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HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services Building & Code Regulations Division S 2300 Virginia Ave. c'9�V Fort Pierce, FL 34982 St. 4 (772)462-1553 ucie Co4ntY SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing 1j'"VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: . 1 u "Jlpv) an 3. Off-]Ce Use Only Section Township Range Map Page Zoning Land Use Initials Description of Project or Work: 4. Owners Info do Name 5. Contractors Information /� Address: `- L 1 "t� l /� i s I (de - City: �" rye. State: 1J FL Reg/Cert #: C,�co / 6 V4�9 County Cert#: _22 f Business Name: S z:t— gn'- O r S Zip: ZA Q Phone: IJ ` r I (0 Phone: �` oZ Fax: �(C 6 30sr, 6. Value of Construction: SU-1 W OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compli'ce with all applicable laws regulating cqt � n and y�ling,� STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS LQ1—;-- DAY OF s wHOIS PERSONALLY KNOWN TOME %/OR WHO HAS ENTIFiCA N. SIGNATUITNIrAR6 COMMISSION NUMBER L 20 3Y crsfl to ED iJ �g CD r- TYPE OR N 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 55,000. 07/05/2011 09:52 77246f'`73 SEACOAST AC PAGE 02 date: Fee DtRe: Reeei t# Permit # a (231 Planning & Development Services Iiii Building & Code Regulations Division2300 Virginia Ave. Port Pierce, FL 34992 (772)462-1553 SPECIALTY PERMIT APPLICATION 13 Electrical 13 Plumbing AC 0 Feuce E3 Shed 13 Demolition E3 Gas 0 Siding Seepage 210 iff*N fMU and ad"xal pwnvorkreFft4fnrspe dOlPemky �. Locatlon/Site Address: r1fdo- 2.Parce]MNunber: -6 Township Rnoge "s"Paee 71001" LnnG un 1nRdala Office Use Section 0121y E" (o D(( a 4. owners into B S. Contractors IdformsttlonM��77 NameL �. FL ReglCert #.- 4 CO Address: Lhct5 05a cirdf, -- County Cart#: P2 City: �' ���. $tare: Business Name! Zip: �) 4 Phone:' PhoneFax: 6 C6 oa-5'r 6. Value of Construction: SU-100.`- owNm,s ArmAVIT: I ca * that all of the information canwmcd in this application is correct aced that all work will be done in ,__,� compliance with all applicable laws �rMlating traction and ing. PRINT OWNER OR CONTRUGORNAW SIGNA oP OWMKORAMMIRAMR 1 r STATE OF FLORIDA. COUNTY OF ACKNOWLHDUED BEFORE ME TWS DAY OF 20 HY WHO IS PERSONALLY KNOWN TO WE � OR WHO HAS PR m 81UNAnUUFNTTAR0TWE OR PRTY NAME OPYOTARY CObeAMSION•NUNMER NOTICE TO OWNER FAILURE TO RECORD A NOTICE OF CObOdENCEDOM MAY RESULT IN YOUR PAMQ TWICE FOR EWROVEMENTS TO TOM PRME$". xF YOU SIT M TO OR77Ax['Q WANCING, icDNSULT VTM YOUR LENDER OR AN AT'TO MY IsMRE UCOMING YOUR NMCT OF COMMENCEWNT. EXEMPT: A IC "AT IRRPLACMNT WnH CONTRACT UNDER 554 M. Property Appraiser - St.Lucie County, FL Page 1 of 1 1 PROPERTY RECORD CARD Kenneth A Mocniak Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CIE Co G Site Address: 14195 Cisne Cir ParcellD: 1306-500-0009-000-0 Sec/Town/Range: 06 :34S :39E Account #: 137889 CX Map ID: 13/06N Land Use: SF Res Zoning: PUD City/Cnty: St Lucie County Ownership and Mailing Owner: Kenneth A Mocniak Janis A Mocniak Address: 14195 Cisne Cir Fort Pierce FL 34951 Legal Description SPANISH LAKES FAIRWAYS BLK 37 LOT 6 (OR 1399-2150) Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 81800 Land Value: 15000 Acres: 0.13 5/31/2001 100 01 LE 1399 / 2150 Assessed: 81800 Building Value: 66800 1/1/1900 0 / Ag.Credit: 0 Finished Area: 1714 SgFt Exempt: 50000 Taxable: 31800 Taxes: 865.37 BUILDING INFORMATION Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: HP - Hip ExtType: HC - HC YearBlt: 2001 Frame: - Grade: C - C EffYrBlt: 2001 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 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 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res LFI -Flat 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasle.org/prc.asp?prclid=l30650000090000 7/5/2011