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Home My WebLink AboutSUBMITTED PAPERSFee Due: Planning & Development Services `Low Building & Code Regulations Division SC 2300 Virginia Ave. BY • R I D A- Fort Pierce, FL 34982 Sf. _ ._.._zw.._.:... _ Lucie (772)462-1553 COUnt� SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ RVAC MFence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: G707 Fat Wctl iosn Aw - 0 0 ` &/4 WQ11C 7 2. Parcel ID Number: 13 01(l 201 d 7 0 0 0 lD 13016120 to a 0 O C53 Township Range Map Page nine Land Use Initi U%5c d Use Sectr n Only X3 T&Yq �3Or6� Zak 3. Complete Description of Project or Work: Fe i(-1q rou v)A yx rt f� '' mar s fiy�P Owners Infor n 5. Contractors formation Name: 'J A M c S L r PQ .( 1 e(_c.6y)% FL Reg/Cert #: Address: (0707 Ff U-k:LI ip" /j)& County Cert#: City: Pt P( Pike State: L Business Name: -Z Zip: c(S Phone: ITZ 475 11I Phone: Fax: Jf 6. Value of Construction: $ S v D. D O OWNER'$ AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in -JV coVICIm liance with all applicable laws regulating construction and zon' J"eS L� E RSdY0 Am gg PRINT OWNER OR CONTRACTOR NAME l SIG A URE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF�� C� ACKNOWLEDGED BEFORE ME THIS DAY OF P _200 VQ, BV� ��-J �JJ' WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED y(�L �� O t TIFICATIO�1�) A\--\Cl Mr."''•., ANGELAM.HUFF �1 +? MY COMMISSION A EE 083530 �i r �` (STOIRES: April 12. 2015 SIGNATr TARY TYPE OR PRQ IT AME OF NO ARY �,h Bonded Thru Notary public Undenaiters COMMISSION NUMBER 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 $7500.00 Revised 04/26/2010 °fib 1 - rTT Aj �" I 51 �,;Qd �{ h -A 'Oaa Ter-rr,l �- 1 ,-?, a,-� _ on jo,�.. Applicant has been advised NO stnictureS can be erected within any easement or right of way unless otherMSe approved. Mplicant Initials ��'j p � �cii c r%r ov FS t Ca C r 1. PLANNING & DEVELOPMENT BOARD OF SERVICES DEPARTMENT COUNTY - I COMMISSIONERS Building & Code Regulation Division Residential Fence Affidavit of Compliance 1, jQ ►y1eS �_ PeAt- rid °'U , intending to be legally bound, hereby certify that work authorized by Permit Number 1202-0065 is installed in accordance with the approved drawing/plot plan/survey on file with the County. I certify the fence is: 1. Located within my property boundaries. 2. Not located within any preserve areas or easements. 3. A Maximum of 4 feet in height in any required front yard setback. 4. A Maximum of 6 feet in height on the side and/or rear of the property. 5. Not located within 50 feet of North Fork, Five Mile or Ten Mile Riverine, if my property was platted before 8/1/89 or not located within 75 feet if my property was platted after 8/1 /89. 6. Outside clear sight triangle (fence shall be erected in such a way so that adequate sight distance at any vehicular or pedestrian access is maintained) 7. "Not used as a fence pool barrier -J P (initial) r, O ne /Contractor Signature Date Print Name /Cent. No. 7 The foregoing instrument was acknowledged before me this / 7 day of /V W 20 ay,SA m -_C /�" Igw E Personally Known v Produced ID otary Pu Type of ID Produced "FENCES USED AS POOL BARRIERS MUST BE INSPECTED BY THE COUNTY AUDREY B. HUMPHREY My COMIMNSSION # FF 174772 EXPI +• s! ` 1 �,��,.