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HomeMy WebLinkAboutSUBMITTED PAPERSDate: r .io I Fee Due: 1". 4 _ Receipt# v,,r711, _ Pe: # COUt�� �,'F L Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCANNED BY St. Lucy County SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing tGas HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: 6' ) G W I (I 2. Parcel ID Number: `� h �. ' Le I7 - t/)3 1 ( J 600 3. 4. O(fcc US,? Only Section Township Range Map Page Zoning Land Use Initials Description of Project or Work: f �t, 1' � C/"T(e H ( A C­' -r-em 3. (�- I CIA I/-1 CT S lQ 1-4 u. ' M ­-� v, (0 5��� . - - 5 ,� = Sly KOC Owners I ormantion 5. Contractors Information Name: (4, /t L 1 1-1-k` Address: I I LpVC City: �� I �%� �-�- State: � Zip: Phone: a S 6. Value of Construction: $ 3, y 00, 00 FL Reg/Cert #: J1 L 0 County Cert#: c2 � 7S Business Name- i Phone: �' ` 74ax OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in pliance with all applicable laws regulating construction and zoning. T A 8 �; r -r e w eY q '_A _ IVA� PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF Br0L,'Q-C-Q_ ACKNOWLEDGED BEFORE METHIS_ 3 DAY OF J 20 I l . BY GR2rR• B. SI iL, WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED _ AS IDENTIFICATION. NOTARY PL'BLIC•STATE OF FLORIDA (' or„i (p» "" Cbevyl Morgan SIG A O NO ARY TYPE 0 RINT OF NOTARY Commission # DD897935 C� �r '••:.•' Expires: JL'NE 26, 2013 COMMISSION NUMBER , S ���J BONDED THRU AT AN nC BONDING CO.,INC. 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 NOTICE TO OWNER: F RE TO RECORD A NOTICE OF COMMENCEIv__ 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 COMMENCEN ENT. 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. QAgo"", P •.nrr.k.e..ant+s. CONTRACT we edrrfritepollcatbrs hrblrottiea iadoerAr ouMtr O otter N Mr ooarq we l wi! i pent hoar ani sypM negwy b koft Ib parka drda I ceow In eccoidcnoe ran fa midboric Wd cpeIII fa1eA In tic sairset. llooc not Yxerde elcclniecl upQaie briers Nlad. P1. CONTRACT (UJI D Z, D 5 6781 NV, Sunrise Boulevard, Plantation, Florida 3331 Phottec M" 5664644 a Fax: (054) W7-1290 wwwArpm1r.com ``4jV4 hok , f Est. IM wffh over 15 000 heshffaftm 9 PURCHAM ADSoil CITYlSTATFILIP etc Z E-MAIL 1 A rton HOME P;j MNE ELL PHONE _ ❑ Duct Geeing & SaNttrktp e— Vw to i^ of Duct Syaderta C3High Qu& ty Air Rher Lacatlon O UY Ught 0 HO Quality Air Cleaner Locubw (73 ModifyMew supply Duct(s) ❑ Now supply Wit, sine: — x — Qty. — Modfy/New, Aehan Duct(s) nSeW Up Leaks In Dints M New Ream Air argil. size: — x — Qty. — 0 Modltk bona of: 0 buggy Pknun—d Return Air Plenum "system IIBacMc Heat 5kw, 7kw, , Q o CApplIcabon Oow taa� 3'k � nose Qua. __ I ✓ �C.! �T�� 4'J,Ah 1 I � � ALVPWdw sneaker wire Sko -104- Vuse O Replace �. WAR fie Condoneer eraaker wv. sm._ �Lt�� awnsUnilly �j f3ectrial onnect Bar n 2 lens float switch _ o k Wary fleet Safety switch V. ,Type Of Thermostat - Specify Type .— 9 Realstant Vibration, laoletlon Pads 1 Weer 1 Visit MaIrRonerm Agreement l l 5 Wear Extended warranty 110 Weer Extended Wanwity Condensate Drain Hook4Jp EWPAmwy D Secondary New Condensate Pump ❑ kmilary Drain Pan RelApstant Copper Uquid Una, Sim O Refrigerant Copper Suction Une Insddk )m OW O Length of Run O N*w or adstlng Copper Refrigerant Uri* Goer rji Exability and isting Codes 's Comp for Our Work Performed with Mounting Hardware of Stand for Air Handler Humcane Code Strapping O Smoke Detector-ExMrq%ew Q rens / GanY+ I IR 71 Extend Slab 9New Slab +. _ ❑ labor Needed _ 1 Year warranty by AN Year Cooling on work perfmried, and ifianufadwa'; warranty on equipment union otlwv iss stated below ecttaer s ee Cetrpneeor Yeers Cwndeneer Yeera >Years arts Wears Labor provided by sober in tMe period Is Monday Vrwgh Sundry. rap Cofl l0eare f v INVESINIENT BREAKDOWN DETAILS the UR1 Uert Subtotal $0 S S [t lI� � r- `` Ar i:3 i i �L -'r � Permit $='_(�J�1 s S �Qb6Hry Berate . $$ Man. Rebate S •nr • • r _ �(�i� Q� IXI,Mtsc Cnedlts�' ��_��T7 7 N S J ilte �(/- Warranty $ S OW- Total investment $ S S Balance