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HomeMy WebLinkAboutSUBMITTED PAPERSI07• 30• Jo Date: I Fee Due: Receipt# 17 1 L2L/,N -- I Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SceYNED St �ucre Count SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 forr instructions and additional paperwork required for specialty pernuts 1. Location/Site Address: f 6 J Uy %c ,�,'` C, �-c A 2. Parcel ID Number: 3 e�u ` %60 -6 D ,(-, y — bC) U — Only Svction Township Range Map Page Zoning Land Use Initials low 3. Complete Description of Project or Work: Aen /`7e/P— yl 4. Owners Information - 5. Contractors Information Name: Gtil /C P`1<� FL Reg/Cert #: Address: �� 3 (� %<�� / / P� �C County Cert#: City: State: L Business NamIZFax.-: Zip: 3 Phone: 7j� ,)GD-,j�oMPhone: W NeT2� ra 6. Value of Construction: $ 5-• :o OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be iqen,J � - compliance with all applicable laws regulatingponstruction an zoning. oo = P ]NT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR N STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS s3 DAY OF l) e C . 20.1 , B G.r �• /C P�1K��) WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED 1 • _�] f / m A41DIFICATION. 01S:2tqt4-�-'z J)U e � selr%'�e- ySIO NO Y YPE OR PRINT NAME OF N ARY / COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT %IAV 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 $7500.00 Revised 04/26/2010 - ' J Planning & Development Services Department eve I Building & Code Regulations Division 2300 Virginia Ave _ ..._ Fort Pierce, FL 34982 772-462-1553 Owner Builder Affidavit —Electrical Contracting DISCLOSURE STATEMENT F.S. 489.503 (6) EXEMPTIONS State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. 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 Community Development Director to the Flo da State Department of Professional Regulation. Signed and acknowledged on this _0 day of CC - , 20 J O 4&_ a �& OWNER/BUILDER SIGNATURE STATE OF FLORIDA COUNTY OF ST-. Ll LCxF- The foregoing instrument was acknowledged before me this � � day of ��� — , 20 10 , by &\�� 1 M - `�11flkm , who is personally known to me or h roduced� p Signature of Notary as identification. '"C i l9 �eIC$6XA" (seat) Print name of Notary Title: Notary Public Commission Number l�bq5$ I03 9 .t,yr PV�s PATRICIA REICHENBAUGH ;= MY COMMISSION a DD 958903 EXPIRES: February 15, 2014 j SLCPDSD Revised 7/23/2010° Bonded ThruNotary Public Underxrters St. Lucie County Owner Builder Affidavit -Electrical Contracting 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. INSTRtiCTIONS 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,loeation, 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. t� COASTALTfSTINC� LABORATORY, LLC <.�� -Post j"icpi�v o�t O 8o2023 PaivvvCUy, FL 34991-2023 772.220.6688 DATE: JOB NUMBER: PERMIT NUMBER. CLIENT: CONTRACTOR: JOB LEGAL: JOB ADDRESS: COMPKCrroW rtSrr 4SrAf 0 69.38 -IO March,26, 2013 13-0328 1212-0268 Fre Harper Fre&liarper N/A 12275 Ce*sena.Terrac& Port St. Luciel, FL RECENED MAR 2 8 2013 SOIL CLASSIFICATION Er REMARKS: A3 Fr%abl&&r-awvvsa*i,dy sca TEST SAMPLE LOCATION: 10' IS LR Corner - Ce,nter of Pa l/ - 10' IS RF Corner 2) 100.6 3) 101.8 Re�ec�fu�- Sulrn�+ Erne4to- Vea4c o-, P.E. 103.2 103.2 103.2 %Cam�a,ct'wry 97.8 9 7.4 98.6 RECEIVED MAR 2 8 2013 COASTAL rESrIN(5 LA130RArORY, LLC Pa-st Offu,& Ba%/ 202 3 Pa4mCity, FL 34991-2023 772.220.6688 MOISTURE VENSITY REL4 TIONSfffP DATE: March,26, 2013 CONTRACTOR: Fre harper JOB NUMBER: 13 -0328 RfRM17- NUMBER:1212 -0268 112 0 110 0 LL- 108 U > 102 0 ME ASTM D 1557-09 8 10 12 14 Moisture — Percent of Dry Weight Property Appraiser - St.Lucie 0111tity, FL- Page 1 of 1 PROPERTY RECORD CARD Alan M Renken Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �v\CIECo Site Address 7630 Greenbrier Cir ParcellD: 3322-700-0064-000-3 Sec/Town/Range: 22 :36S :39E Account #: 149690 Map ID 33/22S Land Use: SF Res Zoning PUD City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Alan M Renken Julie A Renken POD 19 PUD II GREENBRIER (PB 41-5) LOT 59 (OR 3240-1515) Address 7630 Greenbrier Cir Port St Lucie FL 34986 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 179600 Land Value 52000 Acres 0.24 10/15/2010 206000 0001 WD 3240 / 1515 Assessed: 179600 Building Value: 127600 4/29/2004 236900 00 SP 1956 / 0447 Ag.Credit 0 Finished Area: 1782 SgFt 4/21/1998 21320600 02 WD 1140 / 1945 Exempt: 50500 Taxable: 129100 Taxes: 2887.66 BUILDING INFORMATION s Exterior Features View: RoofCover CT - Conc Tile RoofStruct HP - Hip ExtType: HB - HB YearBlt: 2004 Frame: Grade: B - B EffYrBlt: 2004 PrimeWall: BS - CB Stucco 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 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors. CT - Tile -Ceramic °mA/C 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty Units Qual. Cond. YrBlt. No. Land Use 1 0100-SF Res BI -Site 1 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=332270000640003 12/30/2010