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
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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