HomeMy WebLinkAboutSUBMITTED PAPERSDate: Z - 3
COUNTY
F L 0 R I D A
Fee Due: , y - OT Receipt# Permit # f
Planning & Development Services
Building & Code Regulations Division SC N4N D
2300 Virginia Ave.By
Fort Pierce, FL 34982 St.
(772)462-1553 Lucie Cowry
SPECIALTY 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: ) ZO NE 1= sir, A L po>a E
2. Parcel ID Number: 31 t q - :s -go - on 16 - o or-3 - q
Mce Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
led
3. Complete Description of Project or Work: L h AfV �x 1s i �.� �AmP ovs�xi'E,4o
TJ 'oo Am l2� AL ace �x1Si'\,JT- L-nPV-3 ►�� -R LAI `Sh NEut AT' SpmE Lcx -i10n1
1 fJ �1�t1RCnL lZ - US,% tv U �x l5 l t tJ� C3na+� G� C>>tC �>> W ;rt'tyt� , ADD ts'F .
I,tJOCzR NSW �Nt.t..:
4. Owners Information 5. Contractors Information
Name: w . M LtJ c k. FL Reg/Cert #: hC. 66 C-) Z --v1 I
Address: I Z O NE L S + A U''rlE
City: PO;Z 5%- Lvc-,s- State: 1=Lcx oA
Zip
County Cert#: I q -'� -7 S
Business Name: �:LoN ,rjg COSiSN z%,�-
Phone j--)2) 343-C-1"t Phone.{777-) ?71-tOU6 Fax: (-7)?) 61 '4- N-1
334-oit3:
6. Value of Construction: $ ) .,. 16LzCt)
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 regulatin construction and zoning.
t-loa n(� Coft$ i^LzZ-1r1R-irac Siomcc MAw-9�14^ �• -.ai
PRINT OWNER OR CONTRACTOR NANJE N n. IVA
GNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY O t,
ACKNOWLEDGED BEFORE ME THIS DAY OF 20� BAAY t\PfTII�%1�5 � //n�___
WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED �,[L • 'Die • )4. V _
AS ID FICATION. � T � • 53 • AY 7 ` D
1 �• seal)
SIGNATURE NO Y TYPE OR PRINT Nr OF NOT)&
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 COM _ -
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 _a,•'=:� o P(;R �>':;:`•r? EC:XCFiIiR9iEqt
tiU.ncRDfe
061n
7
2A�JpH
thy 0 .
Revised 04/26/2010 soneLla rh NM1;cry Pi.!iti
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NOTICE TO OWNER: FAILURE RECORD A NOTICE OF COMMENCEMENT Mr__ _ESULT IN YOUR PAYING TWICE FOR
DOROVEMENTS 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 C
ty, FL
y Page 1 of 1
PROPERTY RECORD CARD
David
Melnick Record: 1 of 1
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Property
Identification
V)CIE CO
Site Address.
120 Estia Ln
ParcellD. 3419-540-0016-000-9 \X
Sec/Town/Range.
28 :36S A0E
�Gy<
Account #. 42693
Map ID
34/28N
Land Use SF Res
Zoning
RS-4
City/Cnty St Lucie County
Ownership
and Mailing
Legal Description
Owner:
David W Melnick
Katherine M
Melnick RIVER PARK -UNIT 5 BLK 43 LOT 16 (MAP 34/28N) (OR 908-2262,
Address
120 NE Estia Ln
1922-981)
Port St Lucie FL
34983-8435
Sales Information
Assessment 2010 Final Total Land and Building
Date
Price Code
!deed
Book/Page 2010 Final: 46600 Land Value: 9000 Acres 0.23
3/17/2
04 100 01
QC
1922 / 0981 Assessed 46600 Building Value 37600
6/24/1994
40500 00
WD
0908 / 2262 Ag.Credit 0 Finished Area 1182 SgFt
10/29l
992 35000 00
WD
0813 / 2982 Exempt. 25000
2/1 /1
83 33889 01
CV
0395 / 0844 Taxable 21600
Taxes 448.95
BUILDING INFORMATION
Exterio
Features
View.
RoofCover
SA - Asph Shingle
RoofStruct:
GA - Gable
ExtTy
e HD+ - HD+
YearBlt:
1962
Frame
Grade
D+ - D+
EffYrBlt:
1977
PrimeWall.
BS - CB Stucco
Story
ght. 0010 - 1 Story
No.Units.
1
SecWall:
Interior
Features
BedRO
ms 2
Electric
MX - MAXIMUM
PrmintWall
PF - PF
FUllBa1
1
HeatType
FHA - FrcdHotAir
AvgHt/FI
1l2Bath
0
HeatFuel.
ELEC - Electric
Prm Flors
TZ - Terrazo
°/",-C
100
%Heated
100
%Sprinkled
0
Special
Features and Yard Items
Land Intormation
Type
Y/S Qty Units Qual
Cond YrBlt
No Land Use
T -
-
1 0100-SF Res
260 -Front Ft
80 125
THIS
INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS
NOT WARRANTED.
http://,vww.paslc.org/prc.asp?prclld=341954000160009
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