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Home My WebLink AboutSUBMITTED PAPERSPlanning & Development Services Building & Code Regulations Division r 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCANNED By St Lucie coUnty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC a Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: ,� r n -7 -) 1 tji- C A H Vl= i 2. Parcel ID Number: /qj �Uad — Township Range Map Page Zoning an Use Initials UJtrce Use Section Only 3. 4. Owners Information 5. Contractors Information Name: o S FL Reg/Cert #: Z h �tti -r-Gt d Al RS' Address: � ; / _ �& County Cert#: City: / C _= State: Business Name: Zip: �� / Cj `� Phone: Phone: 8 6. Value of Construction: $ SO 0 OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in ycompliance with all applicable laws regulating c ction and zoning. ,� PRINT OWNER O CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF C E. ACKNOWLEDGED BEFORE ME THIS DAY OF��> 20__a BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED 6�0 C r] I g AS I ENTIFICATION. (seal) SIGNATL&EOF YP O P NAME OF NOTARY �,,,,,� �'',�'�" �, ; My �ANGELA M. HUFF COMMISSIONNUMBER _ MSSION#EE083W ' {- EXPIRES: ThIRE : April 12 1 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY I� IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINA 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: FAILURE Tv P-LMRD A NOTICE OF COMMENCEMENT MA- _?SULT IN YOUR PAYING TWICE FOR MIPROVEMENTS 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. s I s ME 0{7 Planning & Development Services Department • Building & Code Regulations • • 2300 Virginia Avenue t _ sw Fort Pierce, Florida 34982 . ss (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_ I understand that the building official and inspectors are not there to design or give advice on h to eet `.. 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�1 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 maybe responsible and liable fo; 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 e 'cal 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 Zoning DeparWnt to the Florida Statq Department of Professional Regulation. Signed and acknow edged on this day of J CiLJ)r\ of 20 . wner/Builder ature STATE OF FLO A_ COUNTY OF ��— bye produced Signature Title: Not SLCPDSD Revised 07/22/2010 before me this Z4 day of\J , 20 l ) who is personally known to me, or who has as identification. %kype or rrm Commission My AAO&AM 0)WWS10N # EE: BondedEXPIR 11w N S' AP6112 �QB15 3530 �_ �Y public U Property Appraiser - St.Lucie C--ty, FL Page 1 of 1 PROPERTY RECORD CARD Gordon A Thomas Record: 1 of 2 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��,UCIE CMG Site Address: 2707 SENECA AV ParcellD: 1428-702-1019-000-5 Sec/Town/Range: 33 :34S :40E Account #: 9854 Map ID: 14/33N Land Use: SF Res City/Cnty: St Lucie County Zoning: RS-4 Ownership and Mailing Legal Description Owner: Gordon A Thomas Elizabeth B Thomas SAN LUCIE PLAZA S/D-UNIT ONE- BLK 48 LOTS 14 AND 15 (MAP Address: 2707 Seneca Ave 14/33N) (OR 186-1430) Fort Pierce FL 34946-6667 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final. 46500 Land Value: 4900 Acres 0.32 8/12/1970 0 00 WD 0186 / 1430 Assessed: 46500 Building Value 41600 Ag.Credit: 0 Finished Area 2227 SgFt Exempt: 46500 Taxable: 0 Taxes: 189.78 BUILDING INFORMATION C Exterior Features 6 6 View: RoofCover TG - Tar & Gravel Rool'Struct GA - Gable ExtType. HD -HD YearBlt: 1966 Frame: Grade'. D - D EffYrBlt: 1977 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: PF - PF 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 Oty, Units Oual Ccnd. YrBlt. No. Land Usc Type Measure Depth 3CHT -3CHT S 1 1 AV AV 1977 1 0100-SF Res 225 -Front Ft 100 140 3CHT -3CHT S 1 1 AV AV 1977 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?prcIid=142870210190005 1 /4/2012