The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSDate: Fee Due: �rmit # COUNTY F L 0 R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC 0 Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: 3 / S CggVN St. �G �uCie Co�n�y Ulric� L_a Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: TO7" i —r-- 4. Owners Informat'on 5. Contractors Information Name: ,p/ ,plc ,pr�,iy FL Reg/Cert #: Address: 3 C. /%�� County Cert#: City: Ti�cl. State: Business Name: Zip: -3 `f jrL Phone: 7 7ZPhone: X• 6. Value of Construction: $ -2100-d D 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 construction zoning. PRINT OWNER OR CONTRACTOR NAME SIUMATURE OF OVNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF /., L/G% e ACKNOWLEDGED BEFORE ME THIS /O DAY OF ww, 20 // BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCEDA'�' 4� f�/^ ' �ti ASAPENTIFICATION. � /, � � � � \ IANQELA M. HUFF 'KEX 04W_ NEE083530SIG ATURE OF N ARY TYPE OR P T NAME OF N T YPI ES: April 12,2015 � Notxy Pudic Unden tffi 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: FAILUR] RECORD A NOTICE OF COMMENCEMENT D 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 $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 L (' ;j��+� `j,, _ ^ 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. e I understand that the building official and inspectors are not there to design or give advice on ho�tto/meet the minimum code. Initial L 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 for the cost of the license. Initial OK-1 — 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 medical cost, which could include loss of wages during recovery from their injury. Initial k— 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 Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this �D day of of 20 Owner/Builder Signature STATE OF FL A COUNTY OF L-.�cA'P ThV f regoing instru en was acknowledged before me this AD day of 20 , by o issonally known to me, or who has produced DLr as identification. ANGELA M. HUFF Signature of tary ��_ype or Print ame of Notary * MY COMMISSION M EE 083530 Title: Notary Public Commission umber, EXPIRES: April 12, 2015 ilor� Thru Notary Public Undern #,, SLCPDSD Revised 07/22/2010 S z1 o 3 �n mmm� r m Property Appraiser - St.Lucie County, FL Page 1 of I PROPERTY RECORD CARD ' Kenneth R Corwin Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��t1CIE CO Site Address: 340 E MIDWAY RD ParcellD: 3403-501-0365-000-0 Sec/Town/Range 03 :36S :40E Account #: 38913 Map ID 34/03N Land Use: SF Res A�k Zoning. RS-3 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner Kenneth R Corwin Mardene A Corwin REGINA PALMS S/D BLK 13 LOTS 17 AND 18-LESS RD R/W- AND E Address: 340 E Midway Rd 50 FT OF LOTS 21 AND 22 (0.52 AC) (OR 1167 Fort Pierce FL 34982-7148 More... Sales Information Assessment 2010 Final Total Land and Building Date Price , )J Deed Book/Page 2010 Final: 69100 Land Value: 10400 Acres: 0.52 3/12/2003 14500 01 QC 1687 / 1789 Assessed: 61456 Building Value: 58700 8/8/1998 10000 01 QC 1167 / 0834 Ag.Credit: 0 Finished Area: 1987 SgFt 5/22/1995 100 01 PR 0957 / 2201 Exempt: 25000 12/1/1983 0 01 CV 0419 / 0671 Taxable 36456 Taxes: 757.69 BUILDING INFORMATION Exterior Features View: RoofCover. SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC - HC YearBlt: 1952 Frame: Grade: C - C EffYrBlt: 1970 PrimeWall: BP - Conc Block StoryHghL 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/28ath. 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 Qty. Units Qual. Cond. YrBIt. No Land Use Type Measure Depth DWC - Driv-Concret Y 1 1440 AV AV 2000 1 0100-SF Res 215 -Front Ft 100 230 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=340350103650000 8/ 10/2011