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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 �� ,+mNrirwi� 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 «Prev Next> Spec.Assmnt Taxes Exemptions Permits Home Print 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 2/4/201 1