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Home My WebLink AboutSUBMITTED PAPERSDate: Electrical ❑ Shed v Fee Due: Receipt# (��, ,Permit # QQ St. Lucie County Building & Zoning 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 Tel. 561-462-1553 SC q SPECIALTY PERMIT APPLICATION S' 4u° eY�Fo El Plumbing ❑ HVAC El Fence ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: � 1 ICJ Ill ►q J ol'c � A Ct?- 2. Parcel ID Number: =/1AIA0M&WG--WWx=i Office Use Section Township Range Map Page Zoning Land Use Initials Only 3. Description of Project or Work Activity: r F �Pr. Rtc�4 4. Owners Information (� 5. Contractors Information Name: FL Reg/Cert #: (�Lo ly-e� Address:&(14`�(fALC,County Cert#: City: State: L Business Name: Zip: �MolPhone: UP -3303 Phone Fax 6. Value of Construction: $ 1 0 0 OWNER'S AFFIDAVIT: I certify that all of the information contained in this applicatloR is corree� t akER l be done in complia ce w' -a4appable laws regulating constructio zonin . 1V" �t IF PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/0 ATE OF FLORIDA, COUNTY OF �+ �ACKN�OWLEDGED BEFORE ME THIS DAY OF O?S PEA NALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICA -3—?4 — LF,-?7 r7�, D 914TU F NO ARY OR PR]NT NAME OF OTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER AUDREY S. HUMPHREY MY COMMISSION # DID 633047 ^: o EXPIRES: March 6, 2011 St. Lucie County Specialty Permit Application rev. 8/25/05 ding �orN°�' bonded NOTICE TO OWNER: FAILURE T_ ....CORD 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. 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 the 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. Ift ❑ 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. ,VOTE: 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. St. Lucie County Specialty Permit Application rev. 8/25/05 ding St. Lucie County 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 m s be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide wo ers' compensation for that employee, all as prescribed by law. Your construction must comply with all applic taws, 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 t eet the minimum code. code. Initial I understand that as an owner -builder that any contract disputes with sub -contractors and I must be h ed 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 p be licensed in this jurisdiction. If for some reason they do not possess a license, I may be responsible and liab e cost of the license. Initial I understand that if any person that is unlicensed and uninsured gets injured on my construction pr ' - they may be entitled to workmen's compensation. I could be held liable for all doctor, lawyer and relate d 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 si a buildi permit application and initial the above. i I", I hereby acknowledge that I have read and understand the above disclosure st to t d that I understand that any violation of the terms of the owner/builder exemption shall be orted a Build Zoning Department to the Florida State Department of Professional Regulation. ' ed and w,ledge day of of 20 1 STATE OF FLORIDA COUNTY OF The foregoing instrument was ac wled�ed before me this 40 day of , 20 /y , by 1 17'lf" who is personally known to me, or who has produced l/ n' - as iidenntiific on. 614 / ( - A��IA, Signature of N Title: Notary P or Print Name of aission Number ,,WWP{p•.,e AUDREY B. HUMPHREY .- ; MY COMMISSION # DD 633047 EXPIRES: March 6, 2011 �% hand®d fnru Noutry Pu* Und#rwrKers i Edit View Bookmarks Tools Window Hey Qh da R Mgr Q (El% ; , , ; n 0 ♦ * 1:138 v 8 M 9 eaa Basemap Markers y. iT ; 1 ' 0.70 v ❑Highlighter =; Layers asemap Markers J 'ont•i Boundary - erlay Zones secoons . Historic Structures r address Master Misc addresses Hydrology Names + Road ROl^! Dmensioa + Lot Lines Block Numbers Anno to J Lot Nu.1ber Anno t. ! Parcel Dmens;on am E Managed Care Faalit ROV; Major Roads 'V' Streets Historic Sites Hydrology Annexations o'. Parcels a.. Flood Zones Peotions Airport Runway Parks &Preserves Site Plans Future Land Use + Zoning .. '4xiclmnes Mobile Home Parks Subdiwsions i Solid Waste Service Ma}or Hydrology +. Utility Service Areas + io' Zip Codes y. Municipalities + Aerials 2009 • ienals Inns F-nds taill places and addresses on the map 873013.49 1118039.69Feet �cStciK s l.. city— - (Property... !` BZ_Arcmap93-Ardt... r Property Appraiser - ... !. Property Appraiser - ... Is inbox - Microsoft Out... ' < 13 'i y M 11:31 AM r Wednesday, Jan 20, 2010 11:31 AM Property Appraiser - St.Lucie ( ity, FL Page 1 of 1 Thomas R Smith Record: 1 of 1 Property Identification Site Address: 3146 NAYLOR TERR Sec/Town/Range: 27 :35S :40E Map ID 24/27N Zoning: RM-11 Ownership and Mailing Owner: Thomas R Smith Address: 3146 Naylor Terr Fort Pierce FL 34982-6420 PROPERTY RECORD CARD Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Parcel) D: 2427-603-0201-000-7 \XX, Account #: 31793 I Land Use: SF Res City/Cnty: St Lucie County �'\�—/. Legal Description SILVER LAKE PARK ADDN BLK 13 LOT19 (OR 3118-450) Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 39900 Land Value: 7800 Acres: 0.17 7/20/2009 20000 0112 SP 3118 / 0450 Assessed: 39900 Building Value: 32100 1/15/2009 100 0112 CT 3065 / 0920 Ag.Credit: 0 Finished Area: 1156 SgFt 9/13/2002 55000 00 WD 1581 / 2830 Exempt: 9/5/1997 27000 00 WD 1097 / 1921 Taxable. Taxes: 775.8 BUILDING INFORMATION Exterior Features View: RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD -HD YearBlt: 1950 Frame: Grade: D - D EffYrBlt: 1971 PrimeWall: BP - Conc Block StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmIntWall: PN - PN FUIIBath: 1 HeatType: FHA - FrcdHotAir AvgHUFI: STD 1/213ath: 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 3CHT - 3CHT S 1 0000000001 AV AV 1977 1 0100-SF Res BI -Front Ft 60 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 Depth 125 http://www.paslc.org/prc.asp?prcild=242760302010007 1 /20/2010