HomeMy WebLinkAboutSUBMITTED PAPERSmate: y / q--
❑ Electrical
❑ Shed
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ -Plumbing ❑ HVAC ❑ Fence
❑ Demolition INGas ❑ Siding
seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:
CA Y \
2. Parcel ID Number: a�o — ��� —CM, 1
SC
q
Y�F®
St 4ocie
3. Complete Description of Projector Work: 4er%o�
4. Owners Information 5. Contractors Information
Name:
nc� ' ii fI'S5 ba FL Reg/Cert #:
N l�
iac /a/ el ass i
re �✓� 7 County Cert#s
Address: C1
City: (i.l9synv-� 4:�6� State• Business Name: G ass G c
Zip: 169�� Phone: s y2 Phone:��Z -S%Ct/ - t�oFaa: �—
r$S7
6. Value of Construction: S %0O.4,2D 2
OWNER'S AFFIDAVIT: I cernry mat au ui uio --auu— ��--•
comp ' ke with all applicable laws regula
L-
PRINT OWNER O CONTRACTORNAME Loci
SIG
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF
WHO IS PERSONALLY KNOWN TO ME _)L OR WHO HAS PRODUCED_
and that all work will be done
BY
Jgg01CA ALTALLAA
AS IDIM NOT tJBLIC
STAT� FLORIDA
SIGN OF NOTARY �' TYPE OR PRINT NAME OF NOTARY ' ( EE099753
COMIvIISSIONNUMBER [%������ Expires5/112015
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 COM14iENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $SAO.
NOTICE TO OWNER: 1URE TO RECORD A NOTICE OF COMIvIENC{ '-NT MAY RESULT IN YOUR PAYING TWICE FOR
u ula OVEMENTS TO YOUR PROPERTY. IF Y011,,__JrEND 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.
- - r
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
Indicate the street address or general location of
property where the building activity is taking place.
2. Parcel ID Number
Indicate the tax identification number of the
property where the building activity is taking place.
3. Description of Project or Work Activity
Fully describe the activity to take place.
4. Owner Information
; Indicate'the name and -address of the owner of the
property on which activity is taking place.
5. Contractor Information
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
v
that the submitted figures are not consistent with
similar types of construction.,
❑ GAS Y Attach 2 piping schematics with tank size,location, and BTU of each-appUance ._
❑ Shed: Attach 2 plot plans, 2 copies of DCA",letter and plans, 2 anchor specifications
0 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 -fullreplacement.
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
aecepted=for processing after 4:30 P.M. For assistance in completing this application, please call (772)
462=1553;',dui rig�regWpr office hours (8:00 AM - 5:00 PM), Monday through Friday.
N�OTEr,,Emergeircy electric service change out inspections will not be performed after 3:00 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, F?
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 �0
Site Address:
6101 S INDIAN RIVER DR
ParcellD:
3401-344-0001-000-4
�i 2
Sec/Town/Range:
Map ID:
01 :36S :40E
34/01S
Account #: 36424
Land Use: SF Res
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
aura
(ee)
Exterior Features
View:
RoofCover:
FS - Fibrglss Shg
RoofStruct:
HP - Hip
ExtType:
HC - HC
YearBlt:
1905
Frame:
Grade:
C - C
EffYrBlt:
1990
PrimeWall:
AS - Alum Siding
StoryHght:
0020 - 2 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
4
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
3
HeatType:
FHA - FrcdHotAir
AvgHt/Fl:
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
HW - Hardwood
%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
DWC - Driv-Concret
Y
1
2025
AV AV
1980
1 0100-SF Res
210 -Front Ft
222
Y
1
220
AV AV
1999
2 0100-SF Res
525 -Acres
2.4
FEN4 - CHAINLINK 4'
3 0100-SF Res
510 -Acres
4.32
DOK2 - WOOD DOCK
Y
1
485
AV AV
2009
More...
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