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HomeMy WebLinkAboutSUBMITTED PAPERSDate: R--5 - It I Fee Due I Permit # I I NY ' PJWP— COUNTY F L a R t D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing N HVAC ❑ Fence St ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 7 7 o S Cye rGree-n Ave 2. Parcel ID Number: -I DCo - 50a - 00 i 1 - DDO - 3 SCANNED BY Lucie County Office Ilse Only Section Township Range Map Pa a Zoning Land Use Initials Q 5 L 6 /-) 3. Complete Description of Project or Work: 4. Owners Information 5. Contractors Information Name: Debra. CoOlS FL Reg/Cert #: Address: 7 08 �"&T- l ree n A - ye.• City: } }- Pc e�l—Ce State: L Zip: Phone: 6. Value of Construction: $ a,000 County Cert#: Business Name: r. CACIS I52AQ Les/ Frozen -A�4- . :Ffic Phone: 77d - S 7 7 Fax: 19 Sa OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is corrept and that all work will be done in compliance with all applicable laws r;N!ATL g co structi zon g. John L. foDinl<or) PRINT OWNER OR CONTRACTOR NAME _ OF OVNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF y l^ ACKNOWLEDGED BEFORE ME THIS DAY OF 120 , BY �. o I jo P `� 46 Y) WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PROD C D� \AS IDE (CATION. " DAWN MILONE *� My (X"ISSION # DD 8525B7 SIG OF NOTARY TYP T NAME OF NOTARY( EXPIRES. March 22, 2013 Bonded Thru Notary Public underwriters COMMISSION NUMBER�wm .r. 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 NOTICE TO OWNER: FAILURE � ECORD A NOTICE OF COMMENCEMENT ND ESULT 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 County, FL Page 1 of 1 PROPERTY RECORD CARD Debra A Curtis Record: 1 of 1 ­Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 4408 EVERGREEN AV ParcellD: �yy1CIE 2406-502-0011-000-3 Sec/Town/Range: 06 :35S :40E Account #: 19414 c Map ID: Land Use: SF Res Zoning: RS 4 RS-4 City/Cnty: St Lucie CountyAWW,,,,AA Ownership and Mailing Legal Description Owner: Debra A Curtis HARMONY HEIGHTS BLK A LOT 12 (0.14 AC) (OR 738-2469) Address: 3405 Ave L Fort Pierce FL 34947 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 39700 Land Value: 5400 Acres: 0.14 5/13/1991 1600 00 WD 0738 / 2469 Assessed: 39700 Building Value: 34300 6/22/1990 0 01 DE 0696 / 2080 Ag.Credit: 0 Finished Area: 1017 SgFt 5/1/1984 2400 00 CV 0434 / 0940 Exempt: Taxable: Taxes: 825.13 BUILDING INFORMATION Exterior Features View: - RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC- - HC- YearBlt: 1995 Frame: Grade: C- - C- EffYrBlt: 1995 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHUFI: 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 DWC - Driv-Concret Y 1 720 AV AV 1995 1 0100-SF Res BI -Front Ft 57.5 105 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=240650200110003 8/5/2011