HomeMy WebLinkAboutSUBMITTED PAPERSD_ ate oZ Fee Due: , Receipt# 650 Permit # 4206 6 /3
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
s - (772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed V Demolition ❑ Gas ❑ Siding
See page 2 for instructions
"w and addition(a,,lnpap, erwork re aiire�dnfor specialty permits
1. Location/Site Address: 1689 IV W swa� �� r�%+�'I 0,�h , a
2. Parcel ID Number:
Office (Ise
Only
Section
Township
Range
Map Page
Zoning
I Land Use
Initials
Q
Z 6AI
3. Coml ete Description of Project or Work:
4. Owners Information 5. Contractors Information
Name: FL Reg/Cert #: ,�SdR � 0
Address: J61 County Cert#:
City: State: vL Business Name: I'M �,t/(s M
Zip: Phone: 0. '3 92' 8 1 Ph n 3 Fax: b IDWpo 7ob
6. Value of Construction: $
A-0—
OWNER'S AFFIDAVIT: I certify that all of the information contained in this applicatio his correct and that all work will be done in
compliance with all applicable laws regulating con nod zoning.
PRINT OWNER OR CONTRACTOR N SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS � DAY OF , 20, BYr
SON WN TOME _ZOR WHO HAS PRODUCED _
ID CATION.
SHERRI R1=MY
n =": "= M'� eMISSION # DD823069
4
UREOFNOTARYTYPE OR PRINT NAME OF OTARY %', o�Fd ' EXPIRES October 04, 2012
COMMISSION NUMBER 1/f/� � ✓O�U� (407) 393-0953
TO
a/� ______._F.lnrirla�lolacySe� ce comma, ,,
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: FAILURE; ZECORD A NOTICE OF COMMENCEMENT MA'- . 'sSULT IN YOUR PAYING TWICE FOR
IMPROVE'A6i,TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXF.WT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS 1
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 Indicate.the street address or general location of
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 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 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 fulf 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 (8:06 AM - 5:00 PM), Monday through Friday.
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) 462-126.1.
Property Appraiser - St.Lucie
'nty, FL
Page 1 of 1
PROPERTY RECORD CARD
Ellen D Thompson
JR) Record: 1 of 1
<<Prev Next » Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
;��,UCIE CO
Site Address:
1589 NW SWEETBAY CIR
ParcellD: 4426-803-0053-000-1 G
Sec/Town/Range:
26 :37S :40E
Account #: 119442
Map ID:
44/26N
PUD
Land Use: SF Res
City/Cnty: St Lucie County
Zoning:
Ownership and Mailing
Legal Description
Owner:
Ellen D Thompson
JR)
HARBOUR RIDGE -PLAT 8- SWEETBAY VILLAGE UNIT 30 (OR 3213-
Address:
19 Malibu Ct
634)
Ruxton MD 21204
Sales Information
Assessment 2011 Final
Total Land and Building
Date
Price Code
Deed
Book/Page 2011 Final: 311400
Land Value: 150000 Acres: 0.3
6/14/2010
355000 0001
DE
3213 / 0634 Assessed: 311400
Building Value: 161400
11/30/2004
100 01
WD
2120 / 0480 Ag.Credit: 0
Finished Area: 2178 SgFt
11/30/2004
100 01
WD
2120 / 0478 Exempt:
6/18/1996
245000 00
WD
1021 / 1303 Taxable:
1/31/1996
100 01
WD
0998 / 1545 Taxes: 6335.65
9/15/1995
133000 04
WD
0977 / 0542
10/31/1994
132100 01
PR
0934 / 0747
3/1/1988
270000 00
CV
0582 / 1840
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
TC - Clay Tile
RoofStruct:
GA - Gable
ExtType:
HA - HA
YearBit:
1989
Frame:
-
Grade:
A - A
EfiYrBit:
1989
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
1/26ath:
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
1989 1 0100-SF Res
GFI -Site
1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.pasle.org/paslc/prc.asp?prclid=442680300530001 6/11/2012
Planning & Development Services
Building & Code Regulation Division
Permitting Department ASBESTOS NOTICE
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Asbestos Notice To Contractor
06/11 /2012
RUBIN CUSTOM HOMES LLC
RUBIN, STEVEN B
4285 SW MARTIN HWY
PALM CITY, FL 34990
RE: Building Permit Numbe 1206-0139
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to
notify the Department of Environmental Protection of any intentions to remove asbestos, when
applicable, in accordance with state and federal law.
Sign re
611111j---
Date