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Home My WebLink AboutSUBMITTED PAPERSDate: I Fee Due: I Re'MW I Permit # 11( )" / �U U / i Planning & Development Services 4,71I 6 J=' Building & Code Regulations Division 2300 Virginia Ave. o : Fort Pierce, FL 34982 CANNE® (772)462-1553 BY St. Lucie reunty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing , CHVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 09-7 A r d J dr. 0! "k i re, 2. Parcel ID Number: :2. a o3 ",21 I r COa d — O oC — 5 vV111, Office Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: e- OiO, 1126Prn AOL42 V- 4`J* 4. Owners Information 5. Contractors Information Name: Xr¢, hho P—e---vor- FL Reg/Cert #: cAr.06-p os Address: 1 40 A 7 14 14 LC% /ODNG �r'. County Cert#: 62A `j a zi- n City: f : il"i Crre State: G• Business Name: �gr�pwN 44- 547 Zip: sy9"%.5 Phone: 7`7SZ^'f1P5" 10filone: 7rA .2471 Fax:_ 77o't'.597 L 3" 6. Value of Construction: $ f- OWNERS AFFIDAVIT: I certify that all of the information contained in this applicatio ect and that all work will be done in com 'ance with all applicable laws regulating cons cti zoni �. ,,,plr PRINT ER OR CONTRACTOR NAMES SI A OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS -_ DAY OF 20 It BY J b6h N' • Ro-o'At f' WHO IS PERSONALLY KNOWN TO ME ti/OR WHO HAS PRODUCED AS IDE V Fq' ti (seal) ATURE OF NOTARY TYPE OR PRINT NAME OF N JENNIFFf:R K CARMAN COMMISSION NUMBER *: r_ MY COMMISSION # DD 772126 '• EXPIRES: March 25, 2012 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEME hWNtWkUn#NftN TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN I 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 S�f�-wo�y 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://airs.slcfl.vetrol.com/AI RSweb.php Company Name INDIANTOWN AIR CONDITIONING & SERVICE Phone (772) 597-2473 ext Fax (772) 597-6399 DBA Mobile ( ) - Pager ( ) - Address 115300 SW MYRTLE DR Email City / State / Zip INDIANTOWN FL 34956 Ownership Type I Corporation Trent Company Name � .. Qualifier Nam IJOSPEH HEATH BATCHELOR JOSPEH HEATH BATCHELOR Cert # (County Registration/Certification Number: State # CAC058305 Address 15300 SW MYRTLE DR City / State / Zip INDIANTOWN FL 34956 Phone (772) 597-2473 Fax ( ) - Email Certification Comment Should Be Reviewed for Permit Certlfidatioll Information ' • a Add Registration Reg. Type Expiration Date Status County Certificate. 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 09/14/05 - RECV RENEWAL PAYMENT - MB Competency Card and Wallet Card Class Code A/C Class B Ceitified Date Applied 04/27/2005 Date Start 04/27/2005 Date Renewed Renewal ❑ active Fee Applied ❑ f � 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: (n tfr*:A-t-,e. Oe fts%-- Permit # Credit Card Users: 496 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. VISA MASTERCARD Credit Card Number LA boa 13aq 1 53by Expiration Date 4I lP- Zip Code 3LRS6 3 digit security code 158 Amount $ 8q -- + 4% surcharge Business Name: Authorized Signai Print Name:y boat. 1A• &ktketew- Phone: (17x ) .59-7 - 29473 Fax: (7 7a-) 54 7 - 63 9 `l Comments: SLCPDSD Revised 4/01/2010 EN 07/'07/2011 09:17 1772597F, INDIANTOWN CSC PAGE 01/03 I71ate: IFee COUNTY x L O R l m Planning & Development Services Building & Code Regulations Divisxtan 2300 Virginia Ave. tort Pierce, FL 34982 (772)4624553 SPECIALTY PERMIT .A,PPLICATION ❑ Electn"eal ❑ Flumbing ,XCHVA.0 ❑ Fence Ci Shed ❑ I'=emolition ❑ Gas CI Siding ,See page 2 for Wstruetions and addiiiona► paperwork reqWred for specialty permits 1. Location/Site Address: j ��7 _�� !