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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Receipt# 4 Permit # 77 Planning & Development Services SC,gNN Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 S r U eV (772)462-1553 SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: -1-io dj�e Q/ Qc-i4D t\ t t /-Q—, 2. Parcel ID Number: '�' Township Range Map Page Zoning Land Use Initials Office rJse Section Only 3. 4. Owners Information 5. Contractors Information Name: ,r1/L Win!✓'90-/ FL Reg/Cert #: Address:County Cert#: I �� City: St. C 6,;L-i f-- State: '145Z2-� r�Business Name: Zip: - q-q Q yPhone:/ 70(' Y / o e• ZZ3 0-& S Faz• ,220 -'r.215�� 6. Value of Construction: $ OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating consq4ction and zonmg. PRINT OWNER OR CONTRACTOR NAME t SIGNATURE OF OWNER OR CO CTQ I i STATE OF FLORIDA, COUNTY ACKNOWLEDGED BEFORE ME THIS _Z DAY OF _ WHO IS PERSONALLY KNOWN TO ME OR WHO HAS F71',11ENTIFICATION. �- COMNIISSION NUMBER 1 t CIO ,20-BY� DUCED 2 A m A4 TYPE OR PRINT NfE OF NOTARY p o_ rn x NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE" OR 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 s' NOTICE TO OWNER: FAILURE RECORD A NOTICE OF COMMENCEMENT NU-_ __ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU Il4TEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR 4EY 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 Indicate the street address or general location of property where the building activity is taking place. 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction 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 rntinty, FL Page I of I Gary Kernan Record: 1 of 1 Property Identification Site Address 5606 Birch Dr Sec/Town/Range 11:36S:40E Map ID 34/11N Zoning: RS-4 Ownership and Mailing Owner: Gary Kernan Address: 5606 Birch Dr Fort Pierce FL 34982 PROPERTYORECORU►CARD «Prey Next Spec.Assmnt Taxes Exemptions Permits Home Prin! �VUCIE00,2 ParcellD Account # 3402-609-0197-000-9 37751 �� -* < Land Use SF Res City/Cnty: St Lucie County Legal Description INDIAN RIVER ESTATES-UNIT-08- BLK 57 LOT 19 (MAP 34/11N) (OR 3254-416) Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 31300 Land Value: 10400 Acres 0.23 12/7/2010 35600 0001 WD 3254 / 0416 Assessed 31300 Building Value 20900 8/19/2010 22000 0130 QC 3224 / 1577 Ag.Credit 0 Finished Area: 912 SgFt 2/24/2009 0115 PB 3064 / 2819 Exempt 7/20/1989 40200 00 WD 0647 / 1663 Taxable: 8/23/1988 100 01 DE 0616 / 0229 Taxes: 650.55 7/1/1988 35700 01 CV 0597 / 1294 1/1/1986 51000 00 CV 0489 / 2836 1/1/1985 0 01 CV 0453 / 2760 BUILDING INFORMATION Exterior Features View: RoofCover SA - Asph Shingle RoofStruct: GA - Gable ExtType HD+ - HD+ YearBit 1982 Frame Grade D+ - D+ EffYrBlt: 1982 PrimeWall. WS - Wood/Sheath StoryHght 0010 - 1 Story No Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall DW - Drywall FullBath 1 HeatType' FHA - FrcdHotAir AvgHt/FI STD 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 City. Units Qual. Cond. YrBlt No Land Use Type SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 215 -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.pasic.org/prc.asp?prclid=340260901970009 1/7/201 1