HomeMy WebLinkAboutSUBMITTED PAPERSDate:
Fee Duc:
Permit #
COUNTY`'
F L O R I D A
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SCANNED
BY
St. Luc
'e COunty
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing �WAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:ll_l__L =J_
2. Parcel ID Number: � �T IV� "L.lfl ✓—O9V (Y
Township
Range
Map Page
Zoning
Land Use
Initials
uf5ce Use
Section
Only
3. Com lete Description of
Ton I
4. Owners Informatior, 1oef
n
Name:
Address:
City: i P
Zip: `J
6. Value of Construction: $
5. Contractors Information
State: T I -
Phone:
qq(vl
FL Reg/Cert #: CLCORW 5
County Cert#:
Business Name: ]���&
Phone•
l0' _Fax: (n ' %3W3
OWNERS AFFIDAVIT: I certify that all of the information contained in this application is rrect an that all work will be done m
compliance with all applicable laws regulati g onstruction and ing.
j(*11 LO
PRINT OWNER OR CONT TOR NAME SIGN URE OF O O ONTRACTOR
STATE OF FLORIDA, COUNTY OF �� �ACKNOWLEDGED BEFORE ME THISLO DAY OF V� ,20� BYLoqLo
ALLY OWN TOME PRODUCED
OR WHO HAS PRODU
WHO IS PERSON LANOLai
AIUDEI ICATION.$n�j NOTARY PUBLIC
J I n p STATE OF FLORA
�,(� ' `l' CO iEE021924
c1r.NaT1(RE OF NO Y ,� _ , TYPE OR P0�*'F NO Y 19 Expires 8/30/2014
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
12/16/2010 14:18
772466305?
SEACOAST AC
PAGE 02
( Date:In( 11Q- L1-l- ee Due_%) / 10 ( Receipt# / "/_�) L- U I Permit #
CC)U NT Y
r L 0 R 1 G l
C7 - - --
Planning & Development Services
Building & Code Regulations Division
Z300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
El Electrical ❑ PIumbing 19/11VAC ❑ Fence
0 Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for iinsstruucfiians and additional paperwork requiredfor specialty permits
1. Location/Site Address-, '"l/`- j 1 n j 7I •�y Q1
2. Parcel ID Number:
G('`ce flsr
Only
Section
Tnwnsbip
RAngc
Map PAge
Zoning Land Use
Initials
3. Co m lete Description of Project or Work: LJ IG ( .1 Iff IT _ 00t
4. Owners Informati a 5. Contractors Information
Name: FL Reg/Certt/: OXol�443
Address: ,1� County Cert#:
City: 'Q Q State: Busine,4s ^Name:`'} C
Zip: - t � T phone: Fax:
6. Value of Construction: S t-1 W l
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is rrect and that all work will be done in
compliance with all applicable laws regulat' g onstraction and ing.
John. e(
PRINT OWNER OR CONT TOR NAME SiGNTaE7bF O 0 ONTRACTOR
STATE OF FLORIDA, COUNTY OF_
ACKNOWLEDGED BEFORE ME THIS � DAY OF LJ�� 20 I� BY
v—
WHO IS PP-R. ONALL OWN TO ME OR WliO HAS PRODUCED
1_AfMQ Lai,
AS fi7E 11CA710N. n (VOTARY PUBLIC
"STATE OF pI_OFiIDA
Gom4aiANM021s24
SIGNATIlvIJRE OF TYPE OR PRN OF NO Y 10� ���g i0�J14
COMMISSION NUMH ERY
NOTICE TO OWNERFAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. rF YOU MEND TO OBTAIN FINAINCIING, CONSF;LT MTA YOUR
LENDER OR AN AT-TORNEY BEFORE RECORDING YOUR YOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WTTn CONTRACT UNDER S7500.00
Revised 04/25/2010
Property Appraiser - St.Lucie County FL
Page 1 of 1
PROPERTY RECORD CARD
Charles W Regan Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
��UCIECO
Site Address 2997 Bent Pine Dr ParcellD: 1327-701-0043-080-6 Gy
Sec/Town/Range: 27 :34S :39E Account #. 5360 �e <
Map ID: 13/27S Land Use SF Res
Zoning: PUD City/Cnty St Lucie County �'• r
Ownership and Mailing Legal Description
Owner: Charles W Regan Veronica Regan MONTE CARLO COUNTRY CLUB -UNIT THREE- THAT PART OF LOT
Address 2997 Bent Pine Dr 73-LESS W 55 FT- AND ALL LOTS 74 THRU 85 (TOWN
Fort Pierce FL 34951-2925 More...
Sales Information Assessment 2010 Final Total Land and Building
Date Price ..ode Deed Book/Page 2010 Final 80000 Land Value 10000 Acres 0.02
2/28/2005 164900 00 WD 2175 / 2264 Assessed: 80000 Building Value 70000
12/4/1998 64000 00 WD 1189 / 1675 Ag.Credit. 0 Finished Area 1629 SgFt
7/14/1998 76700 01 QC 1167 / 1398 Exempt:
6/29/1992 59900 00 WD 0798 / 0151 Taxable
4/19/1989 2000000 02 WD 0633 / 2553 Taxes 1662.73
12/1 /1987 524300 02 CV 0570 / 2242
BUILDING INFORMATION
UBSM
Exterior Features
View: RoofCovec IDS - Cedar Shingl RoofStruct: GA - Gable
ExtType: TH - Townhouse YearBlt: 1985 Frame:
Grade C - C EffYrBlt: 1985 Prime Wall: BS - CB Stucco
StoryHght: 0020 - 2 Story No.Units: 1 SecWall: PB - Pine Bd/Btn
Interior Features
BedRooms 2 Electric, MX - MAXIMUM PrmintWall: DW - Drywall
FullBath. 2 HeatType FHA - FrcdHotAir AvgHUFI
1/213ath: 1 HeatFuel ELEC - Electric Prm.Flors: CU - Carpet
%A/C: 100 %Heated: 100 %Sprinkled: 0
Special Features and Yard Items Land Information
Type Y/S Oty, Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth
1 0100-SF Res BI -Site 1
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=l32770100430806 12/ 16/2010