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Home My WebLink AboutSUBMITTED PAPERSDate: Fee Due: Recdpt# 72= Permit # Planning & Development Services J ' 1 Building & Code Regulations Division • 2300 Virginia Ave. SCgN - Fort Pierce, FL 34982 13 y FQ (772)462-1553 St � ucie COtJr7t Y SPECIALTY PERMIT APPLICATION CI Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 3S % V o y A 2. Parcel ID Number: D(,flce Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: ern,-1 ALe Tr-,- Z 4. Owners Info tion 5. Contractors Information S Name: i ! FL Reg/Cert #: Address: 7 4' r 51R%.- 1 �y—yz County Cert#: City: ;v7LJJ C y ev Y' State: �- Business Name: Zip: LJz d, Phone: 7%d 94�S f -%Phone: 6. Value of Construction: $ % r 7"?;, Fsm-i d Fax: ou) ry cc, OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done compliance with all applicable laws regulat ction anq4oning. PRINT OWNER OR CO RACTOR NAME S OF O R O NTRACT STATE OF FLORIDA, COUNTY OF �) / /.�G ACKNOWLEDGED BEFORE ME THIS _ DAY OF i 20�� BY 6 I U�% / ,[V G /✓ WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED %) rI AS IFICATION. • v v ` "' V'� SIGNATURE OF TARYV TYPE OR PRINT NAfM OF NOTARY COMNIISSION NUMBER 0 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 ;ECORD A NOTICE OF COMiv1ENCEMENT MA SULT IN YOUR PAYING TWICE FOR IlOROVErvim-JS TO YOUR PROPERTY. IF YOU INTEND iv vBTAIN 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 infonnation 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 Page I of 1 v Orin A Keys Record: 1 of 1 Property Identification Site Address 357 Baysinger Av Sec/Town/Range 03:36S:40E Map ID: 34/03N Zoning RS-3 Ownership and Mailing Owner. Orin A Keys Mavis S Keys Address: 357 Baysinger Ave Fort Pierce FL 34982-7095 Sales Information Date Price Code 8/23/1991 100 01 7/1/1984 0 01 6/1/1984 54000 00 1/1/1983 0 01 7/1/1980 0 01 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print �VUCIE 9 ParcellD, 3403-501-0243-000-9 Account #: 38874 �e Land Use SF Res City/Cnty St Lucie County k�k Legal Description REGINA PALMS S/D BLK 10 W 40 FT OF LOT 9, ALL LOT 10 AND E 30 FT LOT 11 (0.41 AC) (OR 752-2453) Assessment 2010 Final Total Land and Building Deed Book/Page 2010 Final 59600 Land Value 16200 Acres 0.41 WD 0752 / 2453 Assessed: 58837 Building Value 43400 CV 0444 / 1094 Ag.Credit 0 Finished Area 1232 SgFt CV 0436 / 0744 Exempt 33837 CV 0391 / 0987 Taxable 25000 CV 0335 / 2623 Taxes 591.88 BUILDING INFORMATION Exterior Features View. RoofCover SD - Dim Shingle RoofStruct GA - Gable ExtType: HC- - HC- YearBlt 1978 Frame Grade: C- - C- EffYrBlt: 1978 PrimeWall WS - Wood/Sheath StoryHght: 0010 - 1 Story No.Units: 1 SecWall Interior Features BedRooms: 3 Electric. MX - MAXIMUM PrmintWall DW - Drywall FUIIBath: 2 HeatType FHA - FrcdHotAir AvgHUFI: 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 Qty Units Qual. Cond. YrBlt. No Land Use TVpr - DWC - Driv-Concret Y 1 200 AV AV 1978 1 0100-SF Res 210 -Front Ft 120 150 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=340350102430009 2/4/201 1