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HomeMy WebLinkAboutSUBMITTED PAPERSDates Fee Due: �%o-I V' Planning & Development Services Building & Code Regulations Division iCOUNTY 2300 Virginia Ave. Fort Pierce, FL 34982 - - -- - (772)462-1553 St. SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC "Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 1;1-41- IPi Dm +4) A I P 2. Parcel ID Number: I L+Q !S , n % QM 21)?L2 3 SCANNED `UCie COUntY Township Range Map Page Zoning Land Use Initials :1(,ficc Use Section Only LIM 4. Owners Information 5. Contractors Information C Name: &J)0:�pO FL Reg/Cert#: Address: �_� (,� (.( County Cert#: City: ��;'�� )I State: Business Name: 6 q!1� 9 7 Zip: �� Phtne: , . ()) b Phone: l Faz: 610 '�� 6. Value of Construction: $ 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 re ul ting construction d zoning. So,- + ► ' RINT OWNER OR CONTRACTOR NAME ATURE OF O OR CONTRACTOR STATE OF FLORIDA, COUNTY OF/ ACKNOWLEDGED BEFORE ME THIS DAY OFJ, 20// , BY 0 41SO f? WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED DENTIFICATION. DAWN MILONE My COMMISSION # DD 852587 �p EXPIRES: Marc13 TURF OF NOT Y TYPE OR PRINT NAME OF NOTAR R;,S� ' Thru Notary Pub 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: FAu v�E TO RECORD A NOTICE OF COM IENCEME [AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU W,--J TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S5,000. 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,lokation, 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. St. Lucie County Building & Zoning Department 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 ers' compensation for that employee, all as prescribed by law. Your construction must comply with all app I le 1 ws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on h to eet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be balrQ 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 require e licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and h r e cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relatadmec ' 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 Departmerkt to the Florida State Department of Professional Regulation. Signed and acknowledged on this __9 � day of of 201 —. r! O nerBuilder Signattire STATE OF FLORIDA COUNTY OF / The ZToing instrument was a k Qwledged before me this day of 20 by t_1 -2a / who is personally known to me, or who has Droduced 0-� as identification. Signature of Notary Type or Print Name of Notary (Seal) Title: NotM Public Commission Number y.l$�?T1 ill -�, ► 6(.1 � �L! O i M i s C4 {"Y f--ti C-4 rCD. FILE COPY 171 {'til a, Lc� C-a CD Yi LO RE: TAX ID# 142380200020307 SUSAN SCOTTI & DAVID ROBERTSON 3415 North A1A, Fort Pierce, FI 34949 The wooden fence is constructed with six 4' panels with a 4" x 4" wooden post every 4'. The fence is 6' high, built between 3415 and 3417 North AM projecting West to a pre- existing fence. The fence was approved by the neighbors and replaces an old fence that was destroyed by the hurricanes. Property Appraiser - St.Lucie Countv. FL Page 1 of 1 PROPERTY RECORD CARD Susan Ann Scotti Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 01E CO Site Address: 3415 N A1A ParcellD: 1423-802-0002-030-7 2, Sec/Town/Range: 23 :34S :40E Map ID Account #: 133802 Land Use SF Res HIRD Zoning: HIRD CitylCnty: St Lucie County Ownership and Mailing Legal Description TF, Owner: M,6usan Ann Scotti David C Robertson COASTAL COVES -UNIT 1- THAT PART TRACTS B AND C KNOWN Address: 3415 N A1A AS COASTAL COVE I UNIT 3 MPDAF: (OR 1146-447) Fort Pierce FL 34949-8522 a. u Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final. 143800 Land Value: 60000 Acres 0.02 5/15/1998 74900 00 WD 1146 / 0447 Assessed: 73242 Building Value 83800 Ag.Credit 0 Finished Area 1390 SgFt Exempt: 48242 Taxable 25000 Taxes. 709.67 BUILDING INFORMATION Ex erior Features ") ew: RoofCover SD - Dim Shingle RoofStruct GA - Gable ExtType. TH - Townhouse YearBlt. 1989 Frame. Grade: C - C EffYrBlt: 1989 PnrneWall BS - CB Stucco StoryHght 0020 - 2 Story No.Units. 1 SecWall Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall DW - Drywall FullBath: 2 HeatType. FHA - FrcdHotAir AvgHt/FI: 1/213ath: 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 T;p.- Measur, 1 0100-SF Res BI -Site 1 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?prclld=142380200020307 2/3/2011