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Home My WebLink AboutSUBMITTED PAPERSDate: I Fee Due: I Receipt# i Permit # 1 , 00 �b Planning & Development Services Building & Code Regulations Division SCA By 2300 Virginia Ave. 8 Fort Pierce, FL 34982 St. (772)462-1553 �uCl@ COVnty SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ®'Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: _ 3 o 1 _ YL\J,�(1 &1 `e- ; j Uq- ?i fit' 2. Parcel ID Number: �1Q Office Ilse Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: ��44a)A\ �psck � (,()�)*, V e@ _a) 1� . 4. Owners Information ' , 1 5. Contractors Information W Name: l i w -- ^ ` j FL Reg/Cert #: Address: �(� \( �VC l County Cert#: City: State: �(„ Business Name: C Zip: 3`-Iq b Phone:-I-Q y Q6-10g8 Phone--y6y 1 'ax: `1 (5041 tic)6. Value of Construction: $O OWNERS AFFH)AVIT: I certify that all of the information con ed in t is licatio is correct and that all work will be done in compliance with all applicable laws reg ons an zo PRINT OWNER OR CONTRACTOR NAA IG ATURE ER OR TRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 20�_ BY '/—/C�5d WHO IS PERSONALLY KNOWN TOME ---'OR WHO HAS PRODUCED AS q' o d OR PRINT NAME COMMISSION NUMBER ARY . pk m NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING C1 " 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 Revived 04/26/2010 Date: Fee Due: / '" " I Receiat# (� Permit # COUNTY -rl` L O R 1 D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, Fl, 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition Q-tas ❑ Siding Seepage 2 for\ instructions and addidonaal paperwork required for specialty permits 1. Location/Site Address: 5)01 --"C_`\i yN &,� 2. Parcel ID Number: I �) \114 - - cot i' • (M • b SLCdon Township Range Map Page Zoning Land Use Initials Only 3. Complete Description of Project or Work: \ � '� r � 1 *Yf P 4. Owners Information � k � 5. Contractors Information Name:�1� W�i`�- r FL Reg/Cert #: Address: County Cert1#: City: c'S � {� .C� State: �"� Business- Naame: Zip: ti-i�1 `� Phone:�l .. � � Phone: t \�i � I �ax: 6. Value of Construction: S I L� OWNER'S AFFIDAVIT: I certifv that all of the information con ed in t is licatio is correct and that all work will be done in compliance With all applicable laws reg ons an zo PRINT OWNER OR CONTRACTOR NAM IG ATURE O ER OR TRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE METHIS DAY OF 20BY LA1Cr—STLI WHO IS PERSONAL Y OWN T ME OR WHO HAS PRODUCED AS IDENTIFICATION. — \' J j _ Y COMMISSION NUMBER PRINT NAME OF NOT NA- rywx re 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 R AUDREY B. HUMPHREY MY COMMISSION ;# DD 633047 EXPIRES: March 6, 2011 Oended Thru'lotary Public Un r-,, rs 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 $5,000. IN51RU CI LQNS 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 build ing/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 L�'GaS Attach 2 piping schematics with tank size,location, and BTU of each appliance Ll filed: 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.NL 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 he 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. lhr�.. ,••;� Property Appraiser - St.Lucie C nty, FL Page 1 of 1 PROPERTY RECORD CARD Anthony R Wirz Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �V)CIECO Site Address: 5101 INDIAN BEND LN ParcellD: 1312-800-0018-000-6 G✓< Sec/Town/Range: 13 :34S :39E �� Account #: 4429 Map ID: 13/13N Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner Anthony R Wirz Carol A Wirz HOLIDAY PINES S/D-PHASE II -A- LOT 187 (MAP 13/13N) (OR 466- Address: 5101 Indian Bend Ln 605 Fort Pierce FL 34951-2317 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 118800 Land Value: 27500 Acres 0.64 5/1/1985 126000 00 CV 0466 / 0605 Assessed: 118800 Building Value 91300 5/1/1981 29400 00 CV 0356 / 0928 Ag.Credit: 0 Finished Area 1970 SgFt Exempt: 50000 Taxable, 68800 Taxes 1634.36 BUILDING INFORMATION Exterior Features s View RoofCover. SA - Asph Shingle RoofStruct- HP - Hip ExtType: HC+ -HC+ YearBlt. 1982 Frame: Grade: C+ - C+ EffYrBlt: 1982 PrimeWall CB - Cedar Bd/Btn 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: STD 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 Y/S Qty Units Qua[ Cond. YrBIt. No. Land Use Type C1eos.. SWAV - RES POOL AVG Y 1 450 AV AV 1988 1 0100-SF Res GFI -Front Ft 118.23 PA01 - POOL DK-AVG Y 1 495 AV AV 1988 3CCT - 3CCT S 1 1 AV AV 1982 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 236 http://www.paslc.org/prc.asp?prclld=131280000180006 12/8/2010