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Date: L-) Fee Due: a P`- 'lit# 11Dg-- Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Ch�an�e of (' ovrl,`a�tor- SPECIALTY PERMIT APPLICATION XA Electrical ❑ Plumbing ElHVAC ElFence S���/Vle® ❑ Shed ❑ Demolition ❑ Gas ❑ Siding cot'nt See page 2 for instructions and additionalpaperwork required for specialty permits ,� 1. Location/Site Address: 2. Parcel ID Number: °d�.3t4 ~ 5O5" 0oc)0-00o---q Office Use Only Section Township Range Map Page Zoning Lan Use Initials 1 11Z3. Connlete Descrintinn of Project or Work -�,ar -A, 4. Owners Information 1 5. Contractors Information Name: FL FL Reg/Cert#: �e©w 30 79 Address: W 4 (I County Cert#: Iq Gk ( City: Nial State: IV Business Name: AccW&T6 E!✓OWUCAI r� VA61 II Zip: 077169 Phone: q 583' 31% Phone• R M ` 17/Fax• % 7d,- 0 70 RL "1 6. Value of Construction: $ It 00 OWNER'S AFFIDAVIT: I certify that all of the information containegin' ap i compliance with all applicable laws regulatcti AKT140(-2, 6V69 L-MA WN PRINT OWNER OR CONTRACTOR NAME , n , SIG TURE OF OV STATE OF FLORIDA, COUNTY OF (J! , Utt' ++ I ACKNOWLEDGED BEFORE ME THIS DAY OF 120 t ` BY WHO IS PERSONALLY KNOWN TO ME )(— OR WHO HAS PRODUCED AS I ! TIFIC I Kt W OR worK win De aone in "pry ruCUe State Of Florida Kim Lseken My 0+011H11 I"M 00877590 'kRlf@8 dg/011414 SIGN F N TARY TYPE OR PRINT NAME OF NOTARY 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 Count,-, FL Page 1 of 1 PROPERTY RECORD CARD Maria R Cacoilo JR) Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 109 Island Dunes Cove ParcellD: 3534-503-0008-000-9 Sec/Town/Range: Map ID: 34:36SA1E 35/34N Account#: 155744 Land Use: Vac Res T�CIEC�G.G� co L .G Zoning: HIRD City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Maria R Cacoilo JR) LAS TORTUGAS AT HUTCHINSON ISLAND (PB 44-5) LOT 7 (OR Address: 6 Windy Hill Ln 2738-603) Atlantic Highlands NJ 07716 Sales Information Assessment 2011 TRIM Total Land and Building Date Price Code Deed Book/Page 2011 TRIM: 125000 Land Value: 125000 Acres: 0.36 1/4/2007 450000 00 DE 2738 / 0603 Assessed: 125000 Building Value: 0 11/10/2003 2000000 02 WD 1846 / 0349 Ag.Credit: 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes: 2613.39 BUILDING INFORMATION r - — nn u No Sketch Available Exterior Features View: RoofCover: RoofStruct: - ExtType: YearBlt: Frame: - Grade: EffYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: PrmintWall: FullBath: 0 HeatType: AvgHt/FI: 1/2Bath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0000-Vac Res 312 -Site 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=353450300080009 8/23/2011 SECURITY INC. August 22, 2011 St. Lucie County Building Department 2300 Virginia Avenue Fort Pierce, FL 34982 RE: Cacoilo Residence Change of Contractor GENERATOR PERMIT 109 Island Dunes Cove Permit Number: 1108-0013 To whom it may concern: Please be advised that there is a change of subcontractor on the generator permit for the above referenced project. We will be changing contractors from ECS Security to Accurate Electric Contracting, Inc. Please contact me at (772)233-1723 with any questions. Sincerely, Sean Hayes President ECS Security Inc. R Notary Public State of Florida Kim Lasken My Commission DD977590 Expires 06/01/2014 ECS Security Inc PO Box 1130 Jupiter, FL. 33468 Tel 561-575-0001 Fax 772-283-0286 E-mail ecsflus(aaol com Lic #EC13003866 EF0000495 Part of the ECS Group of Companies JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3617091 OR B;---.3314 PAGE 1817, Recorded 08/09/2017, -` 03:39 PM .rF•I,E:I;,BF.CURDINGRE'tl IRN TO: &RMIfiUMUlt; NOTICE OF COMMENCEMENT TTrc undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 7Li, Florida statutes the. following information is provided in the Notice of commencement. �/., q 1. DESCRIPTTlOnr.OPROP GRTY ( al desc tot , street addressl'PAX FOI.IO NUMBER: 3�4_� 3-o 0068 6� ` SUBDIVISION _�nfron 7�CT—_..LOT__ �BLDG UNIT 109 __P.- �c n -- -- I Fc- 3 isZ---C —��DR a13S-1o11W 2. GENERAL DESCRIPTION OF IMPR 3. OWNER INFORMATION: a. N c. interest in property____ d. Name and address oifee simple titleholder (if other than 20NTRAr,TOR'S NAME, ADDRESS AND PHONE NI 5. SURETY'S NAIvIE•, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7, Persons within the Stale of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himsclFor herself, Owner designates the following to receive a copy of the Llenor s Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) 20—.. Signature of Owner or Print Name and Provide Signatory's Tltle/Ofrrce Owner's Authorized Officer/DirectorfPartnerf6lanager State of Florida ' '''''' 11.n� county of �1j_Lddl e foregoing insWrtlUent w/��a�ckno'wle/dged beforeme this --aay of _., ZO_�• n (Name of person) (Type of authority... e.g. Owner, officer, trustee. attorney in fact) For (Name of party on behalf of whom instrument was executed) Personally Known. or produced the following ty e of ox Notary Publ'w Stata o1 Flodda Kim Laakan ilx n / li _ MY Cemmisaion DD977590 /� �(('1 j �a t�al�' Expkea 06/0112074 (Printed Name of Notary Pubhe) iQ.C�ublic) Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the hest of my knowledge and belief (section 92.525. Florida Statutes). Sl ure(s) of Owncr(s) or Owner(s)' Authorized OlGcer/Director/Partner/Manager who signed above: r^l By. By — ��.