HomeMy WebLinkAboutSUBMITTED PAPERSDate• Fee Due: Ur eipt# (`" Permit # -f
_,,� Planning & Development Sei-vices Sc
'7"� _Y__" : i �'�' = Building & Code Regulations Division S� B� ED
� 2300 Virginia Ave.
Fort Pierce, FL 34982 L(!Cl® �'pUnt
--- _ - -- -- (772)462-1553 y
SPECIALTY PERMIT APPLICATION
Plumbin ❑ HVAC El Fence
❑ Electrical g
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for in(sttructions and additional papenpork required for specialty permits
1. Location/Site Address: / t c/ 8' 1 Ci Z n
2. Parcel ID Number: 3 -! 1 7- 5q0,0013 - 00 D- v
m
PP
3. Complete Description of Pro ect or Work:
q6 caa l' eke.
4.
Wc,i�er hea" er rep1G
e
Owners Information S. Contractors Information
Name: Liaroa % --c "_ f %�
Address: 7,R `y 5cc B1 V7 i �)( Cr
City: , S L State: F1
Zip: 3 G ?Sa Phone: 335aa6 7
6. Value of Construction: $ to/ R15. 00
FL Reg/Cert #:
e n�
CFC 0530a5
County Cert#: ! i 7.3
Business Name: POf f S� LuC(e Plumb 1)
Phone g G52 `I Fax: q 0* q"q1 Z 6
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 regulati onstruc ion and zo " g.
GGrV W, Lclneflo
PRINT OWNEk OR CONTRACTOR NAME IG WNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF S L U C 1 C,
ACKNOWLEDGED BEFORE ME THIS �OtDAY0 20 / ZBY
WHO IS PERSONALLY KNOWN TO ME V OR WHO HAS PRODU D
�..�,y►rvbe ; Danialle Biglin
ASro TIFICATION. =_°, C0N!1f K,!0N#EE107315
Dn r7 I e l le �► �, • oe`' EXPAES; AUG.25,2015
of �, ( �Y.AAMNNOTARYcom
SIGNATURE OF NOTARY f j / TYPE OR PRINT NAME OF NOTARY
"�nun�
COMMISSION NUMBER �L I O 7� r5
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
LNIPROVEMEN I'S 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 S7500.00
Revised 04/26/2010
Property Appraiser - St.Lucie Cov� , FL
Page 1 of 1
Margaret A Cooper
Record: 1 of 1
Property Identification
Site Address:
140 Estia Ln
Sec/Town/Range:
28 :36S :40E
Map ID:
34/28N
Zoning:
RS-4
PROPERTY RECORD CARD
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ParcellD: 3419-540-0013-000-8
Account #: 42690
Land Use: SF Res
City/Cnty: St Lucie County
Ownership and Mailing Legal Description
Owner: Margaret A Cooper RIVER PARK -UNIT 5 BLK 43 LOT 13 (MAP 34/28N)
Address: 4254 SE Brittney Cir
Port St Lucie FL 34952-4736
Sales Information
Assessment 2011 Final
Total Land and Building
Date Price Code
Deed Book/Page 2011 Final:
27900
Land Value: 9000 Acres: 0.24
6/11/1990 46000 00
PR 0695 / 2700 Assessed:
27900
Building Value: 18900
6/11/1990 0 01
PR 0695 / 2700 Ag.Credit:
0
Finished Area: 1136 SgFt
Exempt:
Taxable:
Taxes:
567.64
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
FS - Fibrglss Shg
RoofStruct:
GA - Gable
ExtType:
HC- -HC-
YearBlt:
1960
Frame:
-
Grade:
C- - C-
EffYrBlt:
1960
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWali:
DW - Drywall
FullBath:
1
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CT - Tile -Ceramic
%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 1 600
AV AV
1960 1 0100-SF Res
260 -Front Ft
82 125
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/pasle/prc.asp?prclid=341954000130008 6/11/2012