The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSPermit # 77 oa - 0 G,OU NT Y F L O R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SC Q NSD St. �Qcfe County SPECIALTY PERMIT APPLICATION 4.11 ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding �S Seepage 2 for instructions and additional paperwork required for specialty permits` w 1. Location/Site Address: 2. Parcel ID Number: 3 �1 l --5- 10"U-S Township Range Map Page Zoning Land Use Initials Office Use Section OnlyVj t� ! 3. Complete Description of Project or Work: - c (6to U D l EA)C.c 34"E122cE At t- 0 eovA.0 PoLL Lz)L COVE �0 WI I/U �' 1 � r��,G ��Al-t1(1 4. Owners Innformation ' / 5. Contractors Information n Name: - I 0/V1/4:- f`�uLiwuer FL Reg/Cert#: Address: i` i? /V • L J CLtr Iq UC County Cert#: City: �Q��S'T--�t'-l� State: FL Business Name: Zip: 3 Phone: / j Q303 Phone: Fax: 6. Value of Construction: $ -2oo • o-0 OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will b compliance with all applicable laws regulating construction and zoning. gyp, PRINT OWNER OR CONTRACTOR N SIGNATURE OF OWNER OR CONTRACTOR c �, STATE OF FLORIDA, COUNTY OF z o� �� cF R ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY �' N � c"_w - WHO IS PERSONALLY KNOWN TO ME • .U� OR WHO HAS PRODUCED p 81 `10 � IV 0 710 :F1 AS IDEN ICATION. (seal) v SIGNAPM OF NOT TYPE OR PRINT" OF NOTARY r 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: FAILURI_- 'RECORD A NOTICE OF COMMENCEMENT Mt. ,ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 'IF YOU INTEND o 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 Indicate.the street address or general location of property where the building activity is taking place. 2. Parcel ID Number Indicate the tax identification number of the property where the building activity is taking place. 3:` Description of Project or Work Activity Fully describe the activity to take place. 4. Owner Information Indicate the name and address of the owner of the property on which activity, is taking place. 5. Contractor Information Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. 6. Value of Construction 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 riglit 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. x St. Lucie County ® Building & Zoning Department 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-1553 OWNERJBUILDER 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 buiid:or. improve farm outbuildings, -a one4amily 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_Ghatyouu.-:musi-.deduct:F.LC:A._--. and -'withholding:-.tax:and. .pro vide_'.workers'. _.. _. compensation for that employee, all as prescribed by law. Your construction must comply with all applic laws, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on how_jo_neet the minimum code. Initial 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. , r the cost of the license. Initial raw TMz: 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 liable for all doctor, lawyer and related di al cost, which could include loss of wages during recovery from, their injury. Initial ��aFk�rr, To qualify for this exemption under this subsection, an owner must personallyappear 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 Zoni Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this 311 day of PE-b of 20 41 Owner/B nilder''SYgnature STATE OF FLORIDA COUNTY OF The -.for—roina instrument was acknowledged before me this day of ?n / by S96 who is personally known to me, or who has produced 4 as identification. Signature of Not, ype or 'nt Name of Notary (Seal) Title: Notary Pu is Commission Number @@��AUDREY 9.HUMPN`�k 04Y Py' •, MY COMMISSION # DD 60 1Q 47 t *: EXPIFl�S M P �t6UodenI WS , Feb 03, 2011 03:36 PM File Edit GO To Favorites Help Af Silt: jj Favorites !�j L�,q ,,page -_Aakty - Tools�w_ "TE- I A3 Property Appraiser -St.Lucie... Property Appraiser I - - I F150% 1.0 IT is . z - "/ 5 4% to 23 t4 L 0, 5 4. rw 10. 0 It A; ILI 10y. d Ay 2z\ -M, A 37.20 x 26.00 in 4 k !one Its Feb 03, 2011 03:36 PM "'A m r •'i',',.tlI" 'j1 ir,r; File Edit Go To Favorites Help > Favorites ,6" Property Appraiser -St.Lurie..,'vhtip:/(Isrfchl/Local-.lbGn.,,+X -Ccj _ 'ass. __ �` `v -- • �� _----------T.�— --�. _ i" � Lit - ` L_.l - Page --Safety- Tools-- 0.._ _» • r'aa jj 3 ,'r ; lr �' 1. Parmonon} Ritara*>ca iv\o..0 mon}> ' -a4or• • ty 17 i• i `�� r� 2. Co..}oor Frtavo}tons .6- r.,fcr yo' d. ' •� }o U.-S.C. 4. 5. Do}um for M-S.L_ L:ns P6• from �• V, )0,�/�, r '<• CrV Lino on oll Strs.:ka. ; , ` r .�- \ eq.d � � i . �r� � \ _ 6. U1ll:}y E•asen+o.n}e ors l000i• ^ sY �f°��` �` / � 1. - along Le} Linos ca daa cr:b•d ro i dY•� v _ Mvevr s.c't>vr cevrnaiaT• sco.•d.d 14 bao s pc aka s}ru moo}• •-rlg0 3' r'°l�tY/'` 5. Rod:: 04 Slo=4. cornars ...a Vs .� ,`�' •r -1S' oacap} wtiaro o+sd : 0 (/ � j5�- 1 a6omn ck P>leck.-aernora or.n4 �, .: 1 intar>o.c}ion of+a..g an +•s., _ It- �� q o...q A'� � r � ``i dcditokion. }i}lc to otl a}ro.a4} Dori , C , �� ` coeom Dots os s600... 6oraon 's6o11 r• Ao , 1%` eJ / •• ro.vsr4 }o S}, Lucia Mivor Lcnd ` a> • �17 M r / aiecon+tnuad. or ca' a }o ba wscd o> `/ � � 4 Public 'S?k�oc}a and rb ro aqs Eotia.m{n}>• 1 e ' 37.20x 25.00 in 4 - - .-- one. -; _ ' l ..,, - My Commission E• t�ccEpT IRVTM _S__G Flusbond� LAor}qoq m, plat of � Q.IVEQ- Subscr:b¢d My Gommi�aion , Feb 03, 2011 .03:37 PM