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HomeMy WebLinkAboutSUBMITTED PAPERSDate• ! h j IQ / I Fee Due: '�� (� ' Receipt# Permit # G ' Planning & Development Services Building & Code Regulations Division SC • 2300 Virginia Ave. gNNE� Fort Pierce, FL 34982 St Y (772)462-1553 Lucie County SPECIALTY PERMIT APPLICATION ❑ Electrical Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: AW 2. Parcel ID Number: �C > ID "L* 3. Township Range Map Page Zoning Land Use Initials Office Use Only Section ^ I o% ti /� �+a N / ` Complete Description of Project or Work: -6 1y o r U C4� 4. Owners In_f_ormation 5. Contractors Information r Name: d A C - r) 1D k- FL Reg/Cert #: C-OS' Address: f7 i vV1 Al County Cert#: _y City: r=o � 7 State: %%% Business Name: �n1 S �iUl1l b/ Z�C Zip: Phone: 172- 3 j Phone? % 3 141 _ q9 2gFFax: 3 7 :) , 34 U • r— a 6. Value of Construction: $ + ©o 0 , OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in with all applicable laws regul t g construct' n and g. jcompliance SiriNATURE OF OWNER OR CONTRACTOR PRINT OWNER OR CONTRACTOR NAME STATE OF FLORIDA, COUNTY OF DAY OF r 20BY �net l ��,/ ACKNOWLEDGED BEFORE ME THIS [LL WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDEN IFICATION.SIGN URE OF NOTYPE OR PRINT NAME O NOTARY 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 $7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY ..,_;CULT 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. ❑ Gas 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 Cnty, FL 4 Page 1 of 1 John J Cook Record: 1 of 1 Property Identification Site Address: NADE Sec/Town/Rance 33 :35S :40E Map ID: 24/33N Zoning: RS-3 PROPERTY RECORD CARD «Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print ParceIID: 249 y� Gyp Account#: 127059 Land Use: SF Res City/Cnty: St Lucie County , Ownership and Mailing Legal Descriptior Owner: John J Cook Roberta P Cook ESTATES OF LONGWOOD LOT 34 (0.46 AC) (OR 683-1369) Address: 466 NW Dover Ct Port St Lucie FL 34983 Sales Information Assessment 2011 TRIM Total Land and Building Date Price Code Deed Book/Page 2011 TRIM: 176300 Land Value: 50500 Acres: 0.46 3/20/1990 39900 00 WD 0683 / 1369 Assessed: 176300 Building Value: 125800 Ag.Credit: 0 Finished Area: 3637 SgFt Exempt: Taxable: Taxes: 3685.92 BUILDING INFORMATION loVA :,imp ow iss Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct GA - Gable ExtType: HC+ - HC+ YearBlt: 1991 Frame: - Grade: C+ - C+ EffYrBlt: 1991 PrimeWall: BW - Brk/Wd Frame StoryHght: 0020 - 2 Story No Units: 1 SecWall: VS - Vinyl Siding Interior Features BedRooms: 4 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 4 HeatType: FHA - FrcdHotAir AvgHt/FI: STD 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 Oty. Units Qual Cond YrBlt. No Land Use Type Measure Depth SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 260 -Front Ft 121 166 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=243350200340004 10/24/2011