HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Receipt# Permit # / J Q Y,
• Cm
Planning & Development Services
j Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982 st,
- (772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing 011H AC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:
2. Parcel ID Number: ON W 3 vim'
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work:
4.
Infom ation 5. Contractors Information
Owners r
Name:
r
Address:
`�
IcbJ afpn
City:
State:
4
Zip:
3gCN
Phone:
00 —
6. Value of Construction: $
C
FL Reg/Cert #: (C VI' I Z 6
County Cert#: J
Business Name: ( l
Phone: l�1 JAL Fax: �L
this application i correct and that all work will be done in
OWNER'S AFFIDAVIT: I certify that all of the information contained '
comp)
ce with all applicable laws regulatin
onstruction an oning
PRINT OWNER OR CO TORN SIGN
URE OF O OR CONTRACTOR
STATE OF FLORIDA, COUNTY 0
I
ACKNOWLEDGED BEFORE ME THIS DAY O .20 \ BYJ v�
/
WHO IS PERSONALLY KNOWN TO ME `� OR WHO HAS PRODUCED
—
1
LA�IDENTIFICATIO
pRi' T�1�NCI=L
SIGNATURE 0 NOT Y TYPE OR
(`
T N OF NOT Y NOT PUBLIC
-� STATF OF FLORIDA
Commtfi IF021924
COMMISSION NUMBER
c, OT2914
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
08/08/2011 15:34 772466 ---
It
Date; I Fee Due;
COJNTY
F L 0 R I D A
SEACOAST AC
.3 • �;- , -- �'7-
Planning 4e elopment Services
Building & Code Regulations Divisions
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
Permit #
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing an/'V"8C ❑ Fence
❑ Shed ❑ Demolition 0 Gas ❑ Siding
Seepage 2 far instructions and addintinnal paperwork required forspecia4 permits
t. LocatioulSite Address -
I
Parcel M Number: M IIJ1 W 3 C, Q c)
i)(frce Usp
Only
Section
Township Rangc
Map Page
Zoning
Land Use
Ilnitiala
Description of project or Work: (-A
4. Owners haformstlom 5. Contractors information
Name:
Address: ( .
City: C State:
Zip: NZ' Phooe.
6. Value of Coustruction: S
FL iteg/Cert #: McoI(�'Q
44(16
County Cert#:
Business ,Name;(
Phone: ►ILA( "� t� p'ax
0101 5%
OWNER'S AFFIDAVIT: T certify that all of the information contained ' this application ' correct and that all work will be done in
cor npl'cn ce with all applicable laws regulatin onstmu tion an cni.n
V
PRINT O R O CO TORN ( S10 PURE OF OWNPrOR CONTRACTOR
STATE OF FLORIDA, COUNTY O
ACKNOWLEDGED BEFORE ME THIS DAY O , 20 HY_%in
�- C
jWHO IS PERSONALLY KNOWN TO >ul� _ OR W140 HAS P'RODUCrD _
A MENTIFICATJO .
l A TRA YrNcrL
£ rlor . R�4�saLI
SIGNA 0 KOT Y / TYPE OR TN .OF'NOT Y ,(a ,�TAlrf•FUB1.1 CpA
�� �I
COiVIMTSSION NUMBER 4 :�.� �`=� Cam[nt f;:,^,'421924
rcpti ExpIrcr> °i3IT?- fgO1jd
NOTICE TO OWNER' FAILT�71R TO RECORD A NOTICE OF COMMERri NCEMENT MAY STJLT IN YOUR AYING WIC FOR
IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT VATJJ YOUR
LENDER OR AN ATTORNEY BEFORE RF,CORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT, A/C-F:IEAT (REPLACEMENT WITFI CONTRACT IJNDER $7500.00
Rcviacd 44/26/2010
Property Appraiser - St.Lucie County, FL
Page 1 of 1
PROPERY f RECORD CARD
Sheba L Jackson
Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address:
7905 Eden Rd
ParcellD:
1301-603-0226-000-8
Sec/Town/Range:
11 :34S :39E
Account #:
820
Map ID
13/11S
Land Use:
City/Cnty:
SF Res
St Lucie County
Zoning
RS4
Ownership and Mailing
Legal Description
Owner
Sheba L Jackson
LAKEWOOD PARK -UNIT 3- BLK 24 LOT24 (MAP 13/11 S) (OR 404-
Address
7905 Eden Rd
2577)
Fort Pierce FL 34951-4913
Sales Information
Assessment 2010 Final Total Land and Building
Dat. Pnce
Code
Deed
Book/Page
2010 Final 38500 Land Value: 8700 Acres 0.23
6/1/1983
42500 00
CV
0404 / 2577
Assessed. 38500 Building Value: 29800
3/1/1983
0 01
CV
0399 / 2132
Ag.Credit 0 Finished Area. 998 SgFt
6/1/1982
4500 00
CV
0378 / 0612
Exempt: 25000
11/1/1975
1200 00
CV
0246 / 2539
Taxable: 13500
Taxes: 280.59
BUILDING INFORMATION
w }.
Y-
Exterio Features
View
RoofCover
ExtType
HD+ - HD+
YearBlt:
Grade
D+ - D+
EffYrBlt:
StoryHght:
0010 - 1 Story
No.Units:
Interior Features
BedRocros:
2
Electric
FullBatlr
2
HeatType.
1/213ath
0
HeatFuel
%A/C:
100
%Heated
Special Features and Yard Items
Type
Y/S
Qty.
Units Qual Cond
YrBlt
3CFT- 3CFT
S
1
1 AV AV
1982
3CFT -3CFT
S
1
1 AV AV
1982
SDSF - SITE DEV S-F
Y
1
1 AV AV
2001
SA - Asph Shingle
HP - Hip
RoofStruct:
1982
Frame:
1982
PrimeWall:
WS - Wood/Sheath
1
SecWall:
MX - MAXIMUM
PrmintWall
DW - Drywall
FHA - FrcdHotAir
AvgHt/FI:
STD
ELEC - Electric
Prm.Flors:
CU - Carpet
100
%Sprinkled:
0
Land Information
No. Land Use
Type
Measure Depth
1 0100-SF Res
BI -Front Ft
80 126
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=130160302260008 8/8/2011