HomeMy WebLinkAboutSUBMITTED PAPERS09/10/2014 14:04 FAX 0 001
Fee Due:
• , i ;fit ' ; .�.� ` • � i.�,
Planning & Development Services
Building Alt Code Regulations Division
2300 Virgiall Ave.
Fort Pierce. IFL 34M
(772)462-1553 Fax 462.1578
SPECIALTY PERMIT APPLICATION
CI Electrical . Cl Plumbing IJ HVAC E3 Fence
0 Shed* Cl 1)emnlit'ion CI Gns 0 Siding
1.
R
.cee paV 2,r_+r [H.JJ 1-bars and ada-lonal pope eetk regstred far spectak pamib
/�C19 0005"
Location/Site Address: 212=::e 1_11f=— 1 vot ' J 1-=—`=1 S-7
Parcel ID Number: ;L ,SZ) I ` r Q-q
3. Complete Description of Project
4. owners Information �7 S. Contractors Information
Ar
Name: �F G�.1.._ FL II jCort ii:
Addresx: County Cartti:
City; �p�' �/'7� . State: Business Nome., -
Zip: C17- Phone:
phone:fir �a.g Fa :712
6. Value of Construction: $ 00
f�«NER�F.iFAlI).�ti1T: 1 certi$- that all of the infornu+tiOn coutakwd in this application 1 NN-ork Neill be done in
compliance with all applicable laws regulating consftv
AbonNA
and
1 n
OWNERO Co TiACCOR �`"a oFo OR A R
41 ATF OF FLCIRIDA, CUErNTY OF
AC,7=WLEDGW BUORE ME M A9 . DAY AF 20 , B1 u1 e
WHO IS PERSONALLY KNU WN TO MB r OR WHO HAS PRODUCFD-•-•-- �-.._.
AS IPF. IFSCATiON.
Ka yen P-V e--s s Yl ei' 0,1)
SIGMA OF M _ TYPE OR PRINT NAME OF NOTARY
C; OMMISSiON N[JMBER _ F F r �a l q s
'ALL RESIDENTIAL AND xoNX`'E5iDFNTIAL STRUCTURES ARE REOURIEH TO MEET THE FLOOD ZONE
ELEVATION OR is INCHES ABOVE THE CROWN OF THE ROAD, WHICHEVER 18 APPLICABLE. (see instructions on
reverse side of ties sheet)
Kw ROtilltinar
Kffvieed 03/l&*014 �rARY p�C
STA71i OF Ff.MDA
. CaepgN FF133193
6110=18
09/02/2014 12:02 FAX 1002
])ate: I Fee Due: ,
I Permit #
Planning & Development Services
Building & Code Rerilations Division
7,300 Virginia Ave,
Fort Pierce, FL 34982
(772)462-1553 Fax 462-1578
SPECIALTY PERK UT APPLICATION
L1 Electrical Plumbing ®HVAC U Fence
0 Shed* 0 Demolition 11 row 0 Siding
See p-ly 2 f err insmi cdons and addhionat papeni ork inquired for spec19h)f permlu -�-•�j
1. Location/Site Address: _ _ i � y G J r (= e' _ /
2. Parcel ID Number: n Z —,,� / ` C)�& nL- + /
3.
4. Owners Information
S. Contractors Information
Name:
FL RoWCort 9:
�N7
Address: C
city!• State:.------
y
County CerNk
-- _- Business Name:
(77Z�
Zip, 17 Phone:
Pitons; i (a Fa 71Z a i i_
f . Value of Construction: $
cmwKR,s AmDA,%-u: I certif4 that all of the info=tion conlaincd iI
compliance with all applicable laws regulating
-7�
CONTRACTOR.rt
.i�t OwNER WAME
d 71TWE OF OWNER OR 4DMMRA59M
STATES OFFI.ORIDA, COUNTY OF Q.T
ACKNOWiEDCIEf) BEFORE ME TYiIS /DAY Ol 20. �, BY
WHO IS PERSONALLY KNOWN Ttl MI3._ ,!! txt WHO HAS PRODUCED
ASIDE; IFICATION.
SIGMA ' OP N PARY
COMMISSIONNLm4BFR i•-..1� 1,-.
Ka e'er, k-5D <!� -S 5. - n e-f- c,4a11
TYPE Olt FRiNT NAME OF NOTARY
*ALL RESIDENTIAL AND NONRESIDENTIAL STRUCTURES ARE REQURIED TO MEET THE VLOOD ZONE
ELEVATION OR IS INCHES ABOVE THE CROWN OF THE ROAD, WHICHEVERIS APPLICABLE. (sec instructions on
reverse side of this sheet)
Iuwfta 03n&2914
X wen Rgftft W
s+:oTARY OUBUC
WATE OF FLCFWA
. C 11WOFF133193
Emakm RHA MIR
09/02/2014 12:02 FAX 0 003
BUILDING R CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982
■ A 772-462-2165 or 462-2172
FAX 772-462-6443
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO: St Lucie County
RE: - �'
Permit #
Credit Card Users: L5% Surcharge added per transaction.
Payments must be received in this department by 4:00 PM for transaction to be
processed that day, if not it will be processed the following business day.
