HomeMy WebLinkAboutSUBMITTED PAPERSDate:
Fee Due:
.10-6
Permit #
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SC�ViVe®
St. Lucie count
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 IDNumber: 9L46a �'0C/I 5;r -o00 •-2-
P
Office Use
Only
Section
owns I
Range
Map Page.
Zoning
Land Use
Initials
3. Complete Description of Project or Work: IxkC e. ay-\ ,H Y_
4. Owners�fo"rmation 5. Contractors Information
Name: Y: M P , .. Lecl)4s - brvyi &'W is FL Reg/Cert #:
Address: 1 3oS E 4 d (4 o s_T County Cert#:
City: E _X1 LQIrY g State: Business Name:
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reAM
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Zip: 3`'1 �, � � Phone: %one: qQ1' qU' 3551 Fax: q 01- (0�- T • Oct (0
6. Value of Construction: $� .
OWNER'S AFFIDAvrr: I certify that all of the information contained in, this application is correct and that all work will be done in
liance with all applicable laws regulating construction and zoning.
S�►cwrl 807411e
PRINT OWNER OR CONTRACTOR NA y SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF P0."
ACKNOWLEDGED BEFORE ME THIS Z� DAY OFn / 20L� BYLin
WHO IS PERSONALLY KNOWN TO ME�K OR WHO HAS PRODUCED
AS�IDE�IFICATION.SIGSIG ATUREOFOFTYPE // OR PRIP
COMMISSION NUMBER C—_ `-' 3 21 1 2
Z._f 1-,4
NAME OF NOTARY
' ioWv P& f" I BETTY LATSONAS
9�y Public
8fa- State of Florida
My Comm. Expires Dec 14, 201
°•.;;o �.� � ;�` Commission # EE 151?
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
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Propity. 1616titificatiml
Sty 4dd�eas:. 1309:3mdlE�? St
Sq n�k! Rp m g C-: 02 1368..AQE
NOIopi ID: �026
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PIROPERtY REGdR D. CARID
Spdt-Assmnt' T6XC6.
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Legal Descriciflon
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; 3.698fldiloySf— -
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Asm�ivqont,2011 Flnol
T.otal Land o�n,il BWtIW
Date
o"d
20111.,PhII& 770OU
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AM 19 3 WOO
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cz'xSmpt. 5150oo
TaxaWe:, 22000
Tayes: q44`68
BUILDING
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19177
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2
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prglInt'imil:
DCRl - Drywall
HoatT�ypo:
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HIOLV-voE
ELEC - Electric
r in. Ff. o rs-
CtJ = izalpat,
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100'
'K, Spirinkled.
01
SpociEd. Fqotrre,r..An,d Yard Itains
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Units Dual. wand,
*13h.
Na. Lwel Use
i jpe
Naea.s-9re Dopp(h
Y 1
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1917
9 0100-SP Res.
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1- 7 125
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490 AV
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040 Al' AV
197,7
THIS INFORIOATION. ISORLIEVE D TO: BE OOR R ECT AT L THI $ T1 ME � 13 UT LT, I$, 6U 5J EOT TO �OKANGJ! r m 0, 1 S:: N 0T.WA R R A tst,T E 0
y
FERRAN SERVICES & CONTRACTING, INC.
5:3O,Grandstrebt
Orlando. FL 32905
DUNS Number,
Plhone,Number:
FaX Number:
1004715H
407-422-3551
401-648-0951
Proposal No. 47448,6
HoneywellJob Name. 1309 Bradley Street, Fort Pierce, FL 34982
Hone PFqJpct'-1D: Premise, 0005847n
Items Description Amount
Permit, 1-19,00
Labor- 2 Men @g liouts;each 1,323.01)
Materials $ -410:0D
Meter is double tapped. Need to replace 200,amp:
bypass-'ean.
WA
0� L
progrp--,s SillijngGrqss Amount
Note: Retention will be withheld according to the terms
and condkions,of your Purchase Order
Progress BillIng Amount
Shippirig & Handling.
Tax
Total Vtogess Wiling Amount
,$1j852-40
$1,852-00
$0,00
$0.00
$2"852'OG