HomeMy WebLinkAboutSUBMITTED PAPERSI)ate.. e Du�e-� 4
J lr3 F �e
OUINTY
L 0 R I D A
1,�& Electrical
JR Shed
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SCAIV
St. t'u a y
cie countl/
SPECIALTY PERMIT APPLICATION
0 Plumbing 0 RVAC 0 Fence
0 Demolition 0 Gas 0 Siding
Seepage 2for instructions and additionalpaperwork requiredfor specialty permits
1. Location/Site Address:
2. parcel ID Number: ST ' -� L4 1'? L)'C) lo�
Townswp
Range
map rage
Ring
Land Use
tials
f-:,
Section
Only
I Complete Description of Project or Work: 0
x &A i J&-g Yw- (r
4. owners Information
'qN41AN
5. Contractors Information
ow RIO
C �4to
Name: QJZ'Q
FL Reg/Cert Nij 04
Address: 00- -z
County Cert#:
City: ?SL-
State-
Business Name -
Zip: 3 1 9S-2-
Phone:
Phone: Fax:
6. Value of Construction: S
) 9 1
n
OVWER'S AFFIDAVIT: I certify that all of the infonnation contained in this application is correct and that all 7ork "ill be done i
pliance with all applicable laws regulat, nstruction and zoning.
371
TMOW;NER OR CONTRACTOR NAVE SIGNATURE OF R ONTRACTOR
STATE OF FLORIDA, COUNTY OF
C,
- 40JkNTPJ
ACKNOWLEDGED BEFORE 1. -20 J QBY 1�atrQt, r—VPN- P07-0
U
Z)
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS TION.
rr
S. I-k4yy (Sew)
SIGNATURE OF NqyART- TYPE OR PRINT NIINE OFNOTARY
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-tIEAT REPLACEMENT WITH CONTRACT UNDER S5,000-
NOTICE TO OWNER: F Ra RECORD A NOTICE OF COMM[ENCI IT Y RESULT IN YOUR PAYING TWICE Foj
P WMENTS TO YOUR PROPERTY. IF YOU E ro OBTAIN FINANCING. CONSULT WIT]
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMWT: AIC-HEAT REPLACEMENT Wrffl CONTRACT UNDER $5,000.
INSTRUCTIONS All information must be printed (use black or blue ink
Please complete all information in the space provided.
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 sftctuml,
alteration. The information to be provided with this application includes:
1. Location/Site Address
2. Parcel 11D 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
0 Siding Attach 2 copies of manufactures specifications
0 HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts fol
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
I J i ;J J BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMEENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (if applicable):
'e have agreed to be the
(Company Nam&1nA6&mbWNM9)waamm%.
C -"ub-contractor for
CL
(Type of Trade)
(Primary Contractor)
for the project located at x7�.� ��/ Leq-).5 A v e P-S,�, /'I-- / 5 a
Wwjea Strq_o IM or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor'sLicense)
ORIGINAL SIGNATURES ARE REQUIRED
WA
WE
Business Name:
Address:
City/State/Zip:
Phone:
CIFFI("F 1Tv%F OM,V-.
PERMIT # ISSUE DATE
� e'-A
C--Y"
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 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-&nflyor
duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are
under $25,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. Ifyou
sell or lease more than one building you have wired yourself within I 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 ownerAbuilder exemption shall be reported by the Community
Development Director to the FI * da State Department of Professional Regulation. Signed and acknowledged on
this day of. 7MA - 20 /V
t 7
GNATURE
STATEOFFLOM, Y
COUNTY OF
The fo t jw# c o I ged before me this _,2- day of 20 c
by
op whyi4von Ily known to me or who has produced
'ki
as identification.
(Seal)
SIGNATURV OF NOTARY Type or Print Nav6e of Notary
Title:-Notar-Y Public
Commission Number
St. Lucie County Owner Builder Affidavit -Electrical Contracting
AUDREYB.HUMPHREY
'M
MY COMMISSION # DO 633047
'h 66201 1
EXPIRES: March 6, 2011
Bondod Thru Notary Public UnderwdWs
'c . r., �j
bl d
7
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-farnfly 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.
I understand that the building official and inspectors are not there to design or give advice on how to meet
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
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
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 medical
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 ownerlbuilder exemption shall be reported by the Building and
Zoning Departm^to the Florida State Department of Professional Regulation. Signed and acknowledged on this
day of of 20 La.
_"4t� j
-Ibwner/Builder
STATE OF FLORIDA
COUNTY OF
The fo ument was acknowledge44
by =tr
produded
C?-- day of - ��iIW --, 20 1 0,
,nally known — to Ve, or who has
as identification.
Signature of Notarp Type o(yrint Name of Notary
Title: Notary Publ?d Commission Number
2! �! 2!
