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Home My WebLink AboutSUBMITTED PAPERSDate:' VU f 1 1 1 t 1'Fee Due: fq� Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCMkD St Lucie Cou,, SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ IiVAC g Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: i%q I NOpq �C0!SA C--i . �, t 2. Parcel IDNumber: 5SQ2 6,05 0t224 1900 Township Range Map Pa a Zoning L d Use Initials office Use Only Sec on 2rj 3. ( 4. Owners Information 5. Contractors Information Name: �JL-si"tne �IQe d FL Reg/Cert #: Address: `�qO� J1�4[\IJer- CountyCert#: City: P,)e.,e State: Business Name: Zip: if 102, Phone: q l 1 110 Phone: 6. Value of Construction. $ 2 % 120 Fax: , 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 and zoning. PRINT OWNER OR CONTRACTOR NAME SIG URE OF OWNER OR CONT CT R STATE OF FLORIDA, COUNTY OF -�i,& � AvG.`& ACKNOWLEDGED BEFORE ME THIS I % DAY OF OGOSrr 20 BY Z/�Sd WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED ellL AS IDENTIFICATIO . c D NNIG L. RWRIGUM l �y, -�GNNS ` KGl�r7ily �ti� NOTAMOU®LIC SIGNATURE OF NOT �t TYPE OR PRINT NAME OF NOTARY STATE OF FLORIDA COMMISSION NUMBER DD O / o .35 < Comm# DD0946335 Expires 12/13/2013 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: FAIT_ __'`_E TO RECORD A NOTICE OF COMMENCEM:r: s 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 NOT ICE 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.consiruction includes all current retail material and Tabor 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 T. 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,,-duringxeg filar 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. Property Appraiser - St.Lucie County, T7T t f Page 1 of 1 Justine Sigel Record: 1 of 1 Property Identification Site Address: Appaloosa Ct Sec/Town/Range: 09 :36S :39E Map ID: 33/09N Zoning: AG-2.5 Ownership and Mailing Owner: Justine Sigel Address: 3909 S Indian River Dr Fort Pierce FL 34982-7738 Sales Information Date Price Code Deed 4/18/2011 20100 0111 CT 4/4/2007 125000 00 WD 10/21/2002 42000 00 WD 8/1/1984 9000 01 CV 5/1/1977 0 01 CV 1/1/1900 0 00 CV No Sketch Available PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print I ECoG ParcellD: 3309-605-0024-000-8.G Account#: 35524 ye'._� Land Use: City/Cnty: Vac Res St Lucie County Legal Description PONY PINES -UNIT ONE BLK A LOT 21(1.84 AC) (OR 3286-2186) Assessment 2011 TRIM Total Land and Building Book/Page 2011 TRIM: 74800 Land Value: 74800 Acres: 1.84 3286 / 2186 Assessed: 74800 Building Value: 0 2795 / 1481 Ag.Credit: 0 Finished Area: 0 SgFt 1600 / 1591 Exempt: 0441 / 2638 Taxable: 0266 / 0506 Taxes: 1563.85 0266 / 0506 BUILDING INFORMATION No Image Available Exterior Features View: RoofCover: RoofStruct: ExtType: YearBlt: Frame: Grade: EffYrBlt: PrimeWall: StoryHght: No.Units: SecWall: - Interior Features BedRooms: Electric: PrmintWall: FullBath: HeatType: AvgHUFI: 1/2Bath: HeatFuel: Prm.Flors: %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0000-Vac Res 205 -Acres 1.87 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?prelid=330960500240008 10/19/2011 Planning & Development Services Department E - Building & Code Regulations a 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 appl' 1 s, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice o o meet the minimum code. Initia I understand that as an owner -builder that any contract disputes with sub -contractors and I must handled in a civil court with the advice of an attorney. This department will not mitigate any contract disputes. %� Initial ) X __ I understand that if I compensate any person or company for work performed they are requ d to be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and 1' a or the cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my constructiorl-¢roject- they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relat dical 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 Iding 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 Stake Department of Professional Regulation. Signed and acknowledged on this day of of 20 \ f V Ow / u1 der Signature STATE OF FLORi COUNTY OF �� The fore ng instrument was acknowledged before me this l L day of CJCJ 20 by `� who is personally known tome, or who has oduced as identification. PAWN MIL ONE e of Notary j' a° M (? 1JIQN M 00 852587 Si ature of Notary r Print Nam `}"t= ' 0 Msteh 22, 2013 sue. T 2..rjga 1 Tiny 14t� Title: Notary Public Commission Number �:�_ �. t7f3ebuoundanvriters SLCPDSD Revised 07/22/2010