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Home My WebLink AboutSUBMITTED PAPERSDate: Fee Me: bu Receipt# Permit # E, 115, Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 4��h j✓ SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ HVAC ❑ Shed ❑ Demolition ❑ Gas Seepage 2 for instructions and additional paper 1. Location/Site Address: 2. Parcel ID Number: dV)�()5 ❑ Fence ❑ Siding 0' Township Range Map Page Zoning an Use Initials office Use Section D ,s Only 3. Complete Description of Project or Work: 4. Owners Infor ion Name: Address: 5. Contractors Information Y\s City: % ( III:(2f(e State: Zip: 9 `? 70 Phone: � 6. Value of Construction: QC/ FL Reg/Cert #: I^ k 1 "?(9 1 % 0 County Cert#: Busi�nesame: rt/G . EF Phone: 0 Fax: OWNER'S FIDAVIT: I certify that all of the information contained in this ap icatio ' correct and t all work will be done in liance th III applicable laws regulat' cons c ion an on YL PRINT OWNER OR ONTRACTOR N AT OF CTOR STATE OF FLORID COUNTY OF ACKNOWLEDGED BEFORE ME THIS AY OF 20A9, BY. oel" a Q-0�aA ' WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED NTIFICATION. JIM A�M1 AAfE +: MY GQMAfiaILJ I QQ 852587 SIG URE OF NOT Y TYPE OR PRINT NAME OF NOTARY EXpiREW • IMerch 22, 2013 <2 � ; �..... ; Bonded Thru Npinry Public Underwriters COMMISSION NUMBER 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^ TECORD A NOTICE OF COMNMNCEMENT iv,' `- `,,RESULT IN YOUR PAYING TWICE FOR IMPROVEn. :S TO YOUR PROPERTY. IF YOU INTENI:,, ,, OBTAIN FINANCING, CONSULT WITH YOUR LENjink OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONEMENCEMENT. EXEMPT: A/C -BEAT 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/She Address 2. Parcel ID Number 3. Description of Projector 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 property 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. Property Appraiser - St.Lucie C ~ ity, FL Page 1 of 1 Angela J Brown Record: 1 of 1 Property Identification Site Address: 8652 Clearlake Ln Sec/Town/Range: 02 :35S :39E Map ID: 23/02N Zoning: RS-2 Ownership and Mailing Owner: Angela J Brown Address: 8652 Clearlake Ln Fort Pierce FL 34947-1413 PROPERTY RECORD CARD «Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print �,VOE0 ParcellD: 23Q2"�01 OQ34�0005.,*vim. �G2 Account #: 12823 Land Use: SF Res �•, CitylCnty: St Lucie County Legal Description TIMBERLAKE ESTATES LOT 30 (0.66 AC) (OR 787-2340) Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 116400 Land Value: 31900 Acres: 0.66 4/27/1992 17000 00 WD 0787 / 2339 Assessed: 116400 Building Value: 84500 4/22/1992 21500 00 WD 0787 / 2340 Ag.Credit: 0 Finished Area: 2111 SgFt 4/21/1990 100 02 WD 0690 / 0910 Exempt: 50000 Taxable: 66400 Taxes: 1547.89 BUILDING INFORMATION Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: GA -Gable ExtType: HC+, - HC+ YearBlt: 1993 Frame: - Grade: C+ - C+ EffYrBit: 1993 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/Fl: STD 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. YrBlt. No. Land Use Type Measure Depth S 1 1 AV AV 1993 1 0100-SF Res 201 -Front Ft 182.96001 140 3CFT - 3CFT 5CFT - 5CFT S 1 1 AV AV 1993 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. http://www.paslc.org/prc.asp?prclid=230260100340005 4/26/2012