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Date: I Fee Due: /%-l- iMl- 1 Receipt# I Permit # Planning & Development Services WWI = = Building & Code Regulations Division 2300 Virginia Ave. • R I D A- Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical Cat Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Addn 2. Parcel ID Number: Only Section Tewaahip Range Map Page Z niag Land Use Initials QI 3. Complete Description of Project or Work: ) I I" PVC, w n }z-�4' l i ni fl j wnocct h©u`-)c +o mr-tcr. 4. Owners Information Name: NtChat'14, lkDo(-ah oiY-on 5. Contractors Information Address: affo5 c5c— Caoyien 5b-, City: Part sr. Lud e� State: FL_ An "I(772) Zip: 34q' J oe. Phone: R -740 6. Value of Construction: $ ( 1 Lkd FL Reg/Cert #: County Cert#: RF ►106D757.1- ,)4654 Business Nam'PICA hiCGI e:J x7 Phona�d0OWFa OWNER'S 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 nstruction and zoni PRINT OWNER OR CONTRACTOR NAME IGNATURE O CTO STATE OF FLORIDA, COUNTY OF IAas(-LL n ACKNOWLEDGED BEFORE ME THIS I DAY OF FebeLa, 20 I . BY 1 4 1(J fuy E ad WHO IS PERSONALLY KNOWN TO ME V OR WHO HAS PRODUCED ENTIFICATION. Lam. _ ,;�K , JACLYN F WILSON 'SOO MY COW(W1 WION # EE040747 )KNAIME OF NOTARY TYPE OR PRINT NAME OF NOTARY �• EXPIRES November 08, 2014 COMMISSION NUMBER � E©q0rZ7 7— 07N 3 ,` ja07; 3�i8.0153 FloridaN0tary3grvlce.com 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 Page I of 1 PROPERTY RECORD CARD Michael L Dixon Record: 1 of 1 <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 5802 SEAGRAPE DR ParcellD: 3402-609-0290-000-1 ���--o°2 Sec/Town/Range: 11:36S :40E Account* 37830 Map ID: 34/11 S Land Use: SF Res A�A Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Michael L Dixon Deborah A Dixon INDIAN RIVER ESTATE S-U N IT-08- BLK 60 LOT 12 (MAP Address: 2065 SE Camdemn St 34/1IN) (OR 3037-2670) Port St Lucie FL 34952 Sales Information Assessment 2010 Total Land and Building Final Date Price Code Deed Book/Page 2010 Final: 50600 Land Value: 10400 Acres: 0.23 11/14/2008 100 01 SP 3037 / 2670 Assessed: 50600 Building 40200 8/31/2007 100 01 CT 2875 / 2754 Value: 5/27/2005 193500 00 WD 2259 / 1934 Ag.Credit: 0 Finished 1508 SgFt 2/17/2004 115000 00 WD 1903 / 0613 Area: 5/24/2000 78600 00 WD 1302 / 2045 Exempt: 2/20/1990 100 01 QC 0681 / 1328 Taxable: 10/1 /1987 7500 00 CV 0562 / 2136 Taxes: 1051.68 10/1 /1987 7500 00 CV 0562 / 2135 4/1 /1978 1500 01 CV 0290 / 0503 BUILDING INFORMATION Exterior Features View: - RoofCover: SA - Asph Shingle RoofStruct: ExtType: HD+ - HD+ YearBlt: 1988 Frame: Grade: D+ - D+ EffYrBlt: 1988 PrimeWall: StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 4 Electric: MX - MAXIMUM FullBath: 2 HeatType: FHA - FrcdHotAir 1 /2Bath: 0 HeatFuel: ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use 4CNT - 4CNT S 1 1 AV AV 1988 1 0100-SF Res SDSF - SITE DEV S-F Y 1 1 AV AV 2001 PrmintWall: AvgHt/FI: Prm.Flors: %Sprinkled: HP - Hip WS - Wood/Sheath DW - Drywall STD CA - A TL/CON 0 Type Measure Depth 215 -Front Ft 80 125 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. 2i4/201 1