HomeMy WebLinkAboutSUBMITTED PAPERSDam J -pbl' Fee Due: b _� I Receipt# 0 ,L 1 I Permit # r J LU U
Planning & Development Services
a A
� = � Building &Code Regulations Division C ��H/V� I�0
2300 Virginia Ave. �Y
e - Fort Pierce, FL 34982 `fit. Lt,Cie col
unty
SPECIALTY PERMIT APPLICATION
❑ Electrical ,Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and add%iidonal pKS&
perwork requiredfor specialty permits
1. Location/Site Address: La ! le 1 I a 1 / -7 Jo?
2. Parcel ID Number: ? a - ,0o - 4 J d - • Q 0 0, i
3.
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
o�
36(E
/,
v
,' , )
` GG�
lete Description of Project or Work:
0 C71 /
4. Owners Information 5. Contractors Information
Name: kb ri' , j Van �L � � l �°� FL Reg/Cert #: C /'
Address: 4 0l L0 ke- V l,S �i oC 00� County Cert#: R 75 �9
City: -Port L )6 ' State: r 1 Business Name: D r-f J�f. L Li ci e r J l (�i, U 1 fvl
Zip: T (S --L Phone: 6 %-Q[r� 3 Phone- (o� -(� 5r� q Fax- `1' S 7 - `� I a 6 (7 7o2)
6. Value of Construction: $ 5 5 D.
OWNERS 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 regula ' construction an ning.
Ga r�l W, zone II®
PRINT OWNER OR CONTRACTOR NAME SIGNATT OF R OR ONTRACTOR
STATE OF FLORIDA, COUNTY OF Sf: La c r` �
it -, Z-c117e llo
ACKNOWLEDGED BEFORE ME THIS DAY OF lii.� 20 II BY
WHO IS PERSONALLY KNOWN TO MEy OR WHO HAS PRODUCED
AS IDENTIFICATION. ` [9,A
���� YP��,% Danielle Biglin
�_ 4�t= MI QN#EE107315
( J �i C4 I G' i I I(1 c•*-C`c EX� AUG. 25, 2015
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOT %,� o r'
s` f� 7% 4•,,°;,;;•� www.AAsoNNoTARxoae
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
Properly Appraiser - St.Lucie ( .mty, FL
Page 1 of 1
Doris H Van Schoick (TR) Record: 1 of 1
Property Identification
Site Address: 22 LAKE VISTA TR 202
Sec/Town/Range: 22 :36S :40E
Map ID: 34/22N
Zoning:
Ownership and Mailing
Owner: Doris H Van Schoick (TR)
Address: 22 Lake Vista Trl #202
Port St Lucie FL 34952-6350
Sales Information
Date Price Code Deed
12/21/1992 100 01 WD
5/1/1986 50800 00 CV
PROPERTY RECORD CARD
«Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print
ParcelID: 3422-500-0303-000-4
Account*: 110392
Land Use: Condo V.
City/Cnty: St Lucie County '•
Legal Description
VISTA ST LUCIE BLDG 22 UNIT 202 (OR 499-2473: 821-2275)
Assessment 2011 TRIM Total Land and Building
Book/Page 2011 TRIM:
41700
Land Value: 0 Acres: 0.02
0821 / 2275 Assessed:
41700
Building Value: 41700
0499 / 2473 Ag.Credit:
0
Finished Area: 1080 SgFt
Exempt:
25500
Taxable:
16200
Taxes:
338.72
BUILDING INFORMATION
C
Exterior Features
0010
View:
-
RoofCover:
-
RoofStruct:
-
Base
ExtType:
X162 - VistStLucB1
YearBlt:
1986
Frame:
-
Grade:
XV213 - VistaStLuceB
EffYrBit:
1986
PrimeWall:
BS - CB Stucco
StoryHght:
0010 -1 Story
No.Units:
1
SecWall:
-
Interior Features
BedRooms:
2
Electric:
-
PrmintWall:
FullBath:
0
HeatType:
AvgHt/FI:
STD
1/2Bath:
0
HeatFuel:
-
Prm.Flors:
-
%A/C:
0
%Heated:
0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S
Qty. Units Qua].
Cond. YrBlt.
No. Land Use
Type
Measure Depth
1 0400-Condo
N -Unit
0 0
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=342250003030004 10/21/2011