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Home My WebLink AboutSUBMITTED PAPERSFee Due: OT Receipt# Permit # x COUNTY F L O R 1 D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ RVAC "I❑ Shed ❑ Demolition ❑ Gas Seepage 2 for instructions and additional paper 1. Location/Site Address: ❑ Fence ❑ Siding required for specialty permits 2. Parcel ID Number:�C/ Othee Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: C 114? P 4. Owners Information Name: _�91 Address: City: Le�� Zip: 6. Value of Construction: $ -j—/- W 5. Contractors Information FL Reg/Cert #- 0a)NerE- County Cert#: Business Name: Phone: Fax: 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 reg g nstruction,and zonin . PRINT OWNER OR CONTRACTOR NATURE OF OWNER OR CONT CTOR STATE OF FLORIDA, COUNTY OF / ACKNOWLEDGED BEFORE ME THIS DAY OF 201 1 BY I WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED • — °a� .... < W g ENTIFICATION. PRO —Val) m m 1 • • PRO —Val) -jro o SIGNATUR OF 4PE OR PRINT NA OF NOTARY z m m o (n -< 2 �cnta COMMISSION NUMBER o ? c NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CON LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 IP .l 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 $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 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 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 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. `= -' *°' Planning & Development Services Department • Building & Code Regulations Division • 2300 Virginia Ave Fort Pierce, FL 34982 772-462-1553 Owner Builder Affidavit — Electrical Contracting DISCLOSURE STATEMENT F.S. 489.503 (6) EXEMPTIONS State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. Failure to do so may result in a liability for you! To qualify for this exemption under this subsection, an owner must personally appear and sign the building permit application. 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 Community Development Direct the Flo ' State Department of Professional Regulation. Signed and acknowledged on this % day of 20 4/Z_ . OWNER/BUILDIER SIGNA STATE OF FLORI COUNTY OF %/—A[ ICS4 The foregoing instrument was acknowledged before me this OA day of3e4 A , 20 _LL, by`i'i�f'I jP; jjj.. —H_�� ,who is personally known to me or has produced Signature Title: Notary Public SLCPDSD Revised 7/23/2010 of Notary Commission Number St. Lucie County Owner Builder Affidavit -Electrical Contracting as identification. �• (Seat�'�� AUDREY B. HUMPHREY *: MY COMMISSION # EE 061159 <= EXPIRES: March 62015 '.F Bonded Thru Notary Public Undert1)r017 Property Appraiser - St.Lucie County, FL 6, Page 1 of 1 PROPERTY RECORD CARD Patricia M Bragger (LF EST) Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ��UCIE CO Site Address: 10701 S OCEAN DR 908 ParcellD: OFF y Gyp Sec/Town/Range 11:37SAlE Account#. 123814 Map ID. 45/11B Land Use: Mob Homes Q� Zoning: HIRD City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Patricia M Bragger (LF EST) VENTURE OUT AT INDIAN RIVER INC LOT 908 (OR 1356-2949: Address: 10701 S Ocean Dr 908 3338-934) Jensen Beach FL 34957 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 134000 Land Value: 110000 Acres 0.05 11/1/2011 100 0114 QC 3338 / 0934 Assessed: 134000 Building Value: 24000 1/16/2001 97900 00 WD 1356 / 2949 Ag.Credit 0 Finished Area: 825 SgFt 12/23/1993 100 01 QC 0884 / 0260 Exempt: 50500 12/1/1975 18000 00 CV 0248 / 0105 Taxable. 83500 Taxes: 1895.82 BUILDING INFORMATION (Mlw R 1 1. �Ij1fY/i Exterior Features View: RoofCover: - RoofStruct: - ExtType: MHH - MHH YearBlt: 1988 Frame. - Grade: PKMB - PKMB EffYrBlt: 1988 PrimeWall: - StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWall: - FullBath: 0 HeatType: FHA - FrcdHotAir AvgHUFI: 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: - %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 DOK2 - WOOD DOCK Y 1 138 AV AV 2009 1 0200-Mob Homes 164 -Site 1 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?prclld=451151001080004 12/21/2011