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HomeMy WebLinkAboutSPECIALTY PERMIT APPLICATIONDate: Fee Due: Recei t# Permit # Planning & Development Services e% Building & Code Regulations Division to'p 2300 Virginia Ave. I Fort Pierce, FL 34982 (772)462-1553 �� \ SPECIALTY PERMIT APPLICATI N Sc ❑ Electrical Plumbing ❑ HVAC ❑ Fence St 4 gV-FO ❑ She ❑ Demolition ❑ Gas ❑ Siding u% County Seepage 2 for Instructions and additional paperwork required for specialty permitsLl ri 1. Location/Site Address: r C 2. Parcel ID Number: 22 Township Range Map Page ning Lan se Initi Office Use Section Only [ I VLWI n=:2 1 1�3� 3. Complete Description of Project or Work: �--e �(J Cj %t 0 S �kl W't- 4. Owners Information % 5. Contractors Information Name: �e-f1 � -t�`f FL Reg/Cert to Address: 9301 A (%Zit r/• :Z County CerW: City: State: / \ Business -Name:FjV`►^Q zip: 3 `% 5 �� Phone: % 1p 2 ' Z//Phone: / O Fax: 6. Value of Construction: $ L8© e o J OWNER'S AFmAvrr: I certify that all of the information contained in this app ' ati is co Ct an all work will be done in compliance with all applicable laws regulating cons io d z g. I�10V-�AQ�) 475- PRINT OWNER OR CONTRACTOR NAME SIGNA O R OR CO RACTOR STATE OF FLORIDA, COUNTY OF �C� �/�. ACKNOWLEDGED BEFORE ME THIS" S t 1 DAY OF 20-[,� - W^ BY r `SWJI? 4 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED �L... 1� -® A ENTIFICATION. SI OF ARY COMMISSION NUMBER ='vv..A.ANGELA M. HUFr� cA, f, k'L. -, F TYPE O P ME NAO NOT y . - ` = EXPIRES: April 12, 2015 05 AY COMN3SSION #530 oI' , Bonded Thru Notary Public Underwriters NOTICE TO OWNER: 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 WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY-RESULV IN YOUR PAYIriG 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 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or.gemr,41 location of property where the building activity is taking place. 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. Indicate the State of Florida registration number (if applicable), 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 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 siz'Jocation, 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 inianual 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 assistancein,completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PNO, 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.