✓ VISA MASTERCARD DISCOVER
Credit Card Number 4
Expiration Date Zip Coda 'D
3 digit security ode _ 1
Amount $_ r7c(R. __ + % surcharge
Business Name;`
Authorized Signature: /77
Print Name:
Phone: ( '777- 3 l - CS '-'o 103
Fax: =2 -
Comments:
SLCPDSD Revised 2/14/2013 EN
Planning & Development Services
Building & Code Regulation Division
2300 Vrginia Avenue
Fort Pierce, FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
Inspection Card
Permit # : 1409-0005
Online address:
hftp:/Awm.stiucieco.org/planning/permitting.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Permit# SLC-1409-0005 #Confirmation 690 Status ISS
Issued: 9/10/2014 Type: MECHANICAUHVAC RESIDENTIAL -
REPLACEMENT SYSTEM
Job Location: 912 Nettles Blvd City: Jensen Beach
Jurisdiction: SAINT LUCIE COUNTY Parcel: 4502-501-1098-000/1
Subdivision: OUTDOOR RESORTS AT NETTLES ISLAND Lot: Block:
Flood: Elev: Flood Map:
Set backs: Left: Right: Front: Rear:
Job Description: A/C Changeout Same For Same 2Ton, 13Seer, 5Kw Heater System
Contractor Adam B Emanuel -- Cert # 24274 Adam's Air Conditioning Inc (772) 337-6559
582 Nw Mercantile PI Port St Lucie, FL 34984
Property Owner Faye S Davis
4770 Whitesburg Dr #307 Huntsville, AL 35802
Property Owner Wiley F Davis
4770 Whitesburg Dr #307 Huntsville, AL 35802
SUB -PERMITS
Permit No Status Permit Tyke Cert # DBA Owner/Builder
For the automated inspection system call (866) 284-1280. To schedule an inspection online go to
http://codeinspectionpublic.stiucieco.gov. All inspections requested prior to 9:00 PM will be scheduled for the next business
day. Inspection requests between 9:00 PM Friday and 9:00 PM Monday will be scheduled for the following Tuesday. If you
require any assistance please contact the Building Department at (772) 462-2172.
Inspection Notes:
Permit # Code Description Priority Sched. Date' Res Description Inspector Insp. Date
1409-0005 380 MECHANICAL FINAL 1
1409-0005 999 FINAL INSPECTION 1
Total Inspections: 2
Report prepared on 9/10/2014 2:18:03 PM
Planning 8 Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
Receipt
Online address: http:/Avm.stiucieco.org/planning/permiffing.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Daily Inspector Schedule
Date: . September 10, 2014
Receipt #: 0000101630
Permit Number: 1409-0005
Job Address:
912 NETTLES BLVD
Amount:
$85.26
Paid With:
VISA
Credit Card # 0254
Paid By: ADAMS AIR
Received By: ingraml
Fee Description
NBPSur934 N-BP Surcharge - Permi708/709 - HVAC (new sys)(1&2 Fam Resid)
NBPTru993 N-BP Trust Surcharge - Permi708/709 - HVAC (new Sys)(1 &2 Fam
Res)
NPermi709 N-Permit Fee - HVAC - (replacement sys)(1 &2 fam resid)
NBIMS651 N-BP BIMS
Credi15 06-Credit Card Fee - 1.5%
Total:
Fee Amount
$2.00
$2.00
$75.00
$5.00
$1.26
$85.26
9/10/2014 2:17:59 PM
BUILDING PERMIT
Online address: http://www.stfucieco.org/planning/permitting.htm
Planning & Development Services Quick Links:
Building & Code Regulation Division Permit Status Lookup
2300 Virginia Avenue Online Building Inspection System
Fort Pierce, FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
Permit #: SLC 1409-0005 Confirmation #: 690 Issued: 9/10/2014
Job Location: 912 NETTLES BLVD City: JENSEN BEACH
Permit Type: , MECHANICAL/HVAC RESIDENTIAL- Status: ISS Date Expired: 03/10/2015
REPLACEMENT SYSTEM
Job Description: A/C CHANGEOUT SAME FOR SAME 2TON, 13SEER, 5KW HEATER SYSTEM
Subdiv: OUTDOOR RESORTS AT NETTLES ISLAND
Lot: Block: Parcel: 4502-501-1098-000/1
Setbacks Left: Right: Front: Rear: Zoning: HIRD
Number of Units: 1 Floors: 1 Buildings: 1 Square Footage:
Flood Map: Flood Zone: Elev:
Contractor ADAM B EMANUEL ADAM'S AIR CONDITIONING INC (772) 335-2840
Property Owner
Property Owner
6157 SW BALD EAGLE DR
FAYE S DAVIS
4770 WHITESBURG DR #307
•-----------------------------------
WILEY F DAVIS
4770 WHITESBURG DR #307
PALM CITY, FL 3490
HUNTSVILLE, AL 35802
HUNTSVILLE, AL 35802
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those
for all electric, plumbing, mechanical, roofing and structural work. Further he/she acknowledges responsibility to comply with all requirements of the 2007 Florida
Bulding Code and the St Lucie County Land Devlelopment Code.
Issuance of this permit may be appealed to the St. Lucie county Board of Adjustment by an aggrieved party by filing a notice of appeal with St. Lucie County
Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St. Lucie County Land Cevelopment Code, Section
11.11.00., Appeals.
Building Permits shall expire and become null and void if work authorized -by such Building Permit is not commenced, having called for and received a
satisfactory Inspection within six (6) months from the date of issuance of the permit or if the work is not completed within 18 months (permit by contractor) or 24
months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.01 (A)(2).
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the records of this
county, and there may be additional permits required from other governmental entities such as water management disitricts, state agencies, or federal agencies.
s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. a NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE
THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORIDNG
YOU NOTICE OF COMMENCEMENT. s:713.135 (10(a), F.S.
Carl Peterson
Building'Official
Date