HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Receipt# i Permit # Iola
Planning & Development Services
_ J w
Building & Code Regulations Division S
Io 2300 Virginia Ave.et C'9%�//1/�D
_ Fort Pierce, FL 34982
(772)462-1553 Ci
C/
e Cot/ntY
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing !J HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional p eerwork required for specialty permits
1. Location/Site Address: A A ICA AL LAM I
2. Parcel ID Number: 131a -SW-
Township
I Compyte Description of Project or Work: i on
4. Owner formati 5. Contractors Information
Name: FL Reg/Cert #:
Address: �I «iil 1 kl Ill t ane County Cert#:
City: '�1 State: Business Name:
Zip: ✓t l� Phone Phone• '� lw Fax: to
6. Value of Construction: $ W
OWNERS AFFIDAVIT: I certify that all of the information contained ' this application correct and that all work will be done in
_ compliance with all applicable laws regulat' g nstruction oning.
SIGN OF O R 0 NTRACTOR
PRINT OWNER OR CO CTOR NAME
44 STATE OF FLORIDA, COUNTY OF �) I
ohn
ACKNOWLEDGED BEFORE ME THIS DAY OF�—_, 20• BY `'
WHO IS PERSONALLY KNOWN TO ME `—"*' OR WHO HAS PRODUCED —
A ENTIFICATIO �—
TRACY���Q �,
NOTARY'POB ECL
SIGNATURE, NO ARY ^y E ORJPI F NOTARY �' STATE OF FLORIDA
COMMISSI NUMBER V) L
Wmm# EE021924
Expiros 8/30/2014
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
12/20/2010 14:08 7724663053
SEACOAST AC
PAGE 02
6
Planning & Development Services
Building & Code Regulations Divisiou
2300 Virginin Ave.
r Port Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical 0 Plumbing eRVAC 0 ]Fence
❑ Shed ❑ Demolition IJ Gas Cf Siding
See page 2 for instructions and additional paperwork requiredfor specialty permits
1. Location/Site Address:
2. Parcel ID Number:
Tormship Range i Map Page I Zoning Land Use I Ie�Kels
U%flce 056
Only
3. ComplFte Description of Project or Work:
4. OwncrWorma 5. Contractors Information
Name: f(, d � �� FL Reg/Cert #: acck)*-
Address: County Cert#:
City: ' RP r{_� state: 1 ! Business Name: ql
Zip. ✓ [ '►J 1 Phone: Phone. - Fax: ��LJ
6. Value of Constraction: 5 _
OWNER'S AFFmAv7T: 1 certify that all of the information contained this application correct and that all work will be done is
_ compliance with all applicable laws regulat- g n'tructiou oning.
PRINT OWNER OR CO CTOR NAME SIGN OF 0 O NTRACTOR
STATE OF FLORIDA, COUNTY OF
AC1(N0WLF-DGE1) BEFORE ME THIS , DAY OF ^,1 .f�. —, 201Q, BY `' �' • ' i '
WHO 15 PERSONALLY 1C40WN TO 1,2 OR WHO 14AS PRODUCED _.
AS ENTIFICATI
TRAGY F,
S OR P A OFNOTARX NOTARY UC
SIGNA NO ARY STATI= OF FLORIDA
CRMMISSI . NLTMBER C 3 f omm# EE021924
Expires 8/30/2014
NOTICE TO OWNER: FAJLURG TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
rMPROIMMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTATN FINANCING, CONSULT WITH YOUR
LENDIER OR AN ATTOIL'4TY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT'MTH CONTRACT UNDER $7500.00
Rcviscd 04a6/2010
Property Appraiser - St.Lucie Countv FL
Page 1 of 1
PROPERTY RECORD CARD
Paul E Camber Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
-
Property Identification
�\,\ICIE CO
Site Address: 5212 INDIAN BEND LN
ParcellD: 1312-800-0003-000-8
`
Sec/Town/Range: 12:34S:39E
Account#: 4414.<
Map ID: 13/12S
Land Use: SF Res
Zoning: RS-4
City/Cnty: St Lucie County �!
Ownership and Mailing
Legal Description
Owner: Paul E Camber M Patricia Camber HOLIDAY PINES S/D-PHASE II -A- LOT 172 (MAP 13/12S) (OR 557-
Address: 5212 Indian Bend Ln
2344)
Fort Pierce FL 34951-2318
Sales Information
Assessment 2010 Final Total Land and Building
Date Price Code Deed
Book/Page 2010 Final. 111200 Land Value: 19200 Acres. 0.36
9/1/1987 27000 00 CV
0557 / 2344 Assessed: 111200 Building Value 92000
12/1/1979 20200 00 CV
0322 / 1380 Ag.Credit 0 Finished Area: 2230 SgFt
9/1/1979 19900 00 CV
0317 / 2120 Exempt: 50000
Taxable 61200
Taxes: 1476.43
BUILDING INFORMATION
0
f lfl) �l
L ,IDID)
(IDS
Exterior Features
View:
RoofCover.
SD - Dim Shingle
ExtType. HC - HC
YearBlt:
1988
Grade. C - C
EffYrBlt:
1988
StoryHght: 0010 - 1 Story
No.Units:
1
Interior Features
BedRooms: 0
Electric:
MX - MAXIMUM
FullBath: 2
HeatType:
FHA - FrcdHotAir
1/2Bath: 0
HeatFuel:
ELEC - Electric
%A/C: 100
%Heated:
100
Special Features and Yard Items
Land Information
Type Y/S Qty
Units
Qual Cond
YrBlt
No Land Use
SWAV - RES POOL AVG Y 1
450
AV AV
1988
1 0100-SF Res
PA01 - POOL DK-AVG Y 1
802
AV AV
1988
ENC2 - POOL ENC-AVG Y 1
1252
AV AV
2005
DWC - Driv-Concret Y 1
720
AV AV
1988
RoofStruct: HP - Hip
Frame
PrimeWall: WS - Wood/Sheath
SecWall:
PrmintWall: DW - Drywall
AvgHUFI
Prm.Flors CU - Carpet
%Sprinkled: 0
Type Measure Depth
255 -Front Ft 90 175
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
t ;,,
http://www.paslc.org/prc.asp?prclid=131280000030008 12/20/2010