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HomeMy WebLinkAboutSUBMITTED PAPERSFee Due: IN 77NTY F I 0 R i D A — Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SC YNE p St. Lucie County SPECIALTY PERMIT APPLICATION ❑El ectrical ❑ Plu bing �HVAC ❑ Fence ❑ Shed ❑ De olition ❑ Gas ❑ Siding Seepage 2 for 1. Location/Site Address: 2. Parcel ID Number: and additional paperwork required far specialty permits a 71b �►>a�Q� oa-6In-©Ls6- . , I Imp ��- .. ■/N�►�1.�i�.t�� L�.�. 3. Complete Description of Project or Work: 4. Owners Information aw- Name: C 4rr1 a, t , MU Address: Sri I City: �tZT �L Q At-Q, Zip:' 48 �- 6. Value of Construction: $ OWNERS AFFIDAVIT: I certify that r1 c� compliance 1 c w--r' 5 J A M M oN-PRINT OWNER OR CONTRACTOR NAM STATE OF FLORIDA, COUNTY OF -5-1 ACKNOWLEDGED BEFORE ME THIS _ WHO IS PERSONALLY KNOWN TO ME _ AS IDENTIFICATION. w ^ SIGNATURE OF NOTAK COMMISSION NUMBER A 3 I 0 /6sel-4 . [rho 129r Sr 5. Contractors Information FL Reg/Cert #: C p C O516910 County Cert#: 7 �t Q-7 Ct Business Name: j rbm A lr 3ssr£tiM Phone:77,1 335 3a3a Fag: 77A 335' 1 q68 4 or me mrormauon UUMMUCU u1 uua aFF"""" " __.......� u.....-.... �. - - . ... th all applicable laws regulating cti and ning. SIGNAT OF wNER OR CONTRACTOR i CI `a' _DAY OF � .20 11 By ` UPUIS SRMIYl641- OR WHO HAS PRODUCED j-ji 1jBL1C-3TNF ? OF FIARIDA Christine B. English Commission #DDS50325 APR. 04,2013 TYPE OR PRINT NAME OF NOTARY BONDED TARU An ANTIC BONDING CO., LKC. -Pa ?50as 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 Ott AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C-HEAT'REPLACEMENT WITH CONTRACT TINDER $7500.00 Revised 04/26/2010 I Il v Property Appraiser - St.Lucie Cou ` FL Page 1 of 1 Z" ~ PROPERTY RECORD CARD William T Medford Jr Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �\UCIECO Site Address 5716 RAINTREE TR ParcellD 3402-610-0156-000-4 � Gy Sec/Town/Range Map ID 11 :36S :40E 34/11N Account #: Land Use 38309 SF Res n� < Zoning RS-4 City/Cnty St Lucie County .k Ownership and Mailing Legal Description Owner William T Medford Jr Cynthia H Medford INDIAN RIVER ESTATES-UNIT-09- BLK 76 LOT 11 (MAP 34/11 N) (OR Address: 5716 Raintree Tr 2088-2875) Fort Pierce FL 34982 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 68500 Land Value: 10400 Acres, 0.23 10/8/2004 175000 00 WD 2088 / 2875 Assessed: 67269 Building Value: 58100 2/14/2003 129900 00 WD 1692 / 2023 Ag.Credit: 0 Finished Area: 1924 SgFt 10/15/2002 87300 01 CT 1596 / 0241 Exempt: 42269 12/5/2000 100 01 QC 1348 / 0663 Taxable 25000 .; 12/2/2000 01 QC 1401 / 0275 Taxes 660.82 5/1/1978 43900 00 CV 0288 / 1079 12/1/1977 3000 00 CV 0278 / 0454 7/1/1977 2300 00 CV 0271 / 2442 6/1/1976 2800 00 CV 0258 / 0464 BUILDING INFORMATION Ia„ N0� 1�l ID (MI 24 IN I Im 1 1 sl Exterior Features View: RoofCover SD - Dim Shingle RoofStruct GA - Gable ExtType: HC- - HC- YearBlt: 1978 Frame: Grade: C- - C- EffYrBlt: 1978 PrimeWall: CB - Cedar Bd/Btn StoryHght 0020 - 2 Story No.Units: 1 SecWall: Interior Features BedRooms 3 Electric: MX - MAXIMUM PrmintWall: WP - Plaster FullBath 2 HeatType: FHA - FrcdHotAir AvgHUFI 1/2Bath 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 1978 1 0100-SF Res 215 -Front Ft 80 125 FNW6 - WOOD FEN 6' Y 1 180 AV AV 1999 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=340261001560004 8/9/201 1