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HomeMy WebLinkAboutSpecialty Permit Application❑ Electrical 9shed St. Lucie County Building & Zoning 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 Tel. •462-1553 SPECIALTY PERMIT APPLICATION ❑ Plumbing ❑ HVAC ❑ Fence ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: tgno!�p 2. Parcel ID Number:®©®-4 Office Use Section Towns i Range Ma a ning Land Use I Initials Only d 3. Description of Project or Work Activity: 1.1% ®, If CI F� �I 4. Owners Information Name: �Q ��ib sGy 41 Address: 93 0 Jrvl-- City: eeState: 110=1Z Zip: 5. Contractors Information FL Reg/Cert #: County Cert#: Business Name: 2 Phone: Phone 6. Value of Construction: S 1.49 o© Fax OWNER'S AFFIDAVIT: I 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. cX V, � Z y PRINT QUALIFIERS/OWNERS NAME STATE OF FLORIDA, CO NTY OF JJ J ` 2062-BY SIGNATURE OF QUALIFIER/OWNER —ACKNOWLEDGED BEFORE ME THIStDY IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED C7 !/—%_" —/ 7—A IDENTIFICATION. OF NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER + P" . LORIE A. GERSTEMEIER MY COMMISSION # DD 514317 EXPIRES: February 14, 2010 St. Lucie County Specialty Permit Application rev. 8/25/05 drug • ;� Boded ThroNoWryPONUnderwhers A6� (seal) NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGt 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 Indicate the street address or general location of the property where the building activity is taking place. 2. Parcel ID Number Indicate the tax identification number of the property where the building activity is taking place. 3. Description of Project or Work -Activity Fully"descHbe the activity o take place. 4. Owner Information 5. Contractor Information 6. Value of Construction 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'an&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. Forassistance in completing this application, please call (772) 462-1553, during regular o'ff ce hours (800 AM - 500 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,caii be scheduled by calling (772) 462-1261. St. Lucie County Specialty Permit Application rev. 8/25/05 dmg