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
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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