HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services
Building & Code Regulations Division
2300 Virginia Ave. CA/VNED
Fort Pierce, FL 34982 13Y
cie co,
(772)462-1553 /7
SPECIALTY PERMIT APPLICATION
0 Electrical Plumbing 0 HVAC 0 Fence
0 Shed gDemolition 0 Gas 0 Siding
Seepage 2for instructions and additionalpaperwork requiredfor specialty permits
AJ 0
1. Location/Site Address
2. Parcel ID Number:
Township
Range
Map Page
Zoning
Land Use
initials
"C (Ise
Section
:Offcf.
Only
3. Complete Description of Project or Work:
4.
31v
3/L
/ �-el,,,
n--ers In rmation - , 5. Contractors Information
Name: A P (\.e,.Ai J2 Q _h�) _)N
70
Address:
State:
City:
I
V I
Zip: 33 b ae,_i —Phone: 2-1 (a _1A S�
FL Reg/Cert #:
County Cert#:
Business Name:
9�e6z'
L11 Ct00b-1*C'Lq"- segu' , C'rc
Phone: Q Fax: 0 S(21
6. Value of Construction:$ 56)
OWNER'S AFFIDAVIT: I certify that all of the information contamied'n this application is correct and that all work will be done in
compliance with all applicable laws regulat" g construction and onm
(2 08
PRINT OWNER OR CONTRACTOR NAME I ATURE OF OWNER OR CONTRACTOR
STA TE OF FLORIDA, COUNTY OF LIN 0, CXWNS
NOTARY PU13LIC
ACKNOWLEDGED BEFORE ME THIS DAY OF k 20_L(� BY
9 = OF FLOPJDA
Comm# EE072139
WH"O IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
VFW Expires 3/9/2015
FICATIO
(seal)
SW, A"TWBF NOTARY TYPE I OR PRINT NAME OF NOTARY
COMMISSION NUMBER G era -?_� 3 9
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: AIC-HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
Revised 04/26/2010
NOTI CE TO OWNER: FAILL,-- -'ro RECORD A NOTICE OF COMNffiNCEMEN` --.,y RESULT IN YOUR PAYING TWICE FOR
paROVF
'MENTS To YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCENIENT.
EXENTT: A/C -HEAT REPLACEMENT V9111 CONTRACT UNDER $5,000.
INSTRUCTIONS. inted (use black or blue ink
Please complete allinformation in the space provided. All *information must be pr
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 Indicate the street address or general location of
property where the building activity is taking place.
2. Parcel ID Number Indicate the tax identification number of the
property where the'building activity is taking place.
3. Description of Project or Work Activity�,
4. Owner Information
5. Contractor Information
6. Value of Construction
O'Gas'
0 Shed:
0 Fence
0 Siding
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property. on which activityis.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 co - st of construction includes all current r6tail
materihl and labor costs associated with the�
idin
-buil g/canstruction ac+,ivit-y.;-Constr,,,ir�tion-.Value is
used to detennme� the p ' ermit,fee.' St. Lucie County
reserves the right toquestion and/or'modify the
indicated value of construction if it is, demonstrated
that the submitted figures arehot consistent*with
similartypes of construction.
Attach 2 piping s6ematics with tank size, location, and BTU of each appliance
Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
Attach 2 plot plans showing location of fence height of fence and type of fence
Attach 2 copies of manufactures specifications
ti sets of duct layouts for
Affiieh-.2 residential energy studies, 2 manual J.calcula ons. 2
"hew ','9tem.
sy. or full replacement
This qp so itted 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 County, FL
Page I of I
PROPERTY RECORD CARD
Andrew Stanish
Record- I of 1
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Property Identification
Site Address:
1301 VALENCIA AV
ParcelID: 1433-801-0134-000-0
Sec/Town/Range:
33:34S:40E
Account #: 12065
Map ID:
14/33S
Land Use: SF Res
Zoning:
CG
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner:
Andrew Stanish Steven Anderson PARADISE PARK ADDN BLK 7 LOT I -LESS PERMANENT
ESMT
Address:
4721 Pierce St
FOR CANAL R/W- (OR 2574-1485)
Hollywood FL 33021
Sales Information
Assessment 2010 Final Total Land and Building
Date
Price Code Deed
Book/Page 2010 Final: 32600 Land Value: 4400 Acres: 0.1
5/24/2006
150000 03 WD
2574/1485 Assessed; 32600 Building Value� 28200
6/5/2003
100 02 QC
1743/2114 Ag.Credit: 0 Finished Area: 884 SqFt
4/22/2003
100000 02 WD
1699/0467 Exempt:
11/8/1993
10000 01 WD
0868/1954 Taxable:
8/9/1992
100 01 QC
0803/0825 Taxes: 677.57
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
TG - Tar & Gravel
RoofStruct:
GA - Gable
ExtType:
HC- - HC-
YearBIt:
1960
Frame:
Grade:
C_ - C_
EffYrBit:
1977
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
I
SecWall:
Interior Features
BedRooms:
2
Electric:
AV -AVERAGE
PrmIntWaII:
PF-PF
FullBath:
1
HeatType:
AvgHt/Fl:
STD
1/213ath:
0
HeatFuel:
-
Prm.Flors:
CU - Carpet
O/oA/C:
a
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type
Y/S Qty.
Units Qua]. Cond.
YrBIt. No. Land Use
Type
Measure
3CHT - 3CHT
S I
I AV AV
1977 1 0100-SF Res
210 -Sq Feet
4424
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
Depth
http://www.paslc.org/prc.asp?prclid=143380101340000 7/12/2011