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Home My WebLink AboutSPECIALTY PERMIT APPLICATIONDate: Fee Due: 1K-'1'6-v :'a0 _ rmit # Oat Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 St (772)462-1553 SPECIALTY PERMIT APPLICATION $Electrical ❑ Plumbing ❑ HVAC ❑ Fence 13 Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: Z36 1 !T Tz- 4 i 1 e—Me'+( "f 2. Parcel ID Number: F - 002-6 4n>e� `'` Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project Qr Work: L 4. Owners Information 5. Contractors Information Name: �L 12. AIA .� � FL Reg/Cert #: 5� Address: ""2-30 ( RTj,/W j 'lam—*AA-0PJ"b County Cert#: City: State: FLi%PPA • B siness Name: `},ZL 106- r��jQ � 3 Zip: Phonnvo3Z1' `]da% one•y ' ` a1 Fax: 6. Value of Construction: $ zl OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correc that all work will be done in compliance with all applicable laws regulatin cti PRINT OWNER OR CONTRACTOR NAME GN 0 R TRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS \ $� DAY OF 'R.� 20) ` u BY � Yl OW-,aI S qy •\ !A WHO IS PERSONALLY KNOWN TO ME WHO HAS PRODUCED AS IDENTIFICATION. ODEANNA GIVENS ,PpY PVB`i _ , t Notary Public -State of Florida R'a 1'JN-y Comm. 6NpQs Dec 16, 2016 �SIGNATU�REOFNO�TTYPE OR PRINT NAME OF NOTARY i,• 'Je: Commission # EE 858761 COMMISSION NUMBER i-� 5—h ` 1 Bonded Through National Notary Assn. 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: FAIN ma 's TO RECORD A NOTICE OF C(JMMENCEMEr_, —:-AY 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 $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 Indicate the street address or general location of property where the building activity is taking placq. 2. Parcel ID Number Indicate the tax identification number of the property where the building activity is taking place. 3. Description of Project or Work Activity Fully describe the activity to take place. 4. Owner Information Indicate the name and address of the owner of the property on which activity is taking place. 5. Contractor Information Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. ,6.. Value'of Construction 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 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 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.