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Home My WebLink AboutSUBMITTED PAPERSFee Due: 1, 1 Receipt# ermit # 770 &7 709uNTY ` F L O R I D A Electrical ❑ Shed Planning & Development Services Building & Code Regulations Division Sc 2300 Virginia Ave. NN 0 Fort Pierce, FL 34982 St (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Plumbing ❑ HVAC ❑ Fence ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits n Location/Site 1. cation/Site Address: � !V 7r 2. ftt^eel ED NumAer: —Q C) l Cc) l 1 �li,�rce Use Only Section Township Range Map Page 'ng Lan Use Initials 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Y o-Crlct Name: Ins f, (I wet e o ar `ZaI,&= C FL Reg/Cert #: Address: (j / Z 1- �j County Cert#: City: �' d )31 RlfO PV[p State: Business Name: Zip:�j / Phone:722, — O o� Phone Fax 6. Value of Construction: $ Cm!? OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work 'll be done in compliance with all applicable laws regulating construction and zoning. Td j CtV1'11P✓1 ZG AlaL C6Yc✓� PRINT OWNER OR CONTRACTOR NAME ��I(�r SIGNATURE OF OWNER CONTRACTOR � STATE OF FLORIDA, COUNTY OF L��C ACKNOWLEDGED BEFORE ME THIS ��AY OF ��` 20 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCEyH d� v AS ENTIFICATION. 0ANGELAM.HUFF MY COMMISSION # EE 0835-V ,�(SIRES: April 12, 2015 SIGNATURE OF TARY TYPE R P NAME OF NOTARY gj; Bonded ru Notary Public 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: FAILURE RECORD A NOTICE OF CONUNAENCEMENT N ?,ESULT 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 $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 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 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, 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. Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Jose C Zavala-Corona Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: " -0011-000>. Secrrown/Range: 08 :35S :40E —amount #: 20529 Map ID: 24/08N Land Use: SF Res A& Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Jose C Zavala-Corona WESTWOOD BLK 1 S 1/2 OF LOT 11 ANDALL LOT 12 (0.24 AC) (OR Address: 401 N 37th St 1049-1804) Fort Pierce FL 34947-2.595 Sales Information Assessment 2010 Final Total Land and Building Date Price Deed Book/Page 2010 Final: 42900 Land Value: 7200 Acres: 0.24 12/4/1996 38000 00 WD 1049 / 1804 Assessed: 42900 Building Value: 35700 7/13/1995 100 01 WD 0965 / 2674 Ag.Credit: 0 Finished Area: 1340 SgFt Exempt: 25000 Taxable: 17900 Taxes: 372.03 BUILDING INFORMATION Exterior Features View: RoofCover: TG - Tar & Gravel RoofStruct: GA - Gable ExtType: HC- - HC- YearBlt: 1963 Frame: Grade: C- - C- EffYrBlt: 1963 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: PF - PF FullBath: 1 HeatType: FHA - FrcdHotAir AvgHUFI: 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 1 0100-SF Res BI -Front Ft 75.2 135 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/prc.asp?prclid=240860100110003 7/20/2011 C?VT1Y E D A 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 Director to the Florida State Department of Professional Regulation. Signed and acknowledged on this �_ day of ___37(.4] r , 20 1 k C OWNER/BUILDER SIGNATURE STATE OF FLORIDA/ COUNTY OF ��—LI,JI G`e— The foregoing instrument was acknowledged before me this day of �C.L� , 20 l (, byYst%— , o onally known to me or has produced D L Z Signature of Title: Notary Public SLCPDSD Revised 7/23/2010 N Print name Commission Number as identification. ANGELA M. HUFF MY COMMISSION 8 EE X15W EXPIRES: Apri! 12, 2015 Bonded Thru Notwy Public Underwdtere St. Lucie County Owner Builder Affidavit -Electrical Contracting - a �_ Planning & Development Services Department alk'�.��-�� Building & Code Regulations l L C L. L L' 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 C Z_ I understand that the building official and inspectors are not there to design or give advice on how to meet 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. InitialZ 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. Initial , 0 Z 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 e Z 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 �VDep ent to a Florida State Department of Professional Regulation. Si ed and acknowledged on this dayof of 20 H. Owner/Builder Signature STATE OF FLORIDA , COUNTY OFS� / —L-Lc� e— The foregoing instrument was acknowledged before me this day o \ 20 , by E. rY�p� �% I .s rsonally known to me, or who has produced as identification. Ov�,Plz_ M_" ArQ42Ala �T Signature of tary Type or Pr' t ame of Notary _ 0 ....... +,1. GEIA M. HUFF Title: Notarvl5ublic Commission Number MY COMMISSION # EE 08353Q EXPIRES: Aphl 12, 2015 SLCPDSD Revised 07/22/2010 ceded Thru Notary Public Underwriters J