HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATION'F
Fee
Permit #
00
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave. -
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑. Electrical ❑ Plumbing ❑ HVAC Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 10511 NA-1.1
2. Parcel ID Number: W4 2 2 81 n ON O - O Od - B
Office Use
Only
Section
Township
Range
Map Page
Zoning
an Use
Initials
73
• .7
M
3. Complete Description of Project or Work:
it �i, L
4. Owners Information 5. Contractors Information
Name: �)[�lnn cI �; �� F_S� ar • FL Reg/Cert#: l
Address: 1(� C Pp���1 . —Tr CL , L County Cert#: 023S -7
City: t,•�_r State: 1= L Business Name: L an t u _ ; on ;1 ne
Zip: 3q99 to Phone: —7-72 -27—ZCK1)l Phone:-1"7Z ZZ3MTAFaa:3�2 2 Z3
6. Value of Construction: $ i , 5 ()0, O�
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work
' e ce with�allapplicable law egulating onstruction and z '
P OWNER OR TRACTORN lE SIG ATURE OF OWNER OR CONTRA OR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS (Qfil DAY OF 20 11 BY'
20"�6 C"JJ 1264
WHO IS PERSONALLY KNOWN TOME OR WHO HASTRODUCED _
IDENTIFICATION.
,� (I - �o a�� BRANDY WATLEY
d rr�.� �s -Y eAtary Public - State of Florida
SIGNATURE O OTARY T PE OR P NAME OF NOTARY ,� cPc My Comm. Expires May 9, 2014
COMMISSION NUMIIERID ci g 89 743 ,
%n;q ;QCommission # DD 989743
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 S7500.00
Revised 04/26/2010
_NOTICE TO QW�VER: FAILURE TO RECORD`A NOTICE OF COMMENCEMENT MAY, •—. <JLT IN YOUR PAYING TWICE COR
IMPROVEMENTS TOYOUR PROPERTY. _IF YOU INTEND `TO OBTAIN FINANCINd, 'CONSUJ :T WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT wrrH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in the space prov:
only) or typed. This permit application is to be usi
under a primary building permit. This application
alteration. The information to be provided with th
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
❑ Gas Attach 2 piping schematics
❑ Shed: Attach 2 plot plans, 2 copies
❑ Fence Attach 2 plot plans showing
❑ Siding Attach 2-copies of manufac
❑ HVAC Attach 2 residential energy
new system or full replacen
;d.• All information must be printed (use black or blue ink
only for those activities that are not otherwise included
ay not be used for any activity that includes structural
application includes:
This application can be submitted to St. Lucie Count
rr+38sr49112A11°piiTiia�`ications must be filled out
z!ac'cepted; for processiig,ffter 4:30 P.M. For assist,
y'62-1'5'53,d'u uig;regular'office.hours (8:00 AM -'5':
NOTE Emergpcy electric service change out insl
.. �,
special arrangements and additional fee paid.
Upon issuance of this permit, required inspections
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
,nuinbe:and the name ofthe.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.
tank size, location, and BTU of each appliance
DCA letter and plans, 2 anchor specifications
of fence height of fence and type of fence
specifications
2 manual J calculations. 2 sets of duct layouts for
Building and.Zoning, 2300.Virginia Avenue, Fort Pierce,
:)mpletely before submission. No applications will be
ce in completing this application, please call (772)
PM), Monday through Friday.
will not be performed after -3: 00 PM without
be scheduled by calling (772) 462-1261.
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) oretyped.. This permit applications 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.
1ndicate-the tax identification number of the property - -
where the building activity is taking place.
3. Description of Project or Work -Activity --Fully describe the activity to take place.--
4. Owner Information Indicate the name and address of -the owner of the property
- on which activitycs-taking-place.
5: Contractor Information Indicate the State of Florida registration number (if
- applicable), St. Lucie County contractor license number
and the name of the business doing the work.
