HomeMy WebLinkAboutSUBMITTED PAPERSFee Due: j�( Receipt# Permit #
COUNTY >
F L O P. I D A
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
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1. Location/Site Address:
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2. Parcel ID Number: 3 `1
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Section
Township
Range
Map Pa a
Zoning
Land Use
Initials
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3. Complete Description of Project or Work:
4. Owners Information 5. Contractors Information
Name: �o cz:T 4 T L Ue t Q. G t a F FL Reg/Cert #:
Address: (a S W Pa RT s T Q) U County Cert#:
City: PG tir Uct State: �--
Zip: 3 1� 92 'y Phone:
S
Business Name: 4- /—, .f3 , 0 mot,,tJ6 V 4;ct--
Phone: ► - 13,29 Fax: ►? 9.3 - a . 3 0 3 C-
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 regulatmi construction and zonm
PRINT OWNER JR CONTRACTOR NAME SIGNATURE OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF!/j�)
ACKNOWLEDGED BEFORE ME THIS AY OF (/Lt L� 20-, BY f� �Q / 15ec
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PR CED _
r\
T�IFICAON. �,DAWN MILONE
MY co MI IONA DD 852587
ATOTARY TYPE OR PRINT NAME OF NOTARY E FxPl� gPubic U 2013
d Banded Thru Notary Public Undetvrti►ets
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 S7500.00
Revised 04/26/2010
NOTICE TO OWNER: FAILURE :ECORD 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 CONMENCEMENT.
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.
RECEIVE^ 98/02/2011 01:54 7772293036
08/02/2011 14:24 77287; 5
LEB DEMOLITION
PAGE 01/01
CITY OF PORT ST. LUCIE
UTILITY SYSTEMS DEPARTMENT
900 SE Ogden Lane
Port St. Luck, FL .1498.1
(772) 873-646P .- TIM Aeecssible
(772) 873-6405 — FAX
Jesus A. Merejo, bisector
'A City for All Ages"
August 2, 2011
Mr. Leroy Beckford
LEB Demolition & Consulting
Contractors Inc.
12805 S. Indian River Dr.
Jensen Beach, FL 34957
Re: 406 SE Gasparilla Ave
Dear Mr. Beckford:
The Gravity sewer service was cut and capped at the property line on 7-6-11 by
the Utility's sewer PM crew. A locate marker was installed.
The water meter and angle valve were removed and services were shut off on
7-8-11 by the distribution PM crew.
If you need any more information, please let me know.
Sincerely,
Alane J. Sisilli
Safety and Training Coordinator
Property Appraiser - Nt.Lucre L OUrlty, t L
uup:iiwww.pasrc.uryprc.aspsprciru—.3'+17.»wIVOVU V
Port St Lucie City of Record: 1 of 1
Property Identification
406 SE GASPARILLAAV
28 :36S A0E
34/28N
R S-4
PROPERTY RECORD CARD
<<Prev Next » Spec.Assrmt Taxes Exemptions Permits Home Print
1 �UCIE �O
3419-530-0108-000-0 Gy
42508 �F
SF Res
St Lucie County
Ownership and Mailing
Port St Lucie City of
121 SW Port St Lucie Blvd
Port St Lucie FL 34984-5099
Sales Information
6/ 1 /2011
78000
0118
1/28/1998
0
04
6/25/1996
88000
00
217/ 1996
78"
00
10/26/1994
85000
00
7/21/1994
62000
00
Legal Description
RIVER PARK -UNIT 4 BLK 35 LOT 11 (MAP 34/28N) (OR 3299-2414)
Assessment 2010 Final
Total Land and Building
78700
12000 0.32
WD
3299 / 2414 78700
66700
FJ
1123 / 2519 0
1478 SgFt
WD
1025 / 1259
QC
1005 / 2496
WD
0926 / 2823 1635.7
WD
0914 / 1502
BUILDING INFORMATION
Exterior Features
SA - Asph Shingle GA - Gable
HD+ - HD+ 1978
D+ - D+ 1978 BS - CB Stucco
0010 - 1 Story I
Interior Features
3 MX - MAXIMUM DW - Drywall
2 FHA- FrcdHotAir STD
0 ELEC - Electric CU - Carpet
100 100 0
Special Features and Yard Items Land Information
- RES POOL AVG Y 1 450 AV AV 1984 1 0100SF Res 231 -Front Ft 100
- POOL DK-AVG Y 1 593 AV AV 1984
- 3C NT S 1 1 AV AV 1978
- SITE DEVS-F Y 1 1 AV AV 2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
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