HomeMy WebLinkAboutSUBMITTED PAPERSDate:
I-:' ; I IC--1
Fee DL-.
Permit #
❑ Electrical
❑ Shed
Planning & Development Services
Building & Code Regulations Division SCgNNL�*
2300 Virginia Ave. St.8 y
Fort Pierce, FL 34982 UC/@ C
(772)462-1553 °Unry
SPECIALTY PERMIT APPLICATION
❑ Plumbing ❑ HVAC (9 Fence
❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 7`Y®Z e%gNt) Ave -Aloe
2. Parcel ID Number: 1301 1�061
Office Use
Only
Section
Township
Range
Mip Page
Zoning
Lied Use
Iaibiab
LV
3. Complete Description of Project or Work:
t/4 G f,&ve- E //RC�W So--C
4. Owners Information 5. Contractors information
Name: 1�-'e "6 ;/A Rill S FL Reg/Cert #:
Address: Al �e-IA VC( /4l/e*ue' County Cert#:
City: foG t State: Business Name:
Zip: .3'���/ Phone:7/,�7-51 Phone:
ov
6. Value of Construction: S 0, ow '
OWNERS AFFIDAVIT: I certify that all of the information contained in
compliance with all applicable laws regulating
correct
4
Wfl%
be done in
PRINT OWNER OR CONTRACTOR NAME ATURE OF O R OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF "'+AAA
ACKNOWLEDGED BEFORE ME THIS _ I� DAY OF ''' t= 4'✓ 20_ l o , BY , L e M S -30-'c V I
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRO
" MARY E BROWNING
AS IDENTIFICATION. ': MY COMMISSION # DD920190
„��; EXPIRES October 23 (�)
SI N OF NOTARY NANID01nA�� '
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 $5,000.
NOTICE TO OWNER: FAILURE T( 'ORD A NOTICE OF CUMNEII&CEMENT MA SULT IN YOUR PAYING TWICE FOR
AVROVEML. _ _ _ TO YOUR PROPERTY. IF YOU INTEND I _ BTAIN 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
Z 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.
i
t`r • • •
•
• - 91MIMMUNr mommirMwerwd
• •
• • • 1 • •
"I
v k
stlucieco.gov
`1
'i IU
Edit Go To
Favorites
Help
+' -
worites z
re Scanned Aerial and
... r_
tp://documents.sducieco.gov/weblink7./Ele...
.tp://documents.sducieco.gov/weblink7./Ele...
- Page Safety ` Tools t)
a fop —.
,� 1�
I►. select �U; *.. -
UJ0°:�
- "+ l -
- / Sign - C Picture Tasks - y!
' 3
4
5
I/
3 4
I
15 I 6
7 18
19I�
r_-
�IW.Bs�
90
/a9"�
1 ll
to" I
o
t
1
l
1_
1
`I
QtERNO
W
ROAD
•
^ 90
W
104.BN t
9 90, 90, /09�_
J
N/D4'
^
9D
17 /6 15
1`
/4„ h
M
y 8 7
6 V
m
Z26
25 24 23 22
21 20
19
/8
,
/04.9 rs b p
3 4
/
2 3 4 5
6 7
8
9
/0 I/ /2
13�; Z
5 M
2
90
.O�
70. 90 90
l09,
104'
90'
^ ROAD
o O
n
—� "'
SCAtE-/=200
T90
119
/4
/12.3
„ 30
75
29
28 27 26 25 24 23
22
2/
20 19
/8 /7
/6
,6 /5
-
12
3 /
2
4 6 7 B
3 5
9
/0
3 /4
/5
/3 n
119�
l/2.3
75
� 1
;
9o,
W
�'
--- --AVENUE
W
i
1/9
/4
�MNilik,375/5
l�8
^
2726 25 24 23
22
^
2/
20 /9
E17
1119 r
16
nZo4
,:-- -
n
/0
90, /19
I. 37.20 x 26.00 in
:; / 2 ,14
so,
5 16 17 18 19
.19
7s 1l212
0100
Unknown Zone -
µ
day, Nov 29, 2010 11:49 AM
r 1
Mill
e_ stlucieco.gov `? A IU -
Edit Go To Favorites Help -
avorites ,K e_ re Scanned Aerial and ... e.
4-ittp://documents.stlucieco.gov/weblink7/Ele... 3 - - Fage- Safety- Tools-
Save a Copy 'r yam. ' Select Ck. - - + - 100 Sign - •f Picture Tasks - Y!
NOTE
I. 10 FOOT PUBLIC UTILITY aDRAINAGE EASEMENT
ON ALL REAR LOT LINES UNLESS OTHERWISE SHOWN.
2- ALL RADII ARE 20 FEET UNLESS OTHERWISE U HALL WN BLOCK CORNERS.
may, PERMENANT REFERENCE MONUMENTS FL
q. CONTOUR ELEVATIONS SHOWN REFER TO USCt%GS DATUM FOR MSL.
