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Home My WebLink AboutSUBMITTED PAPERSFee Due: rjY, " 1 Receipt# "fX) Ip (G , Permit # 11 ,p ) CouNTY F L 0 R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCANNED St �uCie county SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing d VAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 1603 bR • 2. Parcel ID Number: 3 clod - 6/0 - azi-F - ooe - 9 Township Range Map Page Zoning Land Use Initials j r L'sr Section Only L , 3. Complete Description of Project or Work: 9g0gc1L,�'x.Sti�c 3 %O^) /3 feP-e Cy-) r,� ►' '� iU cut 3 %vim f 3 Sl ¢.� C'o.,cl a .r,} e.:- 4. Owners Information 5. Contractors Information n _ Name: DOy Nli 0' t_e- d FL Reg/Cert #: c_-``��L% H Address: ('tt03 �qSS-� ,d 2 _ County Cert#: J71D.1 City: /7' Pe --re State: �cL . Business Name: Sr4 L.je -e Ae-r)y!� d; W -. 'e Zip: Phone: ?7a• 9%/ -1c27 , Phone: 7;P� W.2-Wo Fax: 7%- 3,)l "1. 6. Value of Construction: $ AF00 to 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 regal cons ction an zoning. Tosep, C� rY . c —__ PRINT OWNER OR CONTRACTOR NA NATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ` ACKNOWLEDGED BEFORE ME THIS DAY OF 20_UL BB1Y �S j e v h k rr WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED) •/- ✓ I��CIr��• �J (� AS (D IFIC TION. C (� O(/' 7 (�s ' / SIG ATURE OF NO Y TOT Ng OF NOTARY & we o er/(seal) COMMISSION NUMBER FJ fit` . 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: FAILURE TO rcr"CORD A NOTICE OF COMMENCEMENT MAY ULT 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 Y.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.LUC1C ('t)tlnty, FL Page 1 of 1 Pr.,i;, ty Id r,titica� Site .�ddress Sec,Town/Range Map ID Zoning: O rship and Mai =s- 5803 Cassia Dr 12:36S:40E 34/12S RS-4 Donna G Greer 5803 Cassia Dr Fort Pierce FL 34982-3754 Sa: information :ate Price - 10/16/2007 100 01 QC 3/29/1999 64700 00 WD 6/1/1982 33000 00 CV 10/1/1979 3900 00 CV PROPERTY RECORD CARD «Prey Next = , �\,UCIE CO ParcellD 3402-610-0258-000-9 Account# 38397 < Land Use: SF Res City/Cnty St Lucie County Legal Description INDIAN RIVER ESTATES-UNIT-09- BLK 78 S 1/2 OF LOT 32 AND ALL LOT33 (MAP 34/12NANDS) (OR 1212-2441: 2 More... Assessment 2010 Final Total Land and L'uil f Book'Page 2010 Final 67100 Land Value 15600 0.34 2895 / 2005 Assessed 67100 Building VaIL:- 51500 1212 / 2441 Ag.Credit 0 Finished Are: 1620 SgFt 0380 / 1307 Exempt: 42100 0319 / 2447 Taxable: 25000 Taxes 659.45 BUILDING INFORMATION Exterior Feature_ V,ew -ofCover SD - Dim Shingle RoofStruct GA - Gable E.iT;pe. HC- - HC- arBlt.. 1982 Frame G,-.:a C- - C- YrBlt: 1982 PnmeWall VS - Vinyl Siding St,;!, Hght: 0010 - 1 Story Units: 1 SecWall Intt .;r Features BedRooms: 2 Electric MX - MAXIMUM PrmintWall DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/FI 1/26ath: 0 HeatFuel: ELEC - Electric Prm.Flors CU - Carpet %A/C- 100 Heated. 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type , '':� -)ty UrJTi al Cond YrBit No Land Use Type -.. DW(: - Driv-Concret Y 1 950 AV AV 1982 1 0100-SF Res 215 -Front Ft 120 125 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/pi-c.asp'?pi-clld=')40261002580009 2/10/201 1