HomeMy WebLinkAboutSUBMITTED PAPERSFee Due:
Permit #
COUNTY �''
F L 0 R I D A
Electrical
❑ Shed
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SCANNED
By
St. Lucie County
SPECIALTY PERMIT APPLICATION
❑ Plumbing ❑ HVAC ❑ Fence
❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: 2/ 4 /3 G'sc.0 dT -
2. Parcel ID Number: ,3 y ' 7 SO / " D U'91 - d U 0 -
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
2
E
3. Complete Description of Project
or Work:
A
4. Owners Information 5. Contractors Information ,,qq
Name: e.-I'n - /% �• s %4 FL Reg/Cert #: 45W 0 O U � 10 2
Address: � J� de-g- -i '� County Cert#: ;?12 3 Z- /
City: f %r� t-e- State: j'L - Business Name:
Zip: 3y9 �2- Pho11 L if-A69/ Phone? Fax�%7 Z� ylon '"%S 8 8
6. Value of Construction: $ yGU
OWNERS AFFIDAVIT: I certify that all of the information contained "is application is correct and that all work will be done in
compliance with all applicable laws regulating construction and zonin
A'f-A1C'1gZ—
T OWNER OR CONTRACTOR NAME ^ SIGNATURE OF OWNER R CON ACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS C>)r DAY OF ( 20 f / By
c
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED —
AANATUREOF'NO
IFICAION, E.-d
SI AI
TYPE OR PRINT NA� lE OF TAR
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 C 5r P DriEY E. HUMPHREY
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00
MY COMMISSION N EE 061159
., EXPIRES: March 6, 2015
Revised 04/26/2010 Rf M ' gwded Thre MIol" Public Underwriters
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAN tcrSULT 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 1-^,mty, FL
Page l of 1
Camille A Ciesla Record: 1 of 1
Property Identification
Site Address:
216 Beach Ave
Sec/Town/Range:
22 :36S :40E
Map ID:
34/22N
Zoning:
RS-4
Ownership and Mailing
Owner: Camille A Ciesla
Address: 5711 Melville Rd
Fort Pierce FL 34982
PROPERTY RECORD CARD
«Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Parcel l D: 3419-501-0091-000-7 Gy1
Account#: 41705 y
Land Use: SF Res
City/Cnty: St Lucie County
Legal Description
RIVER PARK -UNIT 1 BLK 9 LOT 3 (MAP 34/22N) (OR 3233-2759;
3298-2393)
Sales Information
Assessment 2011 TRIM
Total Land and Building
Date
Price
Code
Deed
Book/Page
2011 TRIM:
49200
Land Value: 9000 Acres: 0.24
6/1/2011
31000
0111
QC
3298 / 2393
Assessed:
49200
Building Value: 40200
8/25/2010
62000
0001
WD
3233 / 2759
Ag.Credit:
0
Finished Area: 1511 SgFt
10/14/2003
132000
00
WD
1823 / 2831
Exempt:
1/25/2000
67000
00
WD
1277 / 0372
Taxable.
1/1/1988
55500
00
CV
0572 / 1179
Taxes
1028.64
4/1/1987
55000
00
CV
0540 / 2370
12/1/1985
53000
00
CV
0486 / 1082
2/1/1976
30000
00
CV
0249 / 0953
BUILDING INFORMATION
Exterior Features
View
RoofCover.
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtType:
HD+ - HD+
YearBlt:
1964
Frame:
Grade:
D+ - D+
EffYrBlt:
1977
PrimeWall:
BS - CB Stucco
StcryHght
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
PF - PF
FullBath
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/26ath:
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
3CHT -3CHT
S 1
1 AV AV
1977
1 0100-SF Res
215 -Front Ft
80 131
3CHT -3CHT
S 1
1 AV AV
1977
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001
THIS INFORMATION
IS BELIEVED TO BE CORRECT AT THIS TIME
BUT IT IS SUBJECT TO CHANGE AND IS
NOT WARRANTED.
// / 0 - 0(�)"�y
http://www.paslc.org/prc.asp?prclid=341950100910007 10/25/2011