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Date: b-, F--f { I 1 Fee Dui. Planning & Development Services Building & Code Regulations Division COUNTY 2300 Virginia Ave. - Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed Ot Demolition ❑ Gas ❑ Siding 1. Locati 2. Parcel 3. Comp 4. Ownei Name: Address: City: Zip: See page 2 for instructions and addition/al paperwork�reequired for specialty permits m/Site Address: ^ F� �� t Pi �/" ID Number: oC Y-0 &P 3 / — 0 © o �, O%jice Use Section Only Sc BNNFD St. C Ucl e C©U nth Township I Range I Map Page I Zoning I Land Use I Initials Description of Project or Work: /-2�� /'Cy.,-eO t e- /11,3r 4U c_ s Information 5. Contractors Information 4 ill &e,$7 1 i e T FL Reg/Cert #: County Cert#: d 'F9 State: �G Business Name: 'JB CC ," l/ C� s1u r// �� � 7G� Phone: 3S1 223e9Y/1Phone: —9/0' Fax: 6. Value of Construction: $ fi OWNER'SAFFIDAVIT: 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 re;A!TURE TRACTOconstruction and zoni g.4- P NT OWNER OR CONTRACTOR NAME OF OWNER OR CON STATE OF OLORIDA, COUNTY OF �� ` GlC� Q ACKNOWLEDGED BEFORE ME THIS 7 DAY OF �✓/ult.* T , 20 l ( . BY ✓ O k La. O C0 K n Q l/ WHO IS PE IIRSONALLY KNOWN TOME Vj OR WHO HAS PRODUCED AS IDENTIFICATION. =Expims State of Florida derson SIGNA OTARY TYPE OR NAME OF NOTARY n EE028152/2014 COMMISSI NNUMBER NOTICE TOWNER: 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/ 6/2010 Page 1 o1' 1 I \i: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL, APPI{'ICANT: Herbert J Rochester Revocable Trust AGE14T: Denny Massey (Denny"s Septic Tank & Backhoe) PROPERTY ADDRESS: 1506 Angle Rd Fort Pierce. FL 34946 LOT : BLOCK: SUBDIVISION: ID# : 2406-131-0005-000-0 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND TANK INSTALLATION [01] TANK SIZE [1] 900.00 [21 [ 02 ] TANK MATERIAL Concrete [031 OUTLET DEVICE [04] MULTI -CHAMBERED [ Y ILJN [051 OUTLET FILTER [061 LEGEND 1. Unknown 2. [071 WATERTIGHT [081 LEVEL [091 DEPTH TO LID DRAINFIELD INSTALLATION [101 AREA [1] [21 SQFT (111 DISTRIBUTION BOX HEADER [121 NUMBER OF DRAINLINES 1. 2. (131 DRAINLINE SEPARATION [141 DRAINLINE SLOPE SETBACKS [ 1 [271 SURFACE [ ] [281 DITCHES [ ] [291 PRIVATE [ ] [301 PUBLIC 1 [ ] [311 IRRIGAT: [ ] [321 POTABLE [ ] [33] BUILDIN( [ ] [ 34 ] PROPERT' [ ] [351 OTHER FILLED / MOUN] [ ] (361 DRAINFI] [ ] [371 SHOULDE] [ ] [381 SLOPES [ ] (391 STABILI [ [151 DEPTH OF COVER ADDITIONAL IN: [ 1161 ELEVATION [ AAOVF JBM [ ] [40] UNOBSTRI [ [171 SYSTEM LOCATION [ 1 [411 STORMWA' [ (181 DOSING PUMPS [ ] (421 ALARMS [ [191 AGGREGATE SEIZE 1 ] [431 MAINTEN: [ (201 I AGGREGATE EXCESSIVE FINES [ ] [44] BUILDINt [ [211 AGGREGATE DEPTH [ ] [451 LOCATIOI FILL / EXCAVATION MATERIAL [ 1 [461 FINAL S [ 1 [221 FILL AMOUNT [ 1 [471 CONTRAC http://98.136.182.21 /ya/securedownload?fid=Inbox&mid=1 _209099_AKe3 iGIAAXrGTUr... 2/4/2011 Page 1 of 1 tm STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Violation Number Comment Comments 1/26/2010-SEPTIC TANK PUMPED AND ABANDONED. http://98.136.182.21 /ya/securedownload?fid=lnbox&mid=1 _209099_AKe3 iGIAAXrGTUr... 2/4/2011 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue ASBESTOS NOTICE Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Asbestos Notice To Contractor 02/04/2011 HERBERT J ROCHESTER 701 NORTH INDIAN RIVER DR APT 106 FORT PIERCE, FL 34950 RE: Building Permit Numbe 1102-0043 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of any intentions to remove asbestos, when applicable, in accordance with state and federal law. Signature '�) , 4, // Date Property Appraiser - St.Lu - County, FL Page 1 of 1 PROPERTY RECORD CARD Fa, < I 1 ,rt J oc#ieswr Revocable Trust Record: 1 «m Prev Next Spec.Assnt Taxes Exemptions Permits Horne Print U: Pc:oerty Identification CO Site Address: 1506 Angle Rd ParcellD: 2406-131-0005-000-0 Account #: 19316 �Gy SeclTown/Range: Map ID: 06 :35S :40E Land Use: SF Res City/Cnty: St Lucie County Zoning: RS-4 i:'..ership and Mailing Legal Description i wrier. Herbert J Rochester Revocable Trust 6 35 40 FROM AT INT OF E LI OF ANGLE RD AND S LI OF SW 1/4 Hodress: 701 North Indian River Dr Apt 106 OF NE 1/4 RUN NWLY ON ANGLE RD 403.4 FT F Fort Pierce FL 34950 More... S.: .:s Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final. 43300 Land Value: 23000 Acres 2.64 10/8/2010 100 0330 SP 3238 / 2174 Assessed: 43300 Building Value: 20300 7/1/1985 50000 00 CV 0469 / 2908 Ag.Credit: 0 Finished Area: 1834 SgFt 3/1/1985 0 01 CV 0468 / 2153 Exempt 3/1/1985 0 01 CV 0458 / 1608 Taxable: Taxes: 899.98 BUILDING INFORMATION Ex-orior Features 1w RoofCover TG - Tar & Gravel RoofStruct: FS - Flat/Shed .tType: HD- - HD- YearBlt: 1930 Frame: Grade: D- - D- EffYrBlt: 1965 PrimeWall FS - Frm Stucco S oryHght 0010 - 1 Story No.Units: 1 SecWall: Ini:erior Features BedRooms: 3 Electric: AV - AVERAGE PrmintWall: PN - PN FullBath: 1 HeatType: AvgHUFI: STD 1i2Bath: 0 HeatFuel: - Prm.Flors: DP- Double Pine °LEA/C: 0 %Heated: 0 %Sprinkled: 0 Sp, c.ial Features and Yard Items Land Information Tvpe Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth FN',,4 - VINYLFENCE4' Y 1 120 AV AV 2005 1 0100-SF Res BI -Front Ft 150 420 2 0100-SF Res BI -Front Ft 72.11 520 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. I http://www.paslc.org/prc.asp?prclid=240613100050000 2/2/2011