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HomeMy WebLinkAboutSUBMITTED PAPERSSt. Lucie County Building & Z'm"g 2300 Virginia Avenue Ft Pierce, FL 34992-56.52 Tel. 561-462-1553 sC q SPECIALTY PERMIT APPLICATION Sf zz/, NFO eC ❑ Electrical 041umbin g ❑ HVAC Fence 0���` CJ ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instruc dons and additional paperwork required for sneciahv nm m&c 1. Location/Site Addri 2. Parcel ID Number: oil 3. Description of Project or Work Activity, ► , l� c �;� 4. Owners Information � `` 5. Contractors Information Name: e, Address: (d4 !Sw �;-,ecj City: I%. , I State: f L , Zip: �L/- C! `� "� Phone: 0 6. Value of Construction: $ FL Reg/Cert #: County Cert#: 0�2 �j-2j?j 5j — Business Name: -, Phone aa` /(, OWNMIS AFFIDAVIT: I certify that all of the information contained in this vphqption is correct and that all work will be done / in compliance with all applicable laws regulating c di and zonin PRINT QUALWIER3lOWNERS NAME r SIGNATURE OF QttALIFIER/OWNER STtATE OF FLORII)A, OF kA j BEFORE ME TFUS DAY OF 04& BY IS PERSONALLY KNOWN�16 ME OR WHO HAS PRODUCED A SIG ATURE OF N AR OR PRINT NAME OF NOiDAWN MILONE TITLE NOTARY PLn3L1C ' MY COMMISSION # DD 852587 COMMISSION NUMBER *: ;yy EXPIRES: March 22, 2013 Bonded Thru Notary Publc Underwriters St Lucie County Specialty Permit Application rev. 8/25/05 drug 3. Description of Project or Work Activity, ► , l� c �;� 4. Owners Information � `` 5. Contractors Information Name: e, Address: (d4 !Sw �;-,ecj City: I%. , I State: f L , Zip: �L/- C! `� "� Phone: 0 6. Value of Construction: $ FL Reg/Cert #: County Cert#: 0�2 �j-2j?j 5j — Business Name: -, Phone aa` /(, OWNMIS AFFIDAVIT: I certify that all of the information contained in this vphqption is correct and that all work will be done / in compliance with all applicable laws regulating c di and zonin PRINT QUALWIER3lOWNERS NAME r SIGNATURE OF QttALIFIER/OWNER STtATE OF FLORII)A, OF kA j BEFORE ME TFUS DAY OF 04& BY IS PERSONALLY KNOWN�16 ME OR WHO HAS PRODUCED A SIG ATURE OF N AR OR PRINT NAME OF NOiDAWN MILONE TITLE NOTARY PLn3L1C ' MY COMMISSION # DD 852587 COMMISSION NUMBER *: ;yy EXPIRES: March 22, 2013 Bonded Thru Notary Publc Underwriters St Lucie County Specialty Permit Application rev. 8/25/05 drug w r V7,- �� L-rU - ✓WATER CCNUY1 r— SEWER �lillEl ER SZ• lYu IRR S �r1 VI�CURUY DEP t SERVICE FEE S.alviE DAY FEE OVERTIME FEE I E'i'F.R INSTALL. C MNI AT&R FPUA CPC CF'CISEWER GUAR. REV. TOTAL CUSTOINIER SIGNATURE NAME OF SPPPSE DATE RECEIVED ✓� �� FT. PIERCE g(•,3498'� T. LUCIE Y UTtLTTIES - Y_Q. BOX 72 �iAME � ACCT. # f ^ _ SERVICE ADD S LOT^��gLOCK SUBDIVISION /2 BI 'G ADDRESS J C� " o Px") PHONE # O`` MOVE INMCL.OSING DATE This application hereby request and authorizes the Utility to rcndcr water andfor SeNmap disposal Services to the premises described above in accordance with th Ut ltrtie conact A p eicaat rce tratespay nsles and regulations, which by reference are made a part Of the Utility prornPtly for such senricts in accordance with the cstablishal rules and regulations. rLugTOJIII DEPUSM ARE- NON NEGOTIABLE OR TRANSFERP►BLE. SOCIAL SECT' FED ID SPOUSE SOCIAL SEC. OFFICE USE ONLY p,ECEIVED BY CASk3�— CYK Z Property Appraiser - St.Lucie Counr-, nL Page 1 of 1 PROPERTY RECORD CARD Patricia Williams Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 4814 SUNSET BV ParcellID Gy Sec/Town/Range: 02 :36S :40E Account # 37329 h Map ID: 34/02N Land Use SF Res Zoning. RS-4 City/Cnty St Lucie County Ownership and Mailing Legal Description Owner. Patricia William INDIAN RIVER ESTATES -UNIT 07- BLK 47 LOT 7 (MAP 34/02N) (OR Address: 3364 SW Crestview Rd 3248-2595) Port St Lucie FL 34953 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 63000 Land Value 16700 Acres 0.23 11/22/2010 40000 0001 WD 3248 / 2595 Assessed: 63000 Building Value 46300 8/9/2002 75500 00 WD 1589 / 2592 Ag.Credit 0 Finished Area 1800 SgFt 2/28/1998 59000 00 WD 1135 / 0194 Exempt 38000 6/11/1992 44000 01 WD 0797 / 2974 Taxable 25000 10/2/1991 0 01 DE 0760 / 2384 Taxes 625.91 3/1/1979 42000 00 CV 0304 / 1848 7/1/1977 10000 02 CV 0271 / 1588 BUILDING INFORMATION Exterior Features View RoofCover FS - Fibrglss Shg RoofStruct GA - Gable ExtType HD+ - HD+ YearBlt. 1979 Frame. Grade D+ - D+ EffYrBlt 1979 PrimeWall WS - Wood/Sheath StoryHght. 0010 - 1 Story No Units. 1 SecWall. Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall DW - Drywall FullBath 2 HeatType FHA - FrcdHotAir AvgHt/FI 1!2Bath. 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 [;•:<: ;' DWC - Driv-Concret Y 1 720 AV AV 1979 1 0100-SF Res BI -Front Ft 80 125 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=340260802370009 12/20/2010