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"
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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