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Home My WebLink AboutSUBMITTED PAPERSMENOMINEE US I MW WA— MINE., I tIAL4E 1 Planning & Development Services Building & Code Regulations Division COUNTY 2300 Virginia Ave. • I D A Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION f, ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: S C)U �J ` �K- J ,o 2. Parcel ID Number: 3 C) 2- 0 ID LIJ-7 Q C) d F Sc S eNNE� t. Y COUNk Section TownsLip Range Map Pagc Zoaing Land Use Ioi6als office USE- only 3. Complete Desch tion of Projector Work: 4. owners Information 5. Contractors Information r, � r- ` Name: J .� p i E -Z� FL Re - g/Cert #: Address: '� I C�O nSy1�SE-r fly- J� County Cert#: City: �u 2T a 4 6Q-U� State: �L Business Name: Zip: NTrc- Phone: j?Z-q66-g&Y Phone• r(,.)C,-' Q/2 G�10ES Fax: 6. Value of Construction: $ 1 S U-2 OWN'ER'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 co strg, ' n mg. PRINT OWNER OR CONTRACTOR NAME SIGNA OF OWNER OR CONTRACTOR STATE OF FLOPMA, COUNTY OF 5 / , c-.. r) y (- ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY ACKNOWLEDGED WHO IS PERSONALLY KNOWN TOME �_ OR WHO HAS PRODUCED =rMCATION. ) 103j�' SIGNATURE OF NOTARY COMMISSION NUMBER Mf u .7'oH •., DAWN MILONE (seal) TYPE OR PRINT NAME OF ()Mh11S510N4DD852587 EXPIRES: March 22, 2013 dr? Bonded Thru Notary Public Underwriters NOTICE TO OWMER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TRICE 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 COMMENCEMENT MA' SULT IN YOUR PAYING TWICE FOR IMPROVEML_ . _ _ TO YOUR PROPERTY. IF YOU INTEND 'I STAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMIPT: 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. Edit Vie -a Document Tools 'Nindow Help !J 37.20 x 26.00 in < x G 75% - I pQpro rsd by tfit 'P,7oard o1� Go�sniy Gor`+mi��o fir: o} St. Lucia C.e..nty, Flo �dw, b.,4 ,.uat, approval �n r.a way t�bligota.b Sn•d taw rd }o ryi �.�n4c.ln any tl re.C�1 or rose �i4 b�n 1fi Orson, poiod 14+;4 ---duA Ghair.�scn� urd •a4 G.ou.r4ai �-- G DY to L5 Ii zl L1 day, Dec 07, 2010 08:46 AM Forop COCINT�Y 4 ,�� F. L .. St. Lucie _nty 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 la , 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 meet 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 for the cost of the license. Initial 4 L_ 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 Aedic cost, which could include loss of wages during recovery from their injury. Initial _A/ 1 ( 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 Departm nt to the Florida State Department of Professional Regulation. Signed and acknowledged on this I day of 1 of 20 1 Q . STATE OF FLORIDA ` COUNTY OF �— The fore n ins ment was cknowled ore me this -' by who is personally ced as OwnefBuilder Signature 20—&, to me, or who has 1Y\ -e Signature of Notary Type or rint Name of Notary Title: Notary, Public Commission Number (Seal) DAWN MILONE y_p •c MY COMMISSION u DD 852587 EXPIRES: March 22 2Ut3 Bonded Thru Notary Public Underwriter; '� cx� 'L// Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Fred S Pate Jr Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �\uC1E 00 Site Address: 5100 SUNSET BV ParcellD: 3402-608-0487-000-6 Q �f Sec/Town/Range: 02 :36S :40E Account #: 37565 y _ t Map ID: 34/02S Land Use: SF Res Zoning: RS-4 City/Cnty St Lucie County ' Ownership and Mailing Legal Description Owner: Fred S Pate Jr INDIAN RIVER ESTATES -UNIT 07- BLK 53 LOT 1 (MAP 34/02S) (OR Address: 5100 Sunset Blvd 526-1529) Fort Pierce FL 34982-3863 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 71000 Land Value: 22000 Acres: 0.34 12/1/1986 65000 00 CV 0526 / 1529 Assessed: 71000 Building Value: 49000 7/1/1985 58000 00 CV 0470 / 1756 Ag.Credit 0 Finished Area: 1148 SgFt 2/1/1979 39000 00 CV 0303 / 2169 Exempt: 1/1/1978 0 01 CV 0280 / 2463 Taxable: 5/1/1977 34000 00 CV 0268 / 2324 Taxes: 1475.69 BUILDING INFORMATION Exterior Features View. RoofCover: SD - Dim Shingle RoofStrUCt GA - Gable ExtType: HC - HC YearBlt: 1976 Frame: Grade: C - C EffYrBlt: 1976 PrimeWall: BS - CB Stucco StoryHght: 0010-1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FUIIBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/26ath. 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 DWC - Driv-Concret Y 1 800 AV AV 1976 1 0100-SF Res BCS -Front Ft 117 125 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?prclid=340260804870006 12/7/2010