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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Permit # -� :�k' IFL LINTY 0 R[ II ' Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ DVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and addidoonalal pape�rworrk required for specialty permits 1. Location/Site Address: ✓�/lJ'L ���U °^ 2. Parcel ID Number: 34UCL Township Range Map Page Zoning Land Use Initials Jf,Fce Use Section Only 3. 4. Owne s In rmatio Contractors Information a4flAfah Name: ��FL Reg/Cert #: Address: 11_ • County Cert#: City: State: Business Name: � C Zip: Phone: Phone:. MAW Fax: 6. Value of Construction: $ II' OWNER'S AFFIDAVIT: I certify that all of the information contain this application is co ct and that all work will be done in compliance I th all applicable laws regul in c9onss:puction o g. • V A PRINT OWNER OR CONTRACTO SIG ATURE OF R OR CONTRACTOR .�• p STATE OF FLORIDA, COUNTY OF �1 V r 9 ACKNOWLEDGED BEFORE ME THIS ✓ DAY OF ; 20 BY \� • - v) Put ' +'.*�Z —1 O I5 PERSONALLY KNOWN TO ME `�R WHO HAS ENTIFICATION. Si TURE Y da�ga COMMISSIO UMBER TYPE OR PRINT NANUF NOTAR IAJ f3 j �Q� (sea ; 3 ® �`�, X � 9-0r- D 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 $7500.00 Revised 04/26/2010 07/06/2011 13:03 77246630'.`.,-,' SEACOAST -AC PAGE 02 pate: CO l NTY F 0 C`' f D R Fee ,Due: Planning & Development Services ]wilding & Code Regulations DivWon 2300 Virginia Ave, FortFierce, FL 34992 (772)462-15$3 Permit # SPECIALTY PERMIT APPLICATION 0 Electrical Ci Pluinbing 11 FNAC O Fence C] Shed El Demolition 0 Gas El Siding See page Z for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel 1D Number: — n(cog .CJ-h ow — 0 Offite Lisp I Section Only /hz 3. Complete Desedptioll of Project or 4. Owne rmntiop N2ME- U( ICA Ni-A-0 Township I Range Zoning J Land use .. Initials fflawl", Contractors bformatiog Address: l TOti r City: A-Akc�State: •w Zip., P401ae.�� 6. Value of Construction: OWNER'S AFFIDAVIT. STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BErORE ME THIS if the information c all applicable laws DAY OF 015 PERSONALLY KNOWN TO ME %-' OR WHO HAS I ENTIFICATION. fn Si TUAIr Y COMNMST.01v, UMt3F7t County Cert#., Business Name.- 3z PhGne � rr �y this application is ct and that alI work will be dons is coonst& cdon o g. V ATURL^ OF R OR CoCONTRACTOR. 20 BY DUCED51-T_ -4 2 � (see n TYPE OR PPMT NAIUF NOTAR NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEMS TO YOUR PROPERTY. IF YOU INITM TO OETATN M- ANCING, CONSULT WrM YOUR LENDER OR AN ATTORNEY BEFORE RECORDTNG YOUR NOTICE OF COMMENCEMENT, EXEMPT; A/C -HEAT REPLACEMENT WITR CONTRACT UNDER S7500.00 Rcvisci 0412612014 Property Appraiser - St.Lucie Cc} 1,y, FL Page 1 of 1 PROPERTY RECORD CARD Antonio B Menchavez Record: 1 of 1 "Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification _ Site Address: 5304 Birch Dr ParcellD: 3402-608-0412-000-0 ��1IOIE00 y Sec/Town/Range: 02 :36S :40E Account* 37494 Map ID: 34/02S Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Antonio B Menchavez Christine T INDIAN RIVER ESTATES -UNIT 07- BLK 51 LOTS 18 AND 19 (MAP Menchavez 34/02S)(OR 450-2753) Address: 1801 SE Camilo St Port St Lucie FL 34952 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 79300 Land Value: 20800 Acres: 0.46 12/1/1984 49000 00 CV 0450 / 2753 Assessed: 79300 Building Value: 58500 8/1/1979 37000 00 CV 0315 / 0221 Ag.Credit: 0 Finished Area: 2503 SgFt 1/1/1979 0 01 CV 0301 / 1405 Exempt: 12/1/1978 34500 00 CV 0299 / 2133 Taxable: 9/1/1978 0 01 CV 0295 / 2443 Taxes: 1648.18 BUILDING INFORMATION ;tr�awi:e:ea., toijitl p '}2 Exterior Features View: RoofCover: SM - Sheet Metal RoofStruct: GA - Gable ExtType: HC - HC YearBlt: 1975 Frame: - Grade: C - C EffYrBlt: 1975 PrimeWall: WS - Wood/Sheath StoryHght: 0020 - 2 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FuliBath: 1 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/2Bath: 1 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. YrBit. No. Land Use Type Measure Depth SWAY - RES POOL AVG Y 1 450 AV AV 1977 1 0100-SF Res BI -Front Ft 160 125 PA01 - POOL DK-AVG Y 1 327 AV AV 1977 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.paslc.org/prc.asp?prclid=340260804120000 7/7/2011