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HomeMy WebLinkAboutSUBMITTED PAPERSData, 7. 1 Fee Due; Recei t# 4VIlIq Pe : # BUG Planning & Develorm nt Services Building & Code Regulations Division SCANNED 2300 Virginia Ave. By �, Fort Pierce, FL 34982 St. Luc. (772)462-1553 e County SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ HVAC ❑ Fence Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and 1. Location/Site Address: 2. Parcel ID Number: I y paperwork required for specialty permits Township Range Map Page Zoning Land Use Initials U(,9ce Use Section Only 3. Complete Description of Project or Work: 4 Owners Information Name: p '� Address: C1 K- J i I r City; 1 State: Zip: 349 Phone: 6. Value of Construction: $ 5. Contractors Information FL Reg/Cert #: I, ACDO 1 ` J County Cert#: O v Business Name G Phone: 51�3A� Fax: L4w,- Ll c; OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance �wiith all applicable laws regulating construction and zoning. y �� A^' PRINT OWNER CONTRACTOR N IGNA OF OWNER OR CONTRACTOR dVC . STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 20Y B WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED — AS ID ICATION. 1 DAWN MILONE MYCOMMIS� RJD k D852587 NAY— T T NAME OF NOTARY ;. a; EXPIRES: March 22, 2013 . F( Bonded Thru Notary Public Underwriters 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 $7500.00 Revised 04/26/2010 NOTICE TO OWNER: F RE TO RECORD A NOTICE OF COMNfENCEN 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 $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 County- FL Page 1 of 1 Norma Ciola Record: 1 of 1 Property Identification Site Address 608 WILLOWS AV Sec/Town/Range. 22 :36S :40E Map ID. 34/22N Zoning: RS-4 Ownership and Mailing Owner Norma Ciola Address. 608 Willows Ave Port St Lucie FL 34952-1362 Saves Information Date Price Code ­": 11/1/1977 0 01 CV 12/1/1973 35000 00 CV 11 PROPERTY RECORD CARD <<Prev Next> 1" xeti Exenlr[ut _ y' V�CIE CO ParcellD,�: 3419-510-0242-000-9 �� G�< Account#: 41982 Land Use SF Res City/Cnty St Lucie County �! Legal Description RIVER PARK -UNIT 2- BLK 19 LOT 11(MAP 34/22N) (OR 278-2934) Assessment 2010 Final Total Land and Build,ng Book/Page 2010 Final 142700 Land Value 108600 Ao,, 0.28 0278 / 2934 Assessed. 85978 Budding Value 34100 0222 / 1925 Ag.Credit 0 Finished Area 1012 SgFt Exempt: 50000 Taxable 35978 Taxes 952.21 BUILDING INFORMATION Exterior Features I I View RoofCover SA - Asph Shingle Ko_IcItl Llu; HP - Hip ExtType HD+ - HD+ YearBlt: 1958 Frame. Grade: D+ - D+ EffYrBlt: 1977 PrimeWall, BS - CB Stucco StoryHght 0010 - 1 Story No Units 1 SecWall Interior Features BedRooms 2 Electric. MX - MAXIMUM PrmintWall PF - PF FullBath 1 HeatType FHA - FrcdHotAir AvgHt/FJ STD 1/2Bath: 0 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 3CHT - 3CHT S 1 1 AV AV 1977 1 0100-SF Res 230 -Front Ft 94.6 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED 127 http://www.paslc.org/prc.asp?prclid=341951002420009 2/9/201 1