HomeMy WebLinkAboutSUBMITTED PAPERSPlanning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
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SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ SVAC ❑ Fence
❑ Shed ❑ Demolition ®'Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: '1!�/ / S -LAd .4 an i��ygr i7r'
2. Parcel ID Number: 31V 01- 3401
Ojjice.Use
Only
Se tiort
Townsldp
Range
MapPag
wing
Laud Use
Initials
3. Complete Des c 'ption of Project or Work: - i of a'�: L� : /1 ca •�0 2,�,-
4. owners Information 5. Contractors Information
Name: ?®Arf u4. 41 o ;4A A.VS,.� FLReg/Cert #:
Address: _6 C -9 OGl/V c.
County Cert#s
City: clies,State: /V Y Business Name: G'o o r b 4 s
r- � 1
Zip: / O°1 Z % Phone: ��/�'- 323 Phone:7-?2-'/6'l-i8cki Faa: �
6. Value of Construction: $
be
OWNER'S AFFIDAVIT: I. cermy that all of the munuauvu wuu►u u� ..._� •r ---� -- -- - ---- -
/ comp ance with all applicable laws reg c Wig•
•
PRINT O OR CONTRACTORNAANIE
� I TURF OF R. OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF �51 t�
ACKNOWLEDGED BEFORE ME THIl\l S _ DAY OF BY
WHO IS PERSONALLY KNOWN TO UE 4-- OR WHO HAS PRODUCED
AS TD c N. AISICI ► ALTAILAA
NO ANY PUBLIC
01' FLORIDA
SIGMA F NOTARY TYPE OR PRINT NAME OF NOTARY C,pfd" EE088753
COM MSIONNUMBER �C t Expires 5/1/2015
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF CONIIYIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IIMPROVEMENTS 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 w rm CONTRACT UNDER S5,000.
NUTl;CETOOWNER : 'AILURE TO RECORD A NOTICE OF COMM,fVIENT-MAY RESULT IN YOUR PAYING, TWICE FOR
- MWROVEIVIENTS" TO YOUR, PROPERTY. IF INTEND TO OBTAIN FINANCING, . CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE' RECORDING YOUR NOTICE OF COMMENCEMENT.
i EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or typed. This permit application is to be used only for those activities that are not otherwise included
under a primary building permit. This application may not be used for any activity that includes structural
alteration. The "information to be provided with this application includes:
1. Location/Site Address
2. Parcel ID Number
3. Description of Project or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction
Indicate the street address or general location of
property where the building activity is taking place.
Indicate the tax identification number of the
property where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number- and the name of the business doing the
:work.
Indicate the total value of the work to take place.
Total cost -of -construction includes all current retail
material and labor costs associated with the
building/construction activity. Construction value is
used to determine the permit fee. St. Lucie County
reserves the right to question and/or modify the
indicated value of construction if it is .demonstrated
that the submitted figures are not consistent with
similar types of construction.
❑ Gas Attach 2 piping schematics with tank size,location, and BTU'of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for
-new system or full replacement
This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications will be
accepted; for_`processing after 4:30 P.M. For assistance in completing this application, please call (772)
4�62q 1=553, dinnigregular office hours (8:00 AM - 5:00 PM), Monday through Friday.
Ilk', = NQEmergency electric service change out inspections will not he perforated after 3: DO PM without
special arrangements and additional fee paid.
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261.
Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERTY RECORD
CARD
t
Robert Asselbergs Record: 1 of 4
«Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
�\UCIE00G2
Site Address: 6101 S INDIAN RIVER DR
ParcelID:
3401-344-0001-000-4
Sec/Town/Range: 01 :36S :40E
Map ID: 34/01S
Account #: 36424
Land Use: SF Res
yam'
Zoning: AR-1
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner: Robert Asselbergs Aldith Asselbergs
1 36 40 S 1/2 OF N 1/2 OF S 53 ACRES OF LOT 3-LESS RR AND RD
Address: 6 Crown Ct
RS/W- (12.20 AC) (OR 3106-2602, 2605)
Chestnut Ridge NY 10977
Sales Information
Assessment 2010 Final Total Land and
Building
Date Price Code Deed
Book/Page
2010 Final: 578200 Land Value:
395700 Acres: 9.55
6/29/2009 100 0111 QC
3106 / 2605
Assessed: 578200 Building Value:
182500
6/29/2009 700000 0001 WD
3106 / 2602
Ag.Credit: 0 Finished Area:
4148 SgFt
2/27/2003 100 01 WD
1668 / 1852
Exempt:
4/1/1980 118800 00 CV
0329 / 0033
Taxable:
12/1/1977 0 01 CV
0279 / 0158
Taxes: 12017.42
BUILDING INFORMATION
(Ivl)
Exterior Features
View:
-
RoofCover:
FS - Fibrglss Shg
ExtType:
HC - HC
YearBlt:
1905
Grade:
C - C
EffYrBlt:
1990
StoryHght:
0020 - 2 Story
No.Units:
1
Interior Features
BedRooms:
4
Electric:
MX - MAXIMUM
FullBath:
3
HeatType:
FHA - FrcdHotAir
1/213ath:
0
HeatFuel:
ELEC - Electric
%A/C:
100
%Heated:
100
Special Features and Yard Items
Land Information
Type
Y/S Qty.
Units
Qua]. Cond.
YrBlt.
No. Land Use
DWC - Driv-Concret
Y 1
2025
AV AV
1980
1 0100-SF Res
FEN4 - CHAINLINK 4'
Y 1
220
AV AV
1999
2 0100-SF Res
3 0100-SF Res
DOK2 - WOOD DOCK
Y 1
485
AV AV
2009
More...
RoofStruct: HP - Hip
Frame:
PrimeWall: AS - Alum Siding
SecWall: -
PrmintWall: DW - Drywall
AvgHt/FI:
Prm.Flors: HW - Hardwood
%Sprinkled: 0
Type
Measure Depth
210 -Front Ft
222
525 -Acres
2.4
510 -Acres
4.32
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=340134400010004
7/18/2011