HomeMy WebLinkAboutSUBMITTED PAPERSray oa--
Date: Fee Due: A V . 0 0 Receipt#
Permit # t) /a o v-'d
Planning & Development Services
`' - _ ► _ Building & Code Regulations Division SCAN��t7
2300 Virginia Ave. St eY
Fort Pierce, FL 34982 �ticie
. �.... ,... _.: (772)462-1553 CO�nty
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:
2. Parcel ID Number: �' W O! q
office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
Vrlll
3. Complete Description of Project or Work: ��� ��� �� 7� y U' X 74-C /' L A' e__
4. Owners Information ,�� 5. Contractors Information
Name: �/a A "'40 j �' L aJ p r f FL Reg/Cert #: � T l . ll (0 7
Address: J ��/3 `S'y,v
City: 't State: ` /A
Zip: .LT Phone: yt
6. Value of Construction: $
County Cert#: 1 - ( f
Business Name: ZiNo q
Phone: 77 Z ''/L / / 947 Fax: yL
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will ; }'
compliance with all applicable laws regulating q ction 7andpn?. y.
PRINT OWNER OR CONTRACTOR N2f.OWNz MC
SI rTURE OF ER OR CONTRACTOR
�m
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE E THIS DAY OF 20 / v ' BY —!�v I$
WHO IS PERSONAL KNOWN ME OR WHO HAS PRODUCED — !
AS 11),544TIFICATION.
(seal)
SIGNATURE OF NOT E OR PRINT NAME OF NO' ARY
COMMISSION NUMBER
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
NOTICE TO OWNER: FAILURE ZECORD A NOTICE OF COMMENCEMENT W :SULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFQRE.RECARDING 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.
NOU-30-2010 12:22 From: T--"r 4611999
P. 1. 1
"Committed to Quality"
Key Accounts
206 S. 6th Street
P.O, Box 3191 �[a V 00
Fort Pierce, Florida 34948-3191
Phone (772) 466-1600
Fax (772) 465-6984
Invoice Number KA-135-Mm
_ 1'C N
Account :Name MELINDA STKWARD FEl #
C''ontact Namc MELINDA STEWARD
Billing Address
Telephone Fax Mobile
06-3-060-43701-0000 1 0 Water Meter and/or Savice Installation 785.06
o-2-00N235tk1.0000 Water Security Deposit 0.00
Curt. Typc
06.3-06q 48800 ()pOQ Water Initiation of Service 40.00
06.3-060-43702-0000 � Commercial �
Water Capital Improvement Charge Water EM 1 $1,841.00
6wl--o6049525-0004 Residential , Water AG crucd Guaranteed Revenue Charge $394.65
Meter Vcrificxttion Fecs O,pp
06-3-060-43701-00(Kl
City Limits DDC i � 0.00
08-2-000-2350U-fl000 (C) Inside Wastewatcr Security Deposit 0.00
08-3-080-4880"000 Wastewater Initiation of Service 0.00
L� Outiide
08-3-08C-437024" Wastewater Capital Improvement Wastewater ERCs o 0.00
08-3-08049525-U000 *Wastewater Accrued Guaranteed Revenue Charge $0,00
06-3-060-43741-0000 Lien Fees 1 $0.00
�0.00
_ 0.00
ater and Wastewater AGIRC feea arc!good untii the end of the month If not received by the end of Down Payment 0.00
month, new fees will apply, Ple8se Contact our office for updated fees. -
Invoice Total 3060.65
Description for Service Order INSTALL 5/8 X 3/4" WATER METER AND SERVICE - NO SEWER
Total Paid
Date Paid
Check Nunber
CLStomcrs will be assessed wastewatcr charges the day they wrntect to the wastewa►er system or witfiin 365 days from date wastewater Connection Charge is paid -
whichewr :s fast. The cost of the service line from the.poim of delivery at the property line to the Wusc/building is the responsibility of the customer and is not included in
this invoice. Sale laws require that a permit from the IIeulth Department must be obtained prior to initiating a septic tank abandonment. Contact the Ncalh Department to
(772)873-4931.
Construction cost estimates are based on current lab(r, equipment and atatetial prices. Actual costs of construction will be detartltincd at the otrmpIction of the pr*a.
Should unforeseen cireumistances be encountered during construction, including but not limited to adverse wtatbw conditions and construction conflicts, the ctutorner will
he responsible for incre xmd costs. Additional costs incarmd by the customer shall not exc:erxl fif=n (15) percent of the total c:;timatcd construCtion coats Shown alxlvc.
F,stimated cx)sts paid by the customer (hat exceed the actual cost of constriction will be refunded by Fort Pierce Utilities Authority,
Key Accounts Rep. Date
Customer's Signature Date
10/28/2010
Printed Name
Property Appraiser - St.Lucie r^,,.nty, FL
Page 1 of 1
PROPERTY RECORD CARD
George L Steward Record: 1 of 1
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Property Identification
Site Address: 3413 SUNRISE BV
ParcellD: 2428-313-0004-000-9 \����clEcoGy
Sec/Town/Range: 28 :35S :40E
Account #: 32169 ye
Map ID: 24/28S
Land Use SF Res Avk
Zoning RM-9
City/Cnty St Lucie County
Ownership and Mailing
Legal Description
Owner: George L Steward Melinda K Steward 28 35 40 FROM NW COR OF S 1/2 OF SW 1/4 OF NE 1/4 OF SW 1/4
Address: 3413 Sunrise By
RUN S 192.95 FT FOR POB,TH E 239.79 FT,T
Fort Pierce FL 34982
More...
Sales Information
Assessment 2010 Final Total Land and Building
Date Price Code Deed
Book/Page 2010 Final, 32200 Land Value: 10400 Acres: 0.43
9/17/2009 40000 0001 WD
3129 / 1121 Assessed: 32200 Building Value. 21800
1/1/1900 0
/ Ag.Credit 0 Finished Area: 1056 SgFt
Exempt: 25500
Taxable: 6700
Taxes: 139.24
BUILDING INFORMATION
Exterior Features
View
RoofCover:
SA - Asph Shingle
RoofStrucl
GA - Gable
ExtType. HD- - HD-
YearBlt:
1949
Frame
Grade. D- - D-
EffYrBlt:
1970
PrimeWall:
BS - CB Stucco
StoryHght: 0010 - 1 Story
No.Units:
1
SecWall
Interior Features
BedRooms: 2
Electric:
AV -AVERAGE
PrmintWall:
PN - PN
FullBath 1
HeatType:
AvgHUFI:
STD
1/213ath. 0
HeatFuel:
-
Prm.Flors:
CU - Carpet
%A/C: 50
%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
SDSF - SITE DEV S-F Y 1
1 AV AV
2001 1 0100-SF Res
215 -Front Ft
50.42 356.45999
2 0100-SF Res
N -Front Ft
5.06 119.47
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=242831300040009 12/ 13/2010