction: $ 4XV0 D
D
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work w
in compliance with all applicable laws regulating construction and zo •ag,
PRINT QUALIFIERS/OWNERS NAME
STATE OF FLORIDA,
20 1 (BY
TITLE: NOTARY PUBLIC
�IGiq"ATURE OF QUALIFIER/OWNER
ACKNOWLrDGED BEFORE ME THIS DAY OF
PERSONALLY KNOWN TO MF OR WI.10 HAS PRODUCED
COMMISSION NUMBER
done
pNGE�w m. „•�, ,
MY COMMiSSIoi'I II EF Ob353`:
EXPIRES _Apo
St. Lucic County Specialty Permit Application rcv. 8/25/05 ding
Property Appraiser - St.Lucie Col. ty, FL Page 1 of 1
Roger Dunkelmann Record: 1 of 1
Property Identification
Site Address: 5610 SPRUCE DR
Sec/Town/Range: 12:36S :40E
Map ID: 34/12N
Zoning:
Ownership and Mailing
Owner: Roger Dunkelmann
Address: 5610 Spruce Dr
Fort Pierce FL 34982
PROPERTY RECORD CARD
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Spec.Assmnt Taxes
Exemptions Permits Home Print
�UCIE 00
ParcellD:
3402-610-0101-000-4
G,G
Account #:
Land Use:
38268
SF Res
CitylCnty:
St Lucie County
Legal Description
INDIAN RIVER ESTATES -UNIT 09- BLK 73 LOT 18 (MAP 34/12N) (OR
3297-2057)
Sales Information
Assessment 2010 Final
Total Land and Building
Date
Price
Code
Deed
Book/Page
2010 Final:
64100
Land Value: 13000 Acres: 0.29
5/19/2011
50400
0112
DE
3297 / 2057
Assessed:
47756
Building Value: 51100
6/25/2010
100
0112
SP
3253 / 2263
Ag.Credit:
0
Finished Area: 2016 SgFt
6/23/2010
100
0112
CT
3216 / 1601
Exempt:
25000
2/27/2006
186900
00
WD
2498 / 0383
Taxable:
22756
12/16/1994
70000
DO
WD
0934 / 2058
Taxes:
472.95
5/2/1994
0
01
FJ
0899 / 0831
6/1/1982
0
01
CV
0377 / 2595
3/1/1981
55000
00
CV
0352 / 1028
711 /1980
13000
01
CV
0338 / 1153
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType:
HC-- HC-
YearBlt:
1975
Frame:
Grade:
C- - C-
EffYrBlt:
1977
PrimeWall:
CB - Cedar Bd/Btn
StoryHght:
0020 - 2 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
WP - Plaster
FullBath:
2
HeatType:
FHA- FrcdHotAir
AvgHt/FI:
1/28ath:
0
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.
YrBlt. No. Land Use
Type
Measure Depth
FNW6 - WOOD FEN 6'
Y 1
250 AV AV
1999 1 0100-SF Res
BCS -Front Ft
100 125
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.pasle.org/prc.asp?prclid=340261001010004 7/15/2011
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 (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 L .
I understand that the building official and inspectors are not there to design or give advice on how t
the minimum code. Initial71-
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;le57
Initi
I understand that if I compensate any person or company for work performed they are required t be
licensed in this jurisdiction. If for some.reason they do not possess a license, I may be responsible and liab
cost of the license. Initia �=
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.mediZ 1
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
_L day of L/L.Ly of 20 < < .
STATE OF FL RIDA�
COUNTY OF i——
The foregoing instrument
by
produced
Title:
SLCPDSD Revised 07/22/2610
O4dr0iI&r;Sigr iae
i
before me this kS day of'S Ll` , 20 L L,
who is ersonally known to me, or who has
as identification.
nc),p � ct H 4� I (
Type or_PJit Name ofINULdly
Commission Number
;a`•'"�'`y - ANGELA M. HUFF
MY COMMISSION # EE 0835,,10
EXPIRES: April 12, 2015
Bonded Thru Notary Public Underwriters