•a: RES: March 6, 2u19 Bonded Thru Notary Public Underwr ters` 1 .so NV 6S Ol ZIOZ LO qaj 'Aap` (Dn9f1d) o�aun�tS WV 9E:9E:9 OTOZ/ER NV 9E:4E:8OTOZ/E/Z V V 9E:4E:8 OTOU£/Z NV 9E'YE'8OTOZ/E/Z W V 9£:PE:9 OTOZ/E/Z NV WPEB OTOZ/ER NV 9E:9E:8 OTOZ/ER WV 9E:4E8OTOVER WV 9E;9E:8OT UM WV 9E:h£:9 MOVER NV 9E:t£:9 OTOZ/ER VIV 9E°9E:8 OTOZ/E/Z M 9E:4E:8 OTOZ/E/Z NV 9E:1'E:9OTOZ/E/Z tNV 9E:4E:9OIOZ/£/Z WV 9E:OE:8OTOVE/Z M 9E:4E:B OTOZIER NV WVOS OTOZ/E/Z WV WWI OTOZ/E.2 W V 9E:VE:9 OTOZ.'E/Z W V 9E:4E:8 OTOZ'E/Z VdV 9ETE:8 OTOZ/E,IZ M 9E:9E°9 OTOZA/Z !NV 9£:tE:B OTOVE. Z WV 9ETE:8OTOZ/E/Z WV 9E:9E°9OTOZ/E/Z VVV 9E:tf:9 OTOZ/E/Z VJV 9£:PE:B OTOZIE/Z Pa!i!Po";Sal - w C-0 91- a iZ LE oil in I morlin, a�oa a v 1 I '%rx xww 9 1� 4f C1TnAel �L rvoUa i-eo9^�a O O AI I I V I l ajey5 i luawTuoD rr C! oU5 } I i ! T . -x -- d!aH Mopugl ++ai t!P3 ,i,; . _ NPaa'da9oPV - 4Pd-V6Z , .`* Property Appraiser - St.Lucie County Page 1 of 1 PROPERTY RECORD CARD James L Peterson Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,� VUCIE CO Site Address: 6801 Fort Walton Av ParcellD: 1301-612-0108-000-3 Sec/Town/Range: 01:34S:39E Account#: 2865 Map ID: 13/01S Land Use: Vac Res 1. Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: James L Peterson Kelly Peterson LAKEWOOD PARK -UNIT 10- BILK 122 LOT 28 (MAP 13/01 S) (OR Address: 6707 Fort Walton Ave 2532-282) Fort Pierce FL 34951 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 4800 Land Value: 4800 Acres 0.23 3/31/2006 55000 00 WD 2532 / 0282 Assessed: 4800 Building Value: 0 5/24/2005 100 01 QC 2290 / 1560 Ag.Credit: 0 Finished Area: 0 SgFt 9/19/2003 14000 00 WD 1804 / 1578 Exempt: 10/11/1999 100 02 QC 1255 / 1961 Taxable: 10/7/1998 14000 02 WD 1178 / 0010 Taxes: 97.67 3/24/1994 12000 02 WD 0892 / 1545 10/1/1981 4300 00 CV 0365 / 2205 5/1/1973 1000 00 CV 0220 / 2924 BUILDING INFORMATION x No Sketch Available Exterior Features View: - RoofCover: RoofStruct: - ExtType: - YearBlt: Frame: - Grade: - EffYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: Electric - PrmintWall: FullBath: HeatType: - AvgHt/Fl: 1/2Bath: HeatFuel: Prm.Flors: %A/C: %Heated: %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty, Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0000-Vac Res BI -Front Ft 75 131 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=130161201080003 2/7/2012 Property Appraiser - St.Lucie Count —L Page I of 1 PROPERTY RECORD CARD James Peterson Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 6803 Fort Walton Av ParcellD: 1301-612-0109-000-0 \\x-.IEC�G2 Sec/Town/Range: 01 :34S :39E Account #: 2866 �e Map ID: 13/01S Land Use: Vac Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: James Peterson Kelly Peterson LAKEWOOD PARK -UNIT 10- BLK 122 LOT 29 (MAP 13/01S) (OR Address: 6707 Fort Walton Ave 3218-1152) Fort Pierce FL 34951 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 4800 Land Value: 4800 Acres 0.23 8/3/2010 6000 0001 WD 3218 / 1152 Assessed: 4800 Building Value: 0 9/19/2003 14000 00 WD 1804 / 1584 Ag.Credit: 0 Finished Area: 0 SgFt 10/11/1999 100 02 QC 1255 / 1961 