HomeMy WebLinkAboutSUBMITTED PAPPERSSt. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 462-1553
SPECIALTY PERMIT APPLICATION SCANNED
BY
Electrical ❑ Plumbing ❑ HVAC ❑ Fence St. LudeCounty
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site AddrF
2. Parcel ID Number:
Office Use
I Seiiiold:::Township
I 134uge
Map Page
Zoning
Land Use
Initials
Only
3
t
3. Description of Projector Work Activity:
rea0. co.rr7xo�nanJ.
4. Owners Information 5. Contractors Information
Name: - - �NGC.V7 AVl-,o— - FL Reg/Cert #:
Address:
City:
Zip:
County Cert#: 2L1 Z `i
State: Business Name: --.M�tays i_.t.EraRIC .- LJ_-
5sl- S61—
Phon a (s'123-SLOW Phone 711cf -1746 Fax 7td ti' TU2—
6. Value of Construction: $ 206
ad
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 ing.
Al fRW—LUX-
PRINT QUALIFIERS/OWNERS NAME Q1 SIGNATURE OFQ ALIFIER/OWNER
STATE OF FLORIDA. COUNTY OF" t St- .I u..•i ACKNOWLEDGED BEFORE ME THIS as DAY OF
20�DY WIOI11vy�1 /O�,U iC WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
1�NlJJ c ' 0 v AS IDENTIFICATION.
SIGNATURE(IF NOTARY TYPE OR PRINT NAME OF NdUM,RY PLBLIC.CTA7T OF FLORIDA
11.1
TITLE: NOTARY PUBLIC
11 COMMISSION NUMBER Beatrz Goycochea
,p DWL'tls:ioiI#DD589694
Emlres: AZY 01, 2007
BONDED THRL Af: ,NT:C BONDING CO„ INC.
St. Lucie County Specialty Permit Application rev. 8/25105 ding
NOTICE TO OWNER: FAILURE Yi7 xECORD, A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN6To 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) of typed. -This permit application is to be used only for those activities that are not otherwise included - -
undei 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
2. Parcel ID Number
Indicate the street address or general location of the
property where the building activity is taking place.
Indicate the tax identification number of the property
where the,building activity is taking place.
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
J
6. Value of Construction ' r
❑ Shed:
❑ Fence
❑ Siding
❑ HVAC
'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
`app)icable), 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 reservestthg,rjght to questionand/or modify
the indicated value of construction if it is demonstrated that
the submitted figures are not consistent with similar types
,,:.,, ofconstmction. _
Attach 2 piping schematics with tank size, location, and BTU of each appliance
Attach 2 plot plans, 2 copies of DCA letter and.plans, 2 anchor specifications
Attach 2 plot plans showing location of fence height of fence and type of fence
Attach 2 copies of manufactures specifications
Attach 2 resi-d ntia`I energy studies, 2 manual J calculafions. 2sets'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. Emergencyelectric 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. W5105 dmg
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
http://stiucieco.gov/ce
Date: 22 February 2007
Job Address: 7397 - 7407 COMMERICAL CIR
Received By: goycochb
Paid With: CK
Paid By: TAURUS ELECTRIC
Building
Receipt
Sign:
Receipt#: 0000051445
'ermit Number: SLC- 0702-0406
Amount: $80.00
::redit Card Number:
Check Number: 3186