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HomeMy WebLinkAboutSUBMITTED PAPERSDate: bA Fee Due: I -Recei t# JPermit# S,a Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION electrical ❑ g Plumbin ❑ HVAC ❑ Fence SGqn/ EG ❑ Shed ❑ Demolition ❑ Gas ❑ Siding St (U%8 u See page 2 for instructions and additional paperwork required for specialty permits my 1. Location/Site Address: 1(A (-)QC,e�i 2. Parcel ID Number: U 5: 12— — 3'5 — 0-(J 0 O-&rf i a 3 7 Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Name: Address: F T )( )._. L L ,' FL Reg/Cert #: 'A 5 H rj NF— C) ii County Cert#: City: Jet') 5 c-n b-Q C)r--� State: Business Name: -Mc Zip: Phone: U-i p,- ! . l o + Phone: 59)10-LI) LE q 'j Fax: 6. Value of Construction: $ , 000'a OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is corr and that all work will be done in compliance with all applicable laws regulating construction and zoni g. Q -0--- PRINT OWNER(OR C-QJTRACTOR NAME SIGNATURE OF OfVNER OR CO OR t7 STATE OF FLORIDA, COUNTY OF S + ACKNOWLEDGED BEFORE ME THIS OF rY _k,4, 203, BY�Y 1 A l 1 WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED l AS IDENTIFICATIO P •��� `` ��, Ss(sealI�� S�� T. BROMELOW SIG UR ENO RY TYPE OR INT NAME OF NOTARY :; - HIYCOMMISSION#EE034959 a° EXPIRES: October 17, 2014 COMMISSION NUMBER cJ�- E E 0 ar j Ci 5Q ,ty°`' Bonded Thru Notary Publlo UndervMlers 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 Property Appraiser - St.Lucie C ty, FL Page 1 of 1 PROPERTY RECORD CARD EFTX LLC Record: 1 of 1 «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification V�CiE��G,y Site Address: 10900 A1A ParceliD: 4512-331-0002-000-5 Account #: 124810 y z SecrFown/Range: 12 :37S :41 E Map ID: 45/12F Use Type: REST CAF St Lucie County Zoning: CG City/Cnty: Ownership and Mailing Legal Description Owner: EFTX LLC 12 37 41 SLY 180 FT OF NLY 430 FT, AS MEAS ALG A1A, OF GOUT Address: 4545 NE Ocean Blvd LOT 2LYG E OF Al (1.73 AC) FOR 334-2626 Jensen Beach FL 34957 More... Sales Information Assessment 2012 Total Land and Building Date Price Code Deed Book/Page 2012 Final: 1961100 Land Value: 1507200 Acres: 1.73 12/27/2012 4000000 0205 WD 3471 / 0323 Assessed: 1961100 Building Value: 453900 11/12/1997 1250000 00 WD 1110 / 0401 Ag.Credit: 0 Finished Area: 7401 SgFt 3/1/1988 0 01 CV 0579 / 0385 Exempt: 7/1/1980 240000 00 CV 0334 / 2626 Taxable: Taxes: 39675.62 BUILDING INFORMATION Exterior Features View: - RoofCover: ES - Enam Metal RoofStruct: BR - BarJst/Rigid ExtType: REST - RESTAURANT YearBit: 1989 Frame: - Grade: Y_D - Commer D EffYrBlt: 1989 PrimeWail: CB - Cedar Bd/Btn StoryHght: 0010 -1 Story No.Units: SecWail: - Interior Features I Bed Rooms: 0 Electric: MX - MAXIMUM PrmintWall: WP - Plaster FuliBath: 0 HeatType: FHA - FrcdHotAir AvgHt/Fl:, STD 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors: HW - Hardwood %A/C: 100 %Heated: 100 %Sprinkled: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBit. No. Use Type Type Measure Depth ASP1 - ASP1 HIGH Y 1 28200 AV AV 1998 1 2100-REST CAF 335-SgFeetRate 75359 LGT1 - SINGLE LIGHT Y 1 13 AV AV 1998 CURB - CEMENT CURB Y 1 450 AV AV 1998 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/paslc/prc.asp?prclid=451233100020005 5/31/2013