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Home My WebLink AboutSUBMITTED PAPERSPlanning & Development Services Building & Code Regulations Division 2300 Virginia Ave. • - Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical a Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: S iJ CV r t 2. Parcel ID Number: L-16 'z_ — 6 Cl �� & & 4I > c� Section Township Range Map Page zoning Land Use Initi Only t-- �aov l� � 3. Complete Description of Project or Work: ! A-Y % N G WA I-f ft V FOIL A N(1-I 511tVtce It HOLf6 4. Owners Information 5. Contractors Information Name•iA 5 6 1/Y% n FL Reg/Cert #: Address: (;5 1 G L � L, N S C L D LyPI County Cert#: City: F02 T Pi CYLC l- State: FL < Business Name: 3 y 6- Phone: 5 Phone: 77 0' Yl �- 7�(Phone• zip: 6. Value of Construction: $ 2 _h 6 00 OWNER'S AFFIDAvrr: 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 zo PRINT OWNER OR CONTRACTOR NAME OWN SIGNATURE OF ER OR CO OR STATE OF FLORIDA, COUNTY OF ��+ /�// /^✓� I� ACKNOWLEDGED BEFORE METHIS DAY OF 20/, BY t )aixa e� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED ZSIGA C.CATION. :1" � /mj tom) OF NOTARY TYPE OR PRINT NAME OF NOTARY COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR 1111PROVEMENTS 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. NOTICE TO OWNER: FA tE TO RECORD A NOTICE OF COMMENCEN MAY RESULT IN YOUR PAYING TWICE FOR Ili VEMENTS TO YOUR PROPERTY. IF YOU I +ID TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WTPH 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 UTILITIES - P.O. BOX 728, FT. PIERCE FL 34982 St. Lucie County - PCIS 02-15-2011 12:28:35 11109/5365 MARTELL, JASON 6102 SUNSET BLVD FORT PIERCE FL 34982 Amount Tendered: 480.00 -L Amount Paid: 470.00 Change Due: 10.00 Thank You User ID: GESSNERJ NAME f� �> U t'j VI�� 1(Ti_ &IL SERVICE ADDRESS SUBDIVISION LOT BLOCK BILLING ADDRESS PHONE # �'. ✓�� r.�. �, ) I MOVE IN/CLOSING DATE This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or future rates, rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay the Utility promptly for such services in accordance with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. ilt roc SOCIAL SEC/ FED ID SPOUSE SOCIAL SEC. OFF,jCE USE ONLY DATE RECEIVED e CASH CHK #_ RECEIVED BY 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 workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable 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 how to 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 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 related, m cal cost, which could include loss of wages during recovery from their injury. Initial L" 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 ownerlbuilder exemption shall be reported by the Building and Zo�}ing Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this G day of 1 _l of 20 1 Owner/Builder Signature STATE OF FLORIDA COUNTY OFo The WMgpininstr;Vt was o led Are me this�day of]6, 20 by /7/ /4ho is personally known to me, or who has pr as identification. Signature o Notary Type or Print Name of Notary (Seal) Title: Notary Public Commission Number Property Appraiser - St.Lucie Countv. FL f Page 1 of 1 PROPERTY RECORD CARD Jason Y Martell Record: 1 of 1 <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address 6102 SUNSET BV "' 3402-609-0693-000-6 �\ Gy Sec/Town/Range: Map ID. 11:36S 34/11S :40E Account # Land Use: 38175 SF Res Zoning: RS-4 City/Cnty St Lucie County Ownership and Mailing Legal Description Owner: INDIAN RIVER ESTATES-UNIT-08- BLK 71 LOT 15 (MAP 34/11S) (OR Address: "* 269-2323: 2783-663: 2832-1514: 2986-152 fierce More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 46300 Land Value: 10400 Acres: 0.23 6/6/2007 100 01 QC 2832 / 1514 Assessed: 45323 Building Value: 35900 3/9/2007 01 PB 2783 / 0663 Ag Credit 0 Finished Area: 1008 SgFt 12/20/1999 100 01 WD 1269 / 2323 Exempt: 25000 11/1/1986 42778 00 CV 0521 / 0652 Taxable 20323 8/1/1985 0 01 CV 0487 / 0679 Taxes: 422.37 8/1/1980 0 01 CV 0460 / 0146 8/1/1980 0 01 CV 0337 / 0244 8/1/1979 27000 00 CV 0314 / 0568 BUILDING INFORMATION Exterior Features View: RoofCover ExtType. HC- - HC- YearBlt. Grade: C- - C- EffYrBlt: StoryHght 0010 - 1 Story No Units: Interior Features BedRooms: 2 Electric'. FullBath: 1 HeatType, 1/26ath: 0 HeatFuel %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qual Cond YrBlt. DWC - Driv-Concret Y 1 500 AV AV 1979 FEN6 - CHAINLINK 6' Y 1 208 AV AV 2008 TN - Metal RoofStruct: GA - Gable 1979 Frame 1979 PrimeWall: WS - Wood/Sheath 1 SecWall: MX - MAXIMUM PrmintWall DW - Drywall FHA - FrcdHotAir AvgHt/FI: ELEC - Electric Prm.Flors: CU - Carpet 100 %Sprinkled: 0 Land Information No Land Use Type Measure Depth 1 0100-SF Res 215 -Front Ft 80 125 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?prclld=340260906930006 2/ 15/2011