HomeMy WebLinkAboutSUBMITTED PAPERS12-08-2010 11:14AM FROM-IRFM +17725678344 T-446 P.002/003 F-703
COUNTY
F L O R I D h
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SCA
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SPECIALTY PERMIT APPLICATION
El Electrical Plumbing 0 HVAC 0 Fence
0 Shed [ emolition O Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specially= permits
i. Location/Site Address: t "7M64R �
2. .Parcel ED Number: 1 � -r C)o 0
Township Range I Map Page i Zoning f Land Use
Off,Ce uh�
Only
3. Complete Description of Project or Work: r— [i
4. Owners Information �[-Q I� 5. Contractors Information
Name: e, w[ FL Reg/Cent #:
Address: e� �JU� _ County Cert#:��� �I
City: Vitro (tdr) State: PL Business Name:
Zip:
Phone: 2•-110 Og(o�rhou 7
77Z - ; - Lo%z$
6. Value of Construction: S D
OWNER'S AF'BIDAVIT! I certify that all of the information contained in u
c pliance with all applicable laws regulating na cti'
PRINT OWNER OR CONTRACTOR NAME _ ATUR.E OF OV
STATE OF FLORIDA, COUNTY OF _ T
ACKNOWLFDOED BEFORE METHI3 /v DAY OF /5�— 20A49 ,BY
WHO IS PERSONALLY KNOWN TO ME -- OR WHO HAS PRODUCED
AS FICATION.
SI n- aE OF NOTARY
COMMISSION NUMBER
is correct and that all work will be done in
and
�L
OR CONTRACTOk
._
DAWN MILONE
MY COMMISSION I DD 852587
/'k
NOTAR
,
- F.
EXPIFES: March�13
nded Thru NotaryPub r-ters
NOTICE TO OWNER; FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. In YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORULNC YOUR NOTICF OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WI'TII CONTRACT UNDER S7500,00
Revised 04/26/2010
12-08-2010 11:14AM FROM-IRFCU
+17725678344 T-446 P.003/003 F-703
WAM
SEWER
METER SZ,
yyl r0C>
COMM
RES
M/F
MR
SECURITY DEP"�
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
�S1�' ov METER INSTAI~L.
r r 2, "o Y2 a) cFC/wATER
1' C' � Lt MA CFC
CFC/SEWER
GUAR. REV. �V
ii? LATERAL
$ 2 7 5_ 4 Q TOTAL
CUSTOMER
SIGNATURE
NAME Of SPOUSE c�
S . LUCIE COUNTY VnLMES - P.O. 9OX 'jca r'T. PIERCE FL 34982
NAME / // Lr
ACCT. #
0 -"
SERVICE ADDRESS _.. _-Z W1C� ? C!
SU-BDIVISION_ LOT /[ �} BLOCK
BILLINGADDRESS 7 c`
vwxpo
PHONE #_ .�?%� [s� �G " Lo _MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage dispos
services to the premises described above in accordance with the Utilities present or future rate
rules and regulations, which by reference are made a part of this contract. Applicant agrees to pF
the Utility promptly for such services in accordance with the established rules and regulation
CUSTOMERS DEPOSM ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC'/
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY _
DATE RECEIVED) D CASH CHIC # (-{ 7 7/ RECEIVED 13Y, f'
Property Appraiser - St.Lucie County Fi,
Page 1 of 1
PROPERTY RECORD CARD
Michelle Awtrey-Gee
Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address:
6394 INDRIO RD
ParcellD:
1313-133-0006-000-5
\��VUCIEC�G2
Sec/Town/Range:
13 :34S :39E
Account #: 4697
�e� <
Map ID:
Land Use:
SF Res
Zoning:
RS-4
RS-4
CitylCnty
St Lucie County
�'• �--!.
Ownership and Mailing
Legal Description
Owner:
Michelle Awtrey-Ge�
13 34 39 N 198 FT OF S 218 FT OF E 66 FT OF W 446.3 FT OF SW
Address:
142 37th Dr SW
1/4 OF NE 1/4 (OR 967-1572: 1438-1062:
Vero Beach FL 32968-3166
More...
Sales Information
Assessment 2010 Final Total Land and Building
Date Price
Code Deed
Book/Page
2010 Final: 30600 Land Value: 14600 Acres: 0.3
8/14/2009
0115 PB
3122 / 1868
Assessed: 30600 Building Value. 16000
9/25/2001 8400
01 QC
1438 / 1062
Ag.Credit: 0 Finished Area: 625 SgFt
7/20/1995 27100
01 WD
0967 / 1572
Exempt:
12/7/1994
100 01 PR
0936 / 2763
Taxable.
Taxes: 636.01
BUILDING INFORMATION
Exterior Features
View:
RoofCover.
TG - Tar & Gravel
RoofStruct:
FS - Flat/Shed
ExtType
HD- - HD-
YearBlt:
1956
Frame:
Grade
D- - D-
EffYrBlt:
1970
PrimeWall:
BP - Conc Block
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric:
AV -AVERAGE
PrmintWall:
PN - PN
FullBath:
1
HeatType:
AvgHUFI:
STD
1/2Bath:
0
HeatFuel:
-
Prm.Flors:
CA - A TL/CON
%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 Dep'r
SDSF - SITE DEV S-F
Y 1
1 AV AV
2001 1 0100-SF Res
225 -Front Ft
66 198
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=l-')1313-')00060005 12/ 10/2010