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HomeMy WebLinkAboutSUBMITTED PAPERSl,Jp.// Ism• Date: Fee Due: Recei t# �o�Z Permit # Planning & Development Services vb \J ' = Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 &C _ (772)462-1553 Sr �4c/ey F SPECIALTY PERMIT APPLICATIONX y Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage l for instructions and additional paperwork required for specialty permits 1. Location/Site Address: � q Di QP (^ K10oA L AAJ e- F-T P 1 e rcg- 2. Parcel ID Number: 21 Z) D ®1 0Q Z-d -- CD J 40 Zo v ^ I Of,ftce Use Only Section Township Range Map Page Zoning Land Use Initials on 1� 3. Complete Description of Project or Work: Mew k b r czJ 6gAf 4. Owners Informa on 5. Contractors Information Name: l i w\A LP A �'L Reg/Cert #: Address: 4 U % wo 01 Z A County Cert#: City: r &Oe- State: JC Business Name: FG 1300 :m 8 Zip: I Phone: one Fag: 6. Value of Construction: $ 1 Oak -- (0� OWNERS AFFIDAVIT: I certify that all of the information contaijnd'i in this plication is correct and that all work will be done in compliance with all applicable laws roulatfim c s Clio an g.2 PRINT OWNER OR CONTRACTOR NAME S NATURE OF OWNER OR CO CTOR STATE OF FLORIDA, COUNTY OF ) ACKNOWLEDGED BEFORