The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSCOUNTY F L O R I D A Receipt# / fJ ( v J� Permit # Planning & Development Services Building &Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: * 5 % 06 J ticsn o' � A Ave o 64 e 2. Parcel ID Number: �� l " 701 " Da 13 SCq St e/4 �4FD cie Win 3. Complete Description of Project or Work: :—z�� 4. OwnersJnforTmatlon 5. Contractors Information Name: �� ( ( I Gum S . Address: rJ d a b Tuaf, City: " 3 Zip: V9 State: — - FL Reg/Cent #: County Cert#: Business Name: Phone: 7Z d J t-%% �4hone: 6. Value of Construction: $ # 2 S p. o J OWNERS AFFIDAVIT: I certify that all of the information contained in r compliance with all applicable laws regulating PRINT OWNER OR CONTRACTOR —NAME NAT Fax: ion is correct and that all work will be done in and zou& OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF _� -6& ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY f7 h n U V t �f ! d1n g WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED C w 416`1 r / 6 AS ID IFICATION. O log. a �i� . !� SIGNATURE OF NO Y TYPE OR PRINT N OF NMRY 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 _ AUDREY B. HLIMPHREY Revised 04/26/2010 ` = MY COti",b11SS10� CC 63 047 EXPIRES: itilarch 6, 2011 �� i;'r(�rl F�• j't5y� ' ....r.. Banded Thru Notary Pubc Under-ters NOTICE TO OWNER: FAILURE TC :ORD A NOTICE OF COMMENCEMENT MAY I LT IN YOUR PAYING TWICE -FOR POROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO -AIN 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 ❑ 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 wo rs' compensation for that employee, all as prescribed by law. Your construction must comply with all applicab aws, ordinances, building codes, and zoning regulations. Initial Y I understand that the building official and inspectors are not there to design or give advice on how o meet the minimum code. Initia I understand that as an owner -builder that any contract disputes with sub -contractors and I must be ha ed 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 be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liab or the cost of the license. Initia I understand that if any person that is unlicensed and uninsured gets injured on my construction p ject- they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate edi al cost, which could include loss of wages during recovery from their injury. Initi -=•yam 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 Departmm to the Florida State Department of Professional Regula_ti_ on Lg d-and acknowledged on this day of of 20 STATE OF FLORIDA 0 COUNTY OF The foregoing instr t s acknowledged before me this day of a941 I , 201-L_1 by Jo n h ; who is personally known to me, or who has produced as identification. Signature of Notoy Ty or Print Name of otary (Seal) Title: Notary Public Commission Number � • AUDREY B. HUMPHREY MY GCMMiSSiON # DD 633047 a• . ,_ s arch6,2011 „;�• ;�= F;:PiRES M 61-63.0 Oita Professional Insulators of South Florida FTC Insulation Installation Certificate To: St. Lucie County Date. June ili 2011 Re: 1.0-020109 Lot/Block: Address: 141.41 Dalia Ave Project: S The undersigned hereby certifies that insulation has been installed in the above described property as follows: I. Exterior CBS walls have been insulated with: Sp) sy-on Cellulose Thickness in inches: Fiberglass Blankets Manufacturer: Fi Foil Ro+;k Wool Blankets Density: X Aluminum Foil R-Value: R-4.1 Ril,.id hoard Hotl Pol ystyrene (cr Exterior (frame walls) have been insulated with': - SPI ay -on Cellulose Thickness in inches: Fib erglass Blankets Manufacturer: Roy lc Wool Blankets Density: Ait,minum Foil R-Value: Pol yurethanc Qtl i er 2. Ceilings (rear porch) have been insulated with: Spt ay -on Cellulose Thickness in inches: 1.0.25" Fiberglass Blankets Manufacturer. Owens Corning Roo k Wool Blankets Density: X Fiberglass Blown R-Valuc; R-30 Cellulose Loose Fill Qtber Ceilings (Vaulted/Cathedral) insulated with: Flb,;rglass Blankets Thickness in inches; Fib�..rglass Loose Fill Manufacturer: Rock Wool Density; R-Value. X Fib, •rglass Blown Cell ulose Loose Fill 3. Interior kneewalls have been, Insulated with: Thickness in inches: Manufacturer: Other Fiberglass Blankets ]flout Wool Polk urethane Density: R-V c• a� 4. Garage parts o hlk ofA./Cjiving area have been insu d itb. Thicknes Manufacttpml ..