HomeMy WebLinkAboutSUBMITTED PAPERSDate:
Fee Due:
• I Permit #
Planning & Development Services
J ' l= Building & Code Regulations Division SCANNED
2300 Virginia Ave. BY
Fort Pierce, FL 34982 St RUC!
(772)462-1553 County
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC E6ence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 9g10 41-0v4 *hf- lFv1-1 0;'e"tR
2. Parcel ID Number: jq.�?0 -!'10 -0015 —000 _1 /
Office (Ise
Only
Section
Township Range
Map Page
Zoning Land Use
Initials
i
3. Complete Description of Project or Work: .1 n y �oo hrG 4 XS, $
n A-k A rti l L-0 e o d Le'01>S 6 is c k Inc e.
4. Owners Information 5. Contractors Information
Name: 14ra o1a L /41 e_S FL Reg/Cert #:
Address: '2q 10 IJro vC 'br; County Cert#:
City: Fe - etagere- State: )% Business Name:
nuiN
Zip: :7-"Lj'gV Phone: 77j.-$ti'5-- EGG Phone•"' 2-c � Fax:
6. Value of Construction: $ I-F3oo. oy
OWNER'S 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 regulating constructio and zoning.
ArlqkL a""s --
PRINT OWNM OR CONTRACTOR NAME SIGNATURE O ER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _ DAY OF 20 , BY
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED -
AS I TIFICATION. 0) / �• �V /
VI� r r-lt71eal)
2Lda
SI ATURE OF N ARY TYPE OR PRINT N OF 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 ;tint AUDREY B. HUMPHREY
MY COMMISSION # EE 061159
EXPIRES: March 6, 2015
pl N Bonded Thru Notary Public Underwriters
�,:
NOTICE TO OWNER: FAILURE To RECORD A NOTICE OF COMMENCEMENT MAY -RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF )'OU 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 Projector 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.
J 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
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.
Initial —
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 forthe
cost of the license. Initial
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 med' al
cost, which could include loss of wages during recovery from their injury. Initial c
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 Depar
t to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of61 of 20..
O er/Builder Signature
�r
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 4— day of t 20 ! ,
by who is personally known to me, or who has
produced as identification.
Signature of Nothy
ype or ' t Name of Notary (Seal)
Title: Notary Public Commission Number
SLCPDSD Revised 07/22/2010 � X• AUDREY B. HUMPHREY
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' h'• MY COMMISSION # EE 061159
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.= EXPIRES: March 6, 2015
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A.G WEATNEA ING TOY AND ASDOc1ATE S. INC.
A
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Li/ SOU TN L'3 STA fET
BOAT PIf AG 1, LLOA/DA �.791
iy, Jul 25, 2011 09:29 AM
,tLi�
Property Appraiser - St.Lucie C-11tity, FL
PROPERTY REZ;ORD CARD
Eric Barnes Record: 1 of 1 <<Prev Next >> Spec.Assmnt
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Property Identification
Site Address:
2910 GROVE DR
Sec/Town/Range:
20 :35S :40E
Map ID:
24/20S
Zoning:
RS-4
;y
Ownership and Mailing
Owner.
Eric Barnes Angela Barnes
rr; _
Address:
2910 Grove Dr
Fort Pierce FL 34981
Sales Information
H
• r
Date
Price Code
Deed
5/19/2005
271000 00
WD
12/1/2000
100 01
WD
5/2/2000
90000 00
WD
11/19/1993
35000 01
QC
3/18/1993
0 01
DC
SI:
�
12
u
' •M
Page 1 of 1
Taxes Exemptions Permits Home Print
;UCIE Co
ParcellD: a 14, G�<
Account #: 27955
Land Use: SF Res
City/Cnty: St Lucie County
Legal Description
GROVE S/D LOT 15 (1.15 AC) (OR 2254-2938)
Assessment 2010 Final
Total Land and
Building
Book/Page
2010 Final
87500
Land Value:
33200 Acres: 1.15
2254 / 2938
Assessed:
87500
Building Value:
54300
1346 / 0795
Ag.Credit:
0
Finished Area:
1447 SgFt
1296 / 2672
Exempt:
50000
0871 / 1399
Taxable:
37500
0842 / 0229
Taxes:
983.85
BUILDING INFORMATION
Exterior Features
'4
View:
RoofCover:
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtType: HC - HC
YearBlt:
1974
Frame.
n.!
Grade. C - C
EffYrBlt:
1985
PrimeWall:
WS -Wood/Sheath
StoryHght: 0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms 3
Electric:
MX -MAXIMUM
PrmintWall:
DW -Drywall
FullBath: 2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
a
1/2Bath: 0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
,lJ
%A/C: 100
%Heated:
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
a
Type Y/S Qty.
Units Qual Cond
YrBlt. No. Land Use
Type
Measure Depth
3CCT - 3CCT S 1
1 AV AV
1977 1 0100-SF Res
220 -Front Ft
169 290
:ti4A
SDSF - SITE DEV S-F Y 1
1 AV AV
2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS
NOT WARRANTED.
i4
http://www.paslc.org/prc.asp?prclid=242081000150001 7/25/201 1