HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services
Building & Code Regulations Division SCANN60
s 2300 Virginia Ave. BY
Fo 72}462FL�3�4982 St. Lu61e �:��1�•i�
-15
SPECIALTY PERMIT APPLICATION
Electrical ❑ Plumbing ❑ HVAC ❑ .Fence
Shed. ❑ Demolition ❑ Gas ❑ Siding
Seepage 2for insfteftons and additional paperwork regained for spMally permits
1. Location/Site Address:. a
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2. Parcel ID Number: 7 J S UZ
3.0
eA j=y -3 4,q:!S 7
Township
Range
Map Page
Zoning
Land Use
Initials
Office Use
Section
Only
4. ownersInformation
a 5. Contractors Information
Name: l Y` n��S��• E l ep nd4� FL Reg/Cert #: �C 3 Igo 6 3
Address: Psi � rl i h r• County Cert#:
City: j I j r% State: • k Business Name: Fr yr,/t
Zip: 02- D / Phone: Phone:c/ l -47-4^ Fax: 4/P -7 - 6 `'* e -611 ll1
J/� l 3 S5 1
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
co pliance with all applicable laws regulating construction and zoning.
PRINT OWNER OR CONTRACTOR N SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF - n 1"M ef, : "
ACKNOWLEDGED BEFORE ME THIS DAY OF 71P 11 • 201 Z BY lit l�(L
WHO IS PERSONALLY KNOWN TO M� OR WHO HAS PRODUCED
AS IIl NTIFICATIa //"�",,, BETTY LATSONAS
a- pI-t�� Z- /_'S 0� �S � ��olary Public - Stab of R1
S OF ARY TYPE OR PRINT NAME OF NOTARY s My Comm. Expires DOC 14.
SIO f�3Z�2
r ;'€.°`ni►��.••� Commission 0 EE 15,32-
comasNUMBER
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
H"ROVEMENTS TO YOUR PROPERTY. Ir YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
IF OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
E rAff: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
Revised 0q/y6f20l0
IFERRAN SERVICES & CONTRACTING, INC,
$30 Grand Street
Orlando, iFl. 32805
DUMS Number.
100471526
Phone Number:
407422-3551
Fax 'Number:
407.648-0961
PropoSail:No. 4747,85
PROP+OSA►L.
Honeywell foil Name; 70725 S Ocean Drive #4`37., Jensen Beach,,.FL 34957
Honeywell Project IM Premise:003155728
Items Description
1 Perm it
Labor: 11 Man Flours
Materials
Need FPL.to disco nnectlreconneet: FPL has -ground
strap and caution tape surrounding-Fiedestal Need td.
reptace p�3ec is#al.dtie to rust n oc darraage.. t 4-P_
PrO91 ess BU1109:6ross Amount
Retention will be withheld accord ft to the terms
Note: and conditions of your Purchase -order
Progress Billing AmDunt
Shipping.& Handling
Tax
Amount
$ 119.00.
$ 808.50
$
$.1,552.50,
$1,652.50
$0,00
$0:00
TotalProgessBilling Amount $1,652:50
'Pr gilyAppraiser-StLuciu" FL
01ameaJEldridRe fiacord,.Aufl
propeny Identification
She Add!qss: I M6 8: OCEAN OR
11 W&ME
1.13p ',D:
'Zonihg: HIRD
Ownarsbip and Mailling
-Chvqer: Thor.v3s.,J-FId3Jdgiq
10 Nlerlin'Dr
M ura.V KY.42071-44 58
Skles trtforinatibn
Date PrIca. Curie Deed-
4-2312002 650013 00 wa
Iallm9k32 300,06 00 cv
W14071 5000 00 cv
I F--a-
pkp-e :1 Of i I
PROPERTY WGORD CARD
<cP:rey Next y> SPecAssmot Taxes Exeniplions Permlis Homo. Print
ParcsllDa
Aomunt 123619
Land Use: Mob-Homas
Cilyt'Critj: St Luniia Courty
Leg 6Description
HOLIDAY OUT, AT ST LUCIE - SEC 8 3LK,-10T 27ANDC-OUAL PRO,
RAIA INTERE$T, IN-COMNION E-LE161ENTS {OP 1619
Asftsstvieunt 20111 Final, Tiotal Land a6,d uilildill
Swk,'Ragv 201.1 Final: 65200 Land Vblue: 40300-Acres: 0.04
151GI0119 ASS-as;Sed: '65200 Bvilding Woo. 24900
M5.1 1(51-,? Q rinis'neo Area: 720.SqFt
0190: 2M Enra4;
-sxe ale_
-4328-64
SWILOING IMFORIAAITION
RoofCovor:
EW y P 0:
I0IHH a MHH
Yip ult
1909
PKMA- PKx!A
Efffi'Mt,
1909
.
