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HomeMy WebLinkAboutSUBMITTED PAPERSDate: - I I I Fee Due: `Receipt# I Permit # ) l (i + OUNTY F L O R I 4 A ❑ Electrical ❑ Shed Planning & Development Services Building & Code Regulations Division SCANNED 2300 Virginia Ave. St Luc u BY Fort Pierce, FL 34982 eie COunty (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Plumbing IJ HVAC ❑ Fence ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required�forj s�p/ecia/ty permits �Location/Site Address: 1 � 1 �1 1 � e L�1 Y (j - 2. Parcel ID Number: "Township Range Nlap Page Zoning Land Use Initials Onh I 1 3 4. Owners Information 5. Contractors Information Name: 2EM ewfz Address: yd City: 'i te: Zip: Phone 6. Value of Construction: $ 31 FL Reg/Cert #: dk1 bi `T'" [ . ` - County Cert#: q I EBusine. s Name:, IW(.9t�Q .[�!•V � A I l� 32 OWNER'S AFFIDAVIT: I certify that all of the information contained in this appli ation is correct d that all work will be done in dance with all applicable laws regulating const t' n and 6rE& PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OW, OR CONTRACTOR STATE OF FLORIDA, COUNTY OF _ 1 V ��--��-- ACKNOWLEDGED BEFORE ME THIS DAY OF 20 I I fly WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED AS ENTIFICAT ON CRYSTAL MCGOWAN - t f� - OTA R�� I�IS�')OMMISSION #DD800856 N SIG ATURE OF TARY TYPE O PRINT A F ( Y EXPIRES June 25, 2012 COMMISSION NUMBER (407)398-0153 %ridallotaryService.com NOTICETOOW'NERFAILURE 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 BF,FORF, RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C-HEA"I' RF.PLACEMEN'I' W'1'1'H CONTRACT UNDER S7500.00 Revised 04/26/2010 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 $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. ❑ bias 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 C ty, FL Page 1 of 1 Beth Eames Record: 1 of 1 Property Identification Site Address: 992 NETTLES BV Sec/Town/Range: 02 :37S :41 E Map ID 45/021 Zoning HIRD Ownership and Mailing Owner. Beth Eames Address: 4770 Conrad Ave #228 San Diego CA 92117-2031 Sales Information Date Price Code Deed 3/12/2009 100 0130 WD 3/1/1979 20000 00 CV 2/1/1978 0 01 CV 6/1/1973 7000 00 CV Exterior Features PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD: 4502-501-1179-000-3 �UCIE� Gy Account #: 120764 Land Use: Mob Homes City/Cnty: St Lucie County A�k Legal Description NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 992N ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 3073-857 More... Assessment 2010 Final Total Land and Building Book/Page 2010 Final: 55800 Land Value: 42000 Acres: 0.04 3073 / 0857 Assessed: 55800 Building Value: 13800 0305 / 0809 Ag.Credit: 0 Finished Area: 677 SgFt 0282 / 0759 Exempt: 0225 / 2044 Taxable: Taxes: 1159.77 BUILDING INFORMATION View RoofCover. - RoofStruct ExtType. MHH - MHH YearBlt: 1984 Frame: Grade MHTT - MHTT EffYrBlt: 1985 PrimeWall: StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 0 Electric: - PrmintWall: FullBath 0 HeatType FHA - FrcdHotAir AvgHt/FL 1/26ath 0 HeatFuel: ELEC - Electric Prm.Flors: - %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 1 0200-Mob Homes BI -Unit 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED Depth http://www.paslc.org/prc.asp?prcild=450250111790003 8/10/201 1