6. Value of Construction 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
El 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 34987. Ah-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
INSPECTION ' CARD
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-2172 Fax: (772) 462-6443
Permit #: SLC- 1001-0146
Issued: 01/19/2010
Job Location: 511 NW WINTERS CREEK RD
Jurisdiction: St. Lucie County
Subdiv: Harbour Ridge Plat #20
Online address:
hftp://Www.stlucieco.prg/planning/permifting.htm
Quick Links
Permit Status Lookup
Online Building Inspection System
Confirmation # 754 Status
Type: Fence
City: PALM CITY
Parcel: 4422-810-0010-000/8
Lot: G Block:
VOI
Flood: X Elev: Flood Map: 405F
Setbacks Left: Right: Front: Rear:
Job Description: INSTALLATION OF 54" HIGH ALUMINUM BLACK FENCING GOING RIGHT REAR FRONT, RIGHT SIDE
(MIDDLE OF LOT) AND RIGHT REAR OF PROPERTY W/ ONE 4' AND T GATE ( LT IS TRIANGLED IN SHAPE)
GOING IN THE DIRT AREA- TOT 327 L..F.
Contractor RICHMOND CHESTER J., III STUART FENCE CO INC (772) 288-1151
PO BOX 2636 STUART, FL 34995
Property Owner PASQUALE A VITAGLIANO (631) 834-8701
13501 COCO PLUM CT PALM CITY, FL 34990
Property Owner GENEVIEVE VITAGLIANO (772) 871-2899
13501 COCO PLUM CT PALM CITY, FL 34990
SUB -PERMITS
Permit # Status PT Cert # DBA Owner / Builder Job Description
Inspection Notes: 1-19-2010 CUSTOMER FROM FENCE COMPANY STATED THE FENCE IS NOT ON THE WATER, IF IT IS
VEG PERMIT IS REQUIRED -A HUMPHREY
For the automated inspection system call (772)462-1261. To schedule an inspection online go to
http://airs.slcfl.vetrol.com/AIRSweb.php. All inspections requested prior to 9:00 PM will be scheduled for the next
business day. Inspection requests between 9:00 PM Friday and 9:00 PM Monday will be scheduled for the following
Tuesday. If you require any assistance, please contact the Building Department at (772) 462-2172.
Permit # Type Code Description
1001-0146 999 Final Inspection
Priority Date Sched. Res Description, Inspector Date Inso.
1
I
Permit Nur 1001-0146 j
✓s
Planning & Development Services
Permit 1
•
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-1653 Fax: (772) 462-1578
Address 511 NW WINTERS CREEK RD Owner(s) JOHN AFSHAR
PALM CITY 34990 Historic No Jurisdiction St. Lucie County
Parcel # 4422-810-0010-000/8 1 S/D I Harbour Ridge Plat #20 Block Lot # I G
FLU RE I Zoning IPUD I Flood Mai 405E I Flood Elevation Flood Zone X
Application Type
Over the Counter Permit
Activity Type
Other - Specify
Permit Type
Fence
Date Applied
Location
Mainland
Date Issued
[at Fee Valuation
1$7,200.00
Date Finaled
Date Voided
11 511 NW WINTERS CREEK RD
b-Trade Job Description
Status
Void
ation
07/19/2010
Taken By humphreya
Issued By humphreya
Posted By
Please explain in Additional CommE
Open Contractor
Registration
Units 1 00 t Floors 1 Buildings 9 # Bedrooms # Bathrooms
Total Sq. Ft. 0.00 Vlin Flood Elevatior Flood Map 405E =food Zone
FCC 905 Fence NOC Required ® VOC Receivec ® NOC Expiration 01/13/2011
Setbacks Front Back Left Side Right Side
'a
s'Job Description
7.,
a
Additional Info
a.
NSTALLATION OF 54" HIGH ALUMINUM BLACK FENCING GOING RIGHT REAR FRONT, RIGHT SIDE
'MIDDLE OF LOT )AND RIGHT REAR OF PROPERTY W/ ONE 4' AND 5' GATE (LT IS TRIANGLED IN SHAPE)
3OING IN THE DIRTAREA- TOT 327 L..F.
Please include the date and your name when adding mrormation.
PERMIT VOIDED PER LETTER FROM CONTRACTOR - 4/8/11 -ANGELA