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Home My WebLink AboutSUBMITTED PAPERSa'10• 11 Date: I Fee Due; 1 I Receipt# T _ Permit # / Q'q , —0 Planning & Development Services J 1= Building & Code Regulations Division 2300 Virginia Ave. - Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC *EISiding ence ❑ Shed ❑ Demolition ❑ Gas See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: e2O `/ c,)() SO ✓I L 2. Parcel ID Numbera* 131 'd. -� n i --Dl 73 SC B NNEG St �UCrE CQU�t of'lyce r1se Ooly Section Township Range Map Page Zoning Land Use Initials I Complete Description of Project or Work: )1 11 4 1 _ / ' 1 - - J .- 4. Owners Information / 5. Contractors Information �/ Name: 1 /c � /-Vy f�-ir� FL Reg/Cert #: Address: ':�U SDi9 L� cL County Cert#: City: State: Business Name: Zip: 9�� Phone: yJDone: Fax: ��_ 6. Value of Construction: 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 regulating construction and zoning. if Zn< A PRINT OWNWOR CONTRACLOVAANE STUNATURE OFOWNER OR CO CTOR �o u Z 6 _ STATE OF FLORIDA, COUNTY OF 8 g w m 'I' '�'m 044 ME DAY OF 20�Y a ACKNOWLEDGED BEFORE THIS �I-_, {{BA� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED \ ' S5�' 6F- 33 • 9 0 6 - AS ID FICATION. • Jyp�R (seal) SIGNATURE OF N ARY PRINT N OF OTAR 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: FAILURE .ECORD A NOTICE OF CCMVfENC1 MENT MA SULT 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 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 OFence 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. v e Isrffil File Ed,, Go To Favorites -e,p Feaaonte<_ b - < f4 ittp::,gfChiAAocIad vebbnk/BeCUor,7ile,asox:: 37.20 x 25.0o in v .! . 4 -afet, Toois .reoc //.YIOO' KY]O�' /Op 00' eea. 1 I LO.SL'ML.VT � I�A ' �4.F 0 9902' fl %t 969 1t ', h0 IiV Q i - \ Sq I � .UO.PTN � ICI � /inaa .}. flil /azoa h_ �m.m Ana ,- C/ PCL C � 1�Y65T I V I AAWI H w I Unknown Zone — ,day. Feb 10. 2011 01:29 PM 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 pernrit 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 laws, ordinances, building codes, and zoning regulations. Initi�" 1 I understand that the building official and inspectors are not there to design or give advice on how to meet 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 for 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 related medical 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 Zopi Department the Florida Stage Department of Professional Regulation. Signed and acknowledged on this day of Owner/B der Signatu STATE OF FLORIDA COUNTY OF acu,, The foregoing instrument was acknowledged before me this �nn day of , 20_Ll, by M who is personally known to me, or who has produced as identification. Signature of tcy Print Name of N y Seal) Title: Notary ublic ssion Number :: AUDREYB.HUMPNREY MY COMMISSION # pp 633047 IW • EXPIRES: March 6, 2011 o' F °r °+emersor:: :irw�i Poc 4ad Thtu Notary Public UndervOters -- Property Appraiser - St.Lucle (-nty, FL Page 1 of 1 PROPERTY RECORD CARD Mary E Huffman (TR) iL ccPrev Next» Spec.Assmnt Taxes Exemptions Permits Hoicie Property Identificatiot �V�CIECD Site Address' 5204 SUSON LN ParcellD � G2` Sec/Town/Range 12 :34S 39E Account # 46 �� F+ Map ID: 13/12S Land Use SF Res Zoning RS-4 City/Cnty St Lucie County Ownership and Maili❑ . Legal Description Owner Mary E Huffman (TR) HOLIDAY PINES S/D-PHASE II-B- LOT 370 (MAP 13/12S)(OR 2805- Address: 5204 Suson Ln 1382) Fort Pierce FL 34951-3339 Sales Information Assessment 2010 Final Total Land and RUil;lirr- Date Price Book/Page 2010 Final. 