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HomeMy WebLinkAboutSUBMITTED PAPERSDate: 1 z -It. - i o I Fee �t # COUNTY F L Q R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCq St - 4Cte County 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: S 'J0 C O �E•� N �1 --e>Z A 2. Parcel ID Number: __77 /;;5 1_-5 2. 001 O 0 ©© 1 vflyce Use Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: '`( T 14 c= IA---o U S. G 4. Owners Information 5. Contractors Information Name: (% t-cJ L- Go ti Z c4 L 4 Z FL Reg/Cert #: Address: I Y-!g0 (e/%v 14-e" e?T- d -d County Cert#: City: r f d/ "GL' State: F L_ Business Name: —� /e( Z 6.,2- / 0 T L 7 EX 5, G t_ L Zip: LJ y4 5� Phone: %JL ?))? J S YPhone• 772 12 9 `NOL % 7 Z e7/ Z C s 6. Value of Construction: $ S 00. 00 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 co ction apd zon' PRINT OWNER O CONTRAC10F Si NATURE O OR CONTRACTOR STATE OF FLORIDA, COUNTY �%�_f�}� D /y A, ACKNOWLEDGED BEFORE ME THIS DAY OF 20 ZL BY ' / ` WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED fry 6 /-- — AS�OFTNOTARIY SI ATURE COMMISSION NUMBER TYPE OR PRINT NAME OF NOTARY DAWN MILONE MY COKIN NION S DD 852567 EXPIRES: March 22, 2013 8 coded Thru notary public Underwrites 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: Ff IE TO RECORD A NOTICE OF COMMENCEM] ✓IAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INIEND 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 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. 11/23/2007 23:50 #0197 P.001 1002 Fort Pierce Utilities Authority "Committed to Quality" 206 South Sixth Street (34950) Post Office Box 3191 Fort Pierce, Florida 34948-3191 (772) 466-1600 Capital Charge installment Payment Agreement SRC. THIS AGREEMENT, made this 26 day of OCTOBER 20 10 : by and between RAU_L GONZALEZ.A(VD MARTHA GONZALcZ HIS WIFE _ ___ _ _ . _ ,whose address is 1590 COPENHAVER ROAD, FORT PIERCE, FL 34945 hereinafter referred to as "Customer,, and CITY OF FORT PIERCE, FLORIDA, a municipal corporation, for the use and benefit of THE FORT PIERCE UTILITIES AUTHORITY, 206 South Sixth Street, Fort Pierce, FL 34950, hereinafter referred to as "FPUA". RECITALS WHEREAS, the Customer is the owner of that certain real property located at 1590 COPENHAVER ROAD, FORT PIERCE, FL 34945 hereinafter referred to as "the Pro perry more particularly described as follows, to -wit. THAT PART OF THE SOUTH 165 FEET OF THE NORTH 1/2 OF THE SOUTHWEST 1/4 OF THE NORTHEAST 1/4 LYING WESTERLY OF THE WEST RIGHT OF WAY OF 1-95 LESS THE WEST 25 FEET; ALL LYING AND BEING IN SECTION 13, TOWNSHIP 36 SOUTH, RANGE 39 EAST, ST LUCIE COUNTY. FLORIDA and each other. WHEREAS, the Customer owns an existing residential structure and has applied to FPUA for WATER utility service, and WHEREAS, the parties hereto represent and warrant to each other that this Agreement is valid and binding to NOW, THEREFORE, the parties hereto agree as follows; Section 1. That the recitals stated herein are true and accurate and are part of this Agreement, Section 2. Deposit. The Customer has made a deposit in the amount of S650.QQ_ receipt of which is acknowledged by FPUA, toward the total of the applicable installation charges, Contribution In Aid (CfA) and security deposits, as set forth on Invoice Number KA 133-10 attached hereto as Attachment 1 and made a part of this Agreement. Section 3. AGREEMENT TO MAKE INSTALLMENT PAYMENTS. For value received, the undersigned Customer jointly and severally promises to pay FPUA at 206 South 6th Street, Fort