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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 S SCQ�/VF' t. Y UCte CoUnty SPECIALTY PERMIT APPLICATION ZrIplumbin g ❑ 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