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Date�-) Fee Due:' o "'i` I Receipt#!2L,5,-`.> J I _ Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Permit # SQA�/VFo By �t CucIg County SPECIALTY PERMIT APPLICATION ❑ Electrical [a Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and (addditional papennork required for specialty perudis 1. Location/Site Address: M L f]l�e Y' S��- „ 1 % IQ 7 2. Parcel ED Number: -3 R • SQo . 013 3 • ©o o - / Office Use Only Section Township Range Map Page Zoning Land Use Initials �L —:?& S 'j 3 V 3. Complete Descriipion of Project or ' qGt � el 4. k/a�er head Owners Inf rmation 5. Contractors Information Name: _ 14;'"/C l a, SI"eI) na rI Address: 1556 Tr6541(f Clen tVd City: D. klQt)CL State: Zip: 7 7(O P.�/0 59 , / LI lff o0 6. Value of Construction: $ tP// 040 FL Reg/Cert #: G Cep( e n I CFC053oa5 County Cert#: / q 73 9 Business Name: PO�f S L.LAe'(e 1 UM I n lQ C� q Qq' glzl 5 Phone. 0V ��/ Fax. 0 OWNERS 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 regulating construction and zo rj W, -ZGne110 PRINT OWNE OR CONTRACTOR NAME GNA O ER O C NTRACTOR STATE OF FLORIDA, COUNTY OF V 1 L In, f f ACKNOWLEDGED BEFORE ME THIS 8" DAY OF 20 �a- BY r'y" �� ne 1 `0 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PROD ED '���<�yiYPpey Danielle Biglin AS ID IFICAT� COMMISSION#EE107315 D� n Ile �� I l S: AUG.25,2015 SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY ,�'' ��ieio�`�, �AARONWTARICooin COMMISSION NUMBER EL 10 715 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 Property Appraiser - St.Lucie '- nty, FL Page 1 of 1 Patricia Brennan Record: 1 of 1 Property Identification Site Address: 10 LAKE VISTA TR 107 Sec/Town/Range: 22 :36S :40E Map ID: 34/22N Zoning: Ownership and Mailing Owner: Address: Sales Information Date Price 8/1/1987 57400 Patricia Brennan 1556 Trestle Glen Rd Oakland CA 94610-1865 Code Deed 00 CV PROPERTY RECORD CARD <<Prov Next» Spec.Assmnt Taxes Exemptions Permits Home Print V,UCIE p ParcellD: 3422-500-0133-000-1 OG' Account* 110222 y Land Use: Condo City/Cnty: St Lucie County Legal Description VISTA ST LUCIE BLDG 10 UNIT 107 (OR 555-2166) Assessment 2011 Final Total Land and Building Book/Page 2011 Final: 44700 Land Value: 0 Acres: 0.02 0555 / 2166 Assessed: 44700 Building Value: 44700 Ag.Credit: 0 Finished Area: 1170 SgFt Exempt: Taxable: Taxes: 909.45 BUILDING INFORMATION IQ Exterior Features 0010 View: - RoofCover: - RoofStruct: Base ExtType: X162 - VistStLucB1 YearBlt: 1987 Frame: Grade: XV2A - VistaStLuceA EffYrBit: 1987 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: PrmintWall: FuliBath: 0 HeatType: AvgHt/Fl: STD 1/2Bath: 0 HeatFuel: - Prm.Flors: - %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 Depth 1 0400-Condo N -Unit 0 0 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=342250001330001 5/16/2012