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HomeMy WebLinkAboutSUBMITTED PAPERSFee Due: - Permit # Planning & Development Services SCANNED Building & Code Regulations Division BY 2300 Virginia Ave. St. LUCie Fort Pierce, FL 34982 C�Un (772)462-1553 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: 2. Parcel ID Number: C/60 T)Y- 3�/c� a �03 G/ y600 / Officeuse Only M�mw ������.�7�C��C.�G3�. •� 3. Complete Description of Project or Work: / iv 3 T a // wctY e ,✓ e. C� h1� %� No Al 4. Owners Information 1 5.(Contractors Information Name: wJ ") ` FL Reg/Cert #: P Address: y /,C 7X& County Cert#: City: F c10, State: �� Business Name: Zip: '3I (f .Z Phone: 3Phone' q 7a -q% c/ %3a 3 6. Value of Construction: $ 8 0 b ' 00 Cr C ly,?C. Ba k /fly(' Fax: 7a —I/( (-3077 OWNER'S AFFIDAVIT: I certify that all of the information contained in p ' ation is correct and that all work will be done in compliance with all applicable laws regulat' c nspzoning. PRINT OWNER OR CONTRACTOR AME S GNATURE R CONTRACTOR STATE OF FLORIDA, COUNTY OF -- ACKNOWLEDGED BEFORE ME THIS " DAY OF I Y� 20 � �- , BY L Cr � 1 LL O IS PERSONALLY) TO ME R WHO HAS PRODUCED — AS E T N. / f ►j' S) 6(LIP? GNA OF NOTARY TYPE OR PRINT NAME OF NOTARY cipti Pk''••. JO BETH RUSSELBURG tir r. MY COMMISSION # DD 937660 ��'���6 ' D Bonded EXPIRES: Notary c Underwriters COM SSIONNUMBER ~ RF,,F�p•ry NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 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 + ';ECORD A NOTICE OF COMMENCEMENT Mb ESULT IN YOUR PAYING TWICE FOR IMPROVE iv`TS TO Y_ OUR PROPERTY. IF YOU INTEND iv' 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 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 Projector 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 reservesthe 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 iIi completing this application, please call (772),- `462.=.15 3 `during., iiegular office hours(8:00 AM '-` 5:00 PM); Monday through Friday: s : >•- . 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 f77--nty, FL Page 1 of 1 PROPERTY RECORD CARD W Edward Hobin Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Horne Print Property Identification UCIEC�G2 Site Address: 6100 PINETR_EE DR ParcellD: 3402-603-0186-000-1 Sec/Town/Range: 11 :36S :40E Account #: 36697 ye' Map ID: Land Use: SF Res � ' Zoning: RS-3 RS-3 CitylCnty: St Lucie County � '• ` Ownership and Mailing Legal Description Owner. W Edward Hobin M Gail Hobin INDIAN RIVER ESTATES -UNIT 02- BLK 12 LOT 17 AND N 35 FT OF Address: 6100 Pinetree Dr LOT 18 (MAP 34/11 S) (OR 2972-2986) Fort Pierce FL 34982-3273 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 141500 Land Value: 21200 Acres: 0.7 5/9/2008 200000 00 WD 2972 / 2986 Assessed: 123660 Building Value: 120300 2/24/2006 392000 00 WD 2501 / 0449 Ag.Credit: 0 Finished Area: 1836 SgFt 10/16/2002 143800 01 SP 1600 / 0772 Exempt: 50000 12/3/2001 16500 00 WD 1468 / 2111 Taxable: 73660 10/2/2001 16500 00 WD 1440 / 2970 Taxes: 1695.61 2/25/1994 39000 02 WD 0889 / 1112 3/31/1993 100 02 PR 0835 / 1329 6/1/1981 12500 00 CV 0357 / 2603 2/1/1981 10500 00 CV 0348 / 1169 1/1/1978 6600 00 CV 0280 / 1772 BUILDING INFORMATION ---------- --......... m HVtE in�J - ueerniom, '110 (Iml la It a n W4 f� (IBmI of m la na I orro fief Exterior Features a ImI View: - RoofCover: ExtType: HB- -HB- YearBlt: Grade: B- - B- EffYrBit: StoryHght: 0010 -1 Story No.Units: Interior Features BedRooms: 4 Electric: FullBath: 3 HeatType: 1/26ath: 0 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S Qty. Units Qual. Cond. YrBit. DWC - Driv-Concret Y 1 1400 AV AV 2002 ENC2 - POOL ENC-AVG Y 1 1636 AV AV 2003 SWAV - RES POOL AVG Y 1 560 AV AV 2003 PA01 - POOL DK-AVG Y 1 1076 AV AV 2003 FNV6 - VINYLFENCE6' Y 1 400 AV AV 2003 FEN6 - CHAINLINK 6' Y 1 100 AV AV 2003 SD - Dim Shingle RoofStruct: HP - Hip 2002 Frame: - 2002 PrimeWall: BS - CB Stucco 1 SecWall: - MX - MAXIMUM PrmintWall: DW - Drywall FHA - FrcdHotAir AvgHt/FI: ELEC - Electric Prm.Flors: CU - Carpet 100 %Sprinkled: 0 Land Information No. Land Use Type Measure Depth 1 0100-SF Res BI -Front Ft 101 1 300 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=340260301860001 5/16/2012 St Luc1e Count01-PC03 IS 05 16-2012 12864/4873 _HOB�,-EDWAR - _.6100 -PINETREE DR - - - FORT- PIERCE FL 34992 - -Amount--Tendered: - 493.00 ST LUCIE COUNTY UTILITIES`- P.O. BOX 728, FT. PIERCE, FL 34982 NAME ACCT.# J� 1 SERVICE ADDRESS �,2 ! bf7 SUBDIVISION LOT- BLOCK -BILLING-ADDRESS: Amount Paid: 493.00 PHONE #� MOVE IN/CLOSING DATE I 0.00 j Change Due: This application hereby request: and authorizes. the: Utility to render water and/or sewage disposal Thank You services to the -premises described above -in -accordance with -the Utilities present or future rates, rules and regulations, which by:reference are made a part of this contract. Applicant agrees to pay the Utility promptly for such. services in accordance witl :the established rules and regulations. A— _ _ CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE. User ID-GESSNER-J - — - ---. _ 'SOCIAL: SECl.. f . j{ ''FED ID � 1L• ...I..� : ,.r L i SPOUSE: SOCIAL SEC. OFFIC E E ONLY _DATE RECEIVED CASH CHK # RECEIV Y