HomeMy WebLinkAboutSUBMITTED PAPERSDate:
1W,, 'g
Fee Due:
Permit #
_ Planning & Development Services
Building & Code Regulations Division
® 2300 Virginia Ave. Sc
Fort Pierce, FL 34982
N
(772)462-1553
SPECIALTY PERMIT APPLICATION 0
041)61
❑ Electrical Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:
2. Parcel ED Number:
Office Use
Section
Township
Range
Map Page
Zoning
Land Use
Initials
Only
as
1E
3. Complete Description of Project or Work: P")C'C' o ��y ��� /, <, Wy _ I-pg�rJ-
4. Owners Inffo�ormatiioon / l 5. Contractors Information e
Name: �Jl i ` �� 4 LLI-1 .-. FL Reg/Cert #: � J-7 )16
Address: l �_ g c, J L, County Cert#:
City: � o,lY ; 7 ) u c.-¢J State: Business Name: slJ ✓I < I CO —
Zip: �j� (� 5 ).-- Phone: J3& 379 ;�—qj Phone:Q) ,-- -) )U6 Fax:
6. Value of Construction: $ 566
OWNER'S 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 oanstruction and zoning.
PRINT OWNER OR CONTRACTOR NAME SIGNA OF OW-Nilk OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 7� 20 1 BY�� of "Florida
ov'(P(; Olg;y r,.,..,. _
rBridget
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED z e,/ ! _ Z�9F'4
" 4 Ex ire
AS ID NTIFICATION. /o� ��F8otary
(� G o- h �t My Comrriissic, ? a(seal) 4
SIGNATURE 6F NOTARY TYPE OR PRINTKqAME O NOTitY'+'o— F�Pires��
COMMISSION NUMBER
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
Property Appraiser - St.Lucie C- nty, FL
Page 1 of 1
Glenn E Clifton JR)
Record: 1 of 1
Property Identification
Site Address:
7913 Meadowlark Lane
Sec/Town/Range:
25:36S :40E
Map ID:
34/25N
Zoning:
PUD
PROPERTY RECORD CARD
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Spec.Assmnt Taxes
Exemptions Permits Home Print
ParcellD:
3425-706-0211-000-3
G
.`"` �.. 2�
Account #:
141512
y�
' 2
Land Use:
Mob Homes
City/Cnty:
St Lucie County
Ownership and Mailing
Owner: Glenn E Clifton JR) Dee M Clifton JR)
Address: 7913 Meadlowlark Ln
Port St Lucie FL 34952-3305
Legal Description
THE PRESERVE AT SAVANNA CLUB- BLK 50 LOT 21 (OR 1498-
1852 ; 1845-2557 , 2561 : 2170-293 , 1661)
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price
Code
Deed
Book/Page
2010 Final:
113300
Land Value: 21000 Acres: 0.13
2/8/2005 100
01
WD
2170 / 0293
Assessed:
109786
Building Value: 92300
9/16/2003 100
01
LE
1845 / 2561
Ag.Credit:
0
Finished Area: 1904 SgFt
9/16/2003
01
LE
1845 / 2557
Exempt:
75000
2/26/2002
01
LE
1498 / 1852
Taxable:
34786
1/1/1900 0
/
Taxes:
1224.12
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
-
RoofStruct:
ExtType: MHA - MHA
YearBlt:
2001
Frame:
Grade: SAVL - SAVL
EffYrBlt:
2001
PrimeWall:
StoryHght: 0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms: 0
Electric:
-
PrmintWall:
FullBath: 0
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
1/2Bath: 0
HeatFuel:
ELEC - Electric
Prm.Flors: -
%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
CNC2 - CONCRETE LOW Y 1
818 AV AV 2001
1 0200-Mob Homes
157 -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?prelid=342570602110003 7/15/2011
PLANNING & DEVELOPMENT SERVICES
BUILDING & ZONING DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 FAX 462-1578
� � ' � ' • � ; �7:Zil_�`►I"�YI II I� ll t�7�[�7 � � �1.�►� Y Y
PLEASE SELECT ONE OF THE FOLLOWING:
CHANGE OF CONTRACTOR — Change of Contractor is to be signed and notarized by the property owner,
and the new contractor of record for the current permit. A new permit application must also be completed with new
contractor information and signature. A new Notice of Commencement must be filed in the new contractor's name
for job values greater than $2,500 ($7,500 if A/C Change -out). A recorded copy must be submitted prior to
commencing any work. There is a $50.00 fee for the Change of Contractor.
CHANGE OF SUBCONTRACTOR — Subcontractor changes are to be completed by the general contractor.
The new subcontractor must fill out a Subcontractor Agreement Form. There is a $50.00 fee for the Change of Sub -
Contractor.
CANCELLATION OF PERMIT — The cancellation of a permit is acceptable only if no work has been done.
Cancellation of permit is to be signed and notarized by both the owner and qualifier of record. There is no fee for
cancellation of the permit.
Date: 12/20/17 Permit Number: SLC 1107-0198
Site Address:
ROBERT WALKER
Original GC, subcontractor or owner/builder
State License CFC057126 SLC License
ALLEN STEINMAN • State License CFC057026 SLC License
New GC, subcontractor
Reason for Cancellation
The undersigned does hereby agree to indemnify and hold harmless St Lucie County, its officers, agents and employees from all
costs, fees or damages arising from any and all claims of action for any reason, which may arise as a result of this change of
contractor/subcontractor or cancellation of permit. A permit cannot be cancelled if work has been performed.
SIGNATURE OF OWNER (or owner/builder) SIGNATU G L ON nC1TOR(o(or(n�ew GC, as applicable)
ITO
PRINT NAME PRINT NA-.-�' �
State of Florida, County of St. Lucie County State of Florida, County of St. Lucie County
The following instrument was acknowledged before me this *d7aofW4We1C:E::,�
)O-L-7_
cknowledge b f re r� this
day of , 20_, by by Ic T
who is personally known to me
or who has produced as ID.
12/20/17
Signature of Notary Date
Revised 04/15/16
who is personally known to
me or who ha odua d as ID.
12/20/17
Date
Sheneka Hardy
Notary Public- State of Florida
Commission #GG 33870
Expires 9/27/2020