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HomeMy WebLinkAboutSUBMITTED PAPERSee Due: Permit, # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICA ❑ Electrical ❑ Plumbing Er! VAC ❑ Fence ❑ Shed ___ ❑ Demolition ❑ Gas ❑ Siding - -i 1>d � S y� Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: _ a.5 %y N cl ucao Ave- 2.. Parcel ID Number: J g A* 7 O Z D LJb 1 001 8 St. 4IJ a, `., Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: 2L.a� QJA LA.- 14 Vy%:%L%1r rz 133�? 3 o r -7 k..� J 4. 'Owners Information 5. Contractors Information Name: FLReg/Cert#: CAC05 F3 05 Address: A964 A) Am At j o V E. County Cert#: ao1. i XQ , City: ff. � State: Business Name: Zip: 3LIQg1'o Phone:7�'�• 71 233,sphone:`";L.691'a'y,Fax: 7',A- 597-4-399 6. Value of Construction: $ f 00 OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating construct' d zo ' PRINT OWNER OR CONTRACTOR NAME SPUNATURT OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF 0e27P J2 j" /' ' I ACKNOWLEDGED BEFORE ME THIS /� DAY OF 5 V 1 20 / 1 BY srA}� /-1 A�/�r WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDEDCI3 CATION. OF NOTARY COMMISSION NUMBER i NIFER K C, OR MY COMMISSION # DD 772126 EXPIRES: March 25, 2012 3onded Thru Notary PuNo Underwriters NOTARY (seal) NOTICE TO OWNER: FAIL MMENCEMENT 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 04/26/2010 �1 S-u<ay Contractor Certification Data Building & Code Regulation Division Entry 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: (772) 462-1673 Fax: (772) 462-1148 http://www.stlucieco.org/public—works/contract—licen.htm http:/Iairs.slcfl.vetrol.com/AIRSweb.php Company Name INDIANTOWN AIR CONDITIONING & SERVIC[ Phone (772) 597-2473 ext Fax (772) 597-6399 DBA Mobile ( ) - Pager ( ) - Address 15300 SW MYRTLE DR Email City /State /Zip INDIANTOWN FL 34956 Ownership Type Corporation ` `: Trent Company Name Qualifier Nam IJOSPEH HEATH BATCHELOR JOSPEH HEATH BATCHELOR Reg. Type Cert # (County Registration/Certification Number: State # CAC058305 I Address 15300 SW MYRTLE DR City / State / Zip I INDIANTOWN FL 34956 Phone (772) 597-2473 Fax (�) - i Email .I. i Certification Comment Should Be Reviewed for Permit Expiration Date Status County Cefficate ; 08/31/2011 Active ` County Certificate_ 08/31/2011 Active State Certificate 08/31/2012 Active Comment 4/18/11 RCVD RENEWAL & FEE. DI 2/4/10 registered st cert lice mvb 39/14/05 - RECV RENEWAL PAYMENT - MB Competency Card and Wallet Card Class Code IA/C Class $ Certified Date Applied 04/27/2005 Date Start 04/27/2005 Date Renewed Renewal ❑ active Fee Applied ❑ BUILDING & CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT. PIERCE, FL 34982 772-462-1553 FAX 772-462-1578 AUTHORIZATION FORM FOR CREDIT 'CARD PAYMENT TO: St Lucie County RE:'� 6� /V Rrc�jo Permit# Credit Card Users: 4% Surcharge added per transaction. Payments must be received in this department by 4:00 PM for transaction to be processed that day, if not it will be processed the following business day. _A VISA MASTERCARD Credit Card Number -A962 1,19q '2771 S,361f- Expiration Date - f&zz Zip Code 3 digit security code 159 Amount $ + 4% surcharge Business Name: Authorized Signai Print Name:�zii Phone: ( 772) 5597 - . 36,00 . Fax: (- 7 ) 99 2 ela 199 Comments: 07/06/2011 13:34 1772597-79 INDIANTOWN CSC _.4, PAGE 01/03 Iyate: Fee )ue: I Recei t# Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort fierce, FL 34982 (772)46245: 3 SPECIALTY PERMIT APPLICA ❑ Electrical ❑ P;umbing M 14VAC Q Fence ❑ Shed ❑ D elrx>folition ❑ Gas 13 Siding 5"ee page 2 for nstrucdons and additional,paperWOrk required for specialty permits 1. Location/Site ,kddress: --a.S (o /l) A UA: 2. Parcel ID Number: 1 -'R ib Dot 3. O�t�E Usr, Sect n Ottly Complete Description of Pr•ject or Work: �-7 JIQ-) Range j Mnp Page Use I Inhinlc Fklc 1n st11G,�, L� r i oh 14 6 ee r 4. owners Information S. Contractors JnformatiOn Name: 11-o G.