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 ❑