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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: mit # 39 Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 0cR e-C(�HZ SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ RVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 6 PI S/ S UF-4 J ESQ C'41a4e-- 2Q - 2. Parcel ID Number: 3 P,/ k/ -/ I( •- 0 0 0 y r O 2• D—( M111010'-Zii�l.- C" 0% 3. Complete Description of Project or Work:11��-P/ 'Qn 4. Owners Infoormation 5. Contractors Information Name: 14 -4 -- a C-"-?Z�Z FL Reg/Cert #: Address: ya31 A Sri Ap sa�'r County Cert#: City: -RriL State: �, Business Name: Zip: 3 y S 3 Phone: g 7 S- 7 4 Phone: 6. Value of Construction: $®Di OWNER'S AFFIDAVIT: I certify that all of the information contained in this applicatio ' orrect and that all work will be done in compliance with all applicable laws re 4ating co cti zoning. M�-de PRINT OWNER OR CONT TORNAM5'T F OVVNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF L Vf p ACKNOWLEDGED BEFORE ME THIS DAY , 20 P WHO IS PERSONALLY KNOWN TOME BIZ WH() HAS RODU z---6) a l A9-1DsENTIFICATION. x P ANGELA M. HUFF A V-\(-AP � C�X M*__ MY COMMI$ � # EE 083530 SIGNATURE O OTARYOVA IiP 01 TYPE O P N OF NOTARY ;;• EXPIRES Notary iu Public 2015 nder � -•� o� �;; ` Bonded Thru Notary Puhlic Underwriters COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO. RECORD A NOTICE OF COMMENCEMENT 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 $7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILUL__ZO RECORD A NOTICE OF COMMENCEMENis ,�Y 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 CONM ENCEME_NT. 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 takingplace. 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 ❑ 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, FLU 34982. All petinit"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) 462-155ring"re 3; dugular 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 CounP FL Page 1 of 1 I PROPERTY RECORD CARD Matthew Young Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \.uclE 00G Site Address: 6251 S HEADER CANAL RD ParcellD: 3214-111-0004-020-1 Sec[Town/Range: Map ID: 14 :36S :38E 32/13X Account #: 128201 Land Use: UNCLSFD ACRG City/Cnty: St Lucie County Zoning: AG-5 Ownership and Mailing Legal Description Owner: Matthew Young Angela Young 14 36 38 N 193.88 FT OF FOL DESCPROP: COMM AT PT 50.5 FT S Address: 4231 SW Astro Ct AND 143 FT W OF NE COR OF SEC 14, TH S 00 Port St Lucie FL 34953-3183 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 49500 Land Value: 49500 Acres: 3.5 9/1/2010 100 0111 QC 3226 / 1661 Assessed: 49500 Building Value: 0 3/18/2010 32500 0112 SP 3186 / 0195 Ag.Credit: 0 Finished Area: 0 SgFt 4/21/2009 100 0112 CT 3091 / 0630 Exempt: 2/10/1998 33300 00 WD 1125 / 2171 Taxable: 6/24/1994 35000 01 WD 0907 / 2922 Taxes: 1018.75 5/18/1989 35000 00 WD 0637 / 2227 BUILDING INFORMATION No Sketch Available No Image Available Exterior Features View: - RoofCover: RoofStruct: ExtType: - YearBlt: Frame: - Grade: - EffYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: Electric: PrmintWall: - FullBath: HeatType: AvgHUFI: 1/213ath: HeatFuel: Prm.Flors: - %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qua]. Cond. YrBlt. No. Land Use Type Measure Depth 1 9900-UNCLSFD ACRG 565 -Acres 3.3 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?prclid=321411100040201 7/19/2011 Planning & Development Services Department Building & Code Regulations Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-1553 Owner Builder Affidavit — Electrical Contracting DISCLOSURE STATEMENT F.S. 489.503 (6) EXEMPTIONS State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. 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 Community Development Diregtor to the Florida State Department of Professional Regulation. Signed and acknowledged on this d 106 day of Jo � �j , 20_LL_. RBUILDER SIGNATURE STATE OF FLORIDA L � COUNTY OF �— �p� The foregoing instrument was acknowledged before me this l day of \ , 20, by N iu\Qa-C\'\e�,Z yMLPNR , who is personally known to me or has produced ` ` as identification. Ano-e1 M (Seal) Signature of otary Print n-amedNotary Title: Notary Public Commission Number ", ANG=Ap6112,2015 MY COMM% �` EXPIRESLCPDSD Revised 7/23/2010ti %�i „�4p` Bonded Thor Nrs St. Lucie County Owner Builder Affidavit -Electrical Contracting