HomeMy WebLinkAboutSUBMITTED PAPERSDate: . Fee Due:
Permit #
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical
❑ Plumbing
❑ HVAC
Fence
❑ Shed
❑ Demolition
❑ Gas
❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
Lucie C purlt
Y
1. Location/Site Address: & JC5 Fb (A) tibn &�— �T 3425
2. Parcel ID Number: 13 o f 41 2 0019 Q `l0 " 9
Office Use
Only
Section
Township
Range
Map Page
Zoning
an Use
Initials
(�
3. Complete Description of Project or Work: 2/ram'
dl- k 1r '
ri 1 sQ-'O'-r- �' I cf
4. Owners Information��{� rJ�`�`�` 5. Contractors Information
US
Name: 5-e"
-( 1'� ✓)u V25 FL Reg/Cert #:
Address: 62 3 Fcus %00 ),r County Cert#:
City: tF� • �,-Pui:2 State: Business Name:
24� ?1
Zip: 3�{q5 Phone: 3� D- y Z-7 Phone: 26 1 �Jy 03 Fax:
6. Value of Construction: $
-2-ZI95.00
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
90mpliance with all applicable laws regulatin struction an
ifn fps
*PRINTWOR CONTRACTOP,
/NNAMEl � �r,j S OF O ONTRKCTOR
STATE OF FLORIDA, COUNTY OF l) i li'V I111 C, ' r (� P j c
ACKNOWLEDGED BEFORE ME THIS DAY OF 20, BY D ►r V ►�+I V 1 �� 1 h
WHO IS PERSONALLY KNOWN TOME /QOR WHO HAS PROD ED
�Q�'a •:;8�% BROOKE ZAMBUTO
MY COMMISSION t EE 141081
4 ti EXPIRES: February 24, 2016
, , (seal)
SIGNATURE TYPE RINT NAME O NOTARY
COMMISSION NUMBER)�� �flO(KI
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
NOTICE TO OWNER: FAILURE'T^-DrCORD A NOTICE OF COMMENCEMENT MA D.ESULT IN YOUR PAYING TWICE FOR
IMPROVEM TO YOUR PROPERTY. IF YOU INTEND OBTAIN FINANCING, CONSULT WITH
YOUR LENLr n JR AN ATTORNEY BEFORE RECORDING YG ' - . IOTICE 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 Project or 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
reserves the 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 in completing this application, please call (772)
462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
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.
01
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Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERTY RECORD CARD
Russell R Sykes
Record: 1 of 1
«Prev Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
(� CIEC0G�
Site Address:
Sec(Town/Range:
6505 Fort Walton Av
01 :34S :39E
ParceIID: 1301-612-0098-000-9
Account #: 2857
l Q �
y
Map ID:
13/01S
Land Use: SF Res
Zoning:
RS-4
City/Cnty: St Lucie County !,'• `►�
Ownership and Mailing
Legal Description
Owner.
Russell R Sykes Barbara E Sykes LAKEWOOD PARK -UNIT
10- BLK 122 LOT 18 (MAP 13/01 S) (OR 352-
Address:
6203 Eastwood Dr
2703
Fort Pierce FL 34951-1557
Sales Information
Assessment 2011 Final
Total Land and Building
Date
Price Code Deed
Book/Page 2011 Final: 39100
Land Value: 4800 Acres: 0.23
4/1/1981
4800 01 CV
0352 / 2703 Assessed: 39100
Building Value: 34300
8/1/1980
3700 00 CV
0337 / 2954 Ag.Credit: 0
Finished Area: 900 SgFt
3/1/1980
2500 00 CV
0327 / 1532 Exempt:
4l1/1978
2500 00 CV
0286 / 1365 Taxable:
11/1/1973
1700 00 CV
0223 / 1179 Taxes: 795.51
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType:
HD -HD
YearBlt:
1981
Frame:
-
Grade:
D - D
EffYrBlt:
1981
PrimeWall:
HP - Hardi Plank
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
Prm1ntWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
1/2Bath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and
Yard Items
Land Information
Type
Y/S Qty. Units
Qual. Cond. YrBit.
No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1 720
AV AV 1981
1 0100-SF Res
BI -Front Ft
75 131
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.pasle.org/paslc/pre.asp?prclid=130161200980009 5/30/2012
rfile- Edit
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1168597.77 Feet
Thursday, May 31, 2012 03:37 PM
Property Appraiser - St.Lucie r-° -ity, FL
I
Page 1 of,1
L ,
PROPERTY RECORD CARD
Russell R Sykes
Record: 1 of 1
«Prev Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
UCIE CO
Site Address:
6505 Fort Walton Av
ParcellD: 1301-612-0098-000-9
Sec/Town/Range:
Map ID:
01 :34S :39E
13/01S
Account*: 2857
Land Use: SF Res
RS-4
City/Cnty: St Lucie County
Zoning:
Ownership and Mailing
Legal Description
Owner:
Russell R Sykes Barbara E
Sykes LAKEWOOD PARK -UNIT
10- BLK 122 LOT 18 (MAP 13/01 S) (OR 352-
Address:
6203 Eastwood Dr
2703
Fort Pierce FL 34951-1557
Sales Information
Assessment 2011 Final
Total Land and Building
Date
Price Code Deed
Book/Page 2011 Final: 39100
Land Value: 4800 Acres: 0.23
4/1/1981
4800 01 CV
0352 / 2703 Assessed: 39100
Building Value: 34300
8/1/1980
3700 00 CV
0337 / 2954 Ag.Credit: 0
Finished Area: 900 SgFt
3/1/1980
2500 00 CV
0327 / 1532 Exempt:
4/1/1978
2500 00 CV
0286 / 1355 Taxable:
11/1/1973
1700 00 CV
0223 / 1179 Taxes: 795.51
BUILDING INFORMATION
iy UBA
IRA
(ia1
a
BA9 I
(OAO) IUO OAA
(f0)
Exterior Features
View:
-
RoofCover:
SO - Dim Shingle
RoofStruct:
GA - Gable
ExtType:
HD -HD
YearBlt:
1981
Frame:
-
Grade:
D - D
EffYrBlt:
1981
PrimeWall:
HP - Hardi Plank
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI: .
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and
Yard items
Land Information
Type
Y/S Qty.
Units Qual. Cond.
YrBit. No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1
720 AV AV
1981 1 0100-SF Res
BI -Front Ft
75 131
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=130161200980009 5/18/2012
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