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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: nit # iEE� ­V-r3 COUNTY"`' F L O R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCq St y'V'Eb U ate County SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: iya-©0 2. Parcel ID Number: ;� L/ Z -3 DSO l 00 0 Li DOCK 3 UI,'ic� VS,? Only Section Township Range Map Page o 'ng La' Use Ini ' Is 33 35-5—c— ytyo C 1 3. Complete Description of Project or Work: ): 4 lu cc lL x t` ✓ Civ�o� s -✓ 3 To l' S iZ 4. Owners Information 5. Contractors Information Name: i! ✓t PA! vLGt FL Reg/Cert #: i 6 3 Address: L/ -a CMG (� , 5 --e City: For State: � C Zip: Phone: 4166 95r2 Z 6. Value of Construction: $ oZC�CJU County Cert#: //d2 % 36 -)- Business Name: �L� f'C g Cr o %YCf Phone: 3 `l G? % 5� Fax: J f O 3 70 2 OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in co fiance with all applicable laws regulating co ction and zoning. ��1ti ✓� � t" ✓lam- �(� Z PRINT OWNER OR CONTRACTOR NAME SIGNATtA OF C7� CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME TIES DAY OF. U , 20 BYyy �-' 01+1- VU % Z WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUC �-- AS IDENTIFICATION. =-k-fEXF'1RES: LA M. HUFF SIGNATURE OF TARY T E O P NAME OF NOTARY SION # EE 083530: Apni12,2015 COMMISSION NUMBER Public Underwriters 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 S7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAIL TO RECORD A NOTICE OF COMMENCEMEN kY 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 $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) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE: Emergency 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 Couni —L Page I of I PROPERTY RECORD CARD Stacey Laperna Record: I of I r sev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification 00 Site Address: 4200 SUNRISE BV ParcelID: 2433-801-0004-000-3 \N 62 Sec/Town/Range: 33:35S:40E Account#: 33122 Ilk + Map ID: 24/33S Land Use: SF Res Zoning: RS-3 City/Crity. St Lucie County Ownership and Mailing Legal Description Owner: Stacey Laperna THE TROPICS REVISED (PB 6-21) BLK 1 LOTS 4, 5 AND 6 (0.41 AC) Address 4200 Sunrise By (OR 2150-2078) Fort Pierce FL 34982 Sales Information Assessment 2010 Final Total Land and BwOing Date Price Code Deed Book/Page 2010 Final: 56600 Land Value: 18300 Acres 0.41 1/26/2005 152500 00 WD 215012078 Assessed: 56600 Building Value 38300 9/9/2000 4000 01 QC 1328/1574 Ag.Credit: 0 Finished Area: 1332 SqFt 9/23/1992 54700 00 WD 0808/1222 Exempt: 31600 6/26/1990 100 01 QC 0699/0332 'Taxable: 25000 2/1/1988 56000 00 CV 0576/0470 Taxes: 573.59 3/1/1984 41000 00 CV 0427/0010 8/1/1976 30500 00 CV 0255/2400 BUILDING INFORMATION Exterior Features View: RoofCover: SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD - HD YearBIt: 1971 Frame: Grade: D-D EffYrBIt: 1977 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: I SecWall: Interior Features BedRooms: I Electric: MX - MAXIMUM Pri-nintWall: DW - Drywall FulfBath: 1 Heatrype- FHA - FrcdHotAir AvgHt/Fl: STD 1/26ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C. 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type YIS Qty. Units Qual. Cond. YrBIt. No. Land Use Type Measure Depth 3C 11T - 3CHT S 1 0000000001 AV AV 1977 1 0100-SF Res N -Front Ft 114.1 100 SDSF - SITE DEV S-F y 1 1 AV AV 2001 2 0100-SF Res N -Front Ft 47 140 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?prclid=243380100040003 7/19/2011