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HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services - J _ Building & Code Regulations Division 2300 Virginia Ave. n lo - Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION Electrical Plumbing ❑ HVAC Fence ❑E ❑ g ❑ Shed ❑ Demolition ❑ Gas ❑ Siding St. Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2-77t q 2. Parcel ID Number: 4d /g Z? 2.07- l Di Z cQ0 I vm Lire it SC yNEC Lucie County Only Section Township Range Map Page Zoning Land Use Initials �`� 3. Complete Description of Project or Work: !WOCA ✓ PC 10Q-�-�-/ te,&r 4. Owners Information 1,, 5. Contractors Information Name: I A )n reu � r o lH � 5 FL Reg/Cert #: W �� Address: - / ! -County uerro: City: State: (, Business Name: Zip: Phone:Z) hone: 1/1 ZFax: 6. Value of Construction: $G�'� OWNERS 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 regulat' ons ction zo At re,A PRfNT OWNER OR CONTRA � �AW SIG O R OR ONTRACTOR r STATE OF FLORIDA, COUNTY OF n 1' j )q 7—T ,. 1(� ACKNOWLEDGED BEFORE ME THIS DAY OF C 20, BY /� �Y��� �7 V" / I ! 1 t ��J ao ims WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. z rn aw .0 P- &L/ SIGN TURE OF NOT/ Y TYPE OR PRINT NAME OF NOTARY _ 0 COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWIC- IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 0412612010 NOTICE TO OWNER: FAILURE TU mr.CORD A NOTICE OF COMNI gCEMEf3T MAN _--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 • 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 la , ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on ho.1y to rnqet the minimum code. Initial k 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! G . ( 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 tin 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 relate medi 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 Zoning Department to the Florida State Department of Professional Regulati Signed and acknowledged,,,,, on this _ day of /`]G't-• of 20. O r uilder 'gnature STATE OF FLORIDA COUNTY OF I , The foregoing ins ent as a wledged before me this �S day of , 20 —L by 1 who is personally known to me, or who has produced as identification. dFil. / CC M'-f / Peg Signature of Notary17 Type int Name of Notar (Seal) Title: Notary Public Commission Number s AUAUDR� EY� HREY SLCPDSD Revised 07/22/2010 r 'A My OOMMISSION # EE 061159 �Y 2015 r` �, e EXPIRES: March 6, ..' hooded Thru Notary Publw Underwriters :i 4 .4. . , 9 h-pJ/lsfchliLocaleblink/ElectmnicFikAspx?docid=142999&dbid=0 -Microsoft Internet Explorer provided by St. Lucie GIS v .' lsrfchl tronicFile.3spv?dccid=14'-099&dhd=O File Edit GoTc Favorites Help Favorites '46 http:fllsrfchl.,'LocalweblinkrElectronicFile.aspxd m7m Page � Safety Tools OW Kzjr_�rllgmit 0 C) (Vs 94 Wit % � I if 41S it, 1 2 ? r �"a.'�Ts I' 0_ 4 6 T r7i All A3 21 L II, NE 23 4 11117 Z 37.23 x 2613 in 7 6 3 '77 If 1 17 :4 _ Li _6j 0 K-T7� -ti F-W Z, Y ! 9 14 11 4 if j7 k& nl:no,sn Zone Pmtected Mode: Off :sday. Oct 05, 2011 09:06 AM 4;1--i Property Appraiser - St.Lucie t--nty, FL Page 1 of 1 PROPERTY RECORD CARD Travis Watters Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 2719 SENECA AV ParcellD: � \RX,�VUCIE��G� Sec/Town/Range 33 :34S :40E Account #: 9853 Map ID. 14/33N Land Use SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Travis Watters SAN LUCIE PLAZA S/D-UNIT ONE- BLK 48 LOTS 12 AND 13 (MAP Address: 2719 Seneca Ave 14/33N) (OR 3178-1658) Fort Pierce FL 34946 Sales Information Assessment 2011 TRIM Total Land and Building Date Price Code Deed Book/Page 2011 TRIM: 31300 Land Value: 4900 Acres 0.32 3/15/2010 35000 0001 SP 3178 / 1658 Assessed: 31300 Building Value: 26400 4/7/2008 40000 01 SP 2966 / 1442 Ag.Credit: 0 Finished Area: 1410 SgFt 11/20/2007 100 01 CT 2907 / 2448 Exempt: 1/17/2005 80000 01 WD 2151 / 0182 Taxable: 12/13/2004 100 01 WD 2118 / 1667 Taxes: 654.4 1/1/1900 0 / BUILDING INFORMATION � Exterior Features View: RoofCover SM - Sheet Metal RoofStruct: GA - Gable ExtType: HD -HD YearBlt: 1967 Frame: Grade: D - D EffYrBlt: 1967 PrimeWall: BS - CB Stucco StoryHght 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: 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 Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth DWC - Driv-Concret Y 1 300 AV AV 1967 1 0100-SF Res 225 -Front Ft 100 140 FEN4 - CHAINLINK 4' Y 1 380 AV AV 1977 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?prcIid=142870210170001 10/5/2011 Car .17 Cafes Zar111 '62/delS /p d. dG s,j f % •�� sa l�J U NZ V C�4 �a' 3 P,g77G _ tl� _ 6a a ceJ� �rXy S� a ,v 4a °' 'r9: dv '/J h If 117, /Gd. 0 o ,rs"aw \ IM141, o..l h Q.1 h 4 4�011T • - Se7' ,(�n0 x"410 �' (,lei e/G,v a•C c4,(J6l,�vcr�Oj LaTi� `OT 30 SURVEYOR NOTES; ABACUS LAND SURVEYORS. INC. SETS A STANDARD MARKER OF A 1/2' IRON ROD AND A CAP MARKED ILB 7025 AT ALL CORNERS. UNLESS OTHERWISE NOTED HEREON, SAID CORNER IS SHOWN AS =0 AND FIELDSURVEYEDON lr� BASIS OF BEARINGS/ANGLES BEING THE ( r.