HomeMy WebLinkAboutSUBMITTED PAPERSDom: °- Due: ~� Recei J Permit # O
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Planning & Development Services
Building & Code Regulations Division NEE
2300 Virginia Ave. St L Qy
Fort Pierce, FL 34982 Ucie C
(772)462-1553 OGn
SPECIALTY PERMIT APPLICATION
❑ Electrical C3-Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: Ye ®? v, f/P ve �r.�`crc dY9�2
2. Parcel ID Number: -? tV(q 2— ( Ok — 0 / 3S" 000 — 51'
Township Range Map Page Zoning an Use Initial
Office Use Section
Only
3. Complete Description of Project or Work: T„X-A Ir-P aTr n ai
/%�)yf+�'_.' - _ � way'✓' �',�,ni1 c/ �`a✓i
4. Owners Information 5. Contractors Information
Name: /!'/y� !, i1 s /°� S�9 /E /iro%h c /�i� ��r FL Reg/Cert #: AFC % Z2S--Y/ 9
Address: �,7/y 223 �`� �°i County Cert#: 7692
City: /4as.- efA� State: //L'Y Business Name: 7e G—.vfir /Lrr
Zip: Phone: J�/7 ;�i'D-d/�® Phone:722-2367-,7,?7ZFax:
6. Value of Construction: $ YDO
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 regulating construction and zoning.
44
PRINT OWNEWOR CONTRXCTOR NAME SIG TURE OF OWNER OR CONTii6l� `
STATE OF FLORIDA, COUNTY OF �.
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY-29
�� a? c
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION. =PubllcUnde
A V-p A ',,` �Y"�
.*; .- 30 useSIGNATURE OF NAR YPE OR PR NAME OF N �°:lR 5 Bdd writers
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 UNDER $7500.00
Revised 04/26/2010
Property Appraiser - St.Lucie G^ sty, FL
Page 1 of 1
Pascale Molina Record: 1 of 1
Property Identification
Site Address:
4807 MYRTLE DR
Sec/Town/Range:
02:36S:40 E
Map ID:
34/02N
Zoning:
RS-4 - CO
PROPERTY RECORD CARD
«Prey Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
�!�CIE
ParcellD: ®R 3402-608-0135-000-4 y�G2�c
Account #: 166691
Land Use: SF Res
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner:
Pascale Molina Brandon Molina
INDIAN RIVER ESTATES -UNIT 07- BLK 42 LOT 19 (MAP 34/02N) (OR
Address:
67-13 223rd PI
32897160)
Bayside NY 11364
Sales Information
Assessment 2011 Final
Total Land and Building
Date Price
Code Deed
Book/Page
2011 Final: 83300
Land Value: 6900 Acres: 0.23
4/26/2011 40000
0001 WD
3289 / 0160
Assessed: 83300
Building Value: 76400
1/24/2006 250800
00 WD
2479 / 1995
Ag.Credit: 0
Finished Area: 1534 SgFt
12/28/2005 69700
01 QC
2479 / 1994
Exempt:
6/30/2005 295000
02 WD
2298 / 1597
Taxable:
Taxes: 1694.8
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
FS - Fibrglss Shg
RoofStruct:
HP - Hip
ExtType:
HC+ - HC+
YearBlt:
2007
Frame:
-
Grade:
C+ - C+
EffYrBlt:
2007
PrimeWall:
PSPC - PolySteel-PC
StoryHght:
0010 -1 Story
No.Units:
1
SecWail:
-
interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FuilBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/2Bath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and
Yard items
Land Information
Type
Y/S Qty. Units
Qual. Cond.
YrBlt. No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1 720
AV AV
2007 1 0100-SF Res
BI -Front Ft
80 125
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/pre.asp?prclid=340260801350004 6/6/2012
\ �t
St. Lucie County - PCIS
06-05-2012 03:03:06
12933/4445
MOLINA, PASCALE
4807 MYRTLE DR
FORT PIERCE
FL 34982
Amount Tendered: 497.00
Amount Paid: 497.00
Change Due: 0.00
Thank You
User ID: GESSNERJ
�_
ST. LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE, FL 34982
NAME rl 1 1 n �1rr
ACCT. #
SERVICE ADDRESS 1"
SUBDIVISION LOT BLOCK
BILLING ADDRESS
PHONE # (I �>i�'- I MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
.SOCIAL SEC/
b"'I'-LA-- FED ID
`SPOUSE SOCIAL SEC.
OFFICE USE ONLY �.
r 1 CASH CHK # RECEIVED BY S '
DATE RECEIVED � , -�_ / �-- —