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Home My WebLink AboutSUBMITTED PAPERSDate: Fee Due- fanning & Yk4�--an—ent Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553. Permit # SPECIALTY TY PERMIT IT APPLICATION I lectriclall ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed j ❑ Demolition [I Gas ❑ Siding SC s� �u eyNFo C04n�1 See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Si a Address: 13 2. Parcel ID Number: Yf � f — 661 ` 66 30 ` 660— o� Ojr;c Only Use Section Township Range Map Page Zoning an Use Initials 3. Complete/D�scription of Project or Work: _ ", r k S°� �� 2-7 k ae1�Z�°+N✓ eALAC1 �y,,yS fe— 41A,1-L . I 4. Owners Inf I mation 5. Contractors Information ? Name: ere rub FL Iteg/Cent #: — `� 0 5 Address: CoLot, County Cert#: 61 City: State: Business Name: S Zip: 31 �l y�, U Phone: Phone: q 6 _a (Ju Fax: -0 SU L � [) J 6. Value of Con$truction: $ OWNER'S AFFIDAVIT:' I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulatin ons ion and zoning. Lr�, PRINT OWNER OR CONTRACTORN - SIGNATURE OF OWNER OR CONTRACTOR I STATE OF FLORIDAI COUNTY OF,c ACKNOWLEDGED BEFORE ME THIS DAY OF 20-�3— BY F- l-L� WHO IS PERSONAL IY KNOWN TO ME OR WHO HAS PRODUCED DAWN MILONE L ` _ Notary Pablidse�jate of Florida SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY, N9f to; MY Comm. Expires Mar 22, ,t ' ' - i 2017 ` Commission # EE 877571 COMMISSION NUMBIER Bonh 9ded ihrou National Notary Assn. I NOTICE TO OWNE : FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P G I IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y( LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. XEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 I Lf �l NOTICE TO OWNER: FAILURE TO RP'InRD A NOTICE OF COMMENCEMENT MAY RF 1-TLT IN YOUR PAYING TWICE FOR %DROVEMEN' O YOUR PROPERTY. IF YOU INTEND TO AIN FINANCING, CONSULT WITH YOUR LENDER um AN ATTORNEY BEFORE RECORDING YOUR I __'�E OF COMMENCEMENT. EXEMPT: IA/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 1® Number 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 gh'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 showimg 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 4:30 P.M. For assistance in completing this application, please call (772) '462-1553, duridg regular office hours (8:00 AM - 5:00 PM), 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. 1 N _ I iG ELEYAliON �• ' r �� 1ED? R:OOR ELEVATION . , � ,� CONCRETE � � " z. HYDRANT WALKWAY � � ' " dc.IJGHT IDA POWER M •- � ,- RNMENT CBS M Yt tg d`s yy CR dkfi3 3 � . "' - DRIVEWAY � �i: ESS dc:. EGRESS EASEMENT 29AR893''0014.75'05.29 oo14.78 3g10 ` PIPE \ N. BAR .& CAP N ,PIPE do CAP CONC ro 3202 ' �Jj LENGTH. 9593 PAD FND N do W ISCAPE EASEMENT :.1 F W/ 15524 4SED'BUSINESS NUMBER ' f POLE ED ACCESS EASEMENT ® s e NAIL TENANCE EASEMENT EXISTING A30� ¢ice (HOLE + ONE ' V HIGH WATER LINE STORY OMIE _ & TIN TAB WNG & WASHER "y - ONAL GEODETIC VERTICAL DATUM IDENTIFlCATION TO SALE LEGAL TH AMERICAN DATUM CIAL RECORD BOOK SET LOT 30, HARBOUR:. RHANG RHEAD WIRE \ a ,, is ate RECORDED IN _ PLA1 KER-KALON NAIL w LOT 30 0�SY KER—KALON NAIL &TIN TAB�+ 'ANDS 30A P:U$LIC IKER—KALON NAIL ac WASHER �o yi COUNTY, FLORIDA. EMENr �o UE z MANENT REFERENCE MONUMENTa4y T 7BOOK ; VT OF COMPOUND CURVATURE = VT OF CURVATURE NT OF INTERSECTION ; NT OF BEGINNING to NT OF COMMENCEMENT NT OF ENCROACHMENT — N NT OF REVERSE CURVATURE �� _ o I NT p OF TANGENCY N f NER POLE / VATE UTILITY EASEMENT 3FESSIONAL LAND SURVEYOR 3PERTY LINE 3POSED 3POSED ELEVATION 'x 3RATED ow �, n n; AUS DIAL ROAD SPIKE ro , NGE FND 3/4' 0 7STERED LAND SURVEYOR ' IP NO ID f NFORCED CONCRETE PIPE 0.18' S I HT OF WAY NITARY SEWER LOT 31 f CTION I T 5/8 IRON BAR & CAP #4049 T PK NAIL do WASHER #4049 PTIC TANK )EWALK I UTHERN BELL TELEPHONE BOX IUARE FEET I IBDIVISION iNGENT I 1 MPORARY CONSTRUCTION EASEMENT )P OF BANK GRA 30 1