HomeMy WebLinkAboutSUBMITTED PAPERSDate: I Fee Due
Permit #
Revised 04/26/2010
COUNTY
F L 0 R l D A
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SCANNED
St.
tUCie County
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC N Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty) permits
1. Location/Site Address: 3"I c ctD i\ft• � 4 • �l I d ' -54 !q
q7
2. Parcel ID Number: 40l' a,.' (s- - (.v 0' '0 -I (0 I - 0oc,
office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work: J (,, � f W ^ii --- wyts-.- 2 3 9l I- F
4. Owners Information 5. Contractors Information
Name: �U10.�f111�ende� FL Reg/Cert #:
e�4�at2hn eXa�ck�
Address: 3 q 0 % A VI-- ry� County Cert#:
City: � T 1 trCZ State: 1I • Business Name:
till 114
Zip: :171- 1 Phone `W1 'a514 Phone: Fag•
6. Value of Construction: $ oo .
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.
—TRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF W161
ACKNOWLEDGED BEFORE ME THIS 9 DAY OF , 20_ L� BY IaAr / T /— N-L
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED li C!,
AS ID [FICA ION. J"'
SIG ATURE OF NO Y E OR P N NOT Y
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_CQ
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 'F; ,, Al!,)REY F3. HUMPHREY
s.:
MY COMMISSION # DD 633047
' .o<' EXPIRES: March 6 201 t
Bonded Thru Notary Public Undenmi='s
NOTICE TO OWNER: FAILURE 1 _ -.CORD A NOTICE OF COMMENCEMENT MAy ;ULT IN YOUR PAYING TWICE FOR
IlaROVEMENTS 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 infonmation 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.
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nesday, Feb 09, 2011 10:39 AM
St. Lucie County
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
OWNERBUILDER 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 applile 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 et
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 liar f the
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 me icaI
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
Zo ng Depart nc t to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of .- . of 20 �.
Owner/Builder Signature
STATE OF FLORIDA
COUNTY OF C
The foregoing instrument was acknowledged bef re me this 9 day of <� G—' , 20�,
by o is personally known to me, or who has
produced as identification. J
l �� i" )Fi�
Signature of No Type rint Name of Notary (Seal) /
Title: Notary Pu lic Commission Number
AUDREY B. HUMPHREY
MY CONNiMISSION # DD 612147 1
* EXPIRES: March 612011
=a'; icUnderrcnlers
BbndidlhruNoreryPub!
Fcon� FILE COPY
- = INSPECTION CARD
Planning & Development Services Online address:
Building & Code Regulation Division http://www.stiucieco.org/planning/permitting.htm
2300 Virginia Avenue Quick Links
Fort Pierce, FL 34982 Permit Status Lookup
Phone: (772) 462-2172 Fax: (772) 462-6443 Online Building Inspection System
Permit #: SLC- 1102-0082 Confirmation #: 771 Status FIN
Issued: 02/09/2011 Type: Fence
Job Location: 3908 AVE M City: FORT PIERCE
Jurisdiction: St. Lucie County Parcel: 2405-601-0461-000/3
Subdiv: Sunland Gardens Lot: 15 Block: 25
Flood: Elev: Flood Map:
Setbacks Left: Right: Front: Rear:
Job Description: INSTALLATION OF 6' HIGH WOOD FENCE GOING LEFT REAR FRONT, LEFT REAR SIDE W/GATE, ALL
ALONG REAR OF PROPERTY, RIGHT REAR FRONT W/GATE AND RIGHT REAR SIDE- TOT 239 L.F.
FENCING IN REAR YARD )
Owner Builder
DUANE ALEXANDER
3908 AVE M
Property Owner
DUANEALEXANDER
3908 AVE M
Property Owner
SHARON ALEXANDER
3908 AVE M
FORT PIERCE, FL 34947
(772)467-2516
FORT PIERCE, FL 34947-1850
FORT PIERCE, FL 34947-1850
SUB -PERMITS
Permit # Status PT Cert # DBA Owner / Builder Job Description
Inspection Notes:
For the automated inspection system call (772)462-1261. To schedule an inspection online go to
http://airs.slcfl.vetrol.com/AIRSweb.php. All inspections requested prior to 9:00 PM will be scheduled for the next
business day. Inspection requests between 9:00 PM Friday and 9:00 PM Monday will be scheduled for the following
Tuesday. If you require any assistance, please contact the Building Department at (772) 462-2172.
Permit # Type Code Description Priority Date Sched. Res Description
1102-0082 999 Final Inspection 1 08/31/2011 99 Final Approval
owner said he was not going to put gates up no gates on fence.greg
Inspector Date Insp.
Greg Smyth 08/31/2011
Permit Nurl 11102-0082
Property Appraiser - St.Lucie C->>nty, FL
Page 1 of 1
PROPERTY RECORD CARD
Duane Alexander Record: 1 of 1
<<Prev Next >> Spec.Assmnt Taxes Exemptions Pennies Home F ..
Property Identification
,� VUCIE CO
Site Address: 3908 Avenue M
ParcellD
2405-601-0461-000-3
Sec/Town/Range: 05 :35S :40E
Account #
18718
Map ID 24/05N
Land Use
SF Res
Zoning. RS-4
City/Cnty
St Lucie County
Ownership and Mailing
Legal Description
Owner. Duane Alexander Sharon Alexander
SUNLAND GARDENS BLK 25 LOT 15 (0.18 AC) (OR 1137-1598)
Address 3908 Ave M
Fort Pierce FL 34947-1850
Sales Information
Assessment 2010 Final Total Land and 'wilding
Date Price Code Deed
Book/Page
2010 Final 35200 Land Value 6300 Acres 0.18
3/23/1998 44000 00 WD
1137 / 1598
Assessed: 35200 Building Value 28900
10/1/1987 0 01 CV
0562 / 0062
Ag.Credit 0 Finished Area 1271 SgFt
10/1/1977 1700 01 CV
0276 / 0098
Exempt: 25000
7/1/1977 1200 00 CV
0273 / 0223
Taxable. 10200
Taxes 212.01
BUILDING INFORMATION
Exterior Features
View
RoofCover
FS - Fibrglss Shg
RoofStruct
GA - Gable
ExtType.
HC- - HC-
YearBlt
1978
Frame
Grade:
C- - C-
EffYrBlt.
1984
PrimeWall
BS - CB Stucco
StoryHght
0010 - 1 Story
No.Units
1
SecWall:
Interior Features
BedRooms:
2
Electric.
MX - MAXIMUM
PnnlntWall
DW - Drywall
FullBath
1
HeatType
FHA - FrcdHotAir
AvgHUFI
1/26ath.
0
HeatFuel.
ELEC - Electric
Prm.Flors:
CA - A TL/CON
%A/C:
0
%Heated
100
%Sprinkled
0
Special Features and
Yard Items
Land Information
Type
Y/S Qty. Units
Qual Cond
YrBlt No Land Use
T✓[-e
IvleaSw,
DWC - Driv-Concret
Y 1 720
AV AV
1978 1 0100-SF Res
BI -Front Ft
60 134
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=240560104610003 2/9/201 1