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Home My WebLink AboutSUBMITTED PAPERSDate: Fee Due: Permit # Planning & Development Services Building & Code Regulations Division SC,q 2300 Virginia Ave. Fort Pierce, FL 34982 `fit 4 (772)462-1553 0% Cool oe SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 19 31 n G J N 61XG',e U tv >- 2. Parcel ID Number: ejgc)3'�02.- 000-7 —UU0— 0 Office Use Only Section Township Range Map Page Zoning Land Use Initials 3 SS O 3. Complete Description of Project or Work: 6 a e r-t C LJ C 14 v ; 4. Owners Information 5. Contractors Information Name: 01 I -A -c, S qa 0 r n -Q S L L G FL Reg/Cert #: Address: �.�-�13 5 6✓ &Ct* n City: a lfA State: p, Zip: Phone: Vd - Sl ( 0 6. Value of Construction: $ �0G• 00) County Cert#: Business Name: th, is � �I �IN C� 1 GG f C StS Phone: 3 70, 225C? Fag• g cy C/ T OWNERS 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 regulat' co struction and oning. 1�(2 Mal-SAA PRINT OWNER OR CONTRACTOR NAW T1GN_A_fU_RE'0F_OWW OR CONTRACTOR i STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS _ DAY OF 20 l a . BY.AA)P WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRVUCED AS I)�E ICATION. � ' /� J :]:),' ( LI ` .p (seal) SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY 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 "ECORD A NOTICE OF COMMENCEMENT n - RESULT IN YOUR PAYING TWICE FOR IMPROVEh, S TO YOUR PROPERTY. IF YOU INTEN T-z Z OBTAIN FINANCING, CONSULT WITH YOUR LENArdc OR AN ATTORNEY BEFORE RECORDING YOUR 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.Lucie ( aty, FL Page 1 of 1 States Holding LLC Record: 1 of 1 Property Identification Site Address: 1931 N OLD DIXIE HWY Sec/Town/Range: 03 :35S :40E Map ID: 24/03C Zoning: CG PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print ,��,UCIE CO ParcellD: 2403-602-0007-000-0 Account* 15877� Land Use: SF Res •Y, City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: States Holding LLC HILLSIDE S/D E-1/2 OF LOT 7 (OR 2916-2174) Address: 2293 SW Martin Hwy #270 Palm City FL 34990 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 36000 Land Value: 20000 Acres: 0.11 12/17/2007 100 01 QC 2916 / 2174 Assessed: 36000 Building Value: 16000 7/3/2007 100 01 QC 2844 / 0340 Ag.Credit: 0 Finished Area: 1004 SgFt 12/19/2005 22500 01 WD 2442 / 2744 Exempt: 6/30/2003 74900 00 WD 1746 / 0059 Taxable: 12/22/1994 37500 01 WD 0934 / 2680 Taxes: 732.46 10/12/1994 100 01 QC 0925 / 0035 10/1/1982 39900 00 CV 0384 / 2945 9/1/1982 24000 00 CV 0383 / 0710 BUILDING INFORMATION Exterior Features View: - RoofCover: RC - Roll Comp RoofStruct: GA - Gable ExtType: HD+- HD+ YearBit: 1940 Frame: - Grade: D+ - D+ EftYrBit: 1965 PrimeWall: BW - Brk/Wd Frame StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: AV - AVERAGE PrmintWall: PB - PANEL BOARD FuilBath: 1 HeatType: - AvgHUFI: STD 1/26ath: 0 HeatFuel: - Prm.Flors: DP - Double Pine %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 Depth 1 0100-SF Res 220 -Sq Feet 5000 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/pasle/Prc.asp?prclid=240360200070000 5/1/2012