HomeMy WebLinkAboutSUBMITTED PAPERSl 626 s—)
Datte:
Fee Due:
Permit # 111)1-
❑ Electrical
❑ Shed
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
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SPECIALTY PERMIT APPLICATION
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❑ Demolition
❑ HVAC ❑ Fence
❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: I V l 4e1rtir 2c, po—IJ !I I C,L�
y
2. Parcel ID Number:
Office Use
Only
Section
Township
Range
Map Page
nin
L d
Initials I
t
3. Complete Description of Project or Work: 1 G,_ W iSL S-
4. Owners Information 5. Contractors Information
Name: U&r"4, 7'c' FL Reg/Cert #:
Address: County Cert#: 2��,�
City: ct of 9--, State: �� Business Name: �JVI Gam, gil,C
Zip: �� \ Phone: �� � L14 Phone: ��� I ►� Fax:j JV47-1-3tu
6. Value of Construction: $ �Ls�
OWNER'S 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 conWuction and oni g.
o�a
PRINT OWNER OR CONTRACTOR NAME SIGNATURE 0F OWNER OR CON RACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF20 ! BY�_�c��
WHO IS PERSONALLY KNOWN TO ME Z0R WHO HAS PRODUCED
AS ID TIFICATION.
CC �, — grc.Y PUQ �tOtary Public
St3tQ Of Flonda
' J 1'i L�f C�l��� 2e r. ' } Bridget a10(eal)
SIGNATURE NOTARY TYP OR PRIKT NAME OF NOTARY -?";�� My COn1n11SS10n D0939964
Ex Tres 11/0912013
COMMISSION NUMBER of P
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
r�
NOTICE TO OWNER: FAILURE TO 'k-tC;ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TJyICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WFi'H
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 Indicate the street address or general location of
property where the building activity is taking place.
2. Parcel ID Number Indicate the tax identification number of the
property where the building activity is taking place.
3. Description of Project or Work Activity Fully describe the activity to take place.
4. Owner Information Indicate the name and address of the owner of the
property on which activity is taking. place.
5. Contractor Information Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work.
6. Value of Construction 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.Luc..P-county, FL
Page 1 of 1
PROPERTY RECORD CARD
John F Umphred Record: 1 of 1
<<Prev Next» Spec.Assmnt
Taxes Exemptions Permits Home Print
Property Identification
,\\%IE CO
Site Address: 23 LAKE VISTA TR 206
ParcellD: 3422-500-0321-000-6
Sec/Town/Range: 22 :36S :40E
Account #: 110410
�� "G2<
Map ID: 34/22N
Land Use: Condo
Zoning:
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner: John F Umphred
VISTA ST LUCIE BLDG 23 UNIT 206 (OR 619-2997)
Address: 49 Idaho Ave
Bay Shore NY 11706
Sales Information
Assessment 2010 Final
Total Land and Building
Date Price Code Deed
Book/Page 2010 Final: 43500
Land Value: 0 Acres: 0.02
1/17/1989 59000 00 WD
0619 / 2997 Assessed: 43500
Building Value: 43500
6/1/1988 0 01 CV
0592 / 0809 Ag.Credit: 0
Finished Area: 1080 SgFt
9/1/1985 51500 00 CV
0479 / 2089 Exempt:
Taxable:
Taxes: 904.12
BUILDING INFORMATION
No
Imago
Available
Exterior Features
0010
View:
-
RoofCover: -
RoofStruct:
Base
ExtType:
X162 - VistStLucB1
YearBlt: 1985
Frame:
Grade:
XV213 - VistaStLuceB
EffYrBlt: 1985
PrimeWall: BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units: 1
SecWall:
Interior Features
BedRooms: 2
Electric:
PrmintWaII:
FullBath: 0
HeatType:
AvgHt/FI:
STD
1/2Bath: 0
HeatFuel: -
Prm.Flors:
-
%A/C: 0
%Heated: 0
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type Y/S Qty. Units
Qual. Cond. YrBlt. No. Land Use
Type
Measure Depth
1 0400-Condo
N -Unit
0 0
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.paslc.org/pre.asp?prelid=342250003210006 1/10/2011