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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Permit # Planning & Development Services Building & Code Regulations Division 1 + 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-155371� SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC 0 Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding SC YNFC' St. �lJcle Co,nty Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: We ,Z &Zeti aNe4 RI v CC 2. Parcel ID Number J 3 O — wU � - O G t) 3 — G !J C Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: EwC F— Q /? O ��N� %�oo co J w n r, A r ti c /0 4. Owners Information 5. Contractors Information Name: ./3 Q i Ai(l -T , L E FL Reg/Cert #: p o Address: gb0 t) County Cert#: City: t, a6.,4-CF State: Business Name: " ,7 Zip: Phone: c/&/— (o ✓�% Phone: Fax: 6. Value of Construction: $ T ©d . OWNER'S AFFIDAVIT: 1 certify that all of the information contained in this application is correct and that all work will be done compliance with all applicable laws regulating construction and zoning. PRINT OWNER OR CONTRACTOR NAM _ SIGNATURE OF O NER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF _ ACKNOWLEDGED BEFORE ME THIS tr _ DAY OF 20 BY,/It`�� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS ENTIFICATION. /22 �(seal) TYPE OR PRINT Mt -OF NOTARY SIGNATURE OTARY / COMMISSION NUMBER_ NOTICE TO OWNER: EXEMPT Revised 04/26/2010 A0 V. t) 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. A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 I NOTICE TO OWNER: FAILURE TG i r,�ORD A NOTICE OF COMMENCMEMENT MA` __SULT 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. Qwner _ME-ri-ation 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 3 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. Jlsdch lin0becironicRe.as ?dOcid=14 „ dbid 0 - Microsoft Internet Explorer provided by St. Lucie GIS - - -- U-� — di ter,—=--- - ---- ---- --- 1 t r T Isrfchl Y 'le Edit Go To Favorites Help Favorites -- i Property Appraiser -St.Luc... 1,1y Property Appraiser -St.Luc... t,http:/ilsrfch1/Localwe... Page- Safety- Tools �i h. LAKEWOOD PARK - UNIT NO. 8—A ,..; F.•1 1, � 8T. LUCIE COUNTY FLORIDA DESCRIPTION ` THE NORTH WEST QUARTER OF TTIE SOUTHWEST QUAR- TER Of SECTION 2, TOWNSHIP 3,4 SOUTH, RANGE 39 EAST I i .,Ws•-1 t j - - N O T P L A T T E D� tr--4.7. 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"C'jA0.0':d "-qdz a - Pa.". x 26.00 in tY 1i U0c,- Z.- i Protected 1.1.d, Off j L 7 5 6 1 3 9 10 il -' 13 14 15 16 1- 15 O.X� zi :233 -14 25 26 I . day, Feb 02, 2012 08:58 AM `- Planning & Development Services Department ® Building & Code Regulations a a 2300 Virginia Avenue Fort Pierce, Florida 34982 - - — (772)462-1553 OWNERBUILDER 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 withhal .ing tax and provide workers' compensation for that employee, all as prescribed by law. Your construction mus+ comply with all applicable laws, 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 meet the minimum code. Initial I understand that as an owner -builder that any contract disputes with sub -con .ractors and I must be handled in a civil court with the advice of an attorney. This department will not mitigate any cr itract 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 or 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 raedical 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 Zo ng Depa&yt to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20101 -�� a 1 Owner/Builder Si ature STATE OF FLORIH�1. COUNTY OF - 1 Thptegoingmstru ent was acknowledged before me this day of , 20, by who is personally known to me, or who has pro as identification. y of Title: SLCPDSD Revised 07/22/2010 Name of Notary (Seal) Number �DAEY B. HUMPHAE,159 PYlFi W COMMISSION # EE 06 �• ........,,.Q EXPIRE o M U20115 d Publi, eiwriters Bonde1 Thru N a J� � FILE COPY F� t� Property Appraiser - St.Lucie Cnty, FL Page 1 of 1 Brian J Letts Record: 1 of 1 Property Identification Site Address. 8601 LAKELAND BV Sec/Town/Range: 02 :34S :39E Map ID: 13/02S Zoning: RS-4 Ownership and Mailing Owner: Brian J Letts Joyce D Letts Address: 8601 Lakeland Blvd Fort Pierce FL 34951-1338 Sales Information Date Price Code 11/7/2001 100 01 3/1/1986 49600 00 12/1/1985 5600 00 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print CIE 6,G ParcellD: 1301-609-0003-000-7 2256 "V\ Q y� y Account #: Land Use: SF Res'`- City/Cnty: St Lucie County u Legal Description LAKEWOOD PARK -UNIT 8-A- BLK 1 LOT 3 (MAP 13/02S) (OR 495- 2490:1456-1618) Assessment 2011 Final Total Land and Building Deed Book/Page 2011 Final: 54100 Land Value: 6100 Acres 0.28 QC 1456 / 1618 Assessed: 54100 Building Value: 48000 CV 0495 / 2490 Ag.Credit: 0 Finished Area: 1008 SgFt CV 0487 / 2134 Exempt: 29100 Taxable: 25000 Taxes 540.94 BUILDING INFORMATION Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: HP - Hip ExtType: HD+ - HD+ YearBlt: 1986 Frame: Grade: D+ - D+ EffYrBlt 1986 PrimeWall: FS - Frm Stucco StoryHght 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: STD 1/2Bath: 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. YrBIt No. Land Use Type Measure Depth SWAV - RES POOL AVG Y 1 200 AV AV 1988 1 0100-SF Res BI -Front Ft 95 130 PA01 - POOL DK-AVG Y 1 400 AV AV 1988 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED 11 q? , http://www.paslc.org/prc.asp?prclid=130160900030007 2/2/2012