HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATIONSt. Lucie County Building & Zoning
ow 2300 Virginia Avenue FL Pierce, FL 34982-5652
Tel. 462-1553
SPECIALTY PERMIT APPLICATION
SCANNED
BY
❑ Electrical ❑ Plumbing ❑ HVAC ❑ FenceSt. Lucie County
❑ Shed ❑ Demolition KGas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:_P-307 TntC1C/.l-K 12;ue-Q U, c�Ei1)� I. YY�If
2. Parcel ID Number: 9yo zli9 o3 - 00 1 11- 000. 1
Office Use
Section
Townshi
Range
Map PageTZoning
Land Use
Initials
Only
3. Description of Projector Work Activity:
4. Owners Informatic-
Name: ' 'f eo ex> r 5 i`ctc.a.l w 4; +-e._
Address
City: SrNs-&o iZ.a6t li- State:
Zip: 3 `! S l Phone:
6. Value of Construction: S 7GNU.
a . 10 t
c�
5. Contractors Information
FL Reg/Cert #: s sg!t
County Cert#: 2L7 G L,
Business Name: M41VrP LOB
Phone ( W 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.
Nmuy C-1
PRINT QUALIFIERS/OWNERS NAME SIGNPURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF MO, O, /r-7 I DGED BEFORE ME THIS ;I I DAY OF
SfK!°I. 201J BY 64n n PYS �h-13015PERSON�O TO ME OR WHO HAS PRODUCED
f
aGn"rJ�% I S
SIGNATURE OF NOTARY TYPE OR PRINT NP
TITLE: NOTARY PUBLIC COMMISSION NUMBER
ICAm� O_g IWf,A9tl=oO•,1
(seal)
St. Lucie County Specialty Permit Application rev. 8/25/05 drag
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NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMEN EMENT 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 Indicate the street address or general location of the
property where the building activity is taking place.
2. Parcel, D Number- .., ,:Indicate 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 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/construction activity.
Construction value'is used to'd'etermine;t}ie permit fee. St.
Lucie County reserves the right to question.arid/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 r r
❑ 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'he 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