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Home My WebLink AboutSpecialty Permit Applicationti. Date: r �(7 Fee Due: , Receipt# i Permit # M 7z6Y 73' St. Lucie County Building &Zoning 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 / f-�/ �►�� ni: Tel. 462-1553 ,= %'•' V' _ X�;a? •rp•' J- "? X.l 'SPECIALTY PERMIT APPLICAT N . Electrical �❑ Plumbing ❑ HVAC Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required far specialty permits 1. Location/Site Address: flit U/ /2cnr < f2o4j d t�S� / `� 3 c/ 9 S° tj 2. Parcel ID Number:�10 (- B 9 — C-2 j0 3 — 0/ v - S• Office Use Only Section TownshipRange Ma Page ZoningLand Use Initials Cm 2 % �Vz/) Description of Project or Work Activity: 4. Owners Information Name: UCA. �/ Sl.a;i.LGL Address: 0r / / o0 City: a ��_g.� .. State: - V 5. Contractors Information FL Reg/Cert #: Lco L LDS County Cert#: 13 3 (3 Business Name: C4 Xr✓e I �f- Zip: Phone:fG3-Sn/-oo/$Phone5�(-123-o+3 ax 6. Value of Construction: S q,,50 0 OWNERS AFFIDAVIT: 1 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 regulating construction and zoning. /iz/) PRINT QUALIFIERS/OWNERS NA SIGNATURE OF QUALIFIERIOWNER STATE OF FLORIDA, COccUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 20r�Q, BY d �,. („t_J I1w WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. L • . ` C n=' Q*d /Z �fx.NA (seal) SIG AT RE OF NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC St. Lucie County Specialty Permit Application rev. 8/25/05 dmg COMMISSION NUMBER EL7 ARNA N#DD544374 pr. 25,2010 SaMee.eom NOTTCE 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 the 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 acfivity 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. . ❑ bias 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 ❑ IIVAC 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 Specialty Permit Application rev. 8/25/05 ding 11 � 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 the 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. St. Lucie County Specialty Permit Application rev. 8/25/05 dmg