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HomeMy WebLinkAboutSUBMITTED PAPERSDate / r / `% J 1 (_ Fee Due: Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Of BY SPECIALTY PERMIT APPLICATION , St. Lucie County b %� ❑ Electrical ❑ Plumbing ❑ HVAC ❑Fence ❑ Shed ❑ Demolition Ef Gas ❑ Siding seepage 2 for instracdons and additional paperwork required for speciadty permits 1. Location/Site Address: 6/0t s '�� �%41 RAJO-f 1-2.e 2. Parcel ID Number: ?Ye91— 3y 1 ^060 1 — © 00 Zy - 3. Office _Use only Section Township Range 1VLpPage Zoeiug Land Use Initials Description of Project or Work: !C to ve- aL.r e.% 4. Owners Information 5. Contractors Information Name: o FL Reg/Cert #: Na lam. ��'a.rc� .41d,� sc �t2! Q•c Address: C /o w.t C T County Cert#: City: ('Aas;-Aa4- ���ge_ State: Al V Business Name: b Zip: 0g-79- Phone: 32 Phone: 71Z Y«! /goo Faa: S�s7 6. value of Construction: S T 00, ° OWNER'S AFFIDAVIT: I certify that all of the mformanon c r 1 complianve with all applicable laws STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS\ DAY OF S WHO IS PERSONALLY KNOWN TO ME OR WHO HAS AS 6MATION. SIGNATURE OF NOTARY COMNIISSIONNUMBER C� e) 20_JJ_, BY be LT n,LL JESSICA ALTALLAA ORPRINT NNANIEOFNOTARY STATE OF FLOR11N. . Comma EE099753 Expires 511/2015 NOTICE TO OWNER FAILURE TO RECORD A NOTICE OF COIVIIHENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MROVEMENTS TO YOUR PROPERTY- IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMA'IENCEMENT- EXEMPT: A/C HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. NOTICE TO OWNER: _ t,URE TO RECORD A NOTICE OF COMIVIENC` ­ - NT MAY RESULT IN YOUR PAYING TWICE FOR IlNPROVEMENTS 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 $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 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. 6. Value of Construction 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 V Attach 2 plot plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies4-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 ,r_; :accepte&for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462=1553 ` ming regular office hours (8:00 AM - 5:00 PM), Monday through Friday. 4` NOTE:mergnc, electric service change out inspections will not be performed after 3: 00 PM without special airangements and addidonal 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 Robert Asselbergs Record: 1 of 4 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print 'Property Identification ,�\,UCIE 00 Site Address: Sec/Town/Range: 6101 S INDIAN RIVER DR 01 :36S :40E ParcellD: 3401-344-0001-000-4co Account #: 36424�� Map ID: 34/01S Land Use: City/Cnty: SF Res St Lucie County Zoning: AR-1 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 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 Qual. Cond. YrBIt. No. Land Use DWC - Driv-Concret Y 1 2025 AV AV 1980. 1 0100-SF Res FEN4 - CHAINLINK4' 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/prc.asp?prelid=340134400010004 7/18/2011