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HomeMy WebLinkAboutSUBMITTED PAPERSDate: a ❑ Electrical ❑ Shed 11 Fee Due Recei t# Permit # (p Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. sC.9 Fort Pierce, FL 34982 St. � NN QY FC (772)462-1553 • �!C j� �oUnt ' SPECIALTY PERMIT APPLICATION ❑ Plumbing ❑ HVAC 0 Fence ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional pgperwork required for specialty permits 1. Locatiou/Site Address: :3 �" `� �� �� 2. Parcel ID Number: 3 i rT s- d" O 2 $`-O — 0 d v r� Office Use Only Section .a Tow6ip RaaBe Map Page Zoaug Lad Use Litiab 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Name: Ao u I d i1 7---, /ra FL Reg/Cert #: Address: 3 20' o' `i 'A ✓--e- County Cert#: City: 1� S L State: F G. Business Name: Zip: 3 t-+ `7 5 3 Phone: 772 - ';�'7 8' Si7J-J-Phone: Fax: 77a - 7Y-S" 2j 6. Value of Construction: S PO ; Go oWNER,s AFFIDAviT: 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 construction and zoninf. PRM OWNER OR CONTRACTOR NAME SIGNATURE OF O R OR CO ACTOR c. STATE OF FLORIDA, COUNTY OF n BEFORE ME THIS � DAY OF �ZR 11. . 20 / �_ BY I Q U I a- O %i Z- R I Y 2— ACKNOWLEDGED WHO IS PERSONALLY KNOWN TO ME V'�OR WHO HAS PRODUCED AS IDENTIFICATION. / :ia`MY'P CYNTHIA C. KELLY ��l /�MY OM SSION # DD 945738 EW: April 10 2014 SIGN/. OF NOT Y TW—E PRINT N ARY Bonded ThN Notary Public Underwrflers COMIMSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR I1I11PROVEMENTS 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 $SAO@. NOTICE TO OWNER: FAILURE T :CORD A NOTICE OF CONM ENCEMENT Mtn RESULT IN YOUR PAYING TWICE FOR MROVEM L,t, , S TO YOUR PROPERTY. IF YOU INTEND )BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 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. n � 7 4.z ( ' i,� � •e Edit Go 70 Farontes Help m. Appraiser SUWae... '6httP:J/l5rfch1/LOcaIwebhn... x ,�PProperty -U. qO Q k , "f 4L • Ze / '�S 1 2Z ; i .�" 37.20 x 26.00 m r ti- u - gage - Safet; - 'Dols - N - Y! 't`, !nesday, Jan 19, 2011 02:33 PM COuyNTi/ r� St. Lucie Coun _, 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 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 to ipgat 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 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 med' 1 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 g7day Depart t to the Florida State Department of Professional Regulation. Signed and acknowledged on this of of 20 14—. ^ Ownftl8bilder S'' atur STATE OF FLORIDA COUNTY OF // The going ins vm t was ac wedged before me this l 4q day of , 20 �I by who is personally known to me, or who has pro4aVed as identification. Signature of Title: Notarti hype or tWnt Namb c Commission Number y�y'+ AUDREY B. NUMPHREY MY COMMISSION # oD 633047 -': EXPIRES. March 6,201 t PubcUnderNiiters ,, � • tlsd Thru Nc" ,%✓��,�r�y rho / �0 � / � E 1 i � a i w ✓ 4,/Alpic-r FIL'E COPY STUART FENCE COMPANY, INC. .r' April 4, 2011 St Lucie County Permitting Dept 2300 Virginia Avenue Ft Pierce, FL 34982 Re: Permi 1001-0146 Please cancel the above referenced permit. This job was cancelled due to the ARB prohibited this fence. If we need to provide further action please notify us. Sincerely Chester Richmond President P.O. BOX 2636 • STUART, FL 34995 • PH: 772-288-1 151 • FAX 772-288-3035 •. c.r.cdt 1 'vie, Sookrnarks Tools Wndow Help ' n 4 0 ��. a c L� © ♦ ♦ 1 �.« l� ® N z Parcels _ > _ ❑ Wgfi6gMer Q ' !4 ■ .... Layers n CPU Parcels Basemap t•tarkers V Commun,cabon To, e -vO County Sou ndar y �0 RU 324 Oserla•; Zones Sectors ^^ O , R« R, E - :."ar=. Fart f�:u-.„ .: Historic Structures J J /�\ w Address Master MisC Addresses - HydroPgy Names . Road R010/ DanensKx Lot Lnes Bkxk Numbers Arno Lot Nundyer Anno 322 R R Ru Parcel Dimenswn Anr d -�_ __ �•imension 34952 Port St Lucie -. Hydredcc. (s Anrexabc=-s r \ . 0 An. au-, Rs - v /� O li. fV\ Zoning u 320 • y.. Future Land use ,� Flood Zones Pebbons , AirWt Run ay Parks & Preserves .1A` Site Plans �,J '4mdzones 318 P.t� Rs-< Ru Mobiie Home Parks Subd ,Pons Sobel Viaste Servsce , RL • J Mawr Hydrology UtAty Ser'r,Ce Areas qs.< - Jhn (nrlcc v • - map to a parbcular scale IMCTIM 873161.25 10917171 Feet iesday. Jan 19, 2011 02:16 PM Property Appraiser - St.Lucie C­—ty, FL Page 1 of 1 PROPERTY RECORD CARD Raul B Gonzalez Record: 1 of 1 «Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Pnn; Property Identification Site Address: 320 HOLLY AV ParcellD: 3419-510-0250-000-8 \X,��UCIECOG� Sec/Town/Range: 22 :36S :40E Account #. 41990 < Map ID 34/22N Land Use: SF Res Zoning. IRS4 City/Cnty St Lucie County Ownership and Mailing Legal Description Owner Raul B Gonzalez Judy M Gonzalez RIVER PARK -UNIT 2- BLK 19 LOT 19(MAP 34/22N)(OR 1558-985 Address. 320 Holly Ave 1820-2325) Port St Lucie FL 34952 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 163200 Land Value 97800 Acres. 0.27 10/2/2003 100 01 WD 1820 / 2325 Assessed: 117215 Building Value 65400 7/23/2002 139000 01 AA 1558 / 0985 Ag Credit 0 Finished Area 2058 SgFt 3/8/1991 85000 00 WD 0730 / 0378 Exempt 50500 8/20/1990 0 01 QC 0711 / 1475 Taxable 66715 Taxes 1591.02 BUILDING INFORMATION Lxtenor Features View: RoofCover TG - Tar & Gravel RoofStruct GA - Gable ExtType. HD+ - HD+ YearBlt. 1958 Frame Grade D+ - D+ EffYrBlt 1977 Prime Wall. BS - CB Stucco StoryHght 0020 - 2 Story No.Units 1 SecWall: FS - Frm Stucco Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall PF - PF FullBath: 3 HeatType: FHA - FrcdHotAir AvgHt/FI STD 1 /213ath: 0 HeatFuel ELEC - Electric Prm Flors: CT - Tile -Ceramic %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 230 -Front Ft 75 155 3CHT -3CHT S 1 1 AV AV 1977 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 FNW5 - WOOD FEN 5' Y 1 225 AV AV 2004 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED / 0 10, http://www.paslc.org/prc.asp?prcIid=341951002500008 1 / 19/2011