Exempt: 10/7/1998 14000 02 WD 1178 / 0010 Taxable: 3/24/1994 12000 02 WD 0892 / 1545 Taxes: 97.67 10/1/1981 4300 00 CV 0365 / 2206 BUILDING INFORMATION X No Sketch Available Exterior Features View: RoofCover: RoofStruct: - ExtType: YearBlt: Frame: - Grade: EffYrBlt: PrimeWall: - StoryHght: No.Units: SecWall: - Interior Features BedRooms: Electric: PrmintWall: Ful]Bath: HeatType: - AvgHt/FI: 1/26ath: HeatFuel: - Prm.Flors: - %A/C: %Heated. %Sprinkled: Special Features and Yard Items Land knformation Type Y/S Qty. Units Qual. Cond, YrBIt. No. Lpnd Use Type Measure Depth 1 0000-Vac Res BI -Front Ft 75 131 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasIc.org/prc.asp?prcIid=130161201090000 2/7/2012 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 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 laws, ordinances, building codes, and zoning regulations. Initial �Ji I understand that the building official and inspectors are not there to design or give advice on how t meet the minimum code. Initial J 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. p Initial J T 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- JP — 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 qif4ical cost, which could include loss of wages during recovery from their injury. Initial J 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 Department to the Florida State Department of Professional Regulation. Signed and acknowledged on this _7 day of g of 20 _LZ�. - ,am 'VA A— r=k (Wa4-a� OArt ilder Signature STATE OF FL �*A COUNTY OF LA Ck'e- }� The foregoing instrum t was acknowledged before me this / day of , 20 o� by who is personally known to me, or who has produced as identification. t `1 M. HUFF Signature of ary Typ or tint N e of Notary My �N # EE 0635K Iy ct ` EXPIRES: APril 12, 2015 Title: Nota ublic Commission Number: %jn` Bonded Thru Notary Public Underwriters - 1x PT � I L Property Appraiser - St.Lucie Count L Page 1 of 1 PROPERTY RECORD CARD James L Peterson Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \31CIE Q2 Site Address: 6707 Fort Walton Av ParcellD: 1301-612-0107-000-6 Sec/Town/Range: 01 :34S :39E Account #: 138869 Map ID: 13/01S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County A10k Ownership and Mailing Legal Description Owner: James L Peterson LAKEWOOD PARK -UNIT 10- BLK 122 LOT 27 (MAP 13/01S) (OR Address: 6707 Fort Walton Ave 1023-219) Fort Pierce FL 34951 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 32000 Land Value: 4800 Acres: 0.23 6/26/1996 55000 01 WD 1023 / 0219 Assessed: 32000 Building Value: 27200 Ag.Credit: 0 Finished Area 972 SgFt Exempt: 25000 Taxable 7000 Taxes 142.44 BUILDING INFORMATION Exterior Features fio�:Zr'3E3>fCt`ITTsT:7 View: RoofCover: SA - Asph Shingle Roof$trUCt GA - Gable ExtType: HD -HD YearBlt: 1981 Frame: Grade: D - D EffYrBlt: 1981 PrimeWall: WS - Wood/Sheath 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: 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 Depth 3CNT - 3CNT S 1 1 AV AV 1981 1 0100-SF Res BI -Front Ft 75 131 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 http://www.paslc.org/prc.asp?prclid=130161201070006 2/7/2012