--- Re.. aBAa!:an]IRnrnJinyl STATE OF FLORIDA ST. LUCIE COUNTY T HI T91 OR ®y Da L. PLANNING AND DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE. FORT PIERCE, FL 34982 (772)462-1553 PERMIT RENEWAL REQUEST ADDRESS: 109 /s�Aft"b PERMIT NUMBER: J f►o w?'+ ,�i�"'° ----� A CI, P��Tqug, L, i1��E (� Y"I� N N , AM REQUESTING THAT THE ABOVE PERMIT IS RENEWED FOR 18 MONTHS. I UNDERSTAND THAT I MUST SCHEDULE AND PASS ALL REQUIRED INSPECTIONS FOR THE PERMIT TO BE FINALED. FURTHER, I UNDERSTAND THAT THIS IS A ONE TIME RENEWAL AND THE PERMIT SHALL EXPIRE SHOULD I NOT RECEIVE A PASSING SP CTION DURING ANY SIX MONTHS PERIOD DURING THE RENEWAL PERIOD. i©/a �a OWNERBLDR OR CO CTOR SIGNATURE DATE STATE OF FLORIDA, County of Q ACKN WLEDGED BEFORE ME THIS DAY OF �G�{ ' , 20� BY WHO IS PERSONALLY KNOWN TO ME , OR HAS PROVIDED AS IDENTIFICATION, TE OF FLORIDA, County of,�—�1� SEAL SIGNTFURE OF NOTARY COMMISSION NUMB P'•'" �• . DAWN MI LONE _* MY COMMISSION p DD 852587 BOOM Thr Notary publlo U derwhteN FOR OFFICE USE ONLY: RENEWAL FEE: $ No. of Open Inspections _ Total No. of Inspections = (% of Open Inspections). Original Permit Fee $ x Open Inspections (%) _ $ (Renewal Fee). Example: [15 _ 23 = .65(%)] $175.00(permit fee) x .65(%) = $113.75 (Renewal Fee) SLCPDSD REV 4/11/2011 Date: Fee Due:-^ Receipt#,�Per mit # 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 ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: / U l Isla,, d PaA-y5 6W-1 ) ur-hKII) 6eAm 2. Parcel ID Number: 35 3`t' — 563— 000)8 — 000— g Township Range Map Page Zoning Land Use Initials Office Use Section Only 3. Complete 4. Owners Information 5. ' Confractors Information Name: M rmt b W(" FL RbeCert #: ' Address: �0 In )� nG�U �-h II LQ,d'l,� County Cert#: City: 'I I 1 h I tate: Business Name: Z&73,& Zip: V -77,16Y —Phone: 7-§93J71%Phone• 7%2• 29d Fax: 67 ZM3 ' 0 w 6. Value of Construction: $ OWNER'S AFFIDAVIT: I certify that all of the information contained in thi application is correct and that all work will be done in compliance with all applicable laws regu g co tion zoning. PRINT OWNER OR CONT ACTORNAME SIG TURF OF OWNER OR C OR STATE OF FLORIDA, COUNTY OF a . -) ilC b—". r I ( C�� ACKNOWLEDGED BEFORE ME THIS � DAY OF / 20 l I BY o/C.�YZ WHO IS PERSON KNOWN TO ME OR WHO HAS PRODUCED _ AS IDE T ICATION. Kim 1jj—S&r) Id 10 00 PNNotary Public State of Florida � Kim laske(wal) SIGNA O NO 1 T E OR PRINT NAME OF NOTARY ' 1 1 a My Commission DD977590 f Expires 06101/2014 COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESIILT 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 NOTICE TO OWNER: FAILURE T i ''k ".CORD A NOTICE OF COMMENCEMENT MA`,.- , ;SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. W 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 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 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,Auririg'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 County, FL Page 1 of 1 Maria R Cacoilo JR) Record: 1 of 1 Property Identification Site Address: 109 Island Dunes Cove Sec/Town/Range: 34:36S:41 E Map ID: 35/34N Zoning: HIRD Ownership and Mailing Owner: Address: Sales Information Date Price 1/4/2007 450000 11/10/2003 2000000 Maria R Cacoilo JR) 6 Windy Hill Ln Atlantic Highlands NJ 07716 Code Deed 00 DE 02 WD No Sketch Available m. r PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print ,`%33CIE CO ParcellD: 3534-503-0008-000-9 G2� Account #: Land Use: 155744 Vac Res y j City/Cnty: St Lucie County Legal Description LAS TORTUGAS AT HUTCHINSON ISLAND (PB 44-5) LOT 7 (OR 2738-603)' Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 175000 Land Value: 175000 Acres: 0.36 2738 / 0603 Assessed: 175000 Building Value: 0 1846 / 0349 Ag.Credit: 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes: 3637.25 BUILDING INFORMATION No Image Available Exterior Features View: RoofCover: RoofStruct: ExtType: - YearBlt: Frame: Grade: EffYrBlt: PrimeWall: StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWall: FullBath: 0 HeatType: - AvgHt/FI: 1/2Bath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0000-Vac Res 312 -Site 1 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=353450300080009 8/1/2011