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Home My WebLink AboutSUBMITTED PAPERSDate: Fee Due: I -- Pe t # MIN OUNTY 7 F?L10 R--1 -D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 3QA/VjV,ct) St. ku 13Y Cie CQIU17ty SPECIALTY PERMIT APPLICATION 0 Electrical 0 Plumbing El HVAC 0 Fence 11 Shed 11 Demolition 11 Gas El Siding Seepage 2for instructions and additional paperwork requiredfor specialty permits 1. Location/Site Address: 15306 2. Parcel ID Number: Sqo4 — '50/ — v5 / ct -coo/s F REMOITZ Z="FAM a E wirIbm =011 Norm WWI N "If WIDAIN 3. Complete Description of Project or Work: go �-- L) c) +v o, -E, I 4. Owners Information 5. Contractors Information Name: FL Reg/Cert #: Address: I C) �7[CCd County Cert#: City: State: Business Name: Zip: S4 6, 9z' Phone: "71 a V(PS 6. Value of Construction: $ �)-Oo f> OWN ER'S AFFIDAVIT: I certify that all of the information contained in this application is c ect wor"ll be done in compliance with all applicable laws Nij�wAiZn an 9. la PRINTOWNEROR ONTRACTORNAME SIGNATURE OF OwrER OR CONTRACTOR/ -- 9K I STATE OF FLORIDA, COUNTY OF �-k� B - ACKNOWLEDGED BEFORE ME THIS DAY OFJ WA)�� 20 1 3� BY I r- WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED Q--1 ENTIFICATION�.�,/ I,- - %i ANGELA WHUFF . ......... . . SIGNATURE OF TARY TYPE OR PRINT�ff OF NOTARY u. EXPIRES: April 2015 BWKI$d Thru 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 04/2612010 NOTICE TO OWNER: Fi �E TO RECORD A NOTICE OF COMIAENCEN MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINcr, CONSuLT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMIPT: 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. 0 Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance D Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications 0 Fence Attach 2 plot plans showing location of fence height of fence and type of fence 0 Siding Attach 2 copies of manufactures specifications 0 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. 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-farnily or two-farnily 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 appl ws, ordinances, building codes, and zoning regulations. Initial ito I understand that the building official and inspectors are not there to design or give advice on ho cet the minimum code. Initial T ?1_J 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 dispute !. 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 hab 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 relatec�medijal 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 Depa"ent to the Florida State Department of Professio egulation. Signed and acknowledged on this of 20 n�_ day of 07wnAer�Builder ignatZure/ STATE OF FLORIDA COUNTY OF �;+ �,O C�_V The for ing ins ent as ac�o��81pd,, by Signature of N Title: Notary P I before me this day of JUcx , 20 1 AJ who's er onally known to me, or who has `nt as identification. Ar-1 q P-A a 4.QL ------- - ------- Type or Priat)qame of Notary ANAW);ZF_F Commission Number MY COMM11tSION # EE 08= If EXPIRES: Aprfl 12,2015 B=W Thru Notary Public UWwwrItars Fort Pierce Utilities Authority "Committed To Quality" Key Accounts 206 S. 6th Street Fort Pierce, FL 34984-3191 Job Location: 5208 CITRUS AVE Account Name: DOROTHY O'GUIN_ Contact Name: DOROTHY O'GUIN_ Billing Address: 1016 FLOOD RD _ Phone: (772)465-1629 Fax: Cell: Phone (772)466-1600 Fax (772)465-6984 invoice Number: KA-119-11 PCN: 340450105190008 FEI# FORT PIERCE FL 34982 Accounting Codes # Size Description Fees 06-3-060-43701-0000 1 5/8X3/4" Water Meter and/or Service Installation $800-00 06-2-000-23500-0000 Cust Type Water Security Deposit $60.00 06-3-060-48800-0000 Residential Water New Account Setup Charge $40.00 06-3-060-43702-0000 City Limits Water Capital Improvement Charge W�o - $1,841.00 06-3-060-49525-0000 Outside *Water Accrued Guaranteed Revenue Charge $526.37 Meter Verification Fees $0.00 08-2-000-23500-0000 Wastewater Security Deposit $0.00 08-3-080-48800-0000 Wastewater New Account Setup Charge $0.00 08-3-080-43702-0000 Wastewater Capital Improvement Charge WW ERC's 0.00 $0.00 08-3-080-49525-0000 *Wastewater Accrued Guaranteed Revenue Charge $0.00 Accounting Codes Construction Cost Estimate Fees 0.00 0.00 *Water and Wastewater AGRC fees are good until the end of the month. If not received by Down Payment: $0.00 the end of the month, new fees will apply. Please contact our office for updated fees. Invoice Total: $3,267.37 Description for service order: INSTALL 5/8X3/4" WATER METER ONLY METER BOX ON WESTSIDE OF DRIVEWAY Total Paid: $3,267.37 Date Paid- 12/19/2011 Check Number: 3878 Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater (;onnection Charge is paid - whichever is first. The cost of the service line from the point of delivery at the property line to the house/building is the responsibility of the customer and is not included in this invoice. State laws require that a permit from the Health Department must be obtained prior to initiating a septic tank abandonment. Contact the Health Department at (772)8734931. Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at the completion of the project. Should unforeseen circumstances be encountered during construction, including but not limited to adverse weather conditions and construction conflicts, the customer will be responsible for increased costs. Additional costs incurred by the customer shall not exceed fifteen (15) percent of the total estimated construction costs shown above. Estimated costs paid by the customer that exceed the actual cost of construction will be refunded by Fort Pierce Utilities Authority. Reviewed By: Customer's Signature: Printed Name: Joyce Easterday, Key Accounts Specialist Date: 12/16/2011 Date: i-afi6) — , e�l U, "/S 6 (e 6 - A -;)- / �' / �4- Property Appraiser - St.Lucie Countv FL Page I of I PROPERTY RECORD CARD J Michael O'Guin Record: 1 of I <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \)aCIE 00 Site Address� 5208 Citrus Ave ParcelID: 3404-501-0519-000-8 Sec/Town/Range: 04:36S:40E Account #: 39796 Map ID� 34/04S Land Use: SF Res Zoning: RS-3 City/Cnty� St Lucie County Ownership and Mailing Legal Description Owner: J Michael O'Guin Dorothy L O'Guin WHITE CITY BEG NW COR OUTLOT 6 RUN E ALG N LI 150 FT, TH S Addressi 1016 Flood Rd 170 FT, TH W 150 FT, TH N 170 FT TO POB Fort Pierce FL 34982-7250 More... Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final 75700 Land Value� 25500 Acres: 0.59 7/1/1988 0 01 CV 0594/0490 Assessed: 75700 Building Value: 50200 7/1/1981 0 01 CV 0369/1455 Ag.Credit: 0 Finished Area: 1326 SqFt 9/1/1976 23500 00 CV 0257/2477 Exempt: 50000 Taxable: 25700 Taxes 719.85 BUILDING INFORMATION Exterior Features View: RoofCover: SA - Asph Shingle RoofStruct: HP - Hip ExtType: HD+ - HD+ YearBlt 1950 Frame: Grade: D+ - D+ EffYrBIt- 1977 PrimeWall: BS - CB Stucco StoryHght: 0010- 1 Story No.Units� 1 SecWall: Interior Features BedRooms� 3 Electric: MX - MAXIMUM PrmIntWaIl: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: STID 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 Qual Cond YrBlt No Land Use Type Measure Depth 3CNT -3CNT S 1 1 AV AV 1977 1 0 1 00-SF Res 213 -Front Ft 170 150 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.pasic.org/prc.asp?prclid=340450105190008 1/13/2012