HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: I Receipt# I term
Planning & Development Services
_ = Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553 St
SPECIALTY PERMIT APPLICATION
❑ Electrical
❑ Plumbing
2 HVAC
❑ Fence
❑ Shed
❑ Demolition
❑ Gas
❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: a�.JIJ Mail •�y
2. Parcel ID Number: 114A5 " U ( —01 (SI —COD/
Office Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Project or Work:
4.
Owners Information 5. Contractors Information
Name:
Address: t� 11 r I It nCrl ��
City: State:
Zip: N rhone:4q—
cum
6. Value of Construction: $ S•
FL Reg/Cert #:
County Cert#
Businme:
Phone•
• ,
fAA «
•�i� 1
_Qt r i
OWNERS AFFIDAVIT: I certify that all of the information contained' this applicatio 's correct and that all work will be done in
compl•ance with all applicable laws regulat' construction zoning.
JAM -
PRINT OWNER OR CONTRACTOR NAME
SIGN URE OF O R O ONTRACTOR
STATE OF FLORIDA, COUNTY OF ((,
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 t�-/ . BY /`" �� e_
WHO IS PERSONALLY KNOWN TO ME te' OR WHO HAS PRODUCED —
TRACY LANGEL
UATURE
CATION. - NOTARY PUBLIC
j' CA, P l� STD OF FLORIDA
OT Y TYPE OR P T AME OF ARY Cprttt1 # BE021924
Jam' I A Expires 8/30/2014
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
12/28/2010 18:18 7724663053 SEACOAST AC
1
Date• Fee ,Due: Recei t# Permit #
,.::;... Planning & Development Senices
Building & Code Regulations .Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY .PERMIT APPLICATION
❑ Electrical
❑ Plumbing
2-IRVAC
❑ Felice
❑ Shed
❑ Demolition
❑ Gas
❑ Siding
See page 2 fo+fngtructJons and additional p�tPerwork requfred fpr specially permtrs
1. Location/Site Address:
2. Parcel ID Number: I
Off ce V5e
Only
Township F WA hac
3. Cum lete Description Of Project or Work:
Mop Page Zoning Land Use ) nitia6
4. Owners Information 5. Contractors Information
Name: 1, i
Addresv _ ,r/
City: L�7 LI�i State: —14
Zip: ✓�� Phone:�/ i
6. Value of Construction: $DR
�
FL Rcg/Cert #. oci col lD�
County Cert#:
Busi' Name:
phone: .
F®z:
PAGE 02
owrvFR's AFFopAvrr: I certify that all of the in contained ' this applicati is correct and that all want will be dcme in
compl'ance with all applicable laws regulat' constnlCtion zoning,
.� v
PRINT OWNER OR WONT CTO N SIGN tIRL OF O
0 ONTRACTOR
STATE OF FLQIt(DA, CQ(JhT?y OF I
AClQVOWLEDGED BEFORE ME TMS DAY OF 20_ 0 113YX e
WT4015 PERSONALLY KNOWN TO NE L�OR WHO HAS PRODUCED
A CNTTFICATION. TRACY LANGEL
NOTARY PUBLIC
s A.
ATt1R.E (3 Y $TN OF FLORIDA
�a / � TYPE QR P T 'A,ME OF ARYS-1
Comm E!E0211124
connvusscoN UMBER (`iUI Expires a/30/2014
NOTICE TO OWNER: FAILURE TO RECORD A NOTICT OF COMMENCEMENT MAY R.RSULT IN YOUR PAYING TWICT FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME VCEM$Ct I,
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00
Revived 04/26/2010
Property Appraiser - St.Lucie County Fl_
Page 1 of 1
PROPERTY RECORD CARD
David R Van Deusen
Record: 1 of 1
<<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
,`�CIECO
Site Address:
250 MARINA DR
ParcellD:
1425-701-0121-000-4 G2
Sec/Town/Range:
25 :34S :40E
Account #: 9066
Map ID:
14/25S
Land Use,
City/Cnty:
SF Res
St Lucie County
Zoning
RS-4
Ownership and Mailing
Legal Description
Owner
David R Van Deusen Phylis
E Van Deusen
CORAL COVE BEACH -SECTION ONE- BLK 5 LOT 8 (OR 578-823:
Address:
250 Marina Dr
1082-311: 2925-872)
Fort Pierce FL
34949-8817
Sales Information
Assessment 2010 Final Total Land and Bui!1ing
Date
Price Code
Deed
Book/Page
2010 Final: 254700 Land Value: 176000 Acres 0.2
1/8/2008
100 01
QC
2925 / 0872
Assessed. 164970 Building Value 78700
6/12/1997
100 01
WD
1082 / 0311
Ag.Credit: 0 Finished Area 1482 SgFt
3/1/1988
0 01
CV
0578 / 0823
Exempt: 50000
3/1/1980
104500 00
CV
0326 / 1889
Taxable: 114970
12/1/1975
16500 01
CV
0246 / 2591
Taxes 2593.99
BUILDING INFORMATION
Exterior Features
View
RoofCover.
TC - Clay Tile
ExtType.
HC+ - HC+
YearBlt:
1978
Grade
C+ - C+
EffYrBlt
1978
StoryHght
0010 - 1 Story
No.Units:
1
Interior Features
BedRooms
2
Electric:
MIX - MAXIMUM
FullBath
2
HeatType:
FHA - FrcdHotAir
1 /26ath:
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
DOK2 - WOOD DOCK
Y
1
100
AV
AV
1978
1 0100-SF Res
3CFT - 3CFT
S
1
1
AV
AV
1978
3CFT - 3CFT
S
1
1
AV
AV
1978
WDEK - WOOD DECK
Y
1
348
AV
AV
1978
SDSF - SITE DEV S-F
Y
1
1
AV
AV
2001
RoofStrnicr. HP - Hip
Frame.
PrimeWall- BS - CB Stucco
SecWall:
PrmintWall: DW - Drywall
AvgHUFI: STD
Prm.Flors: CU - Carpet
%Sprinkled, 0
Type Measure
CIUA-Front Ft 80 110
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=142570101210004
12/29/2010