6 BUILDING SET -BACK LINE 26' FROM R/W LINE ON ALL STREETS.
6. ALL CORNER LOT DIMEN51ONS REFER' TO LOT LINE INTERSECTIONS.
7. IO FOOT PUBLIC UTILITY 9 DRAINAGE EASEMENT
ON SIDE LOT LINES AS SHOWN-
)VED BY THE BOARD OF COUNTY
,OVAL IN MJ WAY OBIJGA TES SAID
5Z
IERS
CERTIFICATE OF CLERK OFCIRCUIT COURT
n STATEOF FLORIDA
COUNTY OFST LLCIE
I CLERK OF CIRCUIT COURT OF ST. LUCIE COUNTY
FLORIDA DOHEREBY CERTIFY THAT I HAVE EXAMINED THIS
37,20 x 26.00 in
- 1 of 1 - —
ENGINEERS CERTIFICATE
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I JAMES L.BEINDORF DO HEREBY CERTIFY THAT
THIS PLAT OF LAKEWOOD PARK UNIT 6 IS MADE FROM AN
ArTUAL SURVEYM.4DE DY ME, THA T I T IS A CORRECT REPRF-
t
Unknown Zone
i � (� C � 8 - ... - Micr... [" Cityvie+.•d - [... ' St Lucie Cou... t http:/1`docu... �
tart C-
3y, Nov 29, 2010 11:49 AM
MR
St. Lucie ity
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, Florida 34982
(772)462-1553
OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT
F.S. 489.103 M 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 appli s,
ordinances, building codes, and zoning regulations. Initial
I understand that the building official and inspectors are not there to design or give advice on ho eet
the minimum code. Initial
I understand that as an owner -builder that any contract disputes with sub -contractors and I must a dled
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 require be
licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and Zia rrre
cost of the license. Initial
I understand that if any person that is unlicensed and uninsured gets injured on my construction pPgject-
they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate /m dicaI
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/)be Building and
Zoning Department toe Florida State Department of Professional Regulation. i a d a owledged on this
day of 112LeP 4 of 20 /0
STATE OF FLORID C�� `� COUNTY OF
The for going ' sument cknowledged before me this day of , 20
by who is personally known to me, or who has
producedM identification.
1 O�Uf i�L t 16 xj
Signature of Notary Type or Print Name of Notary ; _ '"" "���jS MILONE
Title: Notary Public Commission Number =►. MY .,OMMISSION a DD 852587
d,F EXPIRES Want 22, 2013
Banded Thru Pinta y °uutN; Underwriters
A! e k
-
Y
O
90' tefvice y
r7/
q�.
O
r
gpF*ft7 v�
T--cmce.
APp k 10' FP_ „v, p (o' OV,s 4
m
cl
1i�llC()
1
�12 �Aa-f% l�n �'✓� � v �� A S�AN�r[t G �j U 1 /� / 1 S
Gv
�ILC G �/J2U fiGICiN�
,.,s4/,IIe e< cy�
,
L/NG �
ve A ^� '
/V�4�lrtia/
tZl(p /Zo/o
'Property Appraiser - St.LuciP County, FL
Page 1 of 1
� �
PROPERTY RECORD CARD
Leeds E Jarvis Record: 1 of 1
<<Prev Next»
Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
,o,PE CO
Site Address: 7402 Deland Ave
ParcellD:
1301-606-0181-000-9 0 G�
Sec/Town/Range: 02 :34S :39E
Map ID 13/02S
Account #: 1577
Land Use: SF Res
yr
Zoning: RS-4
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner: Leeds E Jarvis
LAKEWOOD PARK -UNIT
6- BLK 67 LOT12 (MAP 13/02S) (OR 3145-
Address: 7402 Deland Ave
1357)
Fort Pierce FL 34951-1494
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price Code Deed
Book/Page
2010 Final: 44300
Land Value: 8300 Acres: 0.23
11/6/2009 45000 0130 WD
3145 / 1357
Assessed: 44300
Building Value: 36000
9/18/2009 0130 PB
3130 / 2251
Ag.Credit: 0
Finished Area 1008 SgFt
8/1/1986 0 01 CV
0553 / 0268
Exempt: 25000
8/1/1986 43500 00 CV
0511 /2182
Taxable 19300
7/1/1980 0 01 CV
0335 / 1981
Taxes: 401.14
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType:
HD+ - HD+
YearBlt:
1986
Frame:
Grade:
D+ - D+
EffYrBlt:
1986
PrimeWall:
WS - Wood/Sheath
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
Bed Rooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/2Bath:
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
Qty. Units Qual.
Cond YrBlt.
No. Land Use
Type
Measure Depth
1 0100-SF Res
BI -Front Ft
75 131
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
//-07
http://www.paslc.org/pre.asp?prclid=130160601810009 11/29/2010