HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee D
> Recei t# _wry Permit #
Be:
Planning & Development Services
Building & CodeRe�gulaations Division SCA Yv�D
o Ave. 8
Fort Pierce, FL 34982 St Lucie
(772)462-1553 Coul71v
SPECIALTY PERMIT APPLICATION
❑ Electrical
❑ Plumbing
JJ SVAC
❑ Fence
❑ Shed
❑ Demolition
❑ Gas
❑ Siding
Seepage 2 for instructions and additional paperwork required far specialty permits
1. Location/Site Address: 0
,
2. Parcel ID Number: 3 Vb Ooe
Section
Township
Range
Map Page
Zoning
Laud Use
Ionia iq
office Use
Only
3. Complete Description of Project or Work: ✓� C G�-'
4. Owners Information 5. Contractors Information
Name:-)c-Ic- / / ,�P v;o� 6_• _' Reg/Cert#:
Address: 96 b ZtV County Cert#s
City: /- r( al r State: l
G
Zip: Phone: 3 70 - J y 3 y
6. Value of Construction: S
Business Name:
3 k3 2
Phone:7 2 2 3,20 — Fax: 3 3 s 2
� 7
OWNER'S AFFIDAVIT: I certify that all of the information contained m this application is correct and that all work will be done in
compliance with all applicable laws regulating construction and zoning,
13r1�Z_ 110-5 ,h
PRINT OWNER OR CONTRACTORN SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF G
20_ �_,__, BY E6
ACKNOWLEDGED BEFORE ME THIS DAY O «.
HI
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED 01— i ,-
t, r'wi�rrg•,, ANGESION#EFF
CATION. A-�`-��``' � � MY COMMISSION # EE 083530
Q ; '' E(PAkS: April 12, 2015
SIGNAT�.TARY
TYPE OR NAME OF NOTARY RF,Iy4�' Bonded Thru Notary Public Underwriters
COMMISSION NUMBER
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMI MCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
E"BOVEMENTS 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 $5,000.
NOTICE TO OWNER FAILURl`' RECORD A NOTICE OF COMWNCEMENT ; ; RESULT IN YOUR .PAYING TWICE FOR
IIdMON6 , ,- NTS 'TO YOUR PROPERTY. IF YOU INTENk_ - _,,) OBTAIN FINANCING, ;CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C0MN2NCENIENT.
EXEIVIPT: 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
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
Fully describe the activity to take place.
4. Owner Information
Indicate the name and address of the owner of the
property on which activity is taking place.
5. Contractor Information
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
+ ,
number and the name of the business doing the
work.
6. Value of Construction
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>fa11 replacement
This application calk suhinitted 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)
4614551 during-regulatoffice 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 hol,lnty, FL
Page 1 of 1
F�
_J
L_
u
PROPERTY RECORD
CARD
Joseph G Campbell Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
CO
Site Address: 860 NOA ST
ParcellD:
3403-502-0296-000-8
Sec/Town/Range: 10 :36S :40E
Account #: 125638 "�
Map ID: 34/10N
Land Use:
City/Cnty:
SF Res
St Lucie County
Zoning: RS-3
Ownership and Mailing
Legal Description
Owner: Joseph G Campbell Patricia L Gillmon
WHITE CITY S/D 10 36 40 FROM NW COR LOT 230 SHEENS PLAT
Address: 860 Noa St
OF WHITECITY RUN S 00 DEG 01 MIN 09 SEC E 18
Fort Pierce FL 34982-4004
More...
Sales Information
Assessment 2010 Final Total Land and Building
Date Price Code Deed
Book/Page
2010 Final: 84000 Land Value: 17800 Acres: 0.29
2/26/1999 89000 00 WD
1206 / 2192
Assessed: 81977 Building Value: 66200
9/9/1992 80700 00 WD
0807 / 2157
Ag.Credit: 0 Finished Area: 1665 SgFt
6/9/1992 14500 00 WD
0794 / 1248
Exempt: 50000
7/27/1991 100 01 QC
0746 / 0472
Taxable: 31977
Taxes: 869.06
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType:
HC+- HC+
YearBlt:
1992
Frame:
Grade:
C+ - C+
EffYrBlt:
1992
PrimeWall:
FS - Frm Stucco
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt1FI:
1/2Bath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CT - Tile -Ceramic
%A/C:
100
%Heated:
100
%Sprinkled:
0
Special Features and
Yard Items
Land Information
Type
Y/S Qty.
Units Qua]. Cond.
YrBIt. No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1
805 AV AV
1992 1 0100-SF Res
245 -Front Ft
95 132
FNW6 - WOOD FEN 6' Y 1 250 AV AV 1999
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.pasle.org/pre.asp?prelid=340350202960008 7/15/2011