.001D. I stmty
No.U.rilts:
I
14 6ilor
0
Electric:
-
FrminfV%tail:
FHA - rrcaRutAir
XqH*I:
.0
Hvatftidi:
ELEC - Electric
Prm.Flws:
400
%Roftd:
100
Mpfinkled:
Sp6cfia]:FoaturoT and Yard:ltems
Lane taformaWn
T,ffie WS
Qty.. UnIto, 04tull.
Guad:
No: L.Ind-1.14a
Type Depth
I 0200-Mob Homes
81--site
THIS INFORMATION,% BELIEVED TO BE CQRRECTAT THIS TIME SU r IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
hup.,,:!hww..pa91t.oqgj,prc. asp? rdid=4511;020,1150001
4/20MY1Z
Date: September 19, 2012
Planning & Development Services Departnwitt
Building & Code Regulations Division
2300 Virginia Avenue
Ft Pierce, FL 34982
Phone: 772- 462-2165
Fax: 772-462-2522
Request for 30-Day Temporary Power Release
Permit Number: SLC1204-0240
ProjectAddress: 7043 South US Hwy 1, Suite 100 Port St. Lucie, FL 34952
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR
THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only, and there will be no occupancy
of any type, other than that permitted by construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including
Building Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day Power for
4. Testing" have been fulfilled and the premise is ready for compliance inspection.
5. All requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason
for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection
has not been approved within 30 days. A fee of $100.00 will be required to lift the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING
ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF
ELECTRICAL POWER IN + OF VIOLATION OF THIS AGREEMENT.
?-/9 -/2
GENE R C1I OR SIGNATURE DATE
/!9 / Z
ELECTRICAL CONTRACTOKWENATURE DATE
4bA
0.1 C eF��i ®�O!40
SLCPDSD Revised 06/14/2010'!
St. Lucie County
Building and Zoning Department
Requirements for 30 Day Power for Testing
I. Form entitled "Request for 30-Day Temporary Power Release" must be fully executed and posted
in the Building Department record files prior to inspection.
II. Inspection Requirements:
1. Address numbers shall be posted per county Ord. No. 7.05.09.
2. All entrances, exits, windows and garage doors must be lockable.
3. All circuits on exterior shall be terminated in a box with weatherproof cover. The same
applies to a disconnect. If circuits are at or above 7'6" from grade they may be capped with
wire nuts and taped.
4. All breakers must be installed. Any blank space must be closed by a breaker or approved
filler plates.
5. Interior Wiring: All receptacles, light fixtures and fans must be trimmed. Any fixture below
7'6" from the floor or mezzanine that is not available at the time of inspection must have an
Inviso plate installed. Fixtures at or above that height may be capped with wire nuts and
taped.
6. All smoke detectors must be installed.
7. Kitchen cabinets must be installed; any exception for special conditions or circumstances
must have an approval prior to scheduled inspection.
8. Sewer and water connections must be complete. Only well pumps are excluded from this
requirement.
9. Exterior construction must be complete and weather tight, including stucco, siding, roof and
soffit.
10. Permit work shall be substantially completed except for back orders, paint on exterior, carpet
and/or floor covering, pumps, air conditioners and driveway.