HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due:
f
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SCB p
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC M4 ence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 6 2 03 & ,<�Ao 0 d v- F+ i l floc
2. Parcel ID Number: / 3 01 6 1 Z 0O q [o o o pt; o `—)—
Office Use
Only
Section
Township
Range
Map Page
Zoning
an Use
Initials
. .
t.
3. Complete Description of Project or Work:
en, I r) C Pr 1. 1 t,.
rx
i5-er'j an
LlF4- Ale
den C F� I bp i,,r,s�e- a� i�e�� ?Mr�—b,rcZq'%`��
4. Owners Information 5. Contractors Information
Name: QU s Se] 1 0�0- Su Kl*-5
Address: �� 3 Gca W003
City: F-�. �xele2 State:
Zip: 314qE; I Phone:
�Iry v
6. Value of Construction: $ 7i'TD
rL
FL Reg/Cert #: ((��
County Cert#: 24//� t `1 ZZ4
Business Name: �)Q cwtsqC ht� �d-
Phone: so (' aub3 Fax: ''f u — l s
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is corn and that all work will be done in
riom dance with all applicable laws regula4ingcJclio a and zon'
wo , it
PRINT O R OR CONTRACTOR NAME
fil " ' ' � -
SIG R OR C CTOR
STATE OF FLORIDA, COUNTY O&V Vcl�/
ACKNOWLEDGED BEFORE ME THIS. DAY OF 1 V 1 20� BY ✓
WHO IS PERSONALLY KNOWN TO ME )-6— OR WHO HAS PRODUCK4Lewr—BR0C9E ZA"AtrT _
MY COMMISSION # EE 141081
EXPIRES: February 24, 2016
Bonded Thru Budget Notary Services
TYPE OR PRINT NAME OF NOT
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!^ IIECORD A NOTICE OF COMMENCEMENT M�'-,RESULT IN YOUR PAYING TWICE FOR
IMPROVEN; 'S TO YOUR PROPERTY., IF YOU INTENT OBTAIN FINANCING, CONSULT WITH
YOUR LEN,_:,:, x OR AN ATTORNEY BEFORE RECORDING Y00r, 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
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction
Indicate the street address or general location of
property where the building activity is taking place.
Indicate the tax identification number of the
properly where the building activity is taking place.
Fully describe the activity to take place.
' Indicate the name and address of the owner of the
property on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work.
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.
Thursday, May 31, 2012 03:37 PM
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
Site Address: 6203 Eastwood Dr
ParcellD: 1301-612-0096-000-5
r �coG
Sec/Town/Range: 01 :34S :39E
Account #: 2855
ye 77'•1T.1�, i
Map ID: 13/01S
Land Use: SF Res
Zoning: RS-4
City/Cnty: St Lucie County
K
Ownership and Mailing
Legal Description
Owner. Russell R Sykes Barbara E
Sykes LAKEWOOD PARK -UNIT 10- BLK 122 LOT 16 (MAP 13/01 S) (OR 542-
Address: 6203 Eastwood Dr
2707, 2708, 2709, 2710: 651-1807)
Fort Pierce FL 34951-1557
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page 2011 Final: 84800 Land Value: 7800 Acres: 0.37
2/1/1987 0 01 CV
0551 / 1807 Assessed: 84800 Building Value: 77000
2/1/1987 1000 01 CV
0542 / 2710 Ag.Credit: 0 Finished Area: 1740 SgFt
Exempt: 50000
Taxable: 34800
Taxes: 904.98
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
SA - Asph Shingle
RoofStruct:
HP - Hip
ExtType:
HC-- HC-
YearBlt:
1992
Frame:
-
Grade:
C- - C-
EffYrBlt:
1992
PrimeWall:
BS - CB Stucco
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:
STD
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
4CFT - 4CFT
S
1
1
AV AV
1992
1 0100-SF Res
BI -Front Ft
121.7 131
3CFT - 3CFT
S
1
1
AV AV
1992
SDSF - SITE DEV S-F
Y
1
1
AV AV
2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
hq://www.paslc.org/paslc/prc.asp?prclid=130161200960005 5/30/2012
Property Appraiser - St.Lucie County, FL
_
Page 1 of 1
1
p 1.
PROPERTY RECORD CARD
Russell R Sykes Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
— CIE�� —1
Site Address: 6503 Fort Walton Av
Sec/Town/Range: 01 :34S :39E
ParcellD: 1301-612-0097-000-2
Account #: 2856
�� G
y
Map ID: 13/01S
Land Use: Vac 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 17 (MAP
13/01 S) (OR 476-
Address: 6203 Eastwood Dr
1439)
Fort Pierce FL 34951-1557
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page 2011 Final: 4800 Land Value: 4800 Acres: 0.23
9/1/1985 5000 00 CV
0476 / 1439 Assessed: 4800 Building Value: 0
Ag.Credit: 0 Finished Area: 0 SgFt
Exempt:
Taxable:
Taxes: 97.67
BUILDING INFORMATION
No Sketch
Available
Exterior Features
View: -
RoofCover:
- RoofStruct: -
ExtType: -
YearBlt:
Frame: -
Grade: -
EffYrBlt:
PrimeWall: -
StoryHght: -
No.Units:
SecWall: -
Interior Features
BedRooms:
Electric:
- PrmintWall: -
FullBath:
HeatType:
AvgHt/FI:
1/213ath:
HeatFuel:
- Pnn.Flors: -
%A/C:
%Heated:
%Sprinkled:
Special Features and Yard Items
Land Information
Type Y/S Qty. Units
Qual. Cond. YrBlt.
