HomeMy WebLinkAboutSUBMITTED PAPERSa•11-41 ,
Date: Fee Due: ,(i Recei t# Permit # (� C�
Planning & Development Services
Building & Code Regulations Division SCANN 2300 Virginia Ave. L�Q
Fort Pierce, FL 7iz-iss3 �2 St. UC B COU
ntY
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing O/HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for bu&mcdons and additional paperwork required for speciahy pernd&
1. Location/Site Address: 4a, SE C� C� M;n D 07 . 7D r' U /. /�Ll Cie,
2. Parcel ID Number: 3�i9 -s is - oaia - o00 -s
3. Complete Description of Project or work:
4. Owners Information 5. Contractors Wormadion ��yy
Name: Z elen 0/yiG,�'�[tJ5k/ FL Reg/Cert#: 6Fl6 /1W.5 %aQ5
Address: /�-146 sE/ �v7/,V/,,0 41 County Cert#: c25 113
City: f Or'f LN. /LLC1e- state: s7
Name: Ja�L�i�CQS�'�/�d�UDu 7�orida It
774 (772)
Zip: 02 Phone: 7 a -D e,& Phone: - Fax: '79/-99&0
6. value of construction: s 3 Soo
OWNERS AFFIDAvrr: I certify that all of the information contained is application is correct and that all work will be done in
compliance with all applicable laws regula ' d zoning.
t.Jqq,vqe6 61) , Yyimelm an
PRINT OWNER OR CONTITACTOWNAW SI TURE O OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF Mahn /
ACKNOWLEDGED BEFORE ME THIS /D'� DAY OF Feb. 20_&_ BY L1 a r aA46 L" - V fi pro► Q�m a n
jSI
IS SONALLY KNOWN TO ME _ZOR WHO HAS PRODUCED
E ATION. WARM
J11
fJ KR 8 I�! FF�'
ri 't � j a r5o n 5 .����Y ft we t g92 D�883280
ATURE OF NOTARY E OR PRINT NAME OF NOTARY -4 G`lf
�arxpires 4/23/2013 .
COMMISSION NUMBER � o s 8 3 a s b Florida Notary Assn., Inc
./Hn�irc,•acns.a:a+ea........uuuu.uud
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 $7500A0
Revised 04/26/2010
Property Appraiser - St.Lucie County, FL
Page 1 of 1
Helen Dombkowski
Record: 1 of 1
Property Identification
Site Address:
206 SE Camino St
SeGTown/Range:
22 :36S :40E
Map ID:
34/22S
Zoning:
RS4
Ownership and Mailing
Owner: Helen Dombkowski
Address: 206 SE Camino St
Port St Lucie FL 34952-2253
PROPERTY RECORD CARD
«Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print
�yCIE
Parcel lD: 3419-515-0212-000-5 Gym
Account#: 42279 y
Land Use: SF Res
City/Cnty: St Lucie County
Legal Description
RIVER PARK -UNIT 3- BLK 28 LOTS 23 AND 24 (MAP 34/22S) (OR
774-1361)
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price
Code
Deed
Book/Page
2010 Final:
76300
Land Value: 19500 Acres: 0.52
1/23/1992 77000
00
WD
0774 / 1361
Assessed:
76300
Building Value: 56800
9/1/1985 75000
00
CV
0475 / 1137
Ag.Credit
0
Finished Area: 1700 SgFt
6/1/1980 75000
00
CV
0333 / 2561
Exempt:
75500
Taxable:
800
Taxes:
517.76
BUILDING INFORMATION
Exterior Features
n
5
View:
-
RoofCover:
TG - Tar & Gravel
RoofStruct:
HP - Hip
ExtType:
HC- - HC-
YearBlt:
1968
Frame:
Grade:
C- - C-
EffYrBlt:
1977
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
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 Qty.
Units Qual. Cond.
YrBlt. No. Land Use
Type
Measure
3CCT - 3CCT
S 1
1 AV AV
1977 1 0100-SF Res
215 -Front Ft
173
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
Depth
131
http://www.paslc.org/prc.asp?prclid=341951502120005 2/3/2011