HomeMy WebLinkAboutSUBMITTED PAPERSDate:
Fee ---,:
Permit #
a
J
COUNTY
F L 0 R l D A
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
Sc
St CGCie eyNEO
County
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing Pa
❑ Fence
Shed ❑ Demolition ❑ Siding
See page 2 for instructions and additionalpaperwork required) for specialty permits
1. Location/Site Address: Y 2' 5 k# - eU+-n I e'q') �"'✓
2. Parcel IDNumber: J-f 1 D -503 -n 21 g 000
JL_"
3. Complete Description of Project or Work:
41kE- y- Lake,
¢- kAi1W4LK— C-salyO�
S /.< l d
6c)od8n,5 vI L-
4. Owners Information 5. Contractors Information
Name:U P. i4S l l�v re, FL Reg/Cert #:
Address: 61Z� 4t12 VAef 0
City: Ft', A 2tz Cc State: r L
Zip' 17 �?Y3 Phone: 9.,�1 P E SA
6. Value of Construction: $ W
County Cert#:
Business Name: j',Crllz- Q;/L 601)d)/JMJ
Phone:772�Zb1, Fax: 77Z_kkV-t7n:�1'
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 regulatAATURE
struction ing
�OWNER
CONTRACTOR NAME SI OF O R O C CTOR
STATE OF FLORIDA, COUNTY OF C�
ACKNOWLEDGED BEFORE ME THIS DAY OF
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY
COMMISSION NUMBER
20 BY LP—" 1 I
TYPE OR PRINT NAME OF NOTARY
(seal)
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: FAILURE TO I RD A NOTICE OF COMMENCEMENT MAY RES IN YOUR PAYING TWICE FOR
INTROVEMENTS 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 infonnation 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.L?;- County, FL
Page 1 of 1
v
' Iver W Jernstrom
Record: 1 of 1
Property Identification
Site Address:
425 European Ln
Sec/Town/Range:
10 :36S :40E
Map ID.
34/10B
Zoning.
PUD
Ownership and Mailing
Owner Iver W Jernstrom
Address: 425 European Ln
Fort Pierce FL 34982-3932
PROPERTY RECORD CARD
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� o3clE CO
ParcellD: 3410-503-0218-000-3
Account#: 133337
Land Use. SF Res
City/Cnty St Lucie County
Legal Description
PALM GROVE S/D BLK H LOT 8 (0.12AC) (OR 1129-2297)
Sales Information Assessment 2010 Final Total Land and Building
Date Price Code Deed Book/Page 2010 Final- 80300 Land Value 15000 Acres 0.12
2/25/1998 82900 00 WD 1129 / 2297 Assessed: 80300 Building Value 65300
Ag Credit 0 Finished Area 1450 SgFt
Exempt: 75500
Taxable: 4800
Taxes: 600.9
BUILDING INFORMATION
K r►i �� IAA a
Exterior Features
0010
View.
-
RoofCover
SD - Dim Shingle
RoofStruct:
HP - Hip
Base
ExtType
HC - HC
YearBlt
1998
Frame
Grade:
C - C
EffYrBlt:
1998
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No. Units.
1
SecWall.
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath.
2
HeatType
FHA - FrcdHotAir
AvgHt/FI:
1/213ath:
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 G ;r
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?prclld=341050302180003 12/ 17/2010