HomeMy WebLinkAboutSUBMITTED PAPERSDate: ee Due: Receipt# Dermit #
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave. SC
Fort Pierce, FL 34982
(772)462-1553 . S� �lic� eY/��O
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SPECIALTY PERMIT APPLICATION C0%
61
EZ Electtrical
❑ Plumbing
❑ 111VAC
❑ Fence
❑ Shed
❑ Demolition
❑ Gas
❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 331 V O RAN 6,s A V a La?
2. Parcel ID Number: ,?tE01( - �� - — 000 ' !v
cmh
Oflee Use
Section
Township
Range
Map Page
Zoning
Land Use
Initials
Only
3. Complete Description of Project or Work: JZC-PLAeM Aljg �� PANt L,
4. Owners Information 5. Contractors Information
Name: C EMIAIOLe Mogi l- PARK LLC- FL Reg/Cent #: t C 13 00 545t-II
Address: 3 '? o t . MAetx 2v 3 a9 PL. County Cert#:
City: 13, R.M,N 6 H AM State: 1M 1
Zip: 4 $009 Phone: 77A-d(-23g,;L
00
6. Value of Construction: $�S
Business Name: -e LECTAZ► a Cc Jf4 6
Phone:510- 1APP-9a99 Fax: S`t l- S-IS'-31-05'
OWNERS AFFIDAVIT: I certify that all of the information c e this application is correct and that all work will be done in
compliance with all applicable la regulatin construction and zoning.
FiFt�i2C"1 �• WA I T C /
a=
PRINT OWNER OR CONTRACTORNAME G ATURf OF OWAR OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF �'�
ACKNOWLEDGED BEFORE ME THIS. DAY OF 0 BY
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCE !�= oc) �J
AS IDEN F ICATION.
SIGN A F NOT
COMMISSION NUMBS
GUA I.A. HUFF
Y P4TVV if*W)r_E 083F3o
EXPIi3E5: April 12, 2015
d Thnt 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 WITH 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: FA- ""'E TO RECORD A NOTICE OF COMMENCEK-7" , MAY RESULT IN YOUR PAYING TWICE FOR
M, FEMENTS TO YOUR PROPERTY. IF YOU Ir'' )ID TO OBTAIN FINANCING, CONSULT WITH
YOUn -,ENDER OR AN ATTORNEY BEFORE RECORDYi� 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 lumber
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 istaking 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.
® GPIs 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
® HVA C 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.
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