The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERS❑ Electrical ❑ Shed Pee Due: , I Receipt# Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 . Permit # p Vl —00' SPECIALTY PERMIT APPLICATION ❑ Plumbing ❑ E VAC ❑ Fence ,,Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits C0% 1. Location/Site Address: .1317d ,/116410Y ali IohS. /d,,1?,?14'C 1 , / �• 3y�J�,z 2. Parcel ID Number• % -50/ - 1 7 O0 O _ 5-1 Offma Use Only Section Township Range Map Page Zoning .. Land Use Initials 3. Complete Description of Project or 4. Owners Information 5. Contractors Information Name: &f%e ll J, /0z v ij g� y a 0. w Ui s FL Reg/Cent #: Address: 3135 InojiqAllo w RV County Cert#: �7 �J City: %Qiron ¢0 State: C4 Business Name: 1&4m nn Zip: del �� Phone:b b ehdefCP rdVTPhone:77226o 37/S-Fag: %2-2 Z 3 2- 21 Y . 6. Value of Construction: $ !2# O P owNER,s AFFIDAVIT: I certify that all of the information contained in this application is correct and at all work will be done iii comlianc/e with all applicable laws regulatingconstiuc ' n zon%��j PRINT OWNER OR CONTRACTORNAME SIGNA 0 WNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFO THIS —91 DAY OF 2o-LY- BY AQG WHO IS PERSONALL OWNTO —ORWHOHVPRODUCED A NTIFRCATIO . l`�1/1 T L2 (seal) SIGNA NOT TYPE`OR PRIM NAME OF NOTARY COMMISSION NUNMER 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE. OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 4j � Pj AUDRO. B. HUMPHRV Revised 04/26/2010 Si _•''' .�, MY COMMISSION # EE 061159 EXPRES IBendedThruNoimyFlublicU V.o �� nderwiters NOTICE TO OWNER: FAILURE TO RECORD A NOTICE 'OF COMMENCEMENT MAY r�;" JLT IN YOUR PAYING TWICE FOR IlaROVEME ." ' 0 YOUR PROPERTY. IF YOU INTEND TO FAIN FINANCING, CONSULT WITH YOUR LENDER:_ ; -AN ATTORNEY BEFORE RECORDING YOUR N o ICE 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 11D Dumber 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general 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 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 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 434 P.M; For assistance lincompleting this application, please call (772), 462-1553, during regular office hours (8:00 AM - 5:00 P", 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. Planning & Development services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 Phone:(772)462-2172 Fax:(772)462-6443 January 02, 2014 ASBESTOS NOTICE Asbestos Notice to Contractor ADAM SMITH BOBCAT SERVICE INC ADAM SMITH 661 NE SPENCER ST JENSEN BEACH, FL 34957 RE: Building Permit Number 1401-0005 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal law. Signature Date 1 /2/2014 11:45: 06 AM