�1 C'l0 � Ar Ci 2. Parcel W Number: .2 3 0-3 '" t Csb Ad Township lunge Map Page Zoning Lend Use h Offict+Irse 5atl m Only 3 — N 5 3. Complete Description of Pr eject or Work: d07CCrPI 9,6 i 196 P»r, o' 4. Owners Information S. Contractors information Name: f JA. _ �'�3� 1+,LIteg/Ccrt#: CAGA6-psoy Address: J R517 /4u, &6 zr. County Cert#: City: ' Pi"er X State: L- Business NaAac:1�r►dpW Zip: `��1`hone: T�JNIJ Fax: i�7 �� 7P)h�onc; 7"7' k 6. Value of Construction: S OWNER'S AFFIDAVIT: T, certify- iat al,l ofthe information contained ip this applicati ect and that cq ari :e with all applicable law; regulating conshyeti , on J 4olw PRINT OWNER OR CONTRACTOR 14ME SIGINAME OF OWNER OR CONTRACTOR STATE OF FLORIDA, COI)NTY OF _ /-1 ACKNOWLLDGED BEFORE NItTlii 7_ DAY a V�, 20 It . BY �1 b•1 ih • C �L1r WHO IS PERSONALLY KNOWN TO ::g %,--OR WHO FiAS PRODUCED AS 11). N. TYPE OR P�� ATS fJZF OF N07'ARY RINT.1ENNIF61l It CARM:IT19 COMMISSION NUNMER R. MY COMMISSION $ DD EXPIRFS; March $8, NOTICE TO OWNER: FAJ1.i RE TO RECORD A NOTICE OF COMMENCEME '%k'Pl�l1llIICE Pon IIV PR- IVEMENTS TO YOUR PROPERTY. 1F YOU INTEND TO YOUR LEND''sR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FXFMPT: AIC-]' EAT REPLACEMENT ATM CONTRACT UNDER $7500•00 Revised 04/2612070 Property Appraiser - St.Lucie C-, ty, FL Page 1 of 1 Pershing Mobile Home Sales Inc Record: 1 of 3 Property Identification Site Address: 10001 W Angle Rd Sec/Town/Range: 03 :35S :39E Map ID: 23/03N Zoning: CN PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 2303-211-0025-000-5 ��t�UCIECoG'L Account* 12845 y� ee Land Use: PRKG/MOBILE City/Cnty: St Lucie County' Ownership and Mailing Owner: Pershing Mobile Home Sales Inc Address: 901 NW 31st Ave Pompano Beach FL 33069-1100 Legal Description 3 35 39 NW 1/4-LESS AVON MANOR -UNITS 1 AND 2 AND LESS W 615.5FT LYG S OF AVON MANOR -UNIT 1 AND LESS More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 7622200 Land Value: 3105000 Acres: 99.02 3/31/1989 6730000 00 WD 0630 / 0131 Assessed: 7622200 Building Value: 4517200 6/1/1984 1150000 01 CV 0433 / 2528 Ag.Credit: 0 Finished Area: 9528 SgFt 6/1/1974 0 02 CV 0228 / 1382 Exempt: Taxable: Taxes: 158421.32 BUILDING INFORMATION dm9m14eM 94 Exterior Features View: RoofCover: - RoofStruct: ExtType: MHPK - MH Parks YearBit: 1985 Frame: - Grade: C - C EffYrBlt: 1985 PrimeWall: StoryHght: 0010 - 1 Story No.Units: SecWall:. - Interior Features BedRooms: 474 Electric: - PrmintWall: FullBath: 0 HeatType: - AvgHt/FI: 1/2Bath: 0 HeatFuel: - Prm.Flors: %aA/C: 0 %Heated: 0 %Sprinkled: Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type CSAV - COM POOL AVG Y 1 1703 AV AV 1985 1 2800-PRKG/MOBILE 112 -Site PA01 - POOL DK-AVG Y 1 2156 AV AV 1985 ASP2 - ASP2 LOW Y 1 141760 AV AV 1985 CNC2 - CONCRETE LOW Y 1 1375 AV AV 1985 CURB - CEMENT CURB Y 1 150 AV AV 1985 FEW - CHAINLINK 10 Y 1 432 AV AV 1985 SFLB - SHUFFLEBOARD Y 1 4352 AV AV 1986 SPA - SPA -HOT TUB Y 1 64 AV AV 1989 0 Measure Depth 414 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?prclid=230321100250005 7/7/2011