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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! 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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