HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: t# ermit # � -((Yn —�)C)C?/O
St. Lucie County Buiidirr't & Zoning sC
2300 Virginia Avenue Ft. Pierce, FL 34982-5652 q
:I. Tel. 462-1553 s1` e�NF
SPECIALTY PERMIT APPLICATION
Electrical
❑ Plumbing
❑ HVAC
❑ Fence
" ❑ Shed
❑ Demolition
❑ Gas
❑ Siding
covh�
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 1:i S( Fr-- wtAz-
2. Parcel ID Number: Z-S Z"7 ---7 y -) - Uyy
Only
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3. Description of Project or Work Activity:
4. Owners Information 5. Contractors Information
Name: t lam, Je,n„H !b 1, ter, FL Reg/Cert #: yey�,5 s
Address: County Cert#: '1144, 45,
City: ?�,�•�� S ,,-- I- �. c,�i, State: ` �. Business Name: :54-co f4
Zip: Phorie: -j 2-z-s_ one Fax
6. Value of Construction: $ , -Ye, o..,-,(5Z
OWNER'S AFFIDAVIT: I certify that all of.the'in for►hadon• contained in this application is correct and that all work will be done
in compliance w'itfi all applicable laws regulating construction and zoning.
PRINT QUALIFIERS/OWNERS NAME SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OFf�� I�J,� r�C.CQJ ACKNOWLEDGED BEFORE ME THIS �J" DAY OF
Yl� • 20LqBY 016ra,V —E (1✓, A H015 PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
xi���, . �(� AS IDENTIFICATION. ��y�(�
1�� 1— n (Cold 1 1 1 `�(e (seal)
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC
St. Lucie County Specialty Permit Application rev. 8/25105 dmg
COMMISSION NUMBER
NICOL.E NICGEE •'
MY COMMISSION # EE0418H
EXPIRES November 15.2014
407ae8aM Moe.aan
NOTICE TO OWNER: FAILURE-. RECORD A NOTICE OF COMMENCEMENT N'� RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YQUR 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 activitythat includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address Indicate the street address or general location of the
property where the building activity is taking place.
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
s,
=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 offence 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 he performed after 3: 00 PM without
special arrangements acid udtttarral fee paid.
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o i t,y�"{t1 y tY a
'35 + q
Upon issuance of this, ermit,re uiref'd insP ections can be scheduled by calling (772) 462-1261.
i Y PYr"^:' P> f ,t
St. Lucie,.CountySpecialty Permit Applica40 rev:•S%25/05 dmg
Property Appraiser - St.Lucie C —nty, FL Page 1 of 1
PROPERTY RECORD CARD
Jenny Dziuban (TR)
Record: 1 of 1
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Property Identification
�UCIE CO
Site Address:
951 Fra Mar PI
ParcellD:—a=2427-702-0007-000-1
Sec/Town/Range:
27 :35S :40E
Account #: 32012 �e
Map ID:
24/27S
Land Use: M-F < 10U
City/Cnty: St Lucie County
Zoning:
RM-11
Ownership and Mailing
Legal Description
Owner:
Jenny Dziuban (TR)
WAGNER S/D BLK 1 LOT 7 (OR 31259-1398)
Address:
7548 S US Hwy 1 #196
Port St Lucie
FL 34952
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code
Deed
Book/Page 2011 Final: 22600 Land Value: 4500 Acres: 0.17
12/20/2010
100 0111
QC
3259 / 1398 Assessed: 22600 Building Value: 18100
10/20/2009
17000 0112
SP
3146 / 1300 Ag.Credit: 0 Finished Area: 1568 SgFt
8/3/2009
21000 0112
CT
3123 / 2262 Exempt:
8/21/2007
100 01
QC
2876 / 0531 Taxable:
2/17/2005
130000 00
WD
2171 / 1782 Taxes: 459.81
7/25/2002
79900 00
WD
1559 / 2718
5/1/2000
40400 00
WD
1296 / 2637
4/1/1983
320000 02
CV
0399 / 2991
BUILDING INFORMATION
"No. -,Image
Available
Exterior Features
View: -
RoofCover:
SA - Asph Shingle
RoolStruct:
GA - Gable
ExtType: MFH - M.F. LOW RIS
YearBlt:
1972
Frame:
-
Grade: D - D
EffYrBit:
1972
PrimeWall:
BP - Conc Block
StoryHght: 0010 -1 Story
No.Units:
2
SecWall:
-
Interior Features
BedRooms: 2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath: 2
HeatType:
-
AvgHt/Fl:
STD
1/2Bath: 0
HeatFuel:
-
Prm.Flors:
TZ - Terrazo
%A/C: 0
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty. Units Qual.
Cond. YrBIt.
No. Land Use
Type
Measure Depth
1 0800-M-F < 10U
210 -Front Ft
60 125
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/prc.asp?prclid=242770200070001 6/6/2012