HomeMy WebLinkAboutSUBMITTED PAPERSFee Due:
Permit #
❑ Electrical
0 Shed
Planning & Development Services s
Building & Code Regulations Division
2300 Virginia Ave. SCANNED
Fort Pierce, FL 34982 �t By
(772)462-1553 Cie County
SPECIALTY PERMIT APPLICATION
Plumbing
❑ Demolition
❑ HVAC ❑ Fence
❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: `, s o-2 4 , -PISL t T L. 39952
2. Parcel ID Number:
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work:
4. Owners IInformation 8. Contractors Information`
Name: 0-a 12z 0uyen a n FL Reg/Cert #: I () 69 517 o-
Address: SOP C hK:Lp Q V� County Cert#: 04 coc5 4•
City: (r,iftncl �6ey 1 State: Business Name: �� QY15o�1 6�LPJ/1 �L13m�1
Zip: '1/9J// %' Phone: Phone: 112-z2$-6ff Fax: 77Z-225 —6 77�
6. Value of Construction: $ A mb-- CS6
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 regulating consjxuction and rim
PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF O OR CO CTO
STATE OF FLORIDA, COUNTY OF 1�Y1V� //�� 1,�_� �
ACKNOWLEDGED BEFORE ME THIS S DAY OF 20 1 Z BY L.an ^ 4 O LLA 161
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
4AT404F
EATION;i¢ 4:Li"4+: JACLYN F WILSON
J�p( .sari " MY COMMfislbN # EE040747
NO�ARY TYPE OR PRINT NAME OF NOTARY EXPIRES November 08, 2014
COMMISSION NUMBER E 6 �} �� (I r I (407) 398-0153 FloridallotaryServiee.com
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
May 1512 03;23p Jensen Beach F )ing Inc
779-?95-6779 p.2
Date: I Fee Due: Recei t# ermit # 0 �. - A`-)3
*COUMNNT.Y.
F L O R I 'A A
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECULTY PERMIT APPLICATION
❑ Electrical E Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
I. .Location/Site Address: v S J I JL �� .j99!Sa
2. Parcel ID Number:
OITZCC us-v
Only
Section
Township
Range
Map PHgC
Zoning
Land Use
Initials
3. Complete Description of Project or Work:
V
4. Owners Information S. Contractors Information
Name: &gZ1 'j'Q,)/e,n SQ n FL Reg/Cert #: F b (69 -t% Q-
Address: Ito c+�L p oyf` County Cert#: o?t} Los 4
City: (�eancA kLV e-n State: }' Business Name: Yl BAACKY
Zip: Phone: %4 - -Lf477 Phone: 71Z-2254=-fCC'0 Fax: Z7z`P 5'-�77
6. Value of Construction: $'A ty a, cszl�
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 regulating con ction and7.vninV ;
PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF O*N OR CO CTO
STATE OF FLORIDA, COUNTY OrfRIft I` V'\ 55
ACKNOWLEDGED BEFORE ME THIS 15 DAY OF 20 1 Z , BY n
WHO IS PERSONALLY KNOWN TOME—Z—OR WHO HAS PRODUCED
AS IDENTIFICATION.
JACLYN F WILSON
MY C0MM(98 bN # EE040747
A�rO NOARY TYPE OR RINTNAMEOFNOTARY EXPIRES November 08, 2014
COMMISSION NUMBER E96gt�jgq (a07)388-0153, wogdoNatary3ervice.com
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 CONINIF.NCEMENT.
EXEMPT: AIC-TIEATREPLACEMENT WITH CONTRACT UNDER S7500,00
Revised 04j76f2010
Property Appraiser - St.Lucie C _y, FL
Page 1 of 1
PROPERTY RECORD CARD
Carol B Stevenson
Record: 1 of 1
<<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address:
752 Altura St
ParcellD: 3419-515-0115-000-5 ,03CIEOoG�
Sec/Town/Range:
22 :36S :40E
Account* 42182
Map ID:
34122S
Land Use: SF Res
Zoning:
RS-4
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner:
Carol B Stevenson
RIVER PARK -UNIT 3- BLK 24 LOT 9 AND NELY 6.5 FT OF LOT 10
Address:
752 Altura St
(MAP 34/22S) (OR 3169-105)
Port St Lucie FL 34952-1302
Sales Information
Assessment 2011 Final Total Land and Building
Date Price
Code
Deed
Book/Page 2011 Final: 38900 Land Value: 9000 Acres: 0.25
1/8/2010
70000 0001
WD
3169 / 0105 Assessed: 38900 Building Value: 29900
5/30/2008
57500 01
SP
2994 / 1876 Ag.Credit: 0 Finished Area: 1252 SgFt
6/13/2007
0 01
CT
2835 / 1431 Exempt:
4/25/2005
159900 00
WD
2228 / 0047 Taxable:
5/19/2004
127800 00
WD
2016 / 0827 Taxes: 791.45
12/20/1993
60000 00
PR
0876 / 1761
1/1/1973
25000 00
CV
0209/2776
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
FS - Fibrglss Shg
RoofStruct:
GA - Gable
ExtType:
HD+ - HD+
YearBit:
1964
Frame:
Grade:
D+ - D+
EffYrBlt:
1970
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
1/26ath:
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 1 720
AV AV
1964 1 0100-SF Res
215 -Front Ft
84.7 130
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
h4://www.paslc.org/paslc/prc.asp?prclid=341951501150005 5/17/2012