&l. r, N FL %deg/Cert #: O.A C o s P3 05 Address: qy NS 6 193M County Cert#: � o'!. 7 X2 ,. City: f' jdr _ State: Business Name: � cl��n +•a,s 'kC—_ dip: i � � r.. Phone: 172"" 4171- 2351Pilone:`I7 15+17'.24� Tay: 6. Value of Construction: S & 0,C). OWNER'S AFFIDAIgT- I eerdfp' tat all of the information contained in this application is correct and that allwork will be done in cornpliar :e with all applicable laws regulating cons d zo PRINT OVFNER. OR CONTRACTOR P AMF. S NA .. QF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF + ACKNOWLEDGED 8EFORL^METIII �—DAY QF 57+f 20�,BY I�AJ� tJ A—Abl-c(or ED WHO IS PERSONALTY KNOWN TO M OR wHb HAS PRODUCED AS IDFb4dQ AXON. E QP NQ'f ARC' "� ?� % NlM K,10 .. UR P T NAME OF NOTARY . - MY COMMISSION 0 no 772126 COMMISSION NUM13ER r _ EXPIRES: Match 26, 2012 tl Vw Na ty PuhMe Undowihts NOTICE TO OWNER: FAIL' MMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPF )VEMENTS TO YOUR PROFrRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENI I'R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C- [EAT REPLACEMENT WXTH CONTRACT UNDER $7500.00 Revised 04/26120I0 07/06/2011 12:47 177259'FO99 INDIANTOWN CSC ,- ,y PAGE 01/03 Date: Za��'•, Due: Cft►T)+ F L 0 R. i .D R Planning & Developinent Services Building & Code Regulations Division 2300 Virginia Ave. )Fort Pierce, FL 34982 (772)462-1553 t - SPECIALTY PERMIT APPLICATION 17 Electrical[ ❑)"lumb>ing �HVAC ❑ Fence Cl Shed ❑ 1'lemolition ❑ Gas 0 Siding See page Z for instrucdons and addidonalpaperwork required.for speci41ty permits 1. Location/Site Address: �`- 2. Parcel ID Number: / 4iAR Office use . Only Township I Rnngc MAP Page I Zoning 3. Complete Description of Pr ject or Work: 10 -�YYcsYMI — i iss 1/`I l/ a Initials -m- . 7W161, -E 4. Owners Information 5. Contractors Information Name: �._ N FL Reg/Cert#:.3, Address: ,Lk_. /L AX•,�v County Cert#: — 6?6,7 5ka City: •k= State: Business Name: Zip: 4 1W Phone: ' ' S i l � Pholle:'I77�. 64-11 Fax: 77-A A97 ^ G3 99 F• Value of Construction: $ OWNER'S AFFIDAVIT., I certify tl' Lt all of the information contained in this application iS COrrCCt and that all work will 'e done in Compliant' • with all applicable Iaws rcgrilating construe d zo 1ETt PRINT 0 OR CUNR A 'TORN, AIL S NA , OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF _ ,0 ACItNOWLEDGSD T;IsFORH MTs TB15 f� • DAY OF LJ u (+l _ , Zp i j By W j3 ar WHO IS PERSONALLY KNOWN TOM OR WHO HAS PRODUCED AS IDEx4cATTnN_ � OF NOTARY �' NIFkR K. C r '� {sea]) w:_ MY COMMISSION 0) 77pO r , T NAME OF NOTgEY COMMISSION NUjVME t ' EXPIRES: March 25, Z12 ,RI„gy ' 6T1uu Notary puatic UntlettmiMta NOTTC$ TO OWNER: FAIL RE FOR MMENCIEMENT jMAY RF,SULT IN YOUR PAYING TWICE IM.PRO' EMrr4T5 TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WnT.T YOUR I.MEi Olt AN ATTORNEY OEFOR$ RECORDING YOUR NOTICE OF COMMENCiEMENT_ EXEMPT: AIC-Rk LT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26120I0 07/06/2011 12:47 17725�'t7"7�99 INDIANTOWN CSC - PAGE 02/03 S�r�rrz Contractor Certification Data Building & Code R.. gulation Divlslon Entry 2300 Virgin i Avenue Ft Pierce, I L 349a2 Phone: (772) 462.167:• Fax: (772) 462.1148 http://www.sttucieco.org/publi _works/contracLlicen.htm http://ai rs,slcfl.vetrol :om/AI RSweb.php Company Name