HomeMy WebLinkAboutSUBMITTED PAPERS❑ Electrical
❑ Shed
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 561-462-1553
SPECIALTY PERMIT APPLICATION
❑
Plumbing
cq HVAC
❑
Fence
❑
Demolition
❑ Gas
❑
Siding
SC
St e �NE�:
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: _ C
2. Parcel ID Number: '3141 t) SCE, 00S Q O 0 0 (--a
C-1-3
Office Use
Section
Townshi
Range
Map Page
Zoning
Land Use
Initials
Only
3. Description of Project or Work Activity: L ke -1062 La k( Pk9 LAti /l
RQ P ) & C Q rY)Qh+ 3•<-�T +bVJ I ,SR-e,w— IJ /o Kt,�
4. Owners Information
Name: M )hCJJQr -? Tr Q �A- S
Address: ,' �/ j u e ki r n 0- 2
City: '; State: U
Zip: � S 4 c c�,— Phone:
6. Value of Construction: $ D - b C)
5. Contractors Information
FL Reg/Cert #: QJJ 0- l
County Cert#: aA 1% 1
Business Name: 01,Q ri ell -W-0 S ,0 -0 V c_0
Phone -?-),a g7sr 5133 Fax 771 .91 I 02-6 3
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done
in compliance with all applicable laws regulating constr ion and
bon Jv, trccv,C1
PRINT QUALIFIERS/OWNERS NAME
SIGNATURE OF QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF ,T LL, L i e-- ACKNOWLEDGED BEFORE ME THIS DAY OF
C , 20 �0 BY I�o.,f J il% t Re, WHO ERSONALLY OWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY o``, r �•,
20: `4G7,:COmmissON#DD859311
TITLE: NOTARY PUBLIC COMMISSION NUMBER = 9' EXPIRES: FEB. 09, 2013
www.AARONNOTARY.-M
St. Lucie County Specialty Permit Application rev. 8/25/05 dmg
Dec 15 2010 1:10PM ""' LRSERJET FAX P.1
4.-
Date: I ee Due: v r ' ecei t# ermit # v 1�
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pieme, FL 34982.5652
TeL 561-462.1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing 4irRVAC ❑ Fence
Q Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required far specialty per►nits
1. Location/Site Address:
2. Parcel II) Number: C- C. n 1 :1
Office Use
Only
Section
Township
Range
Map Page
I AningL
se
I I
3. Description of Project or Work Activity: 4 kQ Dtk4 Lyijy','
�' oe'c Q ry)9rt i-b �► _ jQ S,z .►e BU Kcu
4. Owners Information r
Name: cic In �pllar'' 75re4L . h,.nE S
n �
Address: f l{ j LI r K1ri:l i .1 IZ
City: 6L r State:
Zip: Phone:
b, Value of Construction: $ e4 !:� Cj 0 C) C'
lS�
5. Contractors Information
FL Reg/Cert #: Q�)C 1 SLR `� 1.1 1� (--,
County Cert#: 111L1"tz' l
Business Name: 0 10ck r7 e'14 � R�/a
Phone-7,a '0'x- Q,,) 3 Fax `77, �'b
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done
in compliance with all applicable laws regulating cons on and,
o n A\ tr •(,,
PRINT QUALIFIEWOWNER$ NAME SIGNATURE OF QUALIFIEIVOWNER
ST�A,, TF OF FLORIDA, COUNTY OF � 6-4 6...1 ACKNOWLEDGED BEFORE ME THIS i L DAY OF
W1401_ YES R50NALLY OWN TO ME OR WHO HAS PRODUCED
��---�y-• AS IDENTIFICATION,
i•'L.t.. • � � _a��G'rCdy+� f
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY �Y1 LoAtt odato
TITLE. NQTbBY EUBLIC CCMMISSION NUMBER sr "I.1koMMISSIDHOD08593115
pcPIRaj F11.09,2013
WWWfWNNOTARY oom
St. Lucie County Specialty Permit Application rev, 8/25/05 ding
Dec 15 2010 1:10PM "" LRSERJET FRX
Property Appraiser - St.Lucie County, FL
p.2
Page 1 oI 1
Edward N Wheeler
Record: 1 of 1
Properly Identification
Site Addre69;
5868 HEMINGWAY CT 0-13
S 9c/7ow nlRa nge:
10:36S:40E
Map ID:
341ION
20ning:
CG
PROPIRTY RECORD CARD
e<Prev Next a> Spec.A$emnt Taxse Exemptlone Permits Home Print
ParcelID: 3410-508-0062-000-6 AN-- C
Account* 172546
Land Use: St Lucie Lude
CitylCnty: 3t County r
Ownership And Mailing
Owner; Edward N Wheeler Freda P Jones
Address: 141 Bucking Cir
Martinsburg VVV 26406
Sales Information
Date
Price
Code
7/2012010
47500
0111
5/30/2007
100
01
4119/2007
100
04
4/11/2007
15000000
02
Exterior Features
Vlew:
Ext'ryne MHA - MHA
Grade; TRPI - Trpcal III
StaryFight D010. 1 Story
Interior Feature$
Legal Description
TROPICAL ISLES (OR 2786-2183) UNIT C-13 (OR 3218 885)
Assessment 2010 Final
Total Land and Building
Deed
Book/Page
2010 Final:
50000
Land Value: 12000 Acres- 0.14
MS
321810885
Assessed:
60000
Sullding Value: 38000
MS
2856/1631
Ag.Credit:
0
Finished Area; 1552 SgFt
FOR
2802 / 2171
Exempt:
WD
2802 / 2109
Taxable:
Taxes;
1030.27
BUILDING INFORMATION
RoafCDver; RDof8truct:
VearBit. 1995 Frame
EffYr5lt; 1995 FrimeMll:
No,Unha; 1 SecWall:
SedRooms: 0
Electric;
MX- MAXIMUM
PrmintVlrall;
FullSath: 0
HeatType;
FHA - FrcdHctAlr
AvgHlFl:
1/2Bath: 0
HeatFuel:
ELEC - Electric
Prm.Flors: -
%A/C: 100
%Heated;
100
%Sprinkled: 0
Special Features and Yard Items
Land Information
Type Y/S Oty, Unite
Qual. Com,
YrBIt. No, Land Use
Type Measure Depth
1 0500-CPRANES
127 -Site 1
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
httpJ/www.paslc.org/prc.asp?prclid=341050800520006 12/13/2010