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Home My WebLink AboutSUBMITTED PAPERSFee Due: Permit # ❑ Electrical ❑ Shed Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Plumbing ❑ HVAC ❑ Fence Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: JWo Al --/5—" .S 2. Parcel ED Number: / z/A3 '9C4AIN Sy eo ocie Co"41 Office Use Only Section Township Range Map Page Zoning Land Use Initials 3 / 3 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Name: j�N (/J L%DD� $ FL Reg/Cert#: CG C 1S1 Address: yQ0 N �/ f -S County Cert#: rin,_ , i f t° re e State: Business Name: _""0/ e—_'V1 5✓C L`��'� Zip: 3 yg Phone: ip Phone: ��-�/G - iid' Fax: %? -9 - �i( 7 -/3So2 6. Value of Construction: $ 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 regulatin trot ' d zoning. OW(O" PRINT OWNER OR CO TRACT N _ SI R OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ��77 ACKNOWLEDGED BEFORE ME THISw� Z DAY OF('20 BY 17 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED IMCATION. — 1 A- SrGNATUiffOF NOTARY COMMISSION NUMBER (seal) TYP PRINT NAME OF NOTARY 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 I _ "!ECORD A NOTICE OF COMMENCEMENT �AAV RESULT IN YOUR PAYING TWICE FOR RAPROVEN1 — +!'S TO YOUR .PROPERTY. IF YOU INTENI OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Yuman 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 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.Lucir r''.-iunty, FL ; Page 1 of 1 PROPERTY RECORD CARD Nancy P Coombs Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 2400 N 45th St ParcellD: 1431-801-0194-100-3 G2 Sec/Town/Range: 31 :34S :40E y c Account #: 10896 _ Map ID: 14/31S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County ] ' 7 Ownership and Mailing Legal Description Owner: Nancy P Coombs HARMONY HEIGHTS NO 4 BLK 16 S 41.25 FT OF LOT 7 AND ALL Address: 2400 N 45th St LOT 8 (OR 578-1855; 3340-1442) Fort Pierce FL 34946-1540 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 30600 Land Value: 8900 Acres: 0.31 10/21/2011 100 0116 QC 3340 / 1442 Assessed: 29687 Building Value: 21700 3/1/1988 24000 00 CV 0578 / 1855 Ag.Credit: 0 Finished Area: 996 SgFt 1/1/1977 17500 00 CV 0262 / 0922 Exempt: 25000 Taxable: 4687 Taxes: 95.35 BUILDING INFORMATION p Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD -HD YearBlt: 1954 Frame: - Grade: D - D EffYrBit: 1976 PrimeWall: BP - Conc Block StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: AV - AVERAGE PrmintWall: PN - PN FullBath: 1 HeatType: AvgHt/FI: STD 1/213ath: 0 HeatFuel: - Prm.Flors: CU - Carpet %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qua[. Cond. YrBlt. No, Land Use Type Measure Depth SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 210 -Front Ft 96.25 141 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. ' 301I Z http://www.paslc.org/prc.asp?prclid=143180101941003 4/30/2012 STATE OF FIL___DA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT:. -.Nancy, Coombs _. PROPERTY ADDRESS: 2400 N 45th St Fort Pierce, FL 34946 LOT: -_7-8 BLOCK: 16 PROPERTY ID #: 143180101941003 PERMIT #:56-SF-1407121 APPLICATION # : qP 1070452 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR874204 SUBDIVISION: Harmony Heights [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. 'DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORYPERFORMANC FOR_ ANY SPECIFI-C—PERIOD OF TIME- ANY—_CHANGE_-N--MATERIAL—FACTS-,------ WHICH SERVED. AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES 'NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS. @[ ]DOSES PER 24 HRS #P;mps [ ] D [ ] SQUARE FEET R I ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ 0.00. ] INCHES L T H E R SYSTEM SYSTEM [ ] FILLED [ ] FUND [ ] [ ] BED [ ] ][ABOVE/ BELOW,] BENCHMARK/REFERENCE POINT ][ABOVE/ BELOW] BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: [ ] INCHES Have the tank abandoned in accordance with the following procedures: (a) The tank shall be pumped out. (b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, (cy Have the system inspected -by the health department after it has"been pumped and ruptured but before it is filled with sand and covered. (d) The tank shall be filled with clean sand or other suitable material, and completely covered with soil. SPECIFICATIONS BY: James C Duncan TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHID James C Duncan DATE xSSUED: 04/30/2012 EXPIRATION DATE: 07/29/2012 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1070452 SE-1 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for —Department, within-twenty-one-(21)-days_from-the_receipt_of=this_order The -address -of -the— ------- Agency-Clerk-is-4052-Bald-Cypress-Way; -BIN-# A02, Tallahassee, -Florida 32399-1703.—The-- - - -- -- -- — .Agency Clerk's facsimile number. is 850-410-1448.. _.__.._._«._=a.�-.��,Mediation-is=not�available�asrzan�alfernative-remedy:--�- Y '� -- -----�•�_.�_ � _ __ ;-_ ,. -.._ __-..:.. _-:- Your failure tosubmita. petition for hearing within 21 days from receipt of -this order will _constitute..a. waiver of your right_to-an-administrative..hearing, .and _this- order shall:become . 'Should this Order become a final -Order, a party who is adversely affected by it is entitled to judicial review pursuant to -Section 120.68, Florida Statutes. Review proceedings -are-governed-by-the-Florida-Rules ofAppellate -Procedure: -Such-proceedings may -be - commenced by filing one copy of.a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required .by law, -� --- with the Court of Appealin the appropriate District -Court -The notice must -be filed within3 0-^- — - -days of`rendition of the final order. Property Appraiser - St.Luci,-= ,aunty, FL Page 1 of 1 PROPERTY RECORD CARD Nancy P Coombs Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��,UCIE CO Site Address: 2400 N 45th St ParcellD: 1431-801-0194-100-3p Sec/Town/Range: 31 :34S :40E Account #: 10896 y Map ID: 14/31S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County ' Ownership and Mailing Legal Description Owner: Nancy P Coombs HARMONY HEIGHTS NO 4 BLK 16 S 41.25 FT OF LOT 7 AND ALL Address: 2400 N 45th St LOT 8 (OR 578-1855; 3340-1442) Fort Pierce FL 34946-1540 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 30600 Land Value: 8900 Acres: 0.31 10/21/2011 100 0116 QC 3340 / 1442 Assessed: 29687 Building Value: 21700 3/1/1988 24000 00 CV 0578 / 1855 Ag.Credit: 0 Finished Area: 996 SgFt 1/1/1977 17500 00 CV 0262 / 0922 Exempt: 25000 Taxable: 4687 Taxes: 95.35 BUILDING INFORMATION Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD -HD YearBlt: 1954 Frame: - Grade: D - D EffYrBit: 1976 PrimeWall: BP - Conc Block StoryHght: 0010 -1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: AV - AVERAGE PrmintWall: PN - PN FullBath: 1 HeatType: AvgHt/FI: STD 1/2Bath: 0 HeatFuel: - Prm.Flors: CU - Carpet %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt, No. Land Use Type Measure SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 210 -Front Ft 96.25 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED Depth 141 http://www.paslc.org/prc.asp?prclid=143180101941003 4/30/2012 Planning &DevelopmentServices Building & Code Regulation Division Permitting Department ASBESTOS NOTICE 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Asbestos Notice To Contractor 04/30/2012 DJP GENERAL CONTRACTING SERVICES INC PHILLIPS, DWAYNE J 331 EMERALD AVE FORT PIERCE, FL 34945 RE: Building Permit Numbe 1204-0409 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of any intentions to remove asbestos, when applicable, in accordance with state and federal law. ate