No. Land Use Type Measure Depth
1 0000-Vac 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/prc.asp?prclid=130161200970002 5/30/2012
7LDY
D A
•
BOARD OF COUNTY COMMISSIONERS
2300 VIRGINIA AVE
FT. PIERCE, FL 34982-5652
ATTN: JESSE BAXLEY, RECORDS MANAGEMENT
PHONE: (772)462-6493 FAX: (772)462-6494
RECORDS RETRIEVAL REQUEST
REQUESTED BY:
DATE:
DIVISION/DEPT.-
PHONE:
RECORDS REQUESTED:
BIN/BOX #
GS#
DESCRIPTION
ITEM#
DATE(S)
QN IV
DATA TRANSMITTED BY: PHONE: Q
RECORD(S) RECEIVED BY:__,b.
FAX: Q MAIL/COURIER:o iN PERSON:
DATE:
RECORD(S) RETURNED BY: kt
�� DATE:J
RECORD(S) RECEIVED AT FACILITY BY:
DATE:
COMMENTS: u x s e
��-
-� �( r- atAi i r>� , V
i• RETURN SIGNED COPY WHEN RETURNING REQUESTING RECORDS
R S� •��1 `'ice Q�\ �
-SLCCAS: 9/t4/09
22l �-�10
9L 9L
Iv�'vryryry,\ 1 � .
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I"1l-s'.:.FR QR I �= is^j �
Friday, May 18, 2012 02:08 PM
Friday, May 18, 2012 02:09 PM
Property Appraiser - St.Lucie 1nty, F - 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
Site Address:
6503 Fort Walton Av
Sec/Town/Range:
01 :34S :39E
Map ID:
13/01S
Zoning:
RS-4
Ownership and Mailing
Owner: Russell R Sykes Barbara E Sykes
Address: 6203 Eastwood Dr
Fort Pierce FL 34951-1557
�\, CIF CO
ParcellD: 1301-61-2M0037 0 -2
e ,
Account #: 28�
��
f_
Land Use: Vac Res
City/Cnty: St Lucie County
Legal Description
LAKEWOOD PARK -UNIT 10- BLK 122 LOT 17 (MAP 13/01S) (OR 476-
1439)
Sales Information Assessment 2011 Final Total Land and Building
Date Price Code Deed Book/Page 2011 Final: 4800 Land Value: 4800 Acres: 0.23
9/1/1985 5000 00 CV 0476 / 1439 Assessed: 4800 Building Value: 0
Ag.Credit: 0 Finished Area: 0 SgFt
Exempt:
Taxable:
Taxes: 97.67
5
BUILDING INFORMATION
No Sk_`t��l
Available
Exterior Features
View: -
RoofCover:
- RoofStruct:
ExtType: -
YearBlt:
Frame:
Grade: -
EffYrBlt:
PrimeWall:
StoryHght: -
No.Units:
SecWall:
Interior Features
Bed Rooms:
Electric:
- PrmintWall: -
FullBath:
HeatType:
- AvgHt/Fl:
1/213ath:
HeatFuel:
- Prm.Flors: -
%A/C:
%Heated:
%Sprinkled:
Special Features and Yard Items
Land Information
Type Y/S Qty. Units
Qual. Cond. YrBlt.
No. Land Use Type Measure Depth
1 0000-Vac 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.
Ah C" t ropet .
�e r
http://www.paslc.org/paslc/prc.asp?prclid=130161200970002 5/18/2012
�?�7-W 84 Lf�S
Property Appraiser - St.Lucie - _-nty, F
4F
PROPERTY RECORD CARD
Russell R Sykes Record: 1 of 1 «Prev Next» Spec.Assmnt
Property Identification
Site Address: 6203 Eastwood Dr
Sec/Town/Range: 01 :34S :39E
Map ID: 13/01S
Zoning: RS-4
Ownership and Mailing
Owner: Russell R Sykes Barbara E Sykes
Address: 6203 Eastwood Dr
Fort Pierce FL 34951-1557
Page 1 of 1
Taxes Exemptions Permits Home Print
�V,UCIE CO
ParcellD:
Account #: 2 5
Land Use: SF Res
City/Cnty: St Lucie County
Legal Description
LAKEWOOD PARK -UNIT 10- BLK 122 LOT 16 (MAP 13/01 S) (OR 542-
2707, 2708, 2709, 2710: 551-1807)
Sales Information
Assessment 2011 Final
Total Land and Building
Date Price Code
Deed Book/Page 2011 Final:
84800
Land Value: 7800 Acres: 0.37
2/1/1987 0 01
CV 0551 / 1807 Assessed:
84800
Building Value: 77000
2/1/1987 1000 01
CV 0542 / 2710 Ag.Credit:
0
Finished Area: 1740 SgFt
Exempt:
50000
Taxable:
34800
Taxes:
904.98
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
SA - Asph Shingle
RoofStruct:
HP - Hip
ExtType:
HC- - HC-
YearBlt:
1992
Frame:
-
Grade:
C- - C-
EffYrBit:
1992
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FuilBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/26ath:
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.
YrBlt.
No, Land Use
Type
Measure
4CFT - 4CFT
S
1
1
AV AV
1992
1 0100-SF Res
BI -Front Ft
121.7
3CFT - 3CFT
S
1
1
AV AV
1992
SDSF - SITE DEV S-F
Y
1
1
AV AV
2001
Depth
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/pre.asp?prclid=130161200960005 5/18/2012