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HomeMy WebLinkAboutSUBMITTED PAPERSDate: 1ol,Jc�)CN iiEekDuC: Permit # Planning & Development Services J _ i= Building & Code Regulations Division . 2300 Virginia Ave. SCAN Ep Fort Pierce, FL 34982 By (772)462-1553 #, Lucie cQunty SPECIALTY PERMIT APPLICATION ❑ Electrical Plumbing 0 HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 2. Parcel ID Number: 1 "I [ _ �0 1 J ©C) — ©O D - Township Range Map Page Wing L Use Initials Lififfce (Ise .Section i Only 3. Complete Description CI.6 6-K S Project or Work: 2 h 4. Owners Information f Name: S LGo c i La(1(.0 -rf-ii(ST 5. Contractors Information FL Reg/Cert #: Address: 1 �li (P r- (l ► 7 Ln City: _F4 At rt 2 State: �\ 3`1g9d-- Zip: Phone:e: 6. Value of Construction: $ 300, 00 County Cert#: Business Name: R(-11001 Phone:77L %' Fax: OWNERS 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 construction and zoning. ^Sky*?64/,7Jo � PRINT OWNER OR CONTRACTOR NAME SOTATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF�` ACKNOWLEDGED BEFORE ME THIS DUD DAY OF WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS ENTIFICATION. ' 'y DAWN MILONE �, . 1 6ri MY COMMISSION # DO 852587 At&)rA l ',: EXPIRES: 22, 2013 SIG ATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY Bonded Thru fktary Public Undervrtiters COMMISSION NUMBER NOTICE TO OWNER: FAIL>(JRE 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 TC ;ORD A NOTICE OF COMMENCEMENT MAY JLT 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 2. Parcel ID Number 3. Dcscription 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. FILE �hmv-- Ax. - (- r , P/ote 12 oC, A;4urxf C aLP C—Ie. 3!y Ta-'du ------------ %' . cr- JZ�4&�L- clroqc, FT- f f 7yz. " i t'/�SD�G" w,Z ,A Property Appraiser - St.Luc;- county, FL Page 1 of 1 a PROPERTY RECORD CARD SLCOCHI Land Trust Record: 1 of 1 ­Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 4696 PALOMAR AV ParcellD: .\v0CIEco 1416-601-0085-000-4 \� , Sec/Town/Range: 17:34S :40E Account #: 7708 IT Map ID 14117S Land Use: SF Res Zoning: IRS3 City/Cnty: St Lucie County _A! Ownership and Mailing Legal Description Owner. SLCOCHI Land Trust PLAT OF INDRIO-UNIT 1- BLK 19 WLY 1/2 OF LOT 10 (OR 3246- Address: 1846 E Sanderling Ln 1617) Fort Pierce FL 34982 Sales Information Assessment 2010 Final Total Land and Building Date Price co(je Deed Book/Page 2010 Final 29800 Land Value: 4700 Acres 0.2 11/12/2010 18000 0001 WD 3246 / 1617 Assessed: 29800 Building Value 25100 12/19/2005 100 01 QC 2443 / 1074 Ag.Credit 0 Finished Area: 1249 SgFt 11/8/2005 100 01 QC 2411 / 0945 Exempt: 2/28/2002 59000 00 WD 1500 / 1584 Taxable 11/29/2001 38000 00 WD 1465 / 2006 Taxes 619.38 12/1/1977 18300 00 CV 0279 / 0554 BUILDING INFORMATION Exterior Features View. RoofCover RC - Roll Comp RoofStruct GA - Gable ExtType HD -HD YearBlt: 1960 Frame Grade: D - D EffYrBlt: 1976 PrimeWall BP - Conc Block StoryHght: 0010 - 1 Story No Units: 1 SecWall Interior Features BedRooms. 2 Electric. AV -AVERAGE PrmintWall DW - Drywall FullBath: 1 HeatType: AvgHUFI STD 1/26ath: 0 HeatFuel - Prm.Flors. VT - Vinyl Tiles %A/C: 0 %Heated: 0 %Sprinkled 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 210 -Front Ft 80.28 107.04 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.pasIc.org/prc.asp?prcIid=141660100850004 12/20/2010