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HomeMy WebLinkAboutSUBMITTED PAPERSI Date: —ue: Permit # Planning & Development Services - Cz f) t j Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462 1553 (�� � 1 r�c�,l � SPECIALTY PERMIT APPLICATIOIVFG ❑ Electrical Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits74 �C.Cj�� 1. Location/Site Address: 2. Parcel ID Number: Z Yd 15—J o I— �� S 3. Complete Description of Project or Work: .Set der- t © l ie—% Se--1¢.(— S TeM- 4. Owners Information 5. Contractors Information Name: r-.!e !e �� N r � � 4� tf� FL Reg/Cert #: � F I 1 �`` (9 7 2 Address: 170 Ave. County Cert#: � b City: tar? �1elGe State: �� Business Name: �ts C�o��c Zip: 3yls� Phone: �� e•35.—%67%Fax: 5167—Z! 9 6. Value of Construction: $ Z- 5� O ERAS AFFIDAVIT: I certify that all of the information contained in this application is correct and that au worK will oe Bone in compliance with all applicable laws regulating onstruction d zoning. R o 1, PRINT OWN19R OR CONTRACTOR NAME SIGNATURE O WNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF , / ACKNOWLEDGED BEFORE ME THIS a9 DAY OF V , 20 le, BY e rd y llllt S e WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED Fr b�— — NTIFICATION. ,,pp I(seal) SI TURE OF NOTARY TYPE OR PRINT NAME OF NOTARY t" DAWN MILONE COMMISSION NUMBER ;.: r_ MY COMMISSION 4 DD 852587 • V EXPIRES: March 22 2013 NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY tS; ItT B04h�Aldt3ubllift+te�F IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT 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 RECI _ _ A NOTICE OF COMMENCEMENT MAY RESU] f 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 PROPERTY RECORD CARD Everett Braynen Record: 1 of 1 <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �,UCIE �G,y Site Address: 1801 N 27th St ParcellD: 2405-501-0159-000-6 Sec/Town/Range: 05 :35S :40E y�� Account #: 18281 r Map ID. 24/05N Land Use: SF Res Zoning: RS-4 City/Cnty St Lucie County A4: '7k Ownership and Mailing Legal Description Owner. Everett Braynen Linda Braynen SUNRISE PARK NO 1 BLK 7 LOT 24-LESS S 10 FT- (0.15 AC) (OR Address: 1704 Ave N 312-1725) Fort Pierce FL 34950-2078 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 27800 Land Value: 5200 Acres: 0.15 5/1/1979 16000 00 CV 0312 / 1725 Assessed: 27800 Building Value 22600 Ag.Credit: 0 Finished Area: 884 SgFt Exempt: Taxable: Taxes: 577.82 BUILDING INFORMATION Exterior Features View RocfCover FS - Fibrglss Sing RoofStrucr GA - Gable ExtType HD+ - HD+ YearBlt. 1968 Frame: Grade: D+ - D+ EffYrBlt: 1977 PrimeWall BP - Conic Block StoryHght 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms. 3 Electric: AV -AVERAGE PrmintWall DW - Drywall FullBath: 1 HeatType: AvgHt/FI: 1/2Bath: 0 HeatFuel: - Prm.Flors: TZ - Terrazo %A/C: 0 %Heated: 0 %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 1 720 AV AV 1968 1 0100-SF Res BI -Front Ft 51 125 FEN4 - CHAINLINK 4' Y 1 260 AV AV 1995 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=240550101590006 12/8/2010