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HomeMy WebLinkAboutSUBMITTED PAPERS(CC '4- f, Date: a Due: Ree Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SceN/VED St �UCIe County SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ RVAC IM Fence ❑ Shed ❑ Demolition ❑ Gas E Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 1 2-0 15- C 4�v Lr 1) n e- -Ay e a u C/ 2. Parcel ID Number: 3 1 5 -0 r b ( ao — 00y — 0 3. 4. Name: sA 1 Address: I% �t Coo rD () 0- AUC City: �ptT -fete State: FL- -Zip: 3y b �5 Phone: V 79 • 1 1 6. Value of Construction: $ / "7-0) Owners Information 5. Contractors Information FL Reg/Cert #: 7 I r County Cert#: 1 !�,,r��y- V 00t? 44t-�` ,2 [�, Business Name: A I i e— (Se 1Ce. ce . Phone: 340.0-111 Fax: 3L 0 `-16 90 OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in 1� compliance with all applicable laws regulating construction and ning. PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF :51 • L L4 t;C \ Q_ ' j ACKNOWLEDGED BEFORE ME THIS DAY OF-� t o e 2(_ 2 BY 4 ) &'V WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS I ENTIFIC TION. ,�01�' 1°�e BARBARA ELLUZZI f ' _ 2 MY C(OP#MISSION # EE073023 SI NATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY - off„ ', EXPIRES March 13, 2015 COMMISSION NUMBER 616©V�)Oz � (407) 398.0153 FlcridallotaryService.com 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 i . 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 $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 activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel 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 of fence 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 and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. Property Appraiser - St.Lucie r^panty, FL Page 1 of 1 " PROPERTY RECORD CARD David L Zarker Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes' Exemptions Permits Home Print Property Identification ��UCIEC0 Site Address: 120 S Caprona Ave ParcellD: 3419-530-0186-000-0 �G2 Sec/rown/Range: 28 :36S :40E Account #: 42586 Map ID: 34/28N Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County ' Ownership and Mailing Legal Description Owner: David L Zarker Mary Zarker RIVER PARK -UNIT 4 BLK 38 LOT 35 (MAP 34/28N) (OR 525-2513: Address: 120 SE Caprona Ave 809-1544; 2291-2803) Port St Lucie FL 34983-0000 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 76600 Land Value: 12200 Acres: 0.35 6/22/2005 100 01 QC 2291 / 2803 Assessed: 76600 Building Value: 64400 9/18/1992 75700 00 WD 0809 / 1544 Ag.Credit: 0 Finished Area: 2012 SgFt 8/28/1991 100 01 QC 0753 / 0461 Exempt: 50000 12/1/1986 0 01 CV 0525 / 2513 Taxable: 26600 12/1/1984 80000 00 CV 0450 / 0473 Taxes: 738.16 BUILDING INFORMATION 0 Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: HP - Hip ExtType: HC - HC YearBlt: 1969 Frame: - Grade: C - C EffYrBlt: 1969 PrimeWall: BW - BrkA/Vd Frame StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/213ath: 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 PHTR - POOL HEATER S 1 1 AV AV 1988 1 0100-SF Res 231 -Front Ft 110 140 SWAV - RES POOL AVG Y 1 480 AV AV 1986 PA01 - POOL DK-AVG Y 1 1140 AV AV 1986 ENC2 - POOL ENC-AVG Y 1 1620 AV AV 1986 DWC - Driv-Concret Y 1 720 AV AV 1969 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?prelid=341953001860000 6/7/ m F Y rh E CO