HomeMy WebLinkAboutSUBMITTED PAPERSDate:
Fee Due:
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Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATIO
❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed eDemolition ❑ Gas ❑ Siding
See page 2 for/instructions and additional paperwork required for specialty pemdt sts
1. Location/Site Address: //-3o l /e f I de- e 14 aC- _ - 114 C
2. Parcel ID Number:. 5�3,2- ~ /a! T— Q p p 6"- e)O®- 7
N
SC
4C/� Cp�n
ty
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Office Use
Only
Section
132
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work:��-z
4. Owners Information ,1 °A / ) 5. Contractors Information
Name: C7Pr / t/�c��C U�[ o &A !e- FL Reg/Cert #:
Address: tr (Ct County Cert#: O O 9 �+
City: l�6 C � r StateBusiness Name: w f pyC b !•t A Q ac
Zip: Phone: � ;7V Phone: V61 5IIIJ3 Fag:
6. Value of Construction: $
OWNERS AFFIDAvrr: I certify that all of the information contained in this application is correct and that all work will be done in
Fompliance with all applicable laws reg cons ction and zoning.
Jo41,
PRINT OWNER OR CONTRACTOR NAME NATURE OF OWNER OR CONTRACTOR
e
STATE OF FLORIDA, COUNTY OF �A 6aA-ele—
ACKNOWLEDGED BEFORE ME THIS / DAY OF 4 20/IL— BY �� !� V �� -off kC
WHO IS PERSONALLY KNOWN TOME Y OR WHO HAS PRODUCED
AS IDENTIFICATION. L4 NotaryPublicStateofFlorida
Stacy N Hendersonal)MyCommissionEE028152
SIGNATURE OF OTARY/ % 7TYPE OR PRINT J TAME OF NOTARY �a� Ezpi",1111312014
COMMISSI ER/ ! — t/J ".2 a V ,
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 04126t2010
Property Appraiser - St.Lucie . , inty, FL
_
Page 1 of 1
PROPERTY RECORD CARD
Gertrude K Est Moehle Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
,��,UCIE CO
Site Address: RIDGE AV
ParcellD: 3532-134-0006-000-7
Sec/Town/Range: 32 :36S :41 E
Account #: 116325
Map ID: 35/32N
Land Use: Vac Res
Zoning: RS-4
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner: Gertrude K Est Moehle
32 36 41 THAT PART OF S 372.9 FTOF GOVT LOT 1
LYING W OF
Address: 65 Country Club Rd
RIDGE AV AND E OF FEC RR AND BEG AT A PTON
Cocoa Beach FL 32931-2001
More...
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page 2011 Final: 23700 Land Value: 23700 Acres: 2.27
1/1/1900 0
/ Assessed: 23700 Building Value: 0
Ag.Credit: 0 Finished Area: 0 SgFt
Exempt:
Taxable:
Taxes: 482.2
BUILDING INFORMATION
N'01 Sketch
Available
Exterior Features
View: -
RoofCover:
- RoofStruct: -
ExtType: -
YearBit:
Frame: -
Grade: -
EffYrBit:
PrimeWall: -
StoryHght: -
No.Units:
SecWall: -
Interior Features
BedRooms:
Electric:
PrmintWall: -
FullBath:
HeatType:
- AvgHt/FI:
1/213ath:
HeatFuel:
Prm.Flors:
%A/C:
%Heated:
%Sprinkled:
Special Features and Yard Items
Land Information
Type Y/S Qty. Units
Qual. Cond, YrBlt.
No. Land Use Type Measure Depth
1 0000-Vac Res 215 -Front Ft 146 173
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
http://www.paslc.org/paslc/prc.asp?prclid=353213400060007 5/1/2012
Planning & Development services
Building & Code Regulation Division
Permitting Department ASBESTOS NOTICE
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578
Asbestos Notice To Contractor
05/01 /2012
JOHN O'CONNELL INC
O'CONNELL, JOHN
11005 W M I DWAY RD
FORT PIERCE, FL- 34981
RE: Building Permit Numbe 1205-0022
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.
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Signature
Date