� LINE OF SrVeeI9 '41145' PER RECORD PLAT, OR ASSUMED AS SHOWN. ABREVIATIONS s FD. =FOUND E/P =EDGE OF PAVEMENT (R) = RADIAL -///- = OVERHEAD UTILITY LE. roP'( ( C ) = CALCULATED W.M. CI = WATER -METER (M) = MEASURED O = POWER POLE (D) = DEED OR DESCRIPTION U.P. ® = UTILITY PEDESTAL (UN-R) = UNREADABLE ® = WELL I I.R.C. = IRON ROD 8 CAP cC.= SATELLITE DISH ].P.C. = IRON PIPE & CAP (L = CENTERLINE CM = CONCRETE MONUMENT 4 = DELTA h O P.C. = POINT OF CURVATURE L = LENGTH 1, O P.T. = POINT OF TANGENCY R = RADIUS 7 1 ( P.R.C. = POINT OF REVERSE NLD/T = NAIL 6 DISC/TAB P.C.C. = POINT OF COMPOUND R/W = RIGHT -OF -NAY CURVATURE ® = ELECTRICAL TRANSFORMER P.C.P. = PERMAMENT CONTROL _ POINT D./U.E. = DRAINAGE 6/OR UTILITY EASEMENT MICHAEL R. LAWSON DOES NOT GUARANTEE OR ASSUME ANY LIABILITY FOR ANY EASEMENT, RIGHT-OF-WAY, SETBACKS, RESERVATION, RESTRICTION, OR SIMILAR MATTERS NOT SHOWN OR REFERRED TO ON THE PLAT, OR PHYSICALLY VISIBLE ON SITE. THIS SURVEY WAS PREPARED WITHOUT BENIFIT OF ABSTRACT TITLE AND ALL MATTERS OF TITLE SHOULD BE REFERRED TO AN ATTORNEY. THIS SURVEY IS NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. JURISDICTIONAL AREAS, WETLANDS, AND UNDERGROUND UTILITIES, SLAB, AND/OR FOUNDATIONS, IF ANY HAVE NOT BEEN LOCATED, OTHER THAN SHOWN. LEGAL DESCRIPTION PROVIDED BY CLIENT, " THIS SURVEY IS FOR THE USE OF THE PARTIES SPECIFICALLY CERTIFIED TO HEREON, AND NO OTHERS, OWNERSHIP OF FENCES UNKNOWN, ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT ASSOCIATION (FEMA) FLOOD INSURANCE RATE MAPS, THIS PROPERTY LIES IN FLOOD ZONE COMMUNITY PANEL N DATED BASE ELEVATION BOUNDARY SURVEY PREPARED FOR! SURVEYOFR'S CERTIFICATE I HEREBY CERTIFY TO THE BEST OF MY BELIEF THAT THIS SURVEY IS TRUE AND ACCURATE, SUBJECT TO ALL NOTES AND NOTATIONS SHOWN HEREON. gz0� 4-60- -�//.S /d MICH.AEL R. LAWSON PSM 5723 DATE LEGAL DESCRIPTION LOT /-" l /3 , BLOCK 8 , OF ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK,77 AT PAGE --!� OF THE PUBLIC RECORDS OF ST. eoej,'- COUNTY, FLA. REVISIONS ABACUS LAND SURVEYORS, INC. 389 S.E. GASPARILLA AVE. PORT ST. LUCIE, FLORIDA 34983 (772) 336-9931 1 LB 702 % Z` 7 SCALE " r JOB No, /�` �'? F.B. �� PAGE `� JOSEPH E. SMITH, CLERK OF CIRCUIT COURT - SAINT LUCI :OUNTY FILE # 3633472 OR BOOK 33 PAGE 898,•Recoided 09/30/2 at 10:05 AM Doc Tax: $0.70 t r pared rS T Retum to after Recording: I Above Sp Ce Re rye ve the name 6 addre 3 of 1 whe Assessor's Property Tax Parcel/Account Number(s): THIS QUITCLAIM DEED, executed this first party, Grantor, 3) ©tMZK�AK W"AE mailing a, second party, Grantee,s t' i . • _ • i 1110 . .. t IN III WIN 20-_a_, by h SiteS whose to ITIIESSETH that the said first arty, for good nsi eratio and for the su f ` L olla ($ id by the sai sac nd pa , th receipt whereof is hereby ckn wledged do s her rele sea d qui to th said s nd p ver, all the ri e, interes nd claim, ch the sa• t party ha nd t following I of land, and nd appurtenances thereto In the County of State of� to wit: OR BOOK 3328 PAGE 899 IN WITNESS WHEREOF, the said first party has signed and sealed these presents the day and year first written above. Signed, sealed and delivered In the presence of. M. �mmmwl 019nMrurf�vr rmor -ER Printt�Nlaldm-e- of Grantor StateState of ) County of On 9- �b a-aii appeared to me on the -basis of satisfactory evid o be the with' instrument and ac nowle ed to me that sh c acit les), and t t b his/ er/t it signatu s) o f wh' h the person(s cte ex cute the instru en "Signature of Notary n Print Name of Notary Affiant mown �oQu`ced ID Type of ID Ri (f1 /�-t U, -� Print Name of Grantor perso me(s) °/th%ins4nt ecuted the steam the the oersonl (Seal) „ EDNA DANDRIpGE ENotary public - State of Florida 3� � My Comm. Expires Au F Commission # DD 811062f 2 ;o Bonded Through National Notary Assn. to me (or proved