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HomeMy WebLinkAboutSUBMITTED PAPERSDate: 3,) o ❑ Electrical ❑ Shed Fee Duet -Receipt# �� Permit # / v 10' Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. SCgtVNED Fort 72)462-1553 ierce, FL 982 St ��CB COUn ty SPECIALTY PERMIT APPLICATION Ot Plumbing ❑ RVAC ❑ Fence ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: LL �:' 2 t 2. Parcel ID Number: 5 J!:-2! Township Range Map Pagc Zonin g Land Use Iaifials 0,Ffice Use Section Only 3. Complete Description of Project or Work: 1= /"2° R G 1, (2— --s 12 -1 & b-4 d u d it V,41 Vg !� ✓ �;AA�-,— 4 Owners Information 5. Contractors Information Name: �p �j�- FL Reg/Cert #: G ��� /4 -L?-, /70 �` N r.� County Cert#: Address: 5r5rk) (� City: - - � V 4, State: `' Business Name: tJ (.tJ li'l I^ zv �jy . Yb ZZ%Phone: L,& `2-,q Y� Fax: -(�Z) Zip; Phone: 6. Value of Construction: $ � V® OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and,all work will be done in compliance with all applicable laws regulating construction and zoning.Al 101 PRINT OWNER OR CONTRACTOR:NAME SIGMA F O CO It 4r •` Ba d aXP;,S h2/ !)D 633r. STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 20 0 BY � /� C) WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED lr ] ��,�J. �' J •�%� AS ICAT[. OT OR PRINT N rnOF NOTARY' FN Y 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 $5,000. NOTICE TO OWNER: FAILURE ORD A NOTICE OF COMMENCEMENT �T IN YOUR PAYING TWICE FOR IMPROVES TO YOUR PROPERTY. IF YOU INTEND MCC! FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM ENCEMENT. EXEWT: 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 C-inty, FL Page I of 1 PROPERTY RECORD CARD Tommie L Bradley Sr Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification .oj0CIE CO Site Address 5506 KILLARNEY AV ParcellD: 1301-614-0020-000-8 Sec/Town/Range 12:34S:39E Account#: 3499 Map ID: 13/12S Land Use: SF Res Q� Zoning. RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner. Tommie L Bradley Sr LAKEWOOD PARK -UNIT 12- BLK 157 LOTS 20 AND 21 (MAP 13/12S) Address: 5506 Killarney Ave (OR 975-371; 2974-679) Fort Pierce FL 34951-2050 Sales Information Assessment 2010 Final Total Land and Building Date Price is ode Deed Book/Page 2010 Final: 95300 Land Value: 15300 Acres: 0.5 9/15/1995 70000 00 WD 0975 / 0371 Assessed: 95300 Building Value: 80000 5/1/1982 5000 00 CV 0377 / 2285 Ag.Credit: 0 Finished Area: 1893 SgFt Exempt: 50500 Taxable 44800 Taxes 1135.56 BUILDING INFORMATION Exterior Features View RoofCover. SD - Dim Shingle RoofStruct GA - Gable ExtType: HD+ - HD+ YearBlt: 1974 Frame Grade, D+ - D+ EffYr61t: 1977 PrimeWall: BS - CB Stucco StoryHght 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath 2 HeatType: FHA - FrcdHotAir AvgHUFI: 1/28ath: 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 Qual Cond. YrBIt. No Land Use Type Measure Depth PA01 - POOL DK-AVG Y 1 344 AV AV 1980 1 0100-SF Res BI -Front Ft 180 121 ENC2 - POOL ENC-AVG Y 1 680 AV AV 2006 DWC - Driv-Concret Y 1 720 AV AV 1974 SWAV - RES POOL AVG Y 1 336 AV AV 1980 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasic.org/prc.asp?prclld=l-')0161400200008 12/ 13/2010