HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Receipt#
:rmit #
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave. St
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing M HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 forr instructions and additional paperwork required far specialty permits
1. Location/Site Address: &015 f")a I--�Ofn �ye
2. Parcel ID Namber: A)a tQ �JIJ'VJ
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Y
L Uc/0 coutvy
O,O?re C7_E
Only
Section
Township
Range
Map Page
Losing
Lind Use
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3. Complete Description of Project or Work:
4. Owners Information �( 5. Contractors Information
Name: P I�
Address: VC
City: I %e State: f�f
Zip: �4qt 2, Phone: '4W -532,1P
6. Value of Construction: S
FL Reg/Cert #:
County Cert#:
Business Name:
CQ0QaID �
3EL 6na ��
Phone: W -C1 L Fax• (9 -3053
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 nstruction zoning.
J 1
PRINT OWNEKOR CORTRACTOR NAMf OUQtERORZONTRACTOR
STATE OF FLORIDA, COUNTY OF `
ACKNOWLEDGED BEFORE METHIS ILI DAY 0 20 BY J V�
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
TRACY LANGEL
ENTIFICATION �, NOTARY PUBLIC
(lit �` STq� OF FLORIDA
S ATURE AR TYPE ORPRINTN OF NOTARY (,pmm EF021924
OE �� Expires g13012014
CONWSSIO ER
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IlNPROVEMENTS 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.
Planning & Development Services
Building & Code Regulations Division
2360 Virginia Ave.
Fort Pierce, FL 34982
(772)"2-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical 0 Plumbing 1 HVAC ❑ Fence
❑ Shed ❑ Demolition is Gas ❑ Siding
Seepage 2 for Insftaons�and
-,adMonul pWnvark rquired for specialty pemu&
1. Location/Site Address:
2. parcel ID Number: _✓ A.a t(► L.l._,1. �Q
Office Use
Only
Section
TovwWp
Jumt
NI-P Pact
Zoning
Land Use
Initiah
3. Complete Description of Project or Work: U Le 0"hQ1cf, C -- TM�
4. Owners Information
Name:
5. Contractors Information
FL ReVCert
/n]n
i to
Address:
I}
County Certlf:
City:
/Y/c
F'!
Name:
6na&L.
1
state:
Business
zlp:
Phone: �� � - �J� �O
phone: &-a�
Fix: lit -3053
6. Value of Construction: S
owtNm,s AFFmAnr: I ccrdiy that aH of the information contained in this application is correct and that all work will be done m
`^
�Compliance with all applicable laws reguleiin structiun
���, zoning.
PADIT OWNER OR COMMCrM N.A SIGN OF O O OR
S['A'f8 OF Fi,OKtDA, COUNTY OF 'I � �
ACKNOWLEDGED BEFORE 2 E THIS. BAY 0 __ 20I` BY J C
WHO IS PERSONALLY KNOWN TO tE " OR WHO HAS PRODUCED
"— -- TRACY LANGEL
INCATION — r~ NOTARY PUBLIC
gT §OF FLORIDA
S ATUREZOARY TYPE OR PRINT 0 NO Y C,Ommit i^E921924
Expires 813012014
ER
NOTICE TO OWNUL FAnl= TO RECORD A INOnLCE OF COMAMCZtilENT MAY RESULT IN YOUR PAYING TVaU Foot
MROVEMUM TO YOUR PROPERTY. II: YOU RNIP.ND TO OBTAIN FIINAIN( QNG, CONSULT WITIC YOUR
LENDER OR AN ATTORNEY DEMKE RECOR DBNC YOUR NOTICE OR COMMF.NCIOWNT.
EXE11't T. A/C -MAT REPL.ACENENT WITH CONTRACT UNDER SSA10.
Za 39vd 0d 1Sd00C73S £59£99VZLL ZV:89 TTOZ/VT/ZB
Property Appraiser - St.Lucie County- F1,
Page 1 of 1
PROPERTY RECORD CARD
Mary E Keaton
Record: 1 of 1
<<Prev Next >> Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
CO
Site Address:
Sec/Town/Range.
6015 Balsam Dr
12 :36S :40E
"\,UCIE
ParcellD. 3402-610-0527-000-6 y� G2�
Account #. 38631
Map ID:
34/12S
Land Use
SF Res
Zoning.
RS-4
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner:
Mary E Keaton
INDIAN RIVER ESTATES -UNIT 09- BLK 87 LOT 31 (MAP 34/12S) (OR
Address:
6015 Balsam Dr
493-2974)
Fort Pierce FL 34982-3764
Sales Information
Assessment 2010 Final
Total Land and Building
Date
Price Code
Deed
BooklPage
2010 Final 51200
Land Value. 10400 Acres. 0.23
3/1/1986
50000 00
CV
0493 / 2974
Assessed. 51200
Building Value 40800
7/1/1984
0 01
CV
0479 / 0409
Ag.Credit: 0
Finished Area 1162 SgFt
7/1/1982
2000 01
CV
0394 / 0787
Exempt: 51200
3/1/1981
0 01
CV
0365 / 2081
Taxable 0
3/1/1980
4500 00
CV
0327 / 2082
Taxes. 300.59
BUILDING INFORMATION
M
Exterior Features
View.
RoofCover.
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType:
HC- - HC-
YearBlt.
1986
Frame
Grade:
C- - C-
EffYrBlt:
1986
PrimeWall:
WS - Wood/Sheath
StoryHght:
0010 - 1 Story
No.Units'
1
SecWall:
Interior Features
BedRooms:
3
Electric-
MX - MAXIMUM
PrmintWall
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHt/FI.
1/28ath:
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 Depth
DWC - Driv-Concret
Y 1
760 AV AV
1986 1 0100-SF Res
215 -Front Ft
80 125
FNW6 - WOOD FEN 6' Y 1 35 AV AV 2009
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/prc.asp?prclid=340261005270006 2/ 14/2011