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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 � P rr ' h'• MY COMMISSION # EE 061159 +: +: .= EXPIRES: March 6, 2015 �Pl n„• Undennrters Bonded Thru Notary Public uv5 --------s — - - - e S s V e w�ran � 1 � 6 � y i qy Q -cup-- GROVE SUBDIVISION ST. LUCIE COUNTY, FLORIDA •4D Auo},xe cy. W VosWT� MV- Ya o! ,[! �W W sacT/O4 ! . V4«II SS Sd/ .l.,uGa w e.Si. n.c .eF, Txewe r I f f� N e��::•a1 cvY • as — _ —, i, --� a tat �� — — la/A F•a• L�. I «e • • I. A 1 I i xc•• i'a it I� I "s 3j I II i llE i I♦ D III lD a a -- w � r 4e, ...T,aD e. •a.W D. � �$ p_ia — e•wra• us Awe we,« S.e•«! a aK [Qa [�1116 awca axow wa a u. Fh N o+ •erur+ `� wr ..........w,.w ..L...c a a.+ 7 CEMIFIC•TE OF DEDICATION DY INDIVIDUALS SGAYx,Y utla awasr+a.na awV TxDweyGxsxa.+�a� wwl [aAwu� GawwAr., rua.K rerA+«.- x ar Txas r.•i ,e ,« « a acts .w «Aa. Y4N 9°L .Y a ocTeaaw, ,t. a.nwa • � Tip cvwiv a c�. Wce ASKwv A4 At ,x a 99�lDAY .Dr oa,eseD. ,[ «.. A...wT w...ca..,. e•G co4./aYEwosgci�`T� Oi4AiDnRtEA cOowwaci w[wa•un Ai.Ox or •,ewe V.xo + ' '"��35 rw wwT.r.c•T aA+"' • C E hT I FICATE OF APPROVAL OF C11-1 COMM155101K, :... MCvnc [�rl ipiva C Y o. Fnw, Al.ca, rtowu+w TIN qi�r DAY OF}vrcieNM,., GE hTI FIG ATE OF }PPa.OV•L OF COUNTY COMMIS61pit" coux[v of-TWCN ly. yt6lyY-cawT... TN- rlAT 4• S DEEM 0—C11lLY AlYIrWaD T1Ra�i4S VAv aq MfER4ii,Yii 5 et•�nwer� rwa[ uDa6 u/y.1.� ' PwoM D[.MG io4ao }Gw/celiuw.L Y4vaw Sec./a+ietr rlORlD• 491 G Ax, CM11FICAIE OF APPROVAL OF CLEIIi OF C10.CUIT r. da.:�.'..•••' <mrx,r rDrNrnc.a .. I. la.Lal:. lOITFA C.[Cusr eF�aE crwcun Co yMe/DVCAuv ILO A 60 Y16aM. rl/rY. 1NU:_KAT N cvnT!n[S-W46F'M VITN ALL3INE-Da0ulw6neMTf o S a AFT}ry M4�T�e NK �: G:1HTTwxIN nAT x 6Elu il[o if 3i owoc n cT. .,Ie1e eDx.. FCOFIDA TW I�DAYDF O.�..r� Dlt'j3c c..ww GrwGD t`uoyb. A.G WEATNEA ING TOY AND ASDOc1ATE S. INC. A f GISTFAfO LAND—11191OAS 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 =< 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