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Home My WebLink AboutSUBMITTED PAPERSPlanning & Development Services SC �" J ► Building & Code Regulations Division ANNFD 'COUN 11Y 2300 Virginia Ave. S(, • . - Fort Pierce, FL 34982 CVOte COU fi (772)462-1553 nY SPECIALTY PERMIT APPLICATION ❑ Electrical D Plumbin ❑ HVA g C ❑Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty pernuts 1. Location/Site Address: 1JI-f 2. Parcel IDNumber: v Office Use �h Only R 3. Complete Description of Project or Work:�Qc� 4. Owners Information 5. Contractors Information Name: 2�,Zly f)QI6 K, FL Reg/Cert #: Address: 9 a County Cert#: City. d6, State: Business Name:�jQ/1itG� Zip: `i i Phone: 1) Phone: % -5I )q- Fax: �5Y 71-�YF) c.�,o)i 5C 6 6. Value of Construction: S 65 a 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 regulating c struction and zoning. PRINT OWNER OR CONTRACTOR NAME f NATLTRh OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF L ACKNOWLEDGED BEFORE ME THIS _2' DAY OF U BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED _ AS ID E TIFICATION. �,r�. ntr; t ' e'Y ruo,Jc State of Florida Rridget Hobart LJ(k v G/ - c My Commi84WI)D938964 SIGNATURE NOTARY T PE OR P 1NT NAM QF NOTARY. Expires 11/09/2013 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 COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00 Revised 04/26/2010 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, CONSUL1. 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 I►1fOrinatlon 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 0 Fence Attach 2 plot plans showing location offence 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.LuciP '-')unty, FL Page 1 of 1 Dorothy H Rozler JR) Record: 1 of 1 Pruperty Identification Site Address 124 PEPPER LN Sec:TowMRange 11 :37S.41E Map ID 45/11A Zoning. PUD Ownership and Mailing Owner Dorothy H Rozler JR) Address PO Box 906 Okeechobee FL 34973 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Hanle Pin! VUCIE CO Parcel l D. 4511-503-0026-000-3 G2 Account #. 134232 Land Use SF Res �! . City/Cnty St Lucie County Legal Description BAY TREE LOT 20 (OR 1330-330: 1522-386) Sa es Information Assessment 2010 Final Total Land and F uildihm Date Price Code Deed Book/Page 2010 Final 238600 Land Value 95000 0.09 4/30/2002 100 01 WD 1522 / 0386 Assessed 238600 Building Value 143600 9/19/2000 232000 00 WD 1330 / 0330 Ag Credit 0 Finished Area 2250 SgFt 2/15/2000 100 01 QC 1298 / 1054 Exempt: 1/1/1900 0 / Taxable Taxes 4959.12 BUILDING INFORMATION Exieriur Features View RoofCover TC - Clay Tile RoofStruct GA - Gable ExtType. HB+ - HB+ YearBlt 1997 Frame Grade B+ - B+ EffYrBlt 1997 PnmeWall BS - CB Stucco StoryHght 0020 - 2 Story No Units 1 SecWall Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall DW - Drywall FuilBath: 2 HeatType FHA - FrcdHotAir AvgHt/FI 1/2Bath 1 HeatFuel: ELEC - Electric Prm Flors CU - Carpet %A/C: 100 %Heated 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S City. Units Qual. Cond YrBlt. No Land Use Type V_ DWC - Driv-Concret Y 1 600 AV AV 1997 1 0100-SF Res 123 -Flat 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasIc.org/prc.asp?prcIid=451150300260003 2/7/2011