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HomeMy WebLinkAboutSUBMITTED PAPERSPLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 SCANNED (772)462-1553 BY'�� S-t. L u w i? C o u n tSPECIALTY PERMIT APPLICATION 9 Electrical ❑ Plumbing ❑ HVAC .❑ Fence ❑ Commercial Irrigation Shed ❑ Demolition -❑ Gas ❑ Siding See page 2 for instructions and additdonal paperwork required for specialty permits 1. Location/Site Address: �02302 3, 065AA) ✓g 2. Parcel ID Number; 3 rc2 7 5-6 100 38OJO(Y 3. Complete Description of Proposed Work: 1 zmp O16 ic,-Olz -51N64 E FAIn/L y' 4. Owners Information 5. Contractors Information Name: P�7L=i2 Kkcl /14 Pikl�l©I%JTc Address :?,g0g0 Qockg�5-S >f{ y City: S tlm mK L 4a1b l:E i State: FL Reg/Cert #: County Cert#: Business Name: 6cJ-o0307a zip: 'Phone: 30- 71-5-�76) Phone: 77-- ?N-g11i Fax: -7 6. Value of Construction: $ Email: . -MUMCN.2 AIL Nk 1 OWNER'S AFFIDAVIT: I certify that all of the information contained in this applic ` on is correct and that all work will be done in compliance with all applicable laws regulating constru 'o and zonin PRINT OWNER OR CONTRACTOR NAME 9 SOKATUI,tli OF NER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF l , ACKNOWL Ei7BEE0ILt - � :OOE �; 20�, BYWHO.i PS ERSONALLY-KNe ) OR HAS PRODUCED TYPE NOTARY (seal) COMMISSION NUMBER 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 U&DER $7500.00 Revised 01/03/2014 *: MV � M� �N• NUFF I ��'e'�` Pond EXPIRES: q r � FF 083S30 otl7hrn Nofary pubh1 Unde�nydters riease compiew an mrormanon m the space provided. All information must be printed (use black or blue ink only) or typed. This permit ,- _ Jication is to be used only for those a( ---`,ties that are not otherwise included under a primary building pi`; _ t. This application may not be used fc__�iy activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. ParceI ID 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 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 offence and type, offence 1.7 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 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. knneu/jumauon rermit PLEASE LOCATE SHED AND ALL BUILDINGS WITH SETBACKS TO THE PROPERTY LINES. Example.of Plot Plan for shed. Please show distance from shed to the lot lines Smith Lane FRONT PROPERTY LINE ON ROAD All applications for Shed - Locational Permits are to be submitted to the St. Lucie County Building and Zoning Department, St. Lucie County Administration Building, 2300 Virginia Avenue, Fort Pierce, FL 34982. All applications for. Shed - Locational Permits must be complete and filed with the Department no later 4:30 P.M. each business day. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please contact the St. Lucie County Building and Zoning Department, at (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. Following the issuance of this Shed - Locational Permit, the scheduling of all required inspections may be made by calling (772) 462-1261. SLCPDSD 4/11/2011