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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: �.y ,0 Receipt#- Permit # /11 L Planning & Development Services J 1= Building & Code Regulations Division 2300 Virginia Ave. SCANNED r, Fort Pierce, FL 34982 St By (772)462-1553 �Ucie County SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional�plaperwork required for specialty permits 1. Location/Site Address: #�.17 v L� 2. Parcel ID Number: # y t:-11.q — Sh© - eq©—:15- — co of"ke Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Dese . t. of Project or Work: 46 4L) 1-,gyve-, 4. Owners Info ation #e4,e--'A0065. Contractors Information}Name: " FL Reg/Cert #: OWN Address: Ar 6 % 7o , +d N�0'/fl0�i�% County Cert#: City: /J/-, L!✓��1� State: Business Name: Zip: � � Phone: �J Phone: Fax: 6. Value of Construction: $'�>JW OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in com 1' ce with all applicable laws regulaWATeOF et an zonin r PRINT 0 R OR CONTRACTOR NAME /. SIOWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF , l y� ACKNOWLEDGED BEFORE ME THIS _ DAY OF , 201E BY W 0`' WHO IS PERSONALLY KNOWN TO ME OR WHO H S PRODUCED �� }d �•ID, c' ?? A NTIFICATION. f / J IGNA OF TARY TYPE OR PRINT N OF NOTARY Y'd� • AUDREY 11 HU HREY . •.• MY COMMISSION # DO 633047 COMMISSION NUMBER i°., ;:€ EXPIRES. March 6, 2011 Nv!nry Puhllb Underwntara NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE 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 NOTICE TO OWNER: FAILURE ZECORD A NOTICE OF CONINIENCEMENT NU ESULT IN YOUR PAYING TWICE FOR WROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNfY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: 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. OFFICE USE ONLY: PERMIT # DATE FILED: RECEIPT # 1� REVISIONFEE: &2 f PLANNING & BUILDING & APPLICA 1. LOCATION/SITE / ADDRESS: 1p 2. DETAILED DESCRIPTION OF PROJECT REVISIONS: &Fi 3. CONTRACTOR INFORMATION: STATE of FL REG./CERT. #: BUSINESS NAME: QUALIFIERS NAME: ADDRESS: CITY: PHONE (DAYTIME): 4. OWNER/BUILDER INFORMATION: NAME: �4J ADDRESS: CITY: U PHONE: 7 �' g. ARCHTTECT/ENGINEER INFORMATION: NAME: ADDRESS: CTTY: PHONE (DAYTIME): SLCCC: 9/23/09 Revised 04/26/2010 ST. LUCIE COUNTY CERT. #: STATE: FAX: m v,4E 1%-1, STATE: ZIP: FAX: STATE• ZIP: FAX: r7 COU NT,Y St. Lucie Coto_-,, 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 ap lic 1 1 s, ordinances, building codes, and zoning regulations. Initia I understand that the building official and inspectors are not there to design or give advice on how o et 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 liabl e cost of the license. Initial 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 i 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 the Building and Zoning Dep nt to the Florida State Department of Professional Regulatio i d nd acknowledged on this day of of 20 �� n Owner/Builder Signature STATE OF FLORID CX., l� COUNTY OF The fore •. s • ment was a knowledged be re me this 8 day of , 20 // by %c o is personally known to me, or who has produced 1 as identification. f'> >`P 11LJ_ Signature of ary Typ�ri Aame (Seal) Title: Notaryublic Commission Number ;_�}• •Y AUDREY B. HUMPHREY i MY COMMISSION # DD 63304i EXPIRES: Marh 6 2011 'Ji Bonded Thru Notary Public Undenmters A Ito ed Is E4.3 L - -day, Jan 03, 2011 01:41 PM 3hee12 of 2 (Skefdl of Survey) - See Sheet 1 of 2 for Legal r n, Cer5ficetions, Properly and odler Sunny rebkd dab. SURVEY IS NOT CWLETE r BOTH SHEETS 5CALE:1'-30 C 0 cJl _ 5a IR 5/8' N89 53WW 75.00(Pw SET R 0.3' • 7 t .G LOT 35 BLM I '^ 44.10 ONE STORY RESIDENCE / 617 12.D0 Mz SW CORNER 75.00 4M) 0.1' 2 Of lOT 3t RR 518' FIR SWW N Adverse Cori f u' Pkase note Bw Wool. CM - CCanc. and Coy. OriveM &XIM* W a Sadh 25.V Buidng Mad Line. ` g 32.10 COVER N 589'51'37Y 75.OWtM) 16.41Y M � f FILE COP s z // 0 I 0 Oo-5 ASPHALT ROAD COCONUT AVENUE NORTH 50.00 TOTAL RAH la Savaging oM s th wom the Sbte of Fbdda. Ptease refer to our web sde et Moe Number: 01.51577 �ny wwwINdICA.00m for up IDdate infornlab about our bcations and coverage area. The sunny has been issued by IM foiowing Landleeh Surveying office: Oscan By: E.V 1500 N.W 62nd Street, Suae 511 Dale of F*m Work : 03-124 NO LauderdA, Florida 33309 RevWm : Me: (954) 776-6766 Fax: (954) 776.4660 www.LandtechSurvey.com Rom' Revision: 0. I' FIR 5/8' N 41IMP LandTech S U R V E Y I N G Providing Fast do Accurate land Surveying Services throughout Florida Mwwabl better! Property Appraiser - St.Lucie (Minty, FL Page 1 of 1 PROPERTI RECORD CARD Robert B Howard Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��UCIECpG Site Address: 617 N Coconut Ave ParcellD: 3419-510-0035-000-5 Sec/Town/Range: 22 :36S :40E Account #. 41781 Map ID: 34/22N Land Use SF Res City/Cnty. St Lucie County �' ; --::;• Zoning: RS-4 Ownership and Mailing Legal Description Owner Robert B Howard Lisa J Howard RIVER PARK -UNIT 2- BLK 1 LOT 35 (MAP 34/22N) (OR 2956-2856: Address 617 N Coconut Ave 2975-1874) Port St Lucie FL 34952 Sales Information Assessment 2010 Final Total Land and Building Date Price oar. Deed Book/Page 2010 Final: 43500 Land Value: 10000 Acres: 0.23 3/21/2008 75500 00 SP 2956 / 2856 Assessed: 43500 Building Value 33500 8/21/2007 100 01 CT 2868 / 2990 Ag.Credit 0 Finished Area 1122 SgFt 7/13/2006 150000 00 WD 2624 / 1913 Exempt. 11/1/1980 54000 00 CV 0342/1907 Taxable, Taxes: 904.12 BUILDING INFORMATION _ Exterior Features . �t�3C `ifT.L1TirT•IS7c�'i5iZi57C'� View: RoofCover SA - Asph Shingle RoofStruct: GA - Gable ExtType HD+ - HD+ YearBlt. 1964 Frame: Grade. D+ - D+ EffYrBlt 1977 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units. 1 SecWall. Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: PF - PF FullBath: 2 HeatType FHA - FrcdHotAir AvgHUFI STD 1/26ath. 0 HeatFuel: ELEC - Electric Prm Flors TZ - Terrazo %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 3CHT - 3CHT S 1 1 AV AV 1977 1 0100-SF Res 220 -Front Ft 75 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED 133 http://www.paslc.org/prc.asp?prclld=341951000350005 1 /3/201 1