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Home My WebLink AboutSUBMITTED PAPERSI I Date: 1 d 12 j 110 1 Fee Due: b r-U () I Receip',# !f 'kj %! I Permit # ❑ Electrical ❑ Shed Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Plumbing AC ❑ Fence ❑ Demolition Gas ❑ Siding See page 2 for in structions and a aj'd,/d�itional paperwork reJquired for ss� cypeciialty permits 1. Location/Site Address: J � 7 Jf' i'VJ14 ytl' - A lly 2. Parcel ID Number: 3-610 =rmn — czvlY SCq �,o �9unry Office Use Section Township Range Map Page Zoning Land Use Initials Only —TUC qQnu 3. C plete Description of Project r Work: car L-C 11-- 1-17 Ci Gy1'�Ci A6 -:5j�, R 4. Owners Information 5. Contractors Information Name: fte y jz-y .c. Address: 5 70-7 Pt City: tu'Ce State: FL Reg/Cert #: County Cert#: I�/ Business Name: Av -GeryA � y zc,t41 Zip: 3 (f JtV Phone: 4-tV7, 7 Phone: r3W' 7ft Fax: 6. Value of Construction: S 3 tj5--x ONN `I:R'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in co m fiance with all applicable laws regulat' ns ion zoni g. RIN� OR CONTRACTOR NAVEl SIG ATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY - ACKNOWLEDGED BEFORE ME THIS tC 7 DAY OF 20_LL—) BY )0�p /P de 1)Le WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED Ir /-�7' AS IFICATION. `�'] �� (-P . �Y SI ATURE OF NO Y6/TYPE OR PRINT NAME OF rTARY COMMISSION NUMBER 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 $7500.00 Revised 04/26/2010 : ot""' °y AUD� EY B. HUMPHREY c =_ MY COMMISSION # DD fi?gG}7 wo. B. HUMPHREY y' EXPIRES p `=a' DD 633047 Rf,ls ®onded Mar 6 2 rW '"d 011 ThrU Notary public Un °1 :� dRfWl11Q!$ 04 _ i. uter5 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 $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 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.Lucie County, FL Pane 1 of, 1 PROPERTY RECORD CARD Kenneth W Adzima Record: 1 of 1 <<Prev Next Property Identification Site Address 5707 SPINDLE PL ParcellD 3410-503-0017-000-4 \�\�UCIE Sec/Town/Range. 10:36S:40E Account#: 133136 �r Map ID 34/10A Land Use SF Res City/Cnty St Lucie County Zoning. PUD Ownership and Mailing Legal Description Owner: Kenneth W Adzima PALM GROVE S/D BLK A LOT 6 (0.18AC) (OR 3254-2197) Address: 3500 S Kanner Hwy #44 Stuart FL 34994 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 65000 Land Value: 15000 Acre> 0.18 12/16/2010 42000 0001 WD 3254 / 2197 Assessed: 65000 Building Value 50000 11/19/2010 100 0130 QC 3247 / 2193 Ag Credit 0 Finished Area 1135 SgFt 8/7/1996 59900 00 WD 1029 / 2262 Exempt Taxable Taxes 1350.96 BUILDING INFORMATION Exterior Features 0010 View: - RoofCover: SD - Dim Shingle RoofStruct HP - Hip Base ExtType: HC - HC YearBlt 1993 Frame' Grade. C - C EffYrBlt: 1993 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRcoms. 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 i,leas:: 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=341050300170004 12/27/2010