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Home My WebLink AboutSUBMITTED PAPERSL)6-VFee Due: _ Receipt# i Permit # COUNTY 7BMW F L O R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 3 �NNF SO t4 Y voo County SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC LWfence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 0/;ri Us Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Pro• t or Work: 4. Owners Information "�,,``/// 5. Contractors Information Name. 1 Tti �l/� FL Reg/Cert #: a�, .... Address:: ii11�4/,�,(� 04G'� 2/Itl County Cert#: City: State: w Business Name: Zip: e��y Phone: �� Phone• Fax 6. Value of Construction: $ �Qv OWNERS AFFIDAVIT: I certify that all of the information contained in application is comet and that all work will ---•-•5ance with all applicable laws regul�fing co ctio d PRINT OWNER R CG�-4 I RACTOR NAME SIGNATURE OWNER OR TRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS '-3 DAY OF 20 `� /BYy C e I' Y � 1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRO CED FL- b f` _ TIFICATION. J\A 1 104 OF NOTARY COMMISSION NUMBER In NAMEOF NOTARY '" COMMISi6 p pp g525 7 i ondod p � p� , 2013 wilas NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE--rOR 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 Ti CORD A NOTICE OF COMMENCEMENT MAS ;ULT 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. Planning & Development Services Department ® Building & Code Regulations 0 0 2300 Virginia Avenue .,i.� 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 applicab aws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on a meet the minimum code. Initia I understand that as an owner -builder that any contract disputes with sub -contractors and I must be andled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. Initia 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 liabl o e cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction pr 'ect- they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate al cost, which could include loss of wages during recovery from their injury. Initial 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 1ng Departmer 4to the FI rida State/department of Professional Regulation. Si and ac owled n this ,Co day of � of 20 1 . wn Signature STATE OF FLORI - COUNTY OF 2 The ore m instrument was acknowledged before me this V day ofA, 20, by i-1111 who is personally known to me, or who has :,�,,5duced as identi ication. I 1 l i}'1 `e ^" nth ; DAWN MILONE Signature of Notary Type or int Name of Notary (��tnMiSsioN >r DD 852597 n, o, UPrI�RES: March 22, 2013 Title: Notary Public Commission Number ; Bonded Am Notary Pu* underwriters SLCPDSD Revised 07/22/2010 ST. LUCIE COUNTY FENCE PERMIT HEN UNDERGROUND UTILITIES ARE PRESENT, CONTACT UTILITY COMPANY BEFORE COMMENCING CONSTRUCTION. FENCING PROPOSED FOR PROPERTY LYING EAST OF N A-1-A AND S A-1-A, ALSO KNOWN AS OCEAN DRIVE, MUST LOCATE THE COASTAL CONSTRUCTION SETBACK LINE ON THE PLOT PLAN BELOW. ENCROACHMENT INTO THE SETBACK AREA REQUIRES A DEPARTMENT OF ENVIRONMENTAL PROTECTION PERMIT OR EXEMPTION BEFORE THIS APPLICATION CAN BE PROCESSED. Sb FRONT PROPERTY LINE ON ROAD All applications for Fence Permits are to be submitted to the St. Lucie County Building & Zoning Department, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for Fence Permits must be complete and filed with the Department no later than 4:30 P.M. each business day. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this apNiicdiiuii, piease Contact the Si. Lucie County Building and Zoning Department at (561) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Following the issuance of this Fence Permit, the scheduling of all required inspections may be made by Property Appraiser - St.Lucie (^ .nty, FL Page 1 of 1 Jeffrey R Long Record: 1 of 1 Property Identification Site Address: 9403 S INDIAN RIVER DR Sec/Town/Range: 19 :36S :41 E Map ID: 35/19S Zoning: RE-2 PROPERTY RECORD CARD «Prey Next » Spec.Assmnt Taxes Exemptions Permits Home Print 1y1C1E ParcellD: 0.-� -- ____ y►A Account #: 115840 y� Land Use: SF Res WN City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: *Long 19/20 36 41 N 100 FT OF S 1051 FT OF GOVT LOT 3 (ALSO KNOWN Address: _,WjW.&6oag.GbsW ,Q3&Indian,RiverrflcA.,x,,,, , AS S 1/2 OF SE 1/4 OF SEC 19) AND N 100 F FL 34982-7825 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 296600 Land Value: 202300 Acres: 0.12 7/2/2008 365000 00 WD 2992 / 0214 Assessed 227819 Building Value: 94300 8/17/2001 230000 00 WD 1427 / 0367 Ag.Credit: 0 Finished Area: 1888 SgFt 4/1/1978 65000 00 CV 0285 / 1035 Exempt: 50000 9/1/1975 60000 00 CV 0244 / 1417 Taxable: 177819 Taxes: 3900.25 BUILDING INFORMATION Exterior Features View: RoofCover: TN - Metal RoofStruct: HP - Hip ExtType: HB- - HB- YearBlt: 1955 Frame: Grade: B- - B- EffYrBlt: 1976 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: 1/26ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CT - Tile -Ceramic %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBit. No. Land Use Type Measure Depth 1 0100-SF Res 235 -Front Ft 110 500 2 0100-SF Res 520 -Acres 0.12 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=351943100020000 8/3/2011