HomeMy WebLinkAboutSUBMITTED PAPERSFee Due:
Peruuc #
Planning & Development Services
fi
Building & Code Regulations Division ScgN
2300 Virginia Ave. By NFQ
Fort Pierce, FL 34982 St.
._.__ 1 (772)462-1553 CUCie County
SPECIAL Y PERMIT APPLICATION
❑ Electrical ❑ Plumbing HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address Uxa= V III IC-mm R.C�(�l�
2. Parcel ID Number: �10 ' �0 ✓ 01956 -000
Township
Range
Map Page
Zoning
Land Use
Initials
0f17ceUsa
Section
Only
3. Complete Description of Project or W
4. Owners
Name:
Address: WyM7 Iu.CAJ(AM LVU V V r
City: PH `G State:
Zip: '6 IV� Phone:
6. Value of Construction: $ O/ W • 00
5. Contractors Information
FL Reg/Cert #:
County Cert#:
Busines Name:
Phone: Fax:
o ER s AFFIDAVIT: I certify that all of the information containe in this application ' cone d that all work will be done in
compliance with all applicable laws regulat construction d on' g.
V
PRINT OWNER OR CONT T R SIG ATURE OF O 0 ONTRACTOR
STATE OF FLORIDA, CQUNTY O
ACKNOWLEDGED BEFORE ME THIS DAY OF 120, BY ✓ U� N
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED SIR p.CY LANGEL
+� NOTARN PUBLIC
WNO
+
M �y`j� 3TATF OF FLORIDA
�(� Gomn�U21924
TYPE OR P NAME O OTARYG.1'ie1 Expires 8130!2014
FC
COMMISSItcanaq
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
10/17/2011 15:41 772466 x SEACOAST AC PAGE 01
Planning & Development Services
.Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
% U—MM . - -
(772)462-1553
SPECIAL Y P111 IIT APPLICATION
❑ Electrical ❑ Plumbing VAC ❑ Fence
❑ Sued ❑ Demofition 0 Gas ❑ Siding
See page 2 for imtrur:tions and additional paperwork required for specially permits
1. Location/Site Addressy��
2. Parcel ID:Number; -Ml0 -
jfflA::; Ora
Only
3. Complete Description of Project or Wo
'E
4.
Range I 1•Iap Page I Zoning I Land Use ! Inifiall
Owners Info_ 'a.�h'on S. Contractors Information A
X.. 4 L0IIVAVATMMI
.
City: M i !m state: Zip: 64rV = Phone: p,•�Jb�Zq $ 1
6. Value of COMtructioll: $ _09W • 00
FL Reg/Cent #;
County Cert#:
$urines :dame:
Phone:
pw'VER•S AFFIDAVIT' T certify that all of the information containe in this application come d that all work will be doge in
rampliance with all applicable laws regulat construction d on' g.
PRINT 01VtiE.R OR CONT T R 1 SIG AT'JRE OP 0 0 ONTRACTOR
STATE OF FLORIDA, CQUNTY O } n
ACK OWLEDGED BF -FORE ME T14IS LAY OF , 20— BY
a 15 PERSONALLY IGNOW N TO LVMOR WHO HAS PRODUCED �-r rl.TA i_gNGEL
IDENTIFIG �- •� �:� 4 TAT Fi Pt.l'3I f-'LORDA
1 UX C,� Qri h
TYPE OR P NANME 05 oTARY 5 IPJ ir4s F Q}i ^�1
SIGNATL NO ARY d
CO ivTMIS510'.�f ?� LAB ER
NOTICE TO OWNER: FAILURE 70 RECORA A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYLVG TWICE FOR
J,MPROVE7YIE1i7S TO YOUR PROPERTY. IF YOC IIN7,END TO OBTAIY FINA.NMG, CONSULT WITH YOUR
LENDEP OR AN ATTORNEY BEFORE RECORDL'VG YOLK NOTICE OR COM.VIENCEMI'rNT-
EXEMPT= VC -HEAT RTFLACEMIEN7 WITH CONTRACT Liv-DER s7,500.00
Revised 04f-1612010
Property Appraiser - St.Lucie C( �, FL
Page 1 of 1
PROPERTY RECORD CARD
William F Valasek Record: 1 of 1 «Prev Next» Spec.Assmnt
Property Identification
Site Address:
6229 Alexandria Cir
Sec/Town/Range:
10 :36S A0E
Map ID:
34/10B
Zoning:
PUD
Ownership and Mailing
Owner
William F Valasek Mary L Valasek
Address:
6229 Alexandria Cir
Fort Pierce FL 34982-3919
Sales Information
Date Price
undo
11 /29/2004 198000
00
5/21 /2003 100
01
3/27/1997 94900
00
Taxes Exemptions Permits Home Print
CO
ParcellD: 3410-503-0155 000-3 "r �Gy�
Account #: 133274
Land Use: SF Res
City/Cnty: St Lucie County
Legal Description
PALM GROVE S/D BLK E LOT 18 (0.16 AC) (OR 2104-1668: 2189-
982)
Assessment 2011 TRIM
Total Land and Building
Deed
Book/Page
2011 TRIM:
91800
Land Value: 12000 Acres: 0.16
WD
2104 / 1668
Assessed:
91800
Building Value 79800
WD
1723 / 0927
Ag Credit:
0
Finished Area 1657 SgFt
WD
1068 / 1211
Exempt:
75000
Taxable:
16800
Taxes:
836.95
BUILDING INFORMATION
Exterior Features
0010
View:
-
RoofCover
SD - Dim Shingle
RoofStruct:
HP - Hip
Base
ExtType:
HC - HC
YearBlt:
1997
Frame:
Grade:
C - C
EffYrBlt:
1997
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
3
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath.
2
HeatType
FHA - FrcdHotAir
AvgHt/FI:
1/213ath:
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
1 0100-SF Res
BI -Site
1
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=341050301550003 10/ 18/2011