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�.
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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