IIJDIANTOWN F• R CONDITIONING S SERVlC[ Phone (772) 597-2473 ext Fax (772) 597-6399 DBA Mobile ( ) - Pager ( ) Address 15300 SW MYl7 LE DR Email City I State I Zip INDiANTOWN IFL 134956 _ Ownership Type Corporation cant Company Name e .0 Moll, Qualifier Nam JOSPEH HEATH SATCHCLOR Cart # State # ICA0058365 (County Registration/CertifiCation Number Address 115300 SW MYRTLE~ DR City I State I Zip I INDIANTOWN Phone (772) 597-2473 Email Reg. Type E) 1Iration Date G,4uilty,Cery(fiCate 0$ 1112011 Status Active County Certificate OE N/2011 State Certificate Oe 3112012 Ai: Comment 4/18/11 RCVD RENEWAL & FEE. I 214/10 registered St cart Ilse mvb 09/14/05 - RECV RENEWAL PAYA.:NT - MS FL Fax R ) - C®rtification Comment Should Be Reviewed for Permit Competency Card and Wallet Card C1259 Code A!G' Ias1?5:-: -... - -- -•: Date Applied 042712005 Date Start 04127/2005 Date Renewed Renewal ❑ active Fee Applied ❑ Property Appraiser - St.Lucie '--,,,,nty, FL • , Page 1 of 1 5 � _ PROPERTY RECORD CARD Barbara Zeran Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 2564 NAVAJO AV ParcellD: 1428-702-0461-001-8 r 2 Sec/Town/Range: 33 :34S :40E Map ID: Account #: 130445 Land Use: SF Res ct •� RS-4 Zoning: RS-4 City/Cnty: St Lucie County �'• , .,• Ownership and Mailing Legal Description Owner: Barbara Zeran Brady Beckman SAN LUCIE PLAZA S/D-UNIT ONE- BLK 28 N 32 FT OF LOT 13 AND Address: 2564 Navajo Ave S 44 FT OF LOT 14 (MAP 14/33N) (OR 916-75 Fort Pierce FL 34946 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 54100 Land Value: 5900 Acres: 0.24 5/23/2006 100 01 PR 2573 / 1100 Assessed: 54100 Building Value: 48200 8/16/1994 51900 00 WD 0916 / 0752 Ag.Credit: 0 Finished Area: 1419 SgFt 3/19/1990 100 01 WD 0682 / 2407 Exempt: 29100 Taxable: 25000 Taxes: 553.14 BUILDING INFORMATION „ Exterior Features View: - RoofCover: FS - Fibrglss Shg RoofStruct: GA - Gable ExtType: HC- - HC- YearBlt: 1990 Frame: Grade: C- - C- EffYrBlt: 1990 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 AvgHUFI: 1/2Bath: 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 FEN4 - CHAINLINK 4' Y 1 225 AV AV 1999 1 0100-SF Res 225 -Front Ft 76 140 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/pre.asp?prelid=142870204610018 7/6/2011 07/06/2011 13:34 1772E^',399 INDIANTOWN CS( PAGE 02/03 Contractor Certification Data, M.v • i(1� iu . ' Building & Code R%; Batton Division Entry ; 230D Virginia 14vanue R Ft Pierce, Fl 34982 Phona: (772) 462-1673 ' ax: (772) 462-114S http://www,stlucueca.orgfpublic works/contract licen.htm http;/lahrs.slcfl.vetrol.< rmlAlRSweb_php Add UontraCtor Company Nacre INNDIANTOWN Al : CONDITIONING & SERVICII Phone (772) 597-2473 eXt Fax (772)597.6399 OBA I - Mobile()-77771 Pager ( ) - Address 1;;300 SW MYR1 R DR Email - City / State / Zip CVANTOWN FL 34956 Ownership Type Cgrp'oratlon gent Company Name II Qualifier Nam JOSPEH HEATH BATCHELOR JOSPEH HEATH BATCHELOR Cert # State # I CAC058305 (County Registration/Certification Number: Address 115300 SW MYRTLE DR City I State / ZIP I INDIANTOWN Phone (772) 597-2473 Email F^ Fax 1( ) - Certification Comment Should Be Reviewed for Permit Certification lInformati jj WilAdd Registritiorp _._ Reg. Typa I cpiration Date Status 06untyt4r0ficat I` 1/31/2011 11'ctive;.••.;:.:,':'r ';.::.:. County Certificat'a f. VJ3112011 Active State Certificate ( 1/31/2012 Active Comment 4115111 RCVD RENEWAL & FEI 214/10 registered st cert lice mvb 00/14/05 - RECV RENEWAL PA MENT - MB Competency Card and Millet Card Class Code Date Applied 04/27/2005 Date Start 1002712005 Date Renewed Renewal ❑ active Fee Applied ❑