HomeMy WebLinkAboutSUBMITTED PAPERSDate: ' 1%h 1 f'?/ Fee Due!' `6'1 • i'U I ReceiptW>O� J I 'qv' L Permit # V 4> LE ` f I
Planning & Development Services ScgNND
Building & Code Regulations Division St. �ucl� Yo
2300 Virginia Ave. cot
Fort Pierce, FL 34982 11ty
.(772)462-1553
SPECIALTY PERMIT APPLICATION
JM Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: / V 7Z5
2. Parcel ID Number: 15-1 1 S-0 I — d & Z/ - a Pd - a
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work: nrfe
4.
Owners Information [ 5. Contractors Information
Name:iT(/"
City; e e '1r State: ___SL
Zip: Z 311 Phone:
6. Value of Construction: $ 16,52- -
FL Reg/Cert #:
County Cert#:
Business Name: Fey-r,4 n SPrvt ireegVT/i1'iT fiT%1e
/ J
Phone: y0742-/
- Fax: 1D7 -moo. Oq&
357,51
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
cgtnplian�� all applicable laws regulating construction and zoning.
sAamln
PRINT OWNER OR CONTRACTOR NAME r ' 1 SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF � / aR d
ACKNOWLEDGED BEFORE ME THIS T7 DAY OF Y720� BY Sha wfl UDH
WHO IS PERSONALLY KNOWN TO ME X OR WHO HAS PRODUCED
AS ENTIFICATION. ��.•`ii V�r�'� BETTY LATSONAS
&A 7-4 D � � Notary is -state of Florida
GNA O NOTARY TYPE OR PRINT NAME OF NOTARY y MY Comm. Expires Dec 14.2015
C E I S 3 Z� '•.,o �� I�;.•` Commission r EE 153212
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
Propprty Apprai; er - St'Lupic FL
Page I of- I
PROPERTY A8CQRD CARO
Robert S Barton {EST)
Record 1:of 1
4ePlrev Nekt >> Spec.Assmnt Ta%es 'Exemptions Permits Home Print
Propp"y Idoiltftaftn
Ske-Address-
SevT&wintRangg-
10725 S OICE0t])R
11 :376,41E
ParaLMD: 4511 -501-0014-000-0
A.=Urt#. 1211178
45f IG
'Lvnd Ul;e-; M015:Homus
Zoning:
HIRD
Cb01,?C(1tv:. Stlljdo-County
Ownership. and Mailing
LaUaJ Dosaripflon
.0-u-ner:
Robert.S:Barbon (—EST)
H01 IDAY 0 UTAT ST. LUC I=_'BLK A LOT 12 AN D,EQ UAL PRO-4Z.AT A
-Address:
6565 EviarGreez� Ln
INTLS; ( RE,37 fNZQIiWON:ELErvIBNTOR-1:14-0-420)
Glaucemar 4A23061-2807
S9103
Am:nsmaq.1:201i Final Total Land'and-Building
Date Price
code Qeed
13.000jage 2011 $S000 LandValue 4=.10 Arre%,OX4
WV1998"
100 Al QC
1140.10420 Aaserwte:!; 8IS000 Buffdlng.Valita: 24700
211119.72
16so. 01 CV
0 12 9 12,057 9 A9 C: dit: CFinfanedAres, 71 t SqF1
Exemp' -
Taxeole:
Tares: 1322.46
BUILDING INFORMATION
METH - M1111
yearELIK!
1 SZ37
Frame:
PKIV15 - PKN'B
t(ryfDI1,:
1957
Rrlme�vkfali:
6010 ftiv
Nto.0:lt
1
VedRooms- -
D.
Electric:
-
F" ul[Balh:
FHA - FredflotAir
AVOHVIFI� ,
1123ash-
u
Hoal:F-,03:
ELEC -:EfOdtflo
100
145
%goritiklext a
Special Features and Yard Items
Land Information -
TM -
YJS oty.
Units Qval. Cored.
Yffl't No. I-_&,nd Jdu
T Vu o
CLS B.
S 1%
256 Ail AV
1987 1 023G-Wxb+Iomes
BI -Eft
DEXI - TRV DECK
S 1
255 AV AV
1087
THIS INFORMATION IS BELIEVED TO BE -CORRECT AT THIS TIME BUT IT i6 SUBJECT TO CHANGE AND 18 NOT'IVARW4TED.
I
N
h4p pas I e,,Drg/pmasp?P:N I id--4,' 5:115 0100140000 4.."20/2012
FERRAN SERVICES & CONTRACFIN , INC.
530'Grand Street:
Orlando, FL 32$05
DUNS Number:
100471526
Phone 'Number:
407-422-35SI
Fax Number:
407-649-0961
prop.osalMo. 4747$1
PROPOSAL
Fione^yweli Job Dame: 10725.S Ocean Dive #12, Jensen Beach, FL 34957
Honeywell.Project ID: Pre
Items. Description
1 Permit
Labor..11 {van Tours
Materials
Amount
$ 119.00
$ 80850
$ 72.5,00
Need:FPS ,xo;dr5c.o? ngctlrecunneect Need to
replace pedestal and cover due to rust and block damage.��10Q�
----------------
Prol,riess Wiling Gross Arnount $1165Z50
Retention vAll be withheld according to the terms
Note- and conditlons of your Purchase Order
Progress Billing Amount $1,652,50
Shipping &. Handling $OM
Tart $0.00
Tota: Pragess 8IIIIngAmount $1,65..50