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Home My WebLink AboutSUBMITTED PAPERS�id I Fee D�u: Receipt# At # I COUNT FIL 0 R I D A Planning & Developnient Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION 0 Electrical M Plumbing 0 HVAC 0 Fence 0 Shed 0 Demolition 0 Gas 0 Siding Seepage 2for instructions and addidonalpaperwork requiredfor specialty permits 1. Location/Site Address: 14-7 C- A 11- (- E D E-_ L A C- C%S SCANNED BY St. Lucie County 2. Parcel ED Number: I % 6 1 . I I I — (D (=_� c� I — 0 C). 51 - X I 344-91511 0flic-1 Vfe Only sectiorl Township Range i� Map Pa e Zoning Land Use I 11 VU D I V-1i LAA 3. Complete Description of Project or Work: 4. Owners Information Name: EgAAKLIN R- r- Address: (41 C414,a PC= LAG(= City: Er. &C__,pXC- -state: Zip: -3 Phone: 6. Value of Construction:$ Lj-,ao _±0_ 5,�' acto altit %eg/Cert#— * 2, County Cert#: L Business Name: Phone: Fax: -9- OFA -2 1W. YA OWNER'S AFFIDAVIT: I certity that all of the intorffiatiort contamed in this application is correct and Mat all worK will be done in compliance with all applicable laws regulating construction and zoni YA M- M-A—� A PRINT OWNER OR CONTRACTOR NAME 4ER OR CONTRACNT(JR STATE OF FLORIDA, COUNTY OF g�� 20 BY ACKNOWLEDGED BEFORE ME THIS C) DAY OFA6L WHO IS PERSONALLY KNOWN TO W. OR WHO HAS PRODUCED AS�KNTIFICATION. ANGELA M. HUFF MOMIMION # EE 08M SIGNATURE OF Nj�� -IF\ TYPEOItP"T AMEOFNOTARY EXPIRES: April'12,20115 Bonded Thru Notary PUbk Undwwriters CONMSSION NUNMER 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 04/2612010 Planning & Development Services Department Building & Code Regulations 2300 Virginia Avenue ME M_ � __ — W__ rida 34982 Fort Pierce, Flo -1553 (772)462 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 a Ii ble laws pp ic§V11 Initial (T)y ordinances, building codes, and zoning regulations. V - .4 1 understand that the building official and inspectors are not there to design or give advice on how to meet the minimum code. Initial _4� 1 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 0h 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 InitiacWk C-, cost of the license. 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 medical cost, which could include loss of wages during recovery from their injury. Initial olh—C— 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 abo . ve 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 Departme t to the Florida State Department of Professional Regulation. Signed and acknowledged on this day of of 20 12, A Gwner/Builder Signature STATEOFFL Ftl A COLNTY OF LLkc�w_ before me this G day of_�� , 20J Th goin in e s acknowledged by who is personally known to me, or who has roduced _�k as identification. eAl) Signature of tary Type r �rint��Narme of Notary Commission Number ANGEA K HUFF Title: Notar ublic Z., N N. ��71 R1.5 mY COMMMIN # EE 08= -ip- EXPIRES: ApAl 12,2015 SLCPDSD Revised 07/22/2010 M Property Appraiser - St.Lucie CouDtv FL Page I of I Wynne Building Corp Record: 1 of 5 Property Identification Site Address 14 LA VILLA WAY B Sec/Town/Rangei 01 :34S :39E Map ID. 13/01 N Zoning� PUD Ownership and Mailing Owner: Wynne Building Corp Address- 12804 SW 122nd Ave Miami FL 33186-6203 Sales Information Date Price Code Deed 1/111980 950000 00 CV 11/1/1978 390000 00 CV PROPERTY RECORD CARD <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print x,\3C I E c o ParcelID Account#: 317 Land Use- PRKG/MOBILE City/Cnty: St Lucie County Legal Description 1 34 39 E 1/2-LESS AS IN ORS 2639-2,263: 2652-2429: 2664-2695, 2678-378,381: 2688-516: 2701-276: 302 More... Assessmen' 201.1 Final Total Land and Building Book/Page 2011 Final: 28141400 Land Value: 9480000 Acres 318.24 0324/2491 Assessed: 28141400 Building Value: 18661400 0307/1544 Ag,Credit� 0 Finished Area: 21783 SqFt Exempt: Taxable Taxes: 572556.48 BUILDING INFORMATION Exterior Features View: RoofCover� - RoofStruct - ExtType: MHPK - MH Parks YearBIt: 1982 Frame - Grade: C-C EffYrBlt: 1982 PnmeWall� - StoryHght: 0010 - I Story No.Units 1264 SecWaIL - Interior Features BedRoomsi 1264 Electric: - Prni FullBathi 0 HeatType: AvgHt/Fli 1/2Bath: 0 HeatFuel - Prm.Flors- - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S City Units Qual Cond YrBlt No. Land Use Type Measure Depth CNC2 - CONCRETE LOW Y 1 7200 AV AV 1982 1 2800-PRKG/MOBILE 176 -Site 1264 CNC2 - CONCRETE LOW Y 1 5952 AV AV 1982 FEW - CHAINLINK 10 Y 1 200 AV AV 1982 FEN4 - CHAINLINK4' Y 1 160 AV AV 1982 FEN6 - CHAINLINK 6' Y 1 665 AV AV 1982 ASP1 - ASP1 HIGH Y 1 199380 AV AV 1982 CSAV - COM POOL AVG Y 1 2720 AV AV 1982 PA01 - POOL DK-AVG Y 1 6304 AV AV 1982 CURB - CEMENT CURB Y 1 695 AV AV 1982 ASP1 - ASP1 HIGH Y 1 360000 AV AV 1982 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=130111100010005 1/6/2012