HomeMy WebLinkAboutSUBMITTED PAPERSCOUNTY
F L 0 R I D A
Fee Due: U Receipt# I w 'ermit # //(m "
Planning & Development Services
Building & Code Regulations Division SC,gN
2300 Virginia Ave. NFQ
Fort Pierce, FL 34982 St, 6N� By
(772)462-1553 a C0417
ty
SPECIALTY PERMIT APPLICATION
lectrical ❑ Plumbing ❑ HVAC ❑ Fence
Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: �� �— I �) 2 i v
2. Parcel ID Number: 3�l (� to 19
UseSectionOnly
Township
Le:,Map
Page
Zoning
LandD/fiee
p
3<oSy
3. Complete Description of Project or Work: �P
►-
4. Owners Information 5. Contractors Information
S
Name: �-� �1✓� 1 I 1 e.l-�u�2 FL Reg/Cert #:
Address: (�
City: P�'• `tom QC-e State:
Zip:L \ Phone:
County Cert#:
Business Name:
Phone: 6Faz: q le (O —,SJ GS-
6. Value of Construction: $
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
compliance with all applicable laws regDAT
truction an z g.
dejQf,
1 1 A PPS F OWNER ORC CTI
P T OWNER OR CONTRACTOR N
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS Y)� DAY OF (.Z
WHO IS PERSONALLY KNOWN TO MEN✓%OR WHO HAS
20 //. BY
.ON. jj�,,
I DAWN MI�('�f�d52587
AME OF NOTARY = _„ MY COMMISSION
SIGNATURE OF NOTARY T =*;
EXPIRES: March 22, 201
Bonded Th, Notary Public Unde r
COMMISSION NUMBER''f^"`�"``
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
Page 1 of 1
Goldie M Belcher Record: 1 of 2
Property Identification
Site Address: 5111 PALM DR
Sec/Town/Range: 02 :36S :40E
Map ID: 34/02S
Zoning: RS-4
PROPERTY RECORD CARD
«Prey Next Spec.Assmnt Taxes Exemptions Permits Home Print
Ownership and Mailing
Owner: Goldie M Belcher
Address: 5111 Palm Dr
Fort Pierce FL 34982-3895
ParcellD: 3402-608-0330-000-1 \�t���o�
Account #: 37416
Land Use: SF Res
City/Cnty: St Lucie County ,'K
Legal Description
INDIAN RIVER ESTATES -UNIT 07- BLK 49 LOTS 28
AND 29 (MAP 34/02S)(OR 299-1234: 1032-1187)
Sales Information
Assessment 2010 Total Land and Building
Final
Date
Price
Code
Deed
Book/Page 2010 Final:
60500
Land Value:20800 Acres: 0.46
8/21/1996
12/1/1978
100
44300
01
00
QC
CV
1032 / 1187 Assessed:
0299 / 1234
60500
Building 39700
Value:
11/l/1972
1000
01
CV
0208 / 1730 Ag.Credit:
0
Finished 1584 SgFt
Area:
Exempt:
36000
Taxable:
24500
Taxes:
595.09
BUILDING INFORMATION
Exterior Features
View:
-
RoofCover:
SA - Asph
Shingle
RoofStruct:
GA - Gable
ExtType:
HD -HD
YearBlt:
1977
Frame:
-
Grade:
D - D
EffYrBlt:
1977
PrimeWall:
WS
Wood/Sheath
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
PP - PLYWOOD
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
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 Y/S Qty.
Units Qual.
Cond. YrBlt.
No. Land Use
Type
Measure Depth
1 0100-SF Res
BI -Front Ft
160 125
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?prclld=340260803300001
8/ 1 /2011