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Home My WebLink AboutSUBMITTED PAPERSDate: -/ 7i JFeeDue Receipt# Permit # 71 Planning & Development Services Building & Code Regulations Division ��Cq 2300 Virginia Ave. NNFD • - Fort Pierce, FL 34982 St Q (772)462-1553 le COuRt Y SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC &ence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits ,,#V" F r Location/Site Address: / &- lam. �/,c a. - &�, T/• J�iiyG� 7 / 3 `/ ye/ 7- A 2. Parcel ID Number: Uf'lcz! Use Only Section Township Range Map Page Zoning Land Use Initials D 3. Complete Description of Project or Work: 61 fncr Ef Iye r"/' ✓ IA -e __:.. 4''Owners Information 5. Contractors Information Name: FL Reg/Cert #: Address: ,r State: County Cert#: Business Name: Zip: —4/ /7 4, 7 Phone: -IV 4/65 -2S4f Phone: Fax: 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 construction and zoning. f? r rs h l ®G '4/11-a lc u-, s PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ~ ACKNOWLEDGED BEFORE ME THIS DAY OF f Z0 'BY WHO IS PERSONALLY KNOWN TO ME OR WHO HA PRODUCED I F✓ l.� Pv r i s153�::`I 7 DO 852587 M° k'J . AS NTIFICATION. A -h22 2013 •: iFtEB. pha�: E7;F � a, „,U,,!ic Undervtti',BS OF NOTARY TYPM PRINT NAME OF NOTARY 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 I s •1 J •_ 1 i Fee Due., , , « I Receipt# 7< �-U(J7 , Permit # Planning & Development Services Building & Code Regulations Division ICOUNTY 2300 Virginia Ave. • I D A- Fort Pierce, FL 34982 - (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC Z Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for/instructsions and additionalpaperwork requiredfor specialty permits 1. Location/SiteAddress: /b y �S`^ �� T /" ��i�i�� 7 2. Parcel ID Number: 02 o /09 X 3. Complete Description of Project or Wor P'�cc �n � �i e v, f 4. Owners Informatti/ion ky1 5. Co Name: Address: City: / y • /! t l e- State: Zip: �y/ r Phone: )71 97-f. /Sao 6. Value of Construction: $ S DD 00 $ e, 6e C actors Information FL Reg/Cert #: County Cert#: Business Name: Phone: Fax: 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 zoning. - PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF O R OR CONTRACTOR STATE OF FLORIDA, COUNTY OF �[/ 1� ACKNOWLEDGED BEFORE ME THIS C� / DAY OF , 20 l . BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED 1 _ L.� AS ICATION. Oq flOZ ._ P�lvr, WN l �� EX4F.1' 852 SIGNA OF NOTARY TYPE OR PRINT NAME OF NOTARY G'nde t Tn, a ivurary� c 2, 2013 UnderMPers COMMISSION NUMBER J 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 ;:J `- _ '�� Planning & Development Services Department ® Building & Code Regulations o . - 2300 Virginia Avenue Fort Pierce, Florida 34982 (772) 462-1553 OWNER/BUILDER AFFIDAVIT DISCLOSURE STATEMENT F.S. 489.103 ('n 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 applic 1 laws, ordinances, building codes, and zoning regulations. Intha 1 understand that the building official and inspectors are not there to design or give advice in the minimum code. 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. InitiaoA_ 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 j�jale r the cost of the license. Initi 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 reloo medical cost, which could include loss of wages during recovery from their injury. Initi 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 -4,g— day of �� ' of 20 // J � yv wnerBuilder Signature STATE OF FLORID COUNTY OF , 20 , The foregoing instrument was ckn wledggeed before me this day of byj� �✓otti`� who is personally known tome, or who has duced —! as identific l,,pY P .�.r 3* DAWN MILONE �� /�,1 {� *: MY COMMISSION A DO 852587 EXP ch 22, 2013 Signature of Notary Type or Print Name of Notary _ : ,1' � @d r '►5l� Public Underwriters Title: Notary Public Commission Number SLCPDSD Revised 07/22/2010 Property Appraiser - St.Lucie County, FL Page 1 of 1 PROPERTY RECORD CARD Brunilda Meadows Record: 1 of 1 <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 162 U VISTA CT ParcellD: 2407-312-0009-010-9 \��uclEco�y Sec/Town/Range: 07 :35S :40E Account #: Map ID: 24/07S Land Use: SF Res Zoning: RS-3 City/Cnty: St Lucie County k�k Ownership and Mailing Legal Description Owner: Brunilda Meadows 7 35 40 W 1/2 OF S 150 FT OF N 460 FT OF W 183.05 FT OF E Address: 308 N 30th St 388.05 FT OF W 560 FT OF NW 1/4 OF NE 1/4 Fort Pierce FL 34947 More... Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 68700 Land Value: 13700 Acres: 0.32 11/7/2011 57500 0112 SP 3339 / 2977 Assessed: 68700 Building Value 55000 3/7/2011 100 0112 CT 3275 / 1140 Ag.Credit 0 Finished Area 1520 SgFt 2/9/2007 150000 00 WD 2768 / 1364 Exempt: 1/1/1900 0 / Taxable: Taxes: 1397.75 BUILDING INFORMATION Exterior Features View: RoofCovec ExtType: HD+ - HD+ YearBlt. Grade: D+ - D+ EffYrBlt: StoryHght: 0010 - 1 Story No.Units: Interior Features BedRooms: 3 Electric: FullBath: 2 HeatType: 1/2Bath: 0 HeatFuel %A/C: 100 %Heated Special Features and Yard Items Type Y/S Qty Units Qual Cond. YrBlt SWAV - RES POOL AVG Y 1 450 AV AV 1977 PA01 - POOL DK-AVG Y 1 478 AV AV 1977 3CHT -3CHT S 1 1 AV AV 1977 3CHT -3CHT S 1 1 AV AV 1977 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 SA - Asph Shingle RoofStruct GA - Gable 1972 Frame 1977 PrimeWall: BP - Conc Block 1 SecWall MX - MAXIMUM PrmintWall: DW - Drywall FHA - FrcdHotAir AvgHUFI STD ELEC - Electric Prm.Flors: CU - Carpet 100 %Sprinkled: 0 Land Information No. Land Use Type Measure Depth 1 0100-SF Res 220 -Front Ft 91.53 150 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?prcIid=240731200090109 12/27/2011