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HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATAIONPlanning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34952 (772)462-1553 SPECIALTY PERMIT APPLICATION - SCANNED BY ❑ Electrical [I Plumbing ❑ RVAC S Fence St Lucie County ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork requiredfor specialty permits 1. Location/Site Address: 3 ? T J �S( Qw L(ic�y l 2. Parcel IDNumber: �6�� ^ 60 1 - OO'IT - 3 00 - a - office Use Only Se "-Township Section Range Map Page Zoning Land Use I "aIs � 3. Complete Description of Project or Work: n,n per'v av'onr✓4�- L. 4. Owners Information -r- 5. Contractors Information Name: 4 I �y e_ C JO k n m z) FL Reg/Cert #: Address o�n S l y f) '--� � 1, City: ©KeeC�6�ee- State: ff,- Zip: 3� i, ) � PhZO � (�"7-, .� � �r� q0 ) 6. Value of Construction: S " / W OWNER'S AFFIDAVIT: County Cert#: C'GC l�'l gc)'IF 21t-7� �s Business Name: C„ l7 T C.u) 0 Y Phone (7 �(0 �� Fax: N J� r with all applicable laws regulating C,kc, A TC. s4c,/- PRINT OWNER OR CON CrOR NAME rC. l ACKNOWLEDGED BEFORE ME THIS DAY OF COMMISSION NUMBER NOTICETOOWNER: 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 OWNER_: FAILP _., TO RECORD A NOTICE OF COMMENCEW `^,MAY RESULT IN YOUR PAYING TWICE FOR IMPR; ;MENTS TO Y06R PROPERTY. JF YOU a., .;D 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 property where the building activity is taking place. 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 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. 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/constraction 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 Tcalculations. 2 sets of duct layouts for new system.or full replacement This application canlie, suliniitted 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 after4:30•P.M. For assistance in completing this application, please call (772) 462-1553; during regular office hours (8:00 AM - 3:00 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.