,o�N-111Q,' AUI)REYB.HUMPHREY
_6
My COMMISSION # DD 633047
EXPIRES: arch 6, 2011
BondLod Thru Notary Public Underwriters
P,14M-PA&7
(Seal)
,SOO 04"
10
COUNT,
7D
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PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
owing sub -contractors for the
t will be using the foll
(Compa1iyAW0*WnQ NAwe)
3
project located at JA -1111 411 1
(stree4aw#4 Property Tax ID #)
it is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St Lucie County/
State of Florida
License Number
Electrical
V/AJ
Plumbing
HVAC/
Mechanical
Roofing
Gas
nVIVId-r IMP nNT.V-
PERMIT
I
ISSUE DATE:
I
I I
NUMBER:
v e s*x*m.gov
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LEGAL DESCRIPTION
LOT 12 BLOCK 17
RIVER PARK UNIT 2
PLAT BOOK 10 PAGE 72
SAINT LUCIE COUNTY, FLORIDA
Q IRRIGATION WELL
ISITNO
LOT 13
RUCTLI�E
EXISTING
�.F.=11'.431
STRUCTURE
i OT 14
F.F.=ii.431
Elk f � I
LD
10.5'
10.91
SEPTIC IN FRONT
-1 Ol.il
—100001
10. 81
0
'N T"
25'
9.77">�.31 X10.01
4 8.81
9.971 9.731
4 X10.1,
C14
37.7,
;4 04
B' IRRIGATION WELL
38.71 -L2. 12.5
PROPOSED 2 BED
oc)
I
L I I I
co
EXISTING
c; STRUCTURE
F.F.=Ii.171
194 /SQ. . ........ ...
11 , 11 IkEPTIC I
A A V I E
A 10.2r 10 .4'
asphalt pavement
10.00,
�ZK=� — K
BENCHMARK= & is
C/L WILLOWS AVENUE
;S
ELEV.=10.00' ASS D
PLOT PLAN & TOPO SURVEY
CITY WATER AVAILABLE
X=EXISTING GRADES
ELEV. ARE ASSUMED
S=TEST HOLE
UZ=784 SQ. FT. EXCAVATED AREA AVAILABLE & 420 SQ. FT. UNOBSTRUCTED AREA AVAILABLE
NOTE:SETBACKS & LOCATIONS TO BE VERIFIED BY CONTRACTOR
-------------
ALL BEARINGS OR ANGLES ARE BASED ON RECORD PLAT. UNLESS OTHERWISE NOTED.
THE SURVEY OF THE PROPERTY SHOWN HEREON IS IN NOTES:LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EA
ACCORDANCE WITH THE DESCRIPTION FURNISHED BY AND/OR RIGHTS -OF -WAY OF RECORD. THIS SURVEY �EETS M
TECHNICAL STANDARDS (CHAPTER 21HH-6 F.A.C.) I
ELEV. A" ma"
*=TEs� HOLE AREA AVAILABLE & 420 SQ. FT. UNOBSTRUCTED AREA AVAILABLE
to=jt4 SQ. FT. EXCAVATED
TBACKS & LOCATIONS To BE VERIFIED By CONTRACTOR
NOTE:SE
I CORE) PLAT, UNLESS OTHERWISE NOTED.
OR ANGLES ARE BASED ON RE NOTES:LANDS SHOWN HEREON WERE NOT ABSTRACTEDIFOR EA
ALL BEARINGS SHOWN HEREON IS IN . THIS SURVEY JEETS M
THE SURVEY OF THE PROPERTY SHED By AND/OR RIGHTS -OF -WAY OF RECORD
ACMRDANCF WITH THE DESCRIPTION FURNI TECHNICAL STANDARDS (WAPTFR 21HH-6 F.A.C.)
I THIS SURVEY NOT VALID, UNLESS S ALE
KEENE CONSTRUCTION CO. AN'EMBOSSED SURVEYOR S SEAL.
NO SEARCH OF THE PUBLIC RECORDS HAS BEEN MADE BY REPRODUCTION IN ANY FORM IS PROHIBITED.
THIS OFFICE FOR ACCURACY OR OMISSIONS- REBARS & CAPS ON ALL CORNERS UNLESS OTmERWIS� NOTEI
Y SU RVISI
TRUE -AND CORRECT SURVEY,r U*R My SU
HEREBY CERTIFY THAT THE SURVEY SHOWN HEREON IS A No BELIEF, TH THERE AFE�NO
DIRECTION, AND THAT SAID SURVEY IS ACCURATF To THE BEST OF MY KNOWLEDGE A
NCROACHMENTS, UNLESS SHOWN OR NOTED.
APPARENT ABOVE GROUND E Registered Land surveyor. Florida CeIrtificatf
j i
— ---------------- r—
301
30 '
AYLOR
& EMIG
INC.
CHECKEP By
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SCALE
DRAWN 0
3074-87
JOB NO.
LAND SURVEYING
REFERENCES —
KCC 6
No -6
FIELD BK. NO-
5439 CELESTIAL
CIRCLE. STUART.
