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HomeMy WebLinkAboutSUBMITTED DOCUMENTSMASTER PERMIT: PERMITNUMBER: Ob08 '�Ia� ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 561-462-1553 APPLICATION FOR GAS PEPMIT SEE REVERSE SIDE FOR INSTRUCTIONS 1. LOCATION/SITE ADDRESS: 2. PARCEL ID NUMBER: /306 - t®)- o//% -Sao--2 DATE:04U,J '-;I- - ANNED BY cf I I _... v $: DESCRIPTION OF PROJECTOR WORK ACTIVITY: dtjry 74�lr /6 y ,.,�,w,�_ c > A-1 7b�ti ,.PLEASE ATTACH .DETAIL• NC 4. OWNERS INFORMATION Address:' ,661' IUt a irnr 94 '. //1� City: _/— �' /�,, State: < PhCne: ... ZIP: ..3 Y� VALUE OFCONS TRUCTION: $ ,� �CIU.Gf. 5. CONTRACTORS INFORMATION FL REG/CERT #:- - : ( 62 7Q`)---- ; -- - - COUNTY CFRT 3• 19 _'1 C-/ -! Business Name: /7%�i fir/ P4 S FEES DUE:09w RECEIPT: T: I certify that all of the information contained in this application is coned and that all work will be done in complianoe with all Iicable laws regulatingconstructionand zoning. % ` PRINT IDUALIFIERSIOWNERS NAME IGNA R OFOUALIFIE NER STATE OF FLORIDA, COUNTY OF . ,SWORN TO. AND SUBSCRIBED BEFORE METHIS LI DAY OIji�,' ,2 WHO IS PERSONALLY KNOWN TO. OR WHO HAS PRODUCED . 1 AS IDENTIFICATION. �_ r, l SIGRIE E�%G�OFNOTARY �TY�PE PRI EOFNOTARY �0�'�N•\S�slf C���� NOTARYPUBLIC TITLE � ..,a 2s' WOMMISSIONNUMBER .�'. JAN _*:Z� 28 NOTICE TOOWNEft- YOUR. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN '&UI2 PAY ?f °Tgg W IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT t1yJTrrjYOl R gE ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Vi_ O� .02a50 . ST. LUCIE COUNTY - 'GAS PERMIT INSTRUCTIONS Please complete all information in the space provided. All information must be Printed (use black or blue ink only) or Typed. This application for Gas Permit to be used for.only those activities that are not otherwise included under a primary building permit. This application for Gas Permit may not be used for any activity that includes any, type or kind of structural alteration. Building activities involving structural alteration, in addition to the gas work, must be permitted through the regular building permit review process. The information to be provided with'this application includes: 1. LOCATION/SITE ADDRESS: ............................. .................. 2 PARCELID NUMBER: ................ 3. DESCRIPTION OF PROJECT OR WORK ACTIVITY...,.... 4. OWNERS INFORMATION: Indicate the street address, or general location, of the Property on which the building activity is taking place. Indicate the Properly Tax Identification' Number for the property on which the building activity is taking place. Briefly describe the. building activity under permit :application. Indicate the name and address of the owner of the Property, on which the gas repair or replacement is taking place. Indiicate.the. State'of Florida (if.applicable) and St Lucie County contractors registration numbers, and the name of the business doing the gas work: Indicate the total value of the gas work to take place. Total cost of construction includes all material and labor costs associated with the.building/construction activity. The` value' of construction' is used to determine the amountof pernitting'feesto be assessed. 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. All applicatons for Gas Permits are to be submitted to the St. Lucie County;Building and Zoning Department, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce; FL 34982. All applications for ' Gas Permits must be,complete and filed.with the Department no later than �4:30 P.M. each business day. No. applications will be accepted for processing after 4:30 P.M. For assistance in completing this application. "Meese contact the-SL!Lucie County Building and Zoning Department, at (561) 462-1553, during regular office hours (8:00 AM -. 5:00 PM), Mondaythrough Friday. Fopowrrfg::the SAiahce of the. Gas 'Permit all scheduling of required inspections may be made by calling f5611261� . - r W C. SLCCDV FORM NO.: 009-05 Property Appraiser - St.Lucie Cr 7j7 ,ty, FL , Page 1 of 1 Norma H Brousseau Record: 1 of 1 Property Identification Site Address: 6601 NUEVO LAGOS Sec/Town/Range: 06 :34S :39E Map ID: 13/06N Zoning: _ _ W1-PSL Ownership and Mailing Owner: Norma H Brousseau Address: 6601 Nuevo Lagos Fort Pierce FL 34951-4339 PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print `OCIE g PafcellD: 1306-500-0116-000-3 �gS s ,,goy Account #: 137996 .�,l Land Use: SF Res a, City/Cnty: _ ST_LUCIE COUNTY Legal Description SPANISH LAKES FAIRWAYS BLK 41 LOT 14 (OR 1869-146) Sales Information Assessment TRIM Date Price Code Deed Book/Page 2004 Val: 78500 12/9/2003 100 01 LE 1869/0146 Assessed: 78500 2/16/2000 100 01 LE 1281 / 2414 Ag.Credit: 0 1/23/1900 0 / Exempt: 35500 Taxable: 43000 TotalTax: 1061.97 BUILDING INFORMATION Total Land and Building Land Value: 5000 Acres: 0.14 Building Value: 73500 Finished Area: 1530 SgFI SCANNED BY St. Lucie County Exterior Features View: - RoofCover. SD - Dim Shingle RoofStruct: HP - Hip ExtType: HD+ - HD+ YearBlt: 1999 Frame: - Grade: D+ - D+ EffYrSIt: 1999 PdmeWall: BS - CB Stucco StoryHghC 0010-1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: MX- MAXIMUM PrminlWall: DW- Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: 1/2Bath: HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: Special Features and Yard Items Land Information Type Y/S City. Units Qual. Cond. YrBIt. No. Land Use Type Measure Depth SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 107 -Flat 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/prc.asp?prclid=130650001160003 8/3/2005 FILE COPY g Details Parcel ID: 1306-500-0116-000-3 "Car( umber: 1 "Account Number: 137996 qfM N r SP4 ` 10 (�1) 14 3 rrrnaa� t ti+ .0 ,s OAS (1530 ) 12 �Zzl 31' OP3 4 Gft6 10(30) $ (308) 4 13 4 12 N Page 1 SCANNED BY St. Lucie County Code Description Area Perimc BAS-.BASE 1530 208 AREA GR6 - GARAGE 308 78 60 OP3- OPEN 30 22 PORCH 30 SP4 - SCREENED 201 76 PORCH140 Sti Building Code Compliance Division Fee Receipt 2300 Virginia Avenue FL Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1168 Date: 03 August 2005 Job Address: 6601 NUEVO LAGOS Received By. irvie Paid With: CK Paid By: AMERIGAS Sign: Receipt k: 0000022498 Permit Number: SLC- ow Iz Amount $102.00 Credt Card Number. t , St. LUde Check Number. 0125231