Due s Z(�(v S S TBM Any fkanda, ..._. _. _,VW pAor ID ow e*rq my work Balances pup b Todarlahir UPen Drr,iWm of .lab earl a Pato1, O Cash ct>acim�O CC finance �, .r Property Appraiser - St.Lucie County, F Page 1 of 1 l Sheila Craan Record: 1 of 1 Property Identification Site Address 5116 MYRTLE DR Sec/Town/Range: 02 :36S :40E Map ID. 34/02S Zoning. RS-4 Ownership and Mailing Owner: Sheila Craan Address: 5116 Myrtle Dr Fort Pierce FL 34982-3851 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print �\%IE co ParcellD: 3402-608-0311-000-2 Account #: 37399 �P < Land Use. SF Res City/Cnty St Lucie County Legal Description INDIAN RIVER ESTATES -UNIT 07- BLK 49 LOT 9 (MAP 34/02S) (OR 3234-751) Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 77800 Land Value: 10400 Acres 0.23 9/14/2010 48000 0112 SP 3234 / 0751 Assessed: 77800 Building Value: 67400 7/27/2009 100 0112 CT 3123 / 1393 Ag.Credit 0 Finished Area 1871 SgFt 8/28/2002 125900 00 WD 1587 / 1191 Exempt: 5/28/2002 87500 01 SP 1537 / 2166 Taxable. 11/20/2001 100 01 CT 1458 / 1648 Taxes 1617.02 3/29/2001 04 FJ 1379 / 1177 6/15/1999 86500 00 WD 1230 / 1193 4/2/1998 100 04 QC 1137 / 0908 7/20/1993 73500 00 WD 0851 / 2300 12/1/1984 72500 00 CV 0451 / 2060 11/1/1981 6000 01 CV 0366 / 0131 BUILDING INFORMATION Exterior Features View: RoofCover: FS - Fibrglss Shg RoofStruct: GA - Gable ExtType: HC - HC YearBlt: 1983 Frame: Grade: C - C EffYrBlt: 1983 PrimeWall: WS - Wood/Sheath StoryHght: 0010 - 1 Story No.Units: 1 SecWall Interior Features BedRooms 2 Electric MX - MAXIMUM PrmintWall: DW - Drywall FullBath 2 HeatType: FHA - FrcdHotAir AvgHt/Fl 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors CT - Tile -Ceramic %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 Measure Depth SWAV - RES POOL AVG Y 1 200 AV AV 1993 1 0100-SF Res BI -Front Ft 80 125 PA01 - POOL DK-AVG Y 1 628 AV AV 1993 ENC2 - POOL ENC-AVG Y 1 828 AV AV 1993 DWC - Driv-Concret Y 1 1512 AV AV 1983 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=340260803110002 1 /6/201 1 Prop><ty Api-miser--St.Lucie — inty, Page 1 of 1 Sheila Crean Record: 1 of 1 Property Identification Site Address: 5116 MYRTLE DR Sec/Town/Range: 02 :36S :40E Map ID: 34/02S Zoning: RS-4 Ownership and Mailing Owner: Sheila Crean Address: 5116 Myrtle Dr Fort Pierce FL 34982-3851 PROPERTY RECPRD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print Parcel I D: 3402-608-0311-000-2 Account #: 37399 Land Use: SF Res City/Cnty: St Lucie County Sales Information Date Price Code Deed Book/Page 9/14/2010 48000 0112 SP 3234 / 0751 7/27/2009 100 0112 CT 3123 / 1393 8/28/2002 125900 00 WD 1587 / 1191 5/28/2002 87500 01 SP 1537 / 2166 11 /20/2001 100 01 CT 1458 / 1648 3/29/2001 04 FJ 1379 / 1177 6/15/1999 86500 00 WD 1230 / 1193 4/2/1998 100 04 OC 1137 / 0908 7/20/1993 73500 00 WD 0851 / 2300 12/1/1984 72500 00 CV 0451 /2060 11/1/1981 6000 01 CV 0366 / 0131 Lepal Description IWIAN RIVER ESTATES -UNIT 07- BLK 49 LOT 9 (MAP 34/02S) (OR 37134-751) Assessment 2010 Final Total Land and Building 2010 Final: 77800 Land Value: 10400 Acres: 0.23 Astessed: 77800 Building Value: 67400 Ag,Credit: 0 Finished Area: 1871 SgFt Exompt: Takable: Taxes: 1617.02 BUILDING INFORMATION Exterior Features View: RoofCover: ExtType: HC - HC YearBlt: Grade: C - C EffYrBlt: StoryHght: 0010 - 1 Story No.Units: Interior Features BedRooms: 2 Electric: FullBath: 2 HeatType: 1 /2Bath: 0 HeatFuel: %A/C: 100 %Heated: Special Features and Yard Items Type Y/S City. Units Oual. Cond. YrBlt. SWAV - RES POOL AVG Y 1 200 AV AV 1993 PA01 - POOL DK-AVG Y 1 628 AV AV 1993 ENC2 - POOL ENC-AVG Y 1 828 AV AV 1993 DWC - Driv-Concret Y 1 1512 AV AV 1983 FS - Fibrgiss Shg RoofStruct: GA - Gable 1903 Frame: 1903 PrimeWall: WS - Wood/Sheath 1 SecWall: MX - MAXIMUM PrmintWall: DW - Drywall FHA - FrcdHotAir AvgHVFI: ELi�-C - Electric Prm.Flors: CT - Tile -Ceramic 10p %Sprinkled: 0 Laud Information Np. Land Use Type Measure Depth 1 0100-SF Res BI -Front Ft 80 125 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=340260803110002 12/23/2010