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Home My WebLink AboutSUBMITTED PAPERS- Planning & Development Services Building& Code Regulations Division 2300 Virginia Ave. SCANNEV • I . A- Fort Pierce, FL 34982 . Y (772)462-1553 St. Lucie County 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-r,- �� -j� �J 2. Parcel ID Number: St L ,L Section Township Range Map Page Zoning Laod Use Initials 0;"r;ce b`_- Only 4x4itx roST, A t-T. xy. • e• �- - 1 ly\11�s C\cs�r�c 3. Complete Description of Project or Work: I r � a ,. ,r,« , �ti 1 �.">`) Side ��r�. S. Side 3art. �i�e (tick (lo�s�� 1�f)f{' 5�de-er.cl. S P�W4 i9Iky,Ff ff<, t5iDoor 3 Fr �1t side 4. Owners Information 5. Contractors Information Name:eg�%C�ert#: Address: ln-7(" � Lt DPkeC )A J- a (' County Cert#: City: �k . � r C e State: F Business Name: Zip: Si Phone: 7- % a LA L -1 jhone: 6. Value of Construction: S /-56D - 06 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 regulat-W construction a'�W)zonin!,,, PRINT OWNER OR CONTRALTO NAME SIG ATURE OF OWNER OR NTRACTOR r STATE OF FLORIDA, COUNTY OF . • L ACKNOWLEDGED BEFORE ME THIS ,/4 DAY OF L WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED r CATION. ::( I F NOT Y TYPE OR I COIvMSSION NUMBER NOTAR DAMN Mil -ONE MY COMMISSION # DDlS52587 EXPIRES: March. 13 nded Thru Var. P� r rw ter.; NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IWROVEMENTS 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 S500. NOTICE TO OWNER: F TO RECORD A NOTICE OF COMMENCE MAY RESULT IN YOUR PAYING TWICE FOR IMP MENTS TO YOUR PROPERTY. IF YOU TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEWT: 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. k • Jam. 3 f-�. 13C) Ft ako Ga.} t Fri r 4- F as' b� - COUNTY F L O R I D -A 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 pemrit 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 applic ble laws, ordinances, building codes, and zoning regulations. Initial T— I understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial_ 1 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 li a for the cost of the license. Initial 6� 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 ZT 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 Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this I_ day of of 20 1. Owner/Builder nature w STATE OF FLORID COUNTY OF. g ` ` y Y.40-�, The atoingnstrunt waf a�cknowled ed before me this � da of20 by �rCA who is personally known to me, or who has pr as identification. .J%� Y. 1(0#44,�2 Sign'at113 of Notary Type or Print Name of Notary (Seal) Title: Notary Public Commission Number 116 a LLA w e stluciecc.gov IU File Edit Go To Favorites Help #)L Favorites e re Scanned Aerial and ... 6 4(,- http://documents.stlucieco.gov/weblink7rEle... m Pages Safety Tools 50% Sign 4 Picture Tasks save a copy wi: (k - t. i, ' Ih + 37.20 x 26.00 in < Done I 11CIIF— ESELLEANZ AVENUE 11 /0 6 L 0 C Y, I12 I' 7 4 15ZOOKLIMF AVENUE 0 10 777- i L 9 lof I 16 14 9 le AVENUE r Unknown Zone cN ti It 0 31 ILJ > Monday, Feb 14, 2011 12: 15 PM File Edit Go To Favorites Help r} - Favorites - e re Scanned Aerial and ... e ' - - Page Safe Tools •� http://documents.stlucieco.gov/weblink7/Ele... g Safety save a COPY = :►- 4'� �� Ill, Seiect +F «. 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Feb 14, 2011 12:16 PM Property Appraiser - St.Lucie County, PT Page 1 of 1 Jennifer Heafner Record: 1 of 1 Property Identification Site Address: 6704 Deleon Ave Sec/Town/Range: 01:34S:39E Map ID 13/01N Zoning: RS-4 PROPERTY RECORD CARD <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print ��UCIE CO l Accou t y� Gyp Account #: 2617 Land Use: SF Res * d2k City/Cnty: St Lucie County Ownership and Mailing Owner: 1, E Ingraham Address: 6704 Deleon Fort Pierce FL 34951-1265 Legal Description LAKEWOOD PARK -UNIT 9- BLK 111 LOT 1 (MAP 13/01 N) (OR 1750- 1056) Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 54900 Land Value: 9900 Acres. 0.27 7/3/2003 75000 00 WD 1750 / 1056 Assessed: 54900 Building Value 45000 4/5/1999 65000 00 WD 1215 / 2759 Ag.Credik 0 Finished Area 1644 SgFt 2/24/1998 47000 01 WD 1128 / 2668 Exempt: 29900 2/10/1998 100 01 WD 1128 / 2666 Taxable 25000 6/6/1997 100 01 CT 1086 / 0042 Taxes 559.68 2/5/1996 55500 00 WD 0999 / 2690 BUILDING INFORMATION .II�O�"''..1r 17Ci�tr�'i. fY.;1►�.1 Exterior Features View: RoofCover SA - Asph Shingle RoofStruct HP - Hip ExtType: HD+ - HD+ YearBlt: 1974 Frame Grade: D+ - D+ EffYrBlt. 1977 Prime Wall: WS - Wood/Sheath StoryHght 0010 - 1 Story No.Units: 1 SecWall. Interior Features BedRooms 3 Electric. 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/S Oty. Units Oual Cond. YrBlt No Land Use Type Measure Depth 3CCT - 3CCT S 1 1 AV AV 1977 1 0100-SF Res BI -Front Ft 90 130 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED I I , � -7 'q ,-B http://www.pasic.org/prc.asp?prclid=130161102310001 2/ 14/2011