Pierce, FL 34950 or at such place as FPUA may designate in writing, the principal sum of 2Q7.65 , payable as follows (check one): (a) Twelve (12) equal consecutive monthly payments of principal only, in the amount of $216.47 ,t I/ each, for a total principal payment of $2 597.65 Options B and C Water and Wastewater Only (b) Thirty-six (36) equal consecutive monthly payments (last payment may be slightly adjusted), including principal and interest at the rate of the rate of 5 per cent per annum, in the amount of each, for a total payment of principal and interest in the amount of 11/23/2007 23:50 #0197 P.002 /002 F IN WITNESS WHEREOF, the parties hereto have executed this Capital Char�g0e Installment Payment Agreement on the day of as to FPUA: Name Witness Signature Printed Name CITY OF FORT PIERCE, a municipal corporation, for the use and benefit of FORT PIERCE UTILITIES AUTHORITY By: William G. Thiess, Director of Utilities STATE OF FLORIDA COUNTY OF ST. LUCIE The foregoing instrument was acknowledged before me this day of 20 by William G. Thiess, on behalf of the City of Fort Pierce, a municipal corporation, for the use and benefit of the Fort Pierce Utilities Authority, who is personally known to me. Witnesses as to Customer: r' Witness Signature Printed Name i on Signature Printed ame STATE OF FLORIDA COUNTY OF ST. LUCIE The f loing instrument was acl by C4 n -o. Lz_ c ; who produced / r L' NICKI D. LEW)$ S�4 Y C 4 i N otwy Puok - swe of PtO M 8h C Taissioa Expires Jut 15, 2011 cor11M1i w" * ao y0338113 A� liondea „w�•...nw7 �. Notary Signature Printed Notary Signature Customer Signet Printed Name roust mer Signature Printed Name Z day of LE- � r Zv me this � Y as identification. Notary Signature Printed Notary Signature Property Appraiser - St.Lucie County FL Page 1 of 1 PROPERTY RECORD CARD Raul Gonzalez Record: 1 of 2 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 1590 Copenhaver Rd ParcellD: 2313-132-0010-000-6 \a,\\UCIE00G� Sec/Town/Range. 13 :35S :39E Account # 13689 y� Map ID: 23/13N Land Use. SF Res Q� Zoning: RS-2 CitylCnty St Lucie County Ownership and Mailing Legal Description Owner. Raul Gonzalez 13 35 39 THAT PART OF S 165 FT OF N 1/2 OF SW 1/4 OF NE 1/4 Address: 1590 Copenhaver Rd LYGWLY OF W R/W 1-95-LESS W 25 FT- (1.89 Fort Pierce FL 34945-3059 More... Sales Information Assessment 2010 Final Total Land and Building Date Price Cade Deed Book/Page 2010 Final 127000 Land Value: 41800 Acres. 1.89 11/18/2008 03 FJ 3037 / 0388 Assessed: 127000 Building Value 85200 3/15/2005 300000 00 WD 2191 / 0975 Ag.Credit: 0 Finished Area 1792 SgFt 4/19/2004 250000 00 WD 1947 / 2547 Exempt. 12/1/1982 89000 00 CV 0389 / 1084 Taxable. Taxes 2639.61 BUILDING INFORMATION ax ua. i an, a ar. m as Exterior Features View. RoofCover. SA - Asph Shingle ExtType. HC- - HC- YearBlt 1967 Grade: C- - C- EffYrBlt: 1980 StoryHght 0010 - 1 Story No.Units: 1 Interior Features BedRooms: 3 Electric: MX - MAXIMUM FullBath 2 HeatType: FHA - FrcdHotAir 1/213ath: 0 HeatFuel. ELEC - Electric %A/C: 100 %Heated: 100 Special Features and Yard Items Land Information Type Y S Oty Unit, Cual Cond YrBlt No Land Use SWAV - RES POOL AVG Y 1 420 AV AV 1988 1 0100-SF Res PA01 - POOL DK-AVG Y 1 660 AV AV 1988 ENC2 - POOL ENC-AVG Y 1 1080 AV AV 1988 RoofStruct: HP - Hip Frame: PrimeWall: BW - Brk/Wd Frame SecWall: PrmintWall: PIN - PIN AvgHt/FI: STD Prm.Flors: CU - Carpet %Sprinkled: 0 Type Measure Depth 533 -Acres 1.89 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=231313200100006 12/16/2010