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HomeMy WebLinkAboutSUBMITTED PAPERSa .►o Date: Fee Due ecei t# f Permit # St. Lucie County Building & Zoning ScqNNF 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 D Tel.561-462-1553 St.�UC%�C,O SPECIALTY PERMIT APPLICATION utv ❑ Electrical ❑ Plumbing 0 HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: —1 2 -7O - O O ut -t ^ C) 0 Z '7 ,PC, Office Use Section Townshi Range'Range'l Map Page I ZARmgLand Use Initials Only G( .3ff-g6 3. Description of Project or Work Activity: J-V ffi � C� Ite1q �'UT Li r C-d lZp 4. Owners Information Name: / !Jt I-Ntei /=le'.,nt.Ij' Address: _21 / � 0: L d P City: PC,1nyl C, {'y State: rJ Zip: .3V 1 f 0 Phone: 3(fo- 7.zf2 6. Value of Construction: $ 5. Contractors Information FL Reg/Cert #: (Z4 ( 3 o& ]((�; County Cert#: —?0S�3 2- Business Name: kJ,,v.wld(.zltrk l C.AfllcC a Jrt T,c.- Ph '�-'2`�(-(G-6G� Fax 7 31&7 OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done rin_ compliance with all applicable laws regulating construction and zoni PRINT QUALIFIERSIOWNERS NAME STATE OF FLORIDA, COUNTY OF 41r ACKNOWLEDGED BEFORE ME THIS ��DAY OF 201C, BY c WHO IS PE SONY KNOWN TO ME WHO HAS PRODUCED AS IDENTIFICATION. i1119 —cIla) (seal) SIGNATU NOTARY TYPE OR PRINT NAME OF NOTARY TITLE: NOTARY PUBLIC COMMISSION NUMBER St. Lucie County Specialty Permit Application rev. 8/25/05 ding „R°,•ti� GINA M. GOLIN0 Notary Public • Stm of Fiorillo I• My Comm, Expires Apr 25, 2014 yq Commission #F 00 985M -g N1oil$ '� Bonded Through Nslionsl 0" Ann. NOTICE TO OWNER: FAILURE T_ .—CORD A NOTICE OF COMMENCEMENT MAY .__JLT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECGRDING'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 the 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 *t "1z #"s-`311'iiad> Tonal fee paid. Upgg issuance of,tbis pei rTitj uired inspections can be scheduled by calling (772) 462-1261. St:Lucie County Specialty Permit Appl�icion rev. 8/25/05 ding ...,:,.- Property Appraiser - St.Lucie — mty, FL Page 1 of 1 PROPERTY -RECORD CARD Thomas P Fleming Record: 1 of 1 <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification CO Site Address 2114 NW Greenbriar Ln ParcellD: "\)3cIE 4425-701-0044-000-9 IN G2� Sec/Town/Range: 25 :37S :40E Account #. 119275 Map ID 44/26S Land Use SF Res Zoning PUD City/Cnty: St Lucie County �! Ownership and Mailing Legal Description Owner: Thomas P Fleming Eugenie Fleming GREENBRIAR VILLAGE HARBOUR RIDGE -PLAT 2- UNIT 8-LESS N Address: 4 Dudley Ln 12.29 FT OF W 3.20 FT- AND THAT PART OF UNIT Larchmont NY 10538 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 287900 Land Value: 161500 Acres 0.27 5/20/2003 200000 00 WD 1718 / 2191 Assessed: 287900 Building Value 126400 1/29/1999 150000 00 WD 1201 / 0678 Ag.Credit: 0 Finished Area 1814 SgFt 4/28/1997 105000 00 WD 1074 / 1117 Exempt: 10/1/1984 150000 00 CV 0444 / 2255 Taxable. Taxes: 5983.75 Exterior Features View ExtType HA - HA Grade: A - A StoryHght 0010 - 1 Story Interior Features BUILDING INFORMATION RoofCover: YearBlt: EffYrBlt: No Units: CS - Conc Shingle 1984 1984 1 RoofStrUCt. Frame: PrimeWall: SecWall: HP - Hip BS - CB Stucco BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FUIIBath 2 HeatType: FHA - FrcdHotAir AvgHUFI: 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 YIS Qty Units Qual_ Cond. YrBlt. No Land Use Tvpe 1 0100-SF Res GFC -Site 1 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?prclld=442570100440009 12/9/2010