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HomeMy WebLinkAboutSUBMITTED PAPERSDater a Due: Recei t# U-J mit # im-em I Cau NTY"` F L O R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SC �NFD St, � ucie Co unty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC IRrFence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: ` 14 15e— 6!t -Rltl- CA 14 YF 2. Parcel ID Number: 34( I — S 30 — 0/C 6-- 000— / =W4 ML1• �r�J�� .�JL�SI■ 3. Complete Description of Project or ork,;, ChAl� LAX CQ A< y 4. Owners Information 5. Contractors Information Name: -3 Op Gj00gPAj- OA) /Ef FL Reg/Cert #: Address: Ile County Cert#: City: lynersrZuaf- State: FL Business Name: Zip: 349,x 3 Phone: 777- G'3/$g Phone: ax: c>� 6. Value of Construction: $ OWNERS 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 c ction and z ing. Sc at 6 PRINT O ER OR CONTRACTOR NAME SIGNATUR70�WNN OR CONAACTOR STATE OF FLORIDA, COUNTY OF Z� ACKNOWLEDGED BEFORE ME THIS DAY OF 20BY� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. E.-to ANCELAM.HUFF MYCOMMI6� EE83530S TYPE OR PRIN NAME OF NOTEXPIRES: pn'f 12, 2015nded Thru Nota7 N* Und&,~ 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 NOTICE TO OWNER: FAILt__ f0 RECORD A NOTICE OF COMMENCEMEN kY 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 Indicate the street address or general location of property where the building activity is taking place. 2. Parcel ID Number Indicate the tax identification number of the property where the building activity is taking place. 3. Description of Project or Work Activity Fully describe the activity to take place. 4. Owner Information Indicate the name and address of the owner of the property on which activity is taking place. 5. Contractor Information Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. 6. Value of Construction 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 he 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 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 applica s, ordinances, building codes, and zoning regulations. Initial I understand that the building official and inspectors are not there to design or give advice on ho t 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 liab 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 relate 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 Zonm Departme to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 12,— 1-2 Ownei:B> rder Signature STATE OF FLO-JUDA COUNTY OF The regoing instrument was ac owle ge before me this Vpl_ day of , 201;L by who is personally known to me, or who has nroduced I Wt-/— -n as identification. y1 f t itux T Si ature of N ry Type or Pat Name of Notary ;Y'iv''• lAM'� �ry�SSION # EE 06353� Title: Notaryy Pdblic Commission Number EXPIRES: April 12, 2ot5 7 �F FtdS bonded Th u Notary Publ'�c Undavmto s PLA1vNING AND DEVELOPMENT SERVICES DEPARTMENT BUILDING AND CODE REGULATIONS DIVISION 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772)462-1553 Fax (772) 462-1578 PERMIT RENEWAL REQUEST PERMIT NUMBER: ZD �d ��i ADDRESS: 4j4 SE �?%I�JpI"�K—► �/� �Y I, ac Sc vf`�C—Z , am requesting that the above permit be renewed. I unders d that I must schedule and pass all required inspections for the permit to be finaled. Further, I understand that this is a ONE TIME RENEWAL and the permit shall expire should I not receive a passing inspection during any six month period during the renewal period. Justification I-1i t77— ( T ct.r^-75r OR SIGNATURE J L!r Print Name STATE OF FLORIDA COUNTY OF T3(//S DATE ACKNOWLEDGED BEFORE ME THIS 6X DAY OF 10 1 1200 BY tg%. MGV%a sG 0 � �, WHO IS PERSONALLY KNOWN TO ME , OR HAS PROVIDED re- 1. (\ t-- STATE OF FLORIDA, County of S SIGNATURE OF NOT FOR OFFICE USE ONLY: Number of Open Inspections: Total Inspections: (Divide open by total to get % of open inspections) Percentage: Original permit fee: x % open = $15.00 Renewal fee AS IDENTIFICA DEANNA GIVENS p,,,, Notary Public - State o1 Florida Expires Dec 16, 2016 _ My Comm. Commission # EE 658761 g�;,;; °•' Bonded Through National Notary Assn. Example: [15 divided by 23=.65(%)] $175(permit fee) x .65=$113.75 (renewal fee) Revised 7/21/2014 zt cL 14 f 1 1: '1 www.sunbiz.org - Department of Stl*- Page 1 of 2 Home Contact Us E-Filing Services Document Searches Previous on List Next on List Return To List No Events No Name History Detail by Officer/Registered Agent Name Florida Limited Liabilitv Compan 3RD GENERATION,LLC Filing Information Document Number L11000140633 FEI/EIN Number NONE Date Filed 12/15/2011 State FL Status ACTIVE Effective Date 12/15/2011 Principal Address 410 GASPARILLA AVE PORT ST LUCIE FL 34983 Mailing Address 410 GASPARILLA AVE PORT ST LUCIE FL 34983 Registered Agent Name & Address GORMAN, ROBERT J 1209 DELAWARE AVE FORT PIERCE FL 34950 US Manager/Member Detail Name & Address Title MGRM HAYDEN, BEVERLY S 410 GASPARILLA AVE PORT ST LUCIE FL 34983 Title MGRM SCOFIELD, RAYMOND 410 GASPARILLA AVE PORT ST LUCIE FL 34983 Annual Reports No Annual Reports Filed Document Imaaes 12/15/2011 -- Florida Limited Liability View image in PDF format Forms Help Officer/RA Name Search Submit http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=L 110001406... 2/ 13/2012 www.sunbiz.org - Department of Stp*P Page 2 of 2 Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List Officer/RA Name Search No Events No Name History Submit I Home I Contact us I Document Searches I E-Filinq Services I Forms i Help i Copvriqht© and Privacy Policies State of Florida, Department of State http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc_number=L 110001406... 2/13/2012 -9. 09.pdf - Adobe Reader _ °ile Edit View 'Nindew Help x J 1 1 — ❑ �� r° Comment Share I to N • • �A %} 9� 35�- r. Z Q� y /7 4 � 5 34 �\o \oo a6''° 5 9 3 9 0 0 2$ �- a Gl `� t 3 \ c �° � Z3 eA 27 L •rP is �O i !� �• c� . O L 6 Z _1CU 10— II f� v i 3Z t41�QkucL- , - 9p _n �L� aa q I o • L3 19O zt)� n' ti - '+ D" .p.4T Z4 o Ct �� r.•-� o__Jf2 ` �. J 19 �. Z S �C ✓- 0 5 1 G c QQom. Gy 6 9 13° oti I 40. n 40 94: 9_a $ t°o �Z fa f I •/ \oo ,po /t L t ate`/5 21 P J �� VZ t b . / 3 in tf� o !4 • t pf • rs• L \. Z,+ 0 o`s�.�"/ e13 Za �" 0 140• 1�• ' qr 5 1� 9y o 2.6 V�bno�s � • �i S0 Ser 3 entries (l selected) jugMULN r Last Modified 2il'2010 8:34:37 AM 2/3/2010 834:37 AM . 213,12010 8:34:37 AM 2/3!2010 8:34:37 AM .' L3i20108:34:37 AM 2/3/2010 8:34:37 AM S_ 2/3/2010 8:34:37 AM 2/3/2010 8:34:37 AM 2/3/2010 8:34:37 AM 2/3/2010 8:34:37 AM SL 2/3/2010 8:34:37 AM SL 2/3/2010 8:34:37 AM SL 2/3/2010 8:34:37 AM si 2/312010 8:34:37 AM SL 23/20108:34:37AM ._ 2/3/2010 8:34:37 AM 213i2010 8:34:37 AM 2/3/2010 8:34:37 AM _. 2/3/2010 8:34:37 AM 2/3/2010 8:34:37 -M 2/312010 8:34:37 AM `Li 2/3/20108:34:37AM p 2.3/ 2010 8:34:36 AM 2/3/20108:34:36AM 2/3/2010 8:34:36 AM 2/3/2010 8:34:36 AM 2/3/2010 8:34:36 AM 2/3/2010 8:34:36 AM L StLucieCo (PUBLIC) CAP NUM ,day, Feb 13, 2012 03:32 PM Property Appraiser - St.Lucie County FL Page 1 of 1 PROPERTY RECORD CARD 3rd Generation LLC Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \,,t1CIE CO Site Address: Sec/Town/Range: 414 SE GASPARILLA AV 28 :36S :40E ParcellD: 3419-530-0105-000-9 Account #: 42505 Map ID: 34/28N Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: 3rd Generation LLC RIVER PARK -UNIT 4 BLK 35 LOT 8 (MAP 34/28N) (OR 3349-1657) Address: 414 SE Gasparilla Ave Port St Lucie FL 34983 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 58400 Land Value: 10300 Acres: 0.29 12/12/2011 38000 0112 SP 3349 / 1657 Assessed: 58400 Building Value: 48100 10/28/2011 100 0112 CT 3337 / 1028 Ag.Credit: 0 Finished Area: 1707 SgFt 1/26/2007 205000 00 WD 2762 / 0710 Exempt: 11/15/2006 165000 00 WD 2703 / 2898 Taxable: 1/1/1900 0 / Taxes: 1188.16 BUILDING INFORMATION Exterior Features m View: RoofCover: SA - Asph Shingle RoofStruct GA - Gable ExtType: HD+ - HD+ YearBlt: 1968 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: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: STD 1/26ath: 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 Qua]. Cond. YrBlt. No. Land Use Type Measure 3CHT - 3CHT S 1 1 AV AV 1977 1 0100-SF Res 231 -Front Ft 90 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 140 http://www.paslc.org/prc.asp?prclld=341953001050009 2/13/2012