100500 Land Value 13900 0.31 4/24/2007 250000 00 WD 2805 / 1382 Assessed: 100500 Building Value 86600 11/15/2002 100 01 QC 1616 / 1795 Ag.Credd: 0 Finished Area 1901 SgFt 1/24/1990 100 01 WD 0682 / 0663 Exempt 75500 1/1/1980 18500 00 CV 0324 / 1896 Taxable: 25000 12/1/1979 13400 00 CV 0323 / 1269 Taxes. 1020.76 BUILDING INFORMATION Exterior Features View ZoofCover SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC+- HC+ learBIt: 1990 Frame. Grade: C+ - C+ 1=ffYrBlt 1990 PrimeWall BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features Bed Rooms: 3 Electric: MX - MAXIMUM PrmintWall DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI 1/26ath: 0 l�eatFuel ELEC - Electric Prm Flors CU - Carpet %A/C: 100 Heated 100 %Sprinkled 0 Special Features an(; -i Land Information Type _ .'31 Cond YrBlt No. Land Use Type DWC - Driv-Concret Y 1 720 AV AV 1990 1 0100-SF Res LFI -Front Ft 135 100 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED t5� 0 1 a 4-r http://www.pasIc.oralprc.asp'?prcIid=131280101730003 2/10/201 1 Ieyog- ee s As.0 fD s%xy' cm CA�Tt�E Assam " fD y'xy. ZIA IVA :52� I o S 'e,00l,Ji9Cc' r— S AS�/J76-; J7- l�� V Q �Eh /� io•3� � Se�lFcrJ ,o,9r�o S Ye A oa�•oo"c I ,j_4jSocj FILE COPY 2sS .Deco ele A, C,74'�S�iYJ C'n J E�r� /s6 ZA45;_ .009( /3S�a All 'C'/ri7�i{6 i4.xso " Car 37/ ABACUS LAND SURVEYORS, INC. SETS A STANDARD MARKER OF A 1/2' IRON ROD AND A CAP MARKEDLB 7025 AT ALL CORNERS, UNLESS OTHERWISE NOTED HEREON. f� SAID CORNER IS SHOWN AS = AND FIELD SURVEYED ON •�`� BASIS OF BEARINGS/ANGLES BEING THE •��U' LINE OF Susc�J 44AJ" PER RECORD PLAT, FD. = FOUND E/P = EDGE OF PAVEMENT (R) = RADIAL -///- = OVERHEAD UTILITY (C) CALCULATED M.M. ❑ •WATER METER CM) MEASURED 0 = POWER POLE (D) = DEED OR DESCRIPTION U.P. ®= UTILITY PEDESTAL (UN-R) = UNREADABLE 0 = WELL I.R.C. = IRON ROD & CAP CO-= SATELLITE DISH I.P.C. = IRINJ PIPE & CAP IE = CENTERLINE CM = CONCRETE MONUMENT A = DELTA P.C. =.PONT OF CURVATURE L = LENGTH P,T. POINT OF TANGENCY R = RADIUS P.R.C. = POINT OF REVERSE N&D/T = NAIL b DISC/TAB P, C. C. = POINT OF COMPOUND R/W = RIGHT -OF -NAY CURVATURE 2 ELECTRICAL TRANSFORMER P.C.P, = PERMANENT CONTROL POINT D./U.E. = DRAINAGE &/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 ® BATED BASE ELEVATION • BOUNDARY SURVEY (PREPARED FOR 1 /i1xxy z-. Ha cfclzmJ SURVEYOR'S CERTIFIQATE I HEREBY CERTIFY TO THE BEST OF- MY BELIEF THAT THIS SURVEY IS TRUE AND ACCURATE, SUBJECT TO ALL NOTES AND NOTATIONS SHOWN HEREON. MICHAEL R. �LIISON ISM 5723 DATE LEGAL DESCRIPTION LOT S70 , BLOCK OF ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 1D, AT PAGE /.2Ii-244�EOF THE PUBLIC RECORDS OF :rl— LOCi< COUNTY, FLA. REVISIONS ABACUS LAND SURVEYORS, INC. 389 S.E. GASPARILLA AVE. PORT ST. LUCIE, VLORIDA 34983 (772) 336-9931, LB 70225 SCALE // JOB NO (gQ F.B. U `S PAGE Sy