HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Recei t# Permit
z '-' x
Planning & Development Services
' Building & Code Regulations Division
2300 Virginia Ave.
• I D A- Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing HVAC ❑ Fence
❑ Shed ❑ Demolition 9Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: ( Cc�- r, 0 r
C-
r e 0- 1-1�
V�' Y-\ _-
2. Parcel ID Number: 3 �0� — sCD 11Z — C
� I S
I c) c
-7
Office Us,
Only
Section
Township
Range
Map Page
Zoning
tend Use
Initials
3. Complete Description of Project or Work: ter► ve C—'J C/ c ?a
K----1k " -)
4. Owners Information 5. Contractors Information
Name: L�-)t'1 FL Reg/Cert #: C C
Coun Cert#: r y -7 O -7
Address: oIJU l G,�o� �rceK �r� . h'
city: l� } _ {' P((C State: /�� Business Name:
Zip: 7 J % Phone: Phone: a: I i9 L/ — /
6. Value of Construction: S V / 5 C
OWNER'S AFFIDAVIT: I certify that all of the information contained in thus a lication is correct and that all work will be done in
( compliance with all applicable laws regulating co on and nMg.
PRINT R OR CONTRACTOR NAME SI A OWNER OR CONTRACTOR
ID-7 ^�
STATE OF FLORA, COUNTY OFF � 1UJZ 0-
ACKNOWLEDGED BEFORE METHIS --)() DAY OF &C 20 /0 . BY '� C% i9 A
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
U
S ATURE OF NO Y TYPE OR PRINT NAME O " ur Y,. ,
AUDREYB.HUMPHREY
MY COMMIS;;Irtii # DD 633047
COtvMSSION NUMBER �EXPIRES: ooaich ,,: 6,201,
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT T IN - YOUR #ATING CE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTA N FINANCING, CONSULT WITH YO
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000.
NOTICE TO OWNER: FAILURE T^ DECORD A NOTICE OF COMMENCEMENTMA" pSSULT IN YOUR PAYING TWICE FOR
WROVEr S TO YOUR PROPERTY. IF YOU INTEND ' IBTAIN FINANCING, CONSULT WITH
YOUR LENuma OR AN ATTORNEY BEFORE RECORDING YOLn .,JTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WTTH 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. Description of Projector 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 fall 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.Lucie f —rity, FL
Page 1 of 1
PROPERTY RECORb CARD
Thomas M Bertnick Record: 1 of 1
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Property Identification
CIECO
Site Address: 2201 Canoe Creek Ln
ParcellD:
3403-502-0115-100-7
Sec/Town/Range: 04 :36S :40E
Account #: 39080
Map ID. 34/04S
Land Use:
SF Res
Zoning: RS-2
City/Cnty
\
St Lucie County \!
Ownership and Mailing
Legal Description
Owner Thomas M Bertnick Dawn M Bertnick
WHITE CITY S/D 04 36 40 THAT PART OF LOT 64 LYG E OF CANOE
Address: 2201 Canoe Creek Ln
CREEK S/D AND S OF S LI LOT 8 AND S OF EL
Fort Pierce FL 34981-4938
More...
Sales Information
Assessment 2010 Final Total Land and Building
Date Price Code Deed
Book/Page
2010 Final 139000 Land Value. 58300 Acres. 1.02
7/24/2002 270000 00 WD
1559 / 1746
Assessed 139000 Building Value 80700
3/22/1989 69000 00 WD
0629 / 1270
Ag.Credit: 0 Finished Area 2103 SgFt
2/1/1982 40000 00 CV
0371 / 2172
Exempt: 50000
2/1/1978 0 01 CV
0282 / 1735
Taxable 89000
Taxes. 2054.23
BUILDING INFORMATION
9
IK
(N)
Exterior Features
View.
RoofCover
ExtType
HC - HC
YearBlt.
Grade:
C - C
EffYrBlt
StoryHght:
0010 - 1 Story
No.Units:
Interior Features
BedRooms:
3
Electric:
FullBath:
2
HeatType
1/26ath:
0
HeatFuel:
%A/C
100
%Heated
Special Features and Yard Items
Type
Y/S Qty
Units Qual. Cond YrBlt
DWBP - Drive-BrkPav
Y 1
720 AV AV 1990
SD - Dim Shingle
1990
1990
1
MX - MAXIMUM
FHA - FrcdHotAir
ELEC - Electric
100
Land Information
No Land Use
1 0100-SF Res
2 0100-SF Res
RoofStruct
Frame,
PrimeWall.
SecWall:
PrmintWall:
AvgHt/FI
Prm.Flors.
%Sprinkled
GA - Gable
WS - Wood/Sheath
DW - Drywall
CU - Carpet
0
Type Mr,:],r- Der!
260 -Front Ft 78.54 355
260 -Front Ft 75.88 250
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=340350201151007 12/20/2010