The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSDate: Fee Due: r Permit #- . 1 / D ❑ Electrical ❑ Shed Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 �C%@ C,O�� ty SPECIALTY PERMIT APPLICATION 04111u-`M�bing ❑ Demolition ❑ HVAC ❑ Fence ❑ Gas ❑ Siding Seepage 2 for instructions qnd additional paperwork required for specialty permits 1. Location/Site Address:> 2. Parcel ID Number: �`! 0 (2?;0 Office Use Only Township Range Map Page Zoning Land Use Initials -Section 3. Complete Description of Project or Work: _a 4. Owners Information 5. Contractors Information Name: FL Reg/Cert ©�� Address: 6County Cert#:3�J� City: - IZ rCD_ State: �( Business Name: VI Zip: ; Gj ji,`Z Phone: 17 —�f'J �� Phone: Fax: ?�;qy.1%G1 6. Value of Construction: $� c� OWNER'S AFFIDAVTI: I certify that all of the Information contained ' application is correct and that all work will be done in compliance with all applicable laws regulat!Kg co struction and zon' g. . 4 _ �9 PRINT OWNER R CONTRACTOR GNATURE OF WNER CONTRACTOR ��' OVIet1N• STATE OF FLORIDA, COUNTY OF am{� ACKNOWLEDGED BEFORE ME THIS DAY O 20 / or BY . r 3 •41 F- z S WHO IS PERSONALLY60� ME OR WHO JPRODCED z AS ENTIFICATION. m m (sue)' N SIGNATURE NOTARY TYPE OR PRINT N OF NOTARY `� a 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 RECORDPf G YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 WATER SEWER COM :::l.a METER SZ. M/F IRR SECURITY DEP SERVICE FEE SAME DAY FEE OVERTIME FEE METER INSTALL CFC/WATER FPUA CFC CFC/SEWER SUBDIVISION— C_� LOT - _BLOCK BILLIIVG'ADDRESS�� 4 =_MOVE IN/CLOSING DATE GUA This application hereby request and authorizes the Utility to render water and/or sewage disposal rvices to the premises described above in accordance with the Utilities present or future rates, LATERAL rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay $ TO L the Utility promptly for such services in accordance with the established rules and regulations. CU{ a CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. STOMER F'ED ID DAME OF SPOUSE SPOUSE SOCIAL SEC. DATE RECEIVED —4�� OFFI�CEUSE ONLY CASH CHK #�;Q RECEIVED Property Appraiser - St.Lucie County, FL Page 1 of 1 Robert D Gehrig (TR) Record: 1 of 1 Property Identification Site Address: 5112 MYRTLE DR Sec/Town/Range: 02 :36S :40E Map ID: 34/02S- Zoning: RS-4 PROPERTY RECORD CARD «Prey Next Spec.Assmnt Taxes Exemptions Permits Home Print Ownership and Mailing Owner: Robert D Gehrig (TR) Address: 5022 Sunset Blvd Fort Pierce FL 34982 Sales Information Date 12/28/2010 12/28/2010 12/21/2010 9/21 /2010 2/21 /2000 8/29/1992 8/28/1992 2/1/1982 IXI Price Code 67900 0112 100 0112 12000 0003 57000 0112 8000 00 11500 00 100 01 6000 00 Deed SP QC WD CT WD WD QC CV ParcellD: 3402-608-0308-000-8 `� l E�OG Account #: 37396 Land Use: SF Res City/Cnty: St Lucie County Legal Description INDIAN RIVER ESTATES -UNIT 07- BLK 49 LOTS 6 AND 7 (0.46 AC) (MAP 34/02S) (OR 3256-253 : 3258- 1376) Assessment 2010 Total Land and Building Final Book/Page 2010 Final: 8300 Land Value: 8300 Acres: 0.46 3258/1376 Assessed 3258 / 1375 3256 / 0253 Ag.Credit: 3236 / 0410 1281 / 1120 Exempt: 0805 / 2243 Taxable: 0805 / 2244 Taxes: 0371 / 0889 8300 Building 0 Value: 0 Finished 1664 SgFt Area: 172.53 BUILDING INFORMATION X Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: HP - Hip ExtType: HC - HC YearBlt: 1991 Frame: - Grade: C - C EffYrBlt: 1991 PrimeWall: BS - CB Stucco StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/213ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth DWC - Driv-Concret Y 1 720 AV , AV 1991 1 0100-SF Res BI -Front Ft 160 125 FNW6 - WOOD FEN Y 1 120 AV AV 1999 6' THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. h4://www.pasle.org/prc.asp?prclid=340260803080008 6/28/2011