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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 Lo 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. S-..rpv)cL- 1,?EDA)R v D?AMGt /- P26- ]t ►S"T IlV (. -Cd�zvlc-c: 2Ace Lnt Lo-r l eT tin y3 44 4S PUMP 4A SaA SroA J 20A r LJ W DCR612avu+D Pua,%. FOi J/0 AL. R 4* /MF,;AJ, -V /,,. INC- .itzc,=rzJ:v J2. W,9171 fG I joos*sf. L 1 Jii 0.1b F a LrT -!C E,o2 YJ C B 1�,5 C 0 NAB ECT (/htsTiv tt NL�e.� �o ,Qn.,O �!i Tam �A NtL r4 4r2 L I OT ATJ O L'Il2Cv: a IS Jo A 1oi0 v4i-T. /� �LE02 CCu2QL'WsT �6'1/)G� /S A �0 >AMP �IIu/aLl: A. ZC 4�2L'712- C'Q.