• Dcnsi'3. Jeu- cxt" ` " R-Valuc: 3 1/2" Fibertech R-11 X Sprs,,y-on Cellulose Other Rock Wool Blankets Fiberglass Blankets Spray -on Cellulose Polyurethane Othi r 5. The following have been CDC] W nne Building CorpProfessional Insulatoa s of South Florida, Inc. General Contract/Builder Insulation Contractor B Y: 4-MAY-2011 03:54 FROM:SOUTH 0 T 7723446042 4626443 P.1/1 COUNTY 2 tg n1a Ave Fort Plerm, FL 34982 772-462-2172 Fact 772-U2-6"31 CERTIFICATE OF TERMITE THE I%TMEIVT CONSTRUCTION SOIL TREATMENT PERMIT #:1-wl l-,1i D.o,�vg p JOB ADDRESS: Z� i a 411A _ ir e re 4, �" Ya►.ca� - PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE #: We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in accordance with the standards of the National Pest Control A!Lsoclatlon. square feet if area treated; - 7o Percentage of solution: a ° •� Date of Treatment: Footing F" Treatment Noewayway Treat rtv 14 Treatment Re-Tt+eet -- 1°` Treatment -Re-Treat Chemicals used: 1�L-el/ -1 0 TOW gallons used: 3 0 Tlme of Treatment:~ l J 1` Treatment Re -Treat Pools - 1R Treatment Re-Truit Peri or final Inspection g ture erminator Note' 7Herr rrlust be a cnmAWed form liar eaab rmubrd beabrxrrt arm-teatmw and dx& /rarm must be an bwja Site to dr pinta up by dm dr VaW at fima of eddr ltxsperbbn yr doe =*d aW ft ecbbn wfir M and a re-hnspmtfon h'e &AAW FBC104.2.6 Cerb! wfv aPtpte0%V 7YWtmcent forprttwnt n 0temr4M A w wtber p A%v boa d sluff be pvta~ ro te=Ar dup&ytrr 7}eatment Cenwkslos as ffcs� rnqulrrd pr txMid ba+edyleat Is Ctxrtpktrd, a'DvfdRV a COPY Jbr d* POnWn V* Pin a tss W to and another copy fir the buAVA79 permit Oft The 74porrarrt Cetthcate sha//, VvA* tie pnxft,cr ulad, I &Wly or Me appital r, tbn0 Aw dile of tine ffeehrxc7t; sf1»'tCabarr, aim treered, rhemvcaf CcW d, P&tcnt =ncrnb Zoo "nurmbff of ys#a is used, tv estabJkrh a nefftt to MCOrd of PF0t&zt&e ftE ment; If th* $W dhowk rl bx77er meVW rw trn7a,7p p/ewnb n & used, Me/ erterfar mwh7Wt S1W be cemplettnripnW 10 IZW buf Ay dpproM/. 51 crude aunty requirep fpr the Anel lnepettion (pr CO3 a PoMonent Stkker to be s Property Appraiser - St.Lucie County, FL Page 1 of 1 John A Williams Record: 1 of Property Identification Site Address: 5106 JUANITA AV Sec/TowntRange: 31 :34S :40E Map ID: 14/31S Zoning: IRS-4 Ownership and Mailing Owner: John A Williams Address: 2810 Essex Dr Fort Pierce FL 34946-1181 PROPERTY RECORD CARD «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print 'o',JCIE C' ParcellD 1431-701-0213-000-5 Account#: 10524 Land Use: SF Res City/Cnty St Lucie County �'• Legal Description r HARMONY HEIGHTS ADDN BILK L LOT 22 (OR 700-280: 837-188: 975-2358, 2359 ; 1852-468 thru 472) Sales Information Assessment 2010 Final Total Land and Building Date Price Coo.:' Dee-1 Book/Page 2010 Final 60000 Land Value: 7700 Acres 0.29 9/21/1995 100 04 QC 0975 / 2359 Assessed: 60000 Building Value. 52300 9/21/1995 100 04 QC 0975 / 2358 Ag Credit 0 Finished Area 1536 SgFt 4/19/1993 100 01 QC 0837 / 0188 Exempt: 7/16/1990 2700 00 WD 0700 / 0280 Taxable. 8/1/1986 2000 01 CV 0513 / 2941 Taxes. 1247.03 BUILDING INFORMATION Exterior Features View: :oofCover SA - Asph Shingle RoofStruct. HP - Hip ExtType HD -HD earBlt 1992 Frame Grade: D - D EffYrBlt 1992 PrimeWall BS - CB Stucco StoryHght: 0010 - 1 Story No.Units 1 Sec Wall Interior Features BedRooms: 3 Eiectric: MX - MAXIMUM PrmintWall DW - Drywall FullBath: 2 HeatType FHA - FrcdHotAir AvgHUFI STD 1/28ath: 0 HeatFuel: ELEC - Electric Prm Flors CU - Carpet %A/C: 100 Heated 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y -' C'v Units -)ual Cond YrBlt No Land Use Tvpe F-r� 3CFT -3CFT S 1 1 AV AV 1992 1 0100-SF Res 210 -Front Ft 60 213 3CFT -3CFT S 1 1 AV AV 1992 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECTAT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/prc.asp?prclid=143170102130005 2/ 11 /2011