HomeMy WebLinkAboutSUBMITTED PAPPERS' I Permit Yni RPrpint# /IV �.--�Y' �
rIlm
St. Luelie County Building & Zoning
2300 Virginia Avenue FL Pierce, FL 34982-5652
Tel. 462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical
LI Plumbing
❑ HVAC
❑ Fence
❑ Shed
❑ Demolition
❑ Gas
❑ Siding
SCANNED
BY
St. Lucie Countv
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 51+ 1 l CaAtli a �1�
2. Parcel ID Number: 3 0a- rol Q' bl 03- QM- 8
Office Use
Section
TownshiIII
Range
Map Page
I Zoning
Land Use
I ' als
Only
3. Description of Project or Work Activity: J
4. Owners Information
Name: PArn It'YM ,
TPamela,7_ochesier- I
Address: - n411 Cr1551 J7YI Vt'
City" r0(-i - i' 1 eX-Qt_ State: PC.
Zip: 34°$2 _a
Phone._15
6. Value of Construction: $
S. Contractors Information
FL Reg/Cert #: RE I 106 7 6-T 2,
County Cert#: a4GD4
Business Name: J1 = bftah plum) lf) I�Y�
Phone)o%15_FjGM Fax_ o%1rJ-�1-]C1
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will b tine
in compliance with all applicable laws regulating consuucti and zoninit .
WnnieIlbcdtion
PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/O R
STATE OF FLORIDA, COUNTY OF Vi p(P-TIN` ACKNOWLEDGED BEFORE ME THIS DAY OF
200& BY Lommir, Pit bE ram. /�NJ WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
TITLE:
SL Lucie County SPccialty Permit Application my. SMt05 dmg
_AS IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUM
" JAMES P. JONES II
%•+��. A Notary Public -State of Florida
My Commission Expires Jan 22, 2
Commission 4 DD 509309
Bonded By NaOonal Notary
08/05/2008 01:5B 7722291763
WATER COMM
SEWER RES
METER SZ Men
��. IRR
rM
S /� SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTUM FEE
BD
�• METERUdSTALL.
CFCIWATER
_ FPUA CFC
CFC(SEWER
OUAR,REV.
LATERAL
4.• WAL
Vr.i e
CUSTOMER
U
FRENCHCURVESOR&LS PAGE 01
i- ,
ST LUCIBCOUNTYUTATIES PO- 'f]{ FI PIERCE FL3fl0!
NAM— r A N1 �b)C' l-K- % ,' SK'I
ACCT, B
1 �1
SERVICE ADDRESS
el ,.". ki vtr V";U&,OT -- -•C
BILLINOADDRESS 4 ` H `i5 16 Ii
1• i.ktr,t , 4 S
PHONE rf i ' l $ $ i 3 MOVE IN/CLOSINO DATE
Thin aDPlic uon hereby request and audtarizes the Utility to render water ardor eewRV diapoad
mvices to the premises dawnW above in accordance with the Utilities Present or future mwa•
rules and mcgutatiorm which by m*rence are made a part of this contract. Applicant agrees to pay
the Utility Promptly for such services In accordance with the established rules tatd regulitim-
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE ORTRANSPERABLE.
SOCIAL SEC/
FED ID
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE 074LY
DATE RECEIVED 1ry ' I' D CASH CN!(M i RECEIVED BY_ �
iez,
Property Appraiser - St.Lucie r uty, FL Page 1 of 1
PROPERTY RECORD CARD
Pamela J Rochester Record: 1 of 1 "Prev Next» SpecAssmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address:
5411 CASSIA DR
ParcellD:
3402-610-0103-000-8
g�Gy
Sec/Town/Range:
11:36S:40E
Account#:
38270
`�1�11CIE
hQ ,�
Map ID:
34/11N
Land Use:
SF Res
Zoning:
RS4
City/Cnty:
ST. LUCIE COUNTY
.
Ownership and Mailing
Legal Description
Owner:
Pamela J Rochester Samuel D Wolkowsky
INDIAN RIVER ESTATES -UNIT 09- BLK 73 LOT 20 (MAP 34111 N) (OR
Address:
5411 Cassia Or
694-714)
Fort Pierce FL 34982-3836
Sales Information
Assessment Final Total Land and
Building
Date
Price Code Deed
Book/Page
2007 FV:
126600 Land Value:
76600 Acres: 0.37
ef1/1990
60000 00 WD
0694/0714
Assessed:
46766 Building Value:
50000
9/15/1988
0 01 DI
0604 / 0467
Ag.Credit:
0 Finished Area:
1680 SgFt
7/1/1984
0 01 CV
0439/0691
Exempt:
25000
11/1/1979
44500 00 CV
0320/2389
Taxable:
21766
6/1/1976
3000 01 CV
0254 / 1064
Taxes:
412.7
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover.
ExtType:
HD+ -HD+
YearBit:
Grade:
D+ -D+
EffYrBlt:
SloryHght:
0015-
No.Units:
Interior Features
BedRooms:
3
Electric:
FullBath:
2
Heafrype:
12Bath:
0
HeatFuel:
%A/C:
0
°%Heated:
Special Features and Yard Items
Type
Y/S Qty.
Units Qual. Cond. YrBlt.
3CNT - 3CNT
S 1
1 AV AV 1977
SDSF - SITE DEV S-F
Y 1
1 AV AV 2001
SM - Sheet Metal
RoofStruct:
GA - Gable
1976
Frame:
-
1977
PdmeWall:
WS-Wood/Sheath
1
SecWall:
-
MX-MAXIMUM
PnnlntWall:
WP- Plaster
-
AvgHtJR:
STD
-
Pnn.Flors:
CU- Carpet
0
%Sprinkled:
0
Land Information
No. Land Use
Type
Measure Depth
1 010GSF Res
215 -Front Ft
99.2 162
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.pasle.org/pre.asp?prclid=340261001030008 8/4/2008
S
Code Compliance Division
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
http://stiucieco.gov/ce
Date: 07 August 2008
Job Address: 5411 CASSIA DR
Received By: humphreya
Paid With: CK
Paid By: JENSEN BEACH PLUMBING INC
Building
Receipt
Receipt#: 0000064824
'ermit Number. SLC- 0808-0102
Amount: $30.00
"redit Card Number:
Check Number: 1352
Sign: