HomeMy WebLinkAboutSUBMITTED PAPERSDate: Wee Due: Receipt# ( ermit #
Planning & Development Serviges
Building & Code Regulations Division SCANNED
2300 Virginia Ave. SY
Fort Pierce, FL 34982 St. Lucie Count
(772)462-1553 y
SPECIALTY PERMIT APPLICATION
electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: ,--9 6 Z L (3. n el
2. Parcel ID Number: �o[ 2 e, '
Office Use
Only
SaWoll
Township
3. Complete Description of Project or Work:
4. Owners Information ,/� Q 5. Contractors Information
Name: 54 �*• C S 1� . cf (sr- �o r G l Pet, 14, FL Reg/Cert #: L�� G .0 a
Address: 2 1 Z /7' r��'' �' ��r,. u / f� County Cert#:
City: Ir / �� �e/'( a State: F 1 Business Name:-/�-
) r �3
Zip: Phone: c) (N-241-6/ Phone: !� l Fax• t / �
6. Value of Construction: $ C2 S`U
OWNER'S AFFIDAVrr: I certify that all of the information contained in tMUS application is correct and that all work will be done in
compliance with all applicable laws regulatin o struction ano
e e &,. Sit 131)
PRINT OWNER OR CONTRACTOR NAME G ATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA; COUNTY OF �� C L
ACKNOWLEDG HIS _DAY OF�-�CA-^ 20[ D, BY
WHO OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF TARY
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
NOTICE TO OWNER: FAILU]7, M � ; D RECORD A NOTICE OF CONRMENCEEt;' [AY RESULT IN YOUR PAYING TWICE FOR
IM[PRO' ENTS TO YOUR PROPERTY. IF YOU INT .,. _ _ J'-TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORh RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. 1
INSTRUCTIONS_,,
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed, This,per-mit`application is to be used only for those activities that are not otherwise included
under- a primary building pemiit. This application may not be used for any acth&v that include.,; Anictural
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.
t
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,piphig',schematics with tank'size,location, and BTU of eaWappliance
❑ 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, durTg re aril- office -Hours 8-00 M4-----5f00PM),-M6-nday tlirou
NOTE: Emergency electric service,change out inspections will not be 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 Cote FL
Page 1 of 1
PROPERTY RECORD CARD
James M Packer Record: 1 of 1
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Property Identification
GIE�G2
Site Address: 2202 S HEADER CANAL RD
ParcellD: 2224-213-0001-010-8
SeclTown/Range: 24 :35S :38E
Account #: 12629
44
Map ID: 22/23X
Land Use: SF Res
Zoning: AG-5
City/Cnty: St Lucie County '
Ownership and Mailing
Legal Description
Owner: James M Packer Deborah J Packer 24 35 38 FROM INT OF E RAN HEADER CANAL AND N LI OF S 1/2
Address: 342 NE Julia Ct
OF N 1/2 OF NW 1/4 OF SEC RUN E ALGSD N LI
Jensen Beach FL 34957
More...
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page 2011 Final: 60400 Land Value: 31500 Acres: 3
5/16/2011 77000 0001 WD
3296 / 0308 Assessed: 60400 Building Value: 28900
6/1/1984 33000 00 CV
0436 / 2584 Ag.Credit: 0 Finished Area: 1560 SgFt
10/1/1978 23000 01 CV
0322 / 2284 Exempt:
Taxable:
Taxes: 1228.87
BUILDING INFORMATION
ems.
a.
a cn
Exterior Features
View:
-
RoofCover:
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtType:
HD+- HD+
YearBlt:
1960
Frame:
-
Grade:
D+ - D+
EffYrBit:
1970
PrimeWall:
BP - Conc Block
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
2
Electric:
AV - AVERAGE
PrmintWall:
PF - PF
FullBath:
2
HeatType:
-
AvgHUFI:
STD
1/213ath:
0
HeatFuel:
-
Prm.Flors:
CA - A TUCON
%A/C:
0
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type
Y/S Qty.
Units Qual. Cond.
YrBlt. No. Land Use
Type
Measure
3CNT - 3CNT
S 1
1 AV AV
1970 1 0100-SF Res
536 -Acres
3
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001
Depth
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=222421300010108 6/7/2012