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Home My WebLink AboutSUBMITTED PAPERSDate: X 1) - 11 I Fee Due: Permit # Planning & Development Services - J ' _ ' = - Building & Code Regulations Division S, 2300 Virginia Ave. CANNED - Fort Pierce, FL 34982 St Q (772)462-1553 �Ucie COU0 4, SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: S a+ 2. Parcel ID Number: 10_ Ua` (nl < — 0 0 0 "f Ufjic lise Only Section Township Range Map Page Zoning Land Use Initials �. 3. Complete Description of Project or Work: v 0 4. Owners Information %� 5. Contractors Information Name: c VV%k-r 1 (� ✓i FL Reg/Cert #: Address: L j S S� FP (/tr<— County Cert#: City: s'S v. State: : Business Name: Zip: Phone:( c� 6. Value of Construction: $ I bW,"N Lt �)- - Fax: OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in //compliance with all applicable laws regulatia construction and zoning. PRINT OWNER OR CONTRACTO / NAME 1 / SIGN URE ROR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS _ DAY OF 0 . BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PROD CED AS IDENTIFICATION. S AT OF ARY TYPE OR PRINT NANEY NOTARY 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 TC .-CORD A NOTICE OF COMMENCEMENT MAN CULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOi.JR 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. - ' = ' = '•*'� 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 Di ector to the Florid State Department of of P�nal Regulation. Signed and acknowledged on this � day of OWNER/BUILDER SIGNATURE STATE OF FLORIDAii. COUNTY OF The foregoing instrument was acknowledged before me this C4 day of , 20 , by ( )J& M CA TC7V P y , who is personally known to me or has produced as identification. h'4' !I 1�) 4]�D&A��Uq B 441PPµ� eI Signature of Not Pint name of Notary Title: Notary Public Commission Number s, ;yhc AUDREY B. HUMPHREY SLCPDSD Revised 7/23/2010 =+a MY 0OMMISSION#EEo61159 EXPIRES: March 6, 2015 St. Lucie County Owner Builder Affidavit -Electrical Contracting + •...• � 9ondedThru Notary PublicUnderwnters lot-: Rr„k. rrIV, Property Appraiser - St.Lucie County, FL PROPERTY RECORD CAD Page 1 of 1 James J Perry Record: 1 of 1 c<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 2705 S 28th St ParcellD: Sec/rown/Range: 20 :35S :40E Account #: Map ID: 24/20S Land Use: SF Zoning: RS-4 City/Cnty: t Lucie County Ownership and Mailing Legal Description Owner: James J Perry MERRIWEATHER PARK S/D BLK 1 S 12.8 FT OF LOT 14 AND ALL Address: PO Box 1482 LOT 15 ANDN 25 FT OF LOT 16-LESS TO S 28 ST Fort Pierce FL 34954 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book[Page 2010 Final: 40200 Land Value: 9600 Acres: 0.27 8/5/2009 23000 0112 SP 3121 / 0115 Assessed: 40200 Building Value: 30600 4/28/2009 100 0112 CT 3095 / 2376 Ag.Credit: 0 Finished Area: 1190 SgFt 1/19/2005 131000 00 WD 2149 / 1311 Exempt: 7/18/2003 63714 01 CT 1756 / 2542 Taxable: 8/9/1995 61000 00 WD 0969 / 1435 Taxes: 835.53 6/1/1978 28000 00 CV 0288 / 0927 1/1/1974 26400 00 CV 0223/0563 BUILDING INFORMATION D. Exterior Features View: RoofCover: ExtType: HD -HD YearBlt: Grade: D - D EffYrBlt: StoryHght: 0010 - 1 Story No.Units: Interior Features BedRooms: 3 Electric: FullBath: 1 HeatType: 1/213ath: 0 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qua]. Cond. YrBlt. SWAV - RES POOL AVG Y 1 450 AV AV 1986 PA01 - POOL DK-AVG Y 1 870 AV AV 1986 3CHT - 3CHT S 1 1 AV AV 1977 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 SA - Asph Shingle 1970 1970 1 MX - MAXIMUM FHA - FrcdHotAir ELEC - Electric 100 Land Information Nc. Land Use 1 0100-SF Res RoofStruct: Frame: PrimeWall: SecWall: PrmintWall: AvgHUFI: Prm.Flors: %Sprinkled - GA - Gable BS - CB Stucco DW - Drywall STD CU - Carpet 0 Type Measure Depth 215 -Front Ft 87.8 132 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=242080200150006 8/2/2011 Planning & Debelopmeht Services Department ® Building & Code Regulations o 2300 Virginia Avenue Fort Pierce, Florida 34982 (772)462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 ('n 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 wo rs' compensation for that employee, all as prescribed by law. Your construction must comply with all appli 1 s, ordinances, building codes, and zoning regulations. Initia I understand that the building official and inspectors are not there to design or give advice on h t meet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be haiAed in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initial I understand that if I compensate any person or company for work performed they are required be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and li fo the cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction ect- they may be entitled to workmen's compensation. 1 could be held liable for all doctor, lawyer and re a dical cost, which could include loss of wages during recovery from their injury. Initi APWN— 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 Departrwt to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of - of 20 Own /Buil er ignature STATE OF FLORIDA COUNTY OF _2A, 9Xc4t, The a oing instrum t was acknowledged before me this ,q_ day of , 20 / , by who is personally known V to me, or who has pro ed as identification. It A Signature of NcJAry �Typint Name of Not (I!�) Title: Notary Public Commission N ri�nber SLCPDSD Revised 07/22/2010 UL227 �-..��xE�OR6tt�gra ,', 2915GIk Ut�de/WlItE.B