FLORIDA 33497
FLOOD ZONE
FIELD WOR!K D:ATE 9-9-87
TELEPHONE
(305) 287-0664
(305) 684 -9542
9 1 8
D A T E — 9-- —15---8— — —
0 1 71
8 Lop HOU
R V ISE _1 _ _ -FLOP HOU
EVISED-10 1-87
. �b
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
CHARLIE CRIST THOMAS G. PELHAM
Governor Secretary
October 1, 2007
Mr. Alex G. Martens
Superior Sheds, Inc.
2323 S. Volusia Avenue
Orange City, FL 32763
RE: Manufacturer Renewal of Certification, ID MAF- 13 67 - - Expiration Date: November 09, 2010
ti"I 14
Dear Mr. dArItens:
It is'my pleasure to inform you that Superior Sheds, Inc. - 0 located at 2323 S. Volusia Ave, Orange
Ci1y. FL 32763, has been approved under the Manufactured (Modular) Buildings Program, as provided
for tinder Chapter 553, Part 1, Florida Statutes, for the manufacture of Storage Sheds and Utility-Misc--
Buildings for installation in Flonida.
Design and production of the buildings must be approved for compliance with the current Florida
Building Code (FBC) by your selected Third Party Agency before manufacturing begins. Your Third
0
Party Agency is a contractor to the Department and has statutory authority and responsibilities that they
must comply with to maintain their approved status. Expect and demand quality plans review and
inspections.
Each FBC change will make your plans obsolete until they have been reviewed, approved and so
indicated [on the cover page of the plans] for compliance with the FBC by your Third Party Agency for
plans review. Please ensure that your plans are in compliance and properly posted on our website to
avoid embarrassing work stoppages in the permitting process. All site related installation issues are
subject to the local authority having jurisdiction.
Unarmounced monitoring visits by the Department's contractor will be made at least annually. Complete
access to your manufacturing facility and records ;is mandatory t to remain -conipliant with 'the rules and
regulations of this program.
Please visit our website at www.floridabuilding.org to see valuable information on the Florida
Manufactured Buildings Program. A copy of this letter must accompany applications for_Local building
pen -nits.
Sincerely,
Nlch�ael D. Ashworth
Manufactured Buildings Program Manager
Cc: Danny Kennemur, NDI
2555 SHUMARD OAK BOULEVARD TALLAHASSEE, FL 32399-2100
Phone: 850-488-8466/SUNCOM 278-8466 Fax: 850-921-0781/SUNCOM 291-0781
Website: www.dca.state.fl.us
COMMUNITY PLANNING AREAS OF CRITICAL STATE CONCERN FIELD OFFICE HOUSING AND COMMUNITY DEVELOPMENT
Phone: 85-0-488-23561SUNCOM 278-2356 Phone: 305-289-2402 Phone: 850-488-7956/SUNCOM 278-7956
Fax: 850-488-3309/SUNCOM 278-3309 Fax: 305-289-2442 Fax: 850-922-56231SUNCOM 292-5623
Property Appraiser - St.Lucle County,
F1
—) Page I of I
PROPERTY RECORD CARD
Carol A Ryan -Paton Record: 1 of 1
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Property Identification
\,�CIECO
Site Address: 402 WILLOWS AV
ParcelID:
3419-510-0201-000-0
Sec[Town/Range, 22:36S:40E
Account#: 41942
MapID: 34/22N
Land Use: SF Res
Zoning� RS-4
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner: Carol A Ryan -Paton
RIVER PARK -UNIT 2- BLK 17 LOT 12(MAP 34/22N) (OR 1272-1536)
Address: 402 E Willows Ave
Port St Lucie FL 34952-1360
Sales Information
Assessment 2009 Final Total Land and Building
Date Price Code Deed
Book/Page
2009 Final: 87800 Land Value: 17800 Acres: 0.25
12/30/1999 82000 00 WD
1272/1536
Assessed: 87800 Building Value: 70000
7/24/1998 75000 00 WD
1161/1463
Ag.Credit: 0 Finished Area: 1647 SqFt
1/29/1993 100 01 QC
1052/0847
Exempt: 50000
8/l/1987 15500 00 CV
0554/1369
Taxable: 37800
7/l/1985 ill 01 CV
0470/1448
Taxes 946.86
4/l/1979 10000 00 CV
0307/2259
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
SA - Asph Shingle
RoofStruct:
HP - Hip
Exffype�
HC- - HC-
YearBlt:
1988
Frame:
Grade�
C_ - C_
EffYrBIt:
1988
PrimeWall:
BS - CB Stucco
StoryHght:
0010- 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms�
3
Electric:
MX - MAXIMUM
PrmlntWall:
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
YIS Oty-
Units Qual. Cond.
YrBIt.
No. Land Use
Type
Measure
3CFT -3CFT
S 1
1 AV AV
1988
1 0100-SF Res
220 -Front Ft
100
3CFT -3CFT
S 1
1 AV AV
1988
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
Depth
110
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