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Home My WebLink AboutSUBMITTED PAPERSDate: 6 I `7 I I V Fee Due: / , - o I Receipt# /) I U L J (I. _ _rmit # = - k/---Jm) / I s Planning & Development Services SCANNED - ] ` _ 'LOW Building & Code Regulations Division BY 2300 Virginia Ave. St, Lucre Count • Fort Pierce, FL 34982 y _,,... (772)462-1553 SPECIALTY PERMIT APPLICATION d"Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Addri 2. Parcel ID Number: i'/j4f 2, uj sC,2 I!Sc? Only S tior Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: 4. Owners cif l i t 1�ii�'a v ` " �l �L5. Contractors Information Name: �j G Address: FL Reg/Cert #: County Cert#: City:-'/c!"-ac State: /- i'y . `Business Name: Zip: '►7 ` r� nn / --JA 77 d .?Z ��1 C� Phone• ho e• /_ 3� Fax: �O 6. Value of Construction: $ ow OWNERS AFFIDAVIT: I certify that all of the information contained in this ap 1' 'on is correct and work will rr --- om liance with all applicable laws regulatin c ion % /tom_ WNER OR CONTRACTOR NAME , SI AT OF OWNEWDRCMTRACTOR STATE OF FLORIDA, COUNTY OF Sk--� 1\ ACKNOWLEDGED BEFORE ME THIS DAY OF I Oq 20 'BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODU YJSLt Q Q= AS NTIFICATION 1•�:i'`.:ti'r sea ELA M. HUFF SIG ATURE OFZER INT AME OF NOTARYMy COMMISSION B EE 083530EXPIRES: April 12,2015 COMMISSION N '•?pF i d Bonded Thru Notary Public Undervsiters 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 S7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILUR ) RECORD A NOTICE OF COMMENCEMENT RESULT IN YOUR PAYING TWICE FEAR IMPROVENIENTS 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. NTY t: L O R I 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 I 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 ,�4_uJ i- 29 . STATE OF FLORIDA COUNTY OF '�JV +� The foregoing instrument was acknowledged before me this day of--« , 20 _a, \J by \� J (p�� , �who is personally known to me or has produced as ' 1 _) \ ,l %\-k j J (Seal) Signature otary Print nam 6f Notary Title: Notary Public Commission Number •''••ANt'EIAM.FIEE CptiMA1SSI0N i EE 083530 ' 15 g � Ei� Publhl ic Undervniters SLCPDSD Revised 7/23/2010 St. Lucie County Owner Builder Affidavit -Electrical Contracting Property Appraiser - St.Lucie Cot.rnt,, FL .. Page l of 1 PROPERTY RECORD CARD Albert E Daniel Jr Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification y)3Clf CO Site Address: 5813 PAPAYA DR ParcellD: 3402-610-0323-000-6 Sec/Town/Range: 12:36S :40E Account #: 38455 Map ID: 34/12S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner Albert E Daniel Jr Sandra Daniel INDIAN RIVER ESTATES UNIT 09- BLK 80 LOT 32-LESS BEG AT NE Address 5813 Papaya Dr CORLOT 32, TH SELY ALG E LI LOT 32 35 FT, Fort Pierce FL 34982-3720 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 46500 Land Value: 12000 Acres: 0.27 3/1/1987 59000 00 CV 0536 / 1007 Assessed: 46500 Building Value: 34500 8/1/1986 54000 00 CV 0511 / 0599 Ag.Credit: 0 Finished Area: 1700 SgFt 6/1/1981 62900 00 CV 0358 / 2050 Exempt: 46500 12/1/1978 45000 00 CV 0299 / 1017 Taxable 0 4/1/1978 40000 00 CV 0285 / 1078 Taxes: 195.83 BUILDING INFORMATION orw Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType HD+ - HD+ YearBlt: 1977 Frame: Grade. D+ - D+ EffYrBlt: 1977 PrimeWall: CB - Cedar Bd/Btn StoryHght. 0020 - 2 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: WP - Plaster FullBath 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/2Bath 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 Oty. Units Oual. Cord YrBlt. No. Land Use Type Measure Depth 1 0100-SF Res 215 -Front Ft 90.6 130 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasIc.org/prc.asp?prcIld=340261003230006 8/9/2011