HomeMy WebLinkAboutSUBMITTED PAPERS_ St. Lucie County Building & 2,oning SC ' 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 qN/v,
(s Tel.561-462-1553 Qt By
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SPECIALTY PERMIT APPLICATION COun�y
❑ Electrical ild Plumbing ❑ HVAC Fenc
e
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instracdo ns and additional paperwork required for specialty permits
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1. Location/Site Address: f) o ('D
(�, A
2. Parcel ID Number: _ � d _
Office Use
Only
Section
Townshi
Ra Ma P e
Zonin
Land Use
Initials
Jet
3. Description of Projector Work Activity: C 0(x, C
4. Owners Information
Name:
Address: v
--
City: '�LA J � I IQCW State: _—
Zip: � � - Phone:
6. Value of Construction: _, v
5. Contractors Information
FL Reg/Cert #:
County Cert#:'�3
Business Name:�2
Phone 1-�Z Z Fax
�q y 6� /
OWNER'S AFFIDAVIT: I certify that all of the information contained in this a plication is correct and that all work will be done
in compliance with all applicable laws regulating cons Xpulon and zoning.
PRINT QUALIFIERSIOWNERS NAME'__4 , . SIGNATURE OF % ALIITEWOWNER
W20-11.
FLORIDA, COUNTY OF CL r�� _._. ACKNOWLEDGE =ORE ME THIS DAY OF
BY '1 WHO IS PERSONA KNOWI T ME OR WHO HAS PRODUCED
r
_ AS IDENTIFIC ON. )�j�
SIG A OF NOTARY b _' V V
E OR PRINT NAME OF OTARY
TITLE:
St. Lucie County Specialty Pennit Application rev. 8/25/05 dmg
COMMISSION NUMBER
�,���Y'PV AUDREY B. HUMPHREY
Z.
+_ MY COMMI SIGN N DD 633047
s ' ' EXPIRES: Mara" 6 2011
'�+,R ••, Sodded Theu Notary Public Uadervvtars
WATER
COMM
SEWER RES
METER SZ. M/F
j� IRR
SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
--- V METER INSTALL.
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
r� LATERAL
$ ' v TOTAL
(NAME
ACCT. #
SERVICE ADDRESS
SUBDIVISION -(� LOT 13
BILLING ADDRESS Sit_
BLOCK O U
PHONE # MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER \
SIGNATURE
NAME OF SPOUSE
DATE RECEIVED W,�X&3
105.
SOCIAL SEC/
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
CASH T /Sli RECEIVED BY
Adjustments for items paid by seller in advance
Adjustments for items paid by seller in advance
106. City/town taxes to
406. City/town taxes
407.
408. Asse, III+ �w
409.
410. $- -
411. .,�•.;i;
412.
420. GROS,'
500. REDU( s;
501. Excess,
502. Settlemi
503. Existing, • .
504. Payoff o,' - - -
107. County taxes to
108. Assessments to
109.
110.
111.
112.
120. GROSS AMOUNT DUE FROM BORROWER
104,832.50
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER
201. Deposit or earnest money
5,000.00
202. Principal amount of new loan(s)
203. Existingloans taken subject to
O 1
204.
205.
505.Payoff of second mortgage loan
206.
506.
207.
507.
208.
1508.
WATER
COMM
SEWER
RES
METER SZ.
M/F
IRR
nn
SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
METER INSTALL.
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
TOTAL
$ L G
ST. LUCIE COUNTY UTI
NAME
ACCT. #
SERVICE ADDRESS
i- 1 , -0� , �"
TIES - P.O. BOX 728 FT. '1
t Aj/
� q p - 3 ""-+D
c;u,-,i a„ 1<
34 99,:q,-
FL
SUBDIVISION CC
LOT
/3
BLOCK 0A
BILLING ADDRESS
PHONE # MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER SOCIAL SEC/
SIGNATURE -rt� - j/ FED ID
NAME OF SPOUSE / /`� C
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED G' CASH -J # V274 RECEIVED BY lob,
in.
Adjustments for items paid by seller in advance
Adjustments for items paid by seller in advance
106. City/town taxes to
406. City/town taxes
407. Coun
408. Asse4
409.
410. _ t
411.
412. rr ;
420. GROS;
560. REDU�
501. Excess.
502. Settlem
503. Existin
504.Payoff
107. County taxes to
108. Assessments to
109.
110.
111.
112,
120. GROSS AMOUNT DUE FROM BORROWER
104,832.50
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER
201. Deposit or earnest money
5,000.00
202. Principal amount of new loan(s)
203. Existing loan(s) taken subject to
204.
205.
505. Payoff of second mortgage loan
206.
506.
207.
507.
208.
508.
Property Appraiser - St.LLICle (,» nty,
FL
Page 1 of 1
PROPERTY RECORD CARD
Sharyn W McKay
Record: 1 of 1
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Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
co
Site Address
Sec/Town/Range
5806 Balsam Dr
12:36S:40E
'o'PE
ParcellD' 3402-610-0304-000-7 y� G2�
Account#: 38438
Map ID,
34/12S
Land Use
SF Res
Zoning:
RS-4
City/Cnty.
St Lucie County
Ownership and Mailing
Lcoal Description
Owner
Sharyn W McKay
INDIAN RIVER ESTATES -UNIT 09- BLK 80 LOT 13 (MAP 34/12S) (OR
Address
5806 Balsam Dr
3086-2858)
Fort Pierce FL 34982
Sales Information
Assessment 2010 Final
Total Land and Building
Date
Price ;Uci,2, Deed
Book/Page
2010 Final. 74000
Land Value: 10400 Acres 0.23
4/27/2009
104000 0001 WD
3086 / 2858
Assessed: 74000
Building Value 63600
4/27/2009
60000 0001 WD
3086 / 2857
Ag.Credit 0
Finished Area 1923 SgFt
3/24/2009
50000 0001 WD
3073 / 0849
Exempt
11/18/2008
100 01 CT
3044 / 0699
Taxable
7/29/1996
39700 04 QC
1032 / 2643
Taxes: 1538.04
4/24/1990
107000 00 WD
0688 / 2356
2/22/1990
100 00 QC
0681 / 1336
10/1/1985
8100 00 CV
0479 / 1730
4/1/1985
7000 00 CV
0462 / 1275
BUILDING INFORMATION
Exterior Features
View.
RoofCover:
SD - Dim Shingle
RoofStruct
GA - Gable
ExtType:
HC- - HC-
YearBlt:
1986
Frame:
Grade
C- - C-
EffYrBlt:
1986
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
Qua] Cond.
YrBlt
No Lan ! Use
Type
Measure Depth
PA01 - POOL DK-AVG
Y 1
600
AV AV
1986
1 0100-SF Res
215 -Front Ft
80 125
ENC2 - POOL ENC-AVG Y 1
600
AV AV
1986
DWC - Driv-Concret
Y 1
720
AV AV
1986
FNW6 - WOOD FEN 6'
Y 1
205
AV AV
2009
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=')40261003040007 1 /6/201 1