HomeMy WebLinkAboutSUBMITTED PAPERSatP: Fee Due: Receipt# ermit #
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
. SCANkSp
St Luusy
i0 County
SPECIALTY PERMIT APPLICATION
Electrical ❑ Plumbing ❑ RVAC []'Fence
❑ Shed ❑ Demolition ❑ Gas 0 Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:
2. Parcel ID Number:
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
N
3. Complete Description of Project or Work: p/ iq G G Id, -PA it) i1, Z
�JI✓cJ—Pe a l,- Lo fe(?lAgIg.2
4. Owners Information 5. Contractors Information
Name: % 13W(�YL Reg/Cert #:
Address: JO L Z- County Cert#:
City: /`'-' State: Business Name: /
Phon ',� - <P Phony 14,�•Z ��ax:.iV V ��J 1�
Zip:
6. Value of Construction: $ Jl5�40-
OWNERS AFFIDAVIT: I certify that all of the information contained in
compliance with all applicable laws regulating
PRINT OWNER ORCONTRACIORNANE.
is correct and that all work will be done in
OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OgAe' Q'M I9 5k..'0_Zd� BY
WHO IS PERSONALLY KNOWN TOME OR WHO HASPffAPmeumuenumeuu
-
AS IDENTIFICATION. C �.1�%�pA►p�'��; �0���74`53
g jr F �xp`sns .°dl1/2012 (seal)
bmemeuenn I` e
SIGNATURE OF ARY
■uungeunuuummmmmmuuud
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: FAILURL, RECORD A NOTICE OF COMMENCEMENT APA--'ESULT 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.
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
Indicate the, street address or general location of
property where the building activity is taking place.
2. Parcel ID Number
Indicate the tax identification number of the
property where the building activity is taking place.
3. Description of Projector Work Activity,
Fully describe the activity to take place.
4. Owner Information
Indicate the name and address of the owner of the
property on which activity is taking place.
5. Contractor Information
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the.
work.
6. Value of Construction
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, cation, 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 (' -,jty, FL
_ Page 1 of 1
PROPERTY�RECORL�'CARD
Tommie L Bradley Sr Record: 1 of 1
<<Prev Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
�VAIEC19
Site Address: 5506 KILLARNEY AV
ParcellD: 1301-614-0020-000-8
Sec/Town/Range: 12 :34S :39E
Map ID: 13/12S
Account #: 3499
Land Use: SF Res
RS-4
City/Cnty: St Lucie County
Zoning:
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 Code Deed
Book/Page 2010 Final: 95300
Land Value: 15300 Acres: 0.5
ra 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
c�E>
cv>>
Exterior Features
View:
RoofCover:
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType: HD+ - HD+
YearBlt:
1974
Frame:
x Grade: D+ - D+
EffYrBlt:
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
AvgHt/Fl:
1/2132th: 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.
YrBlt.
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
SWAY - 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.paslc.org/prc.asp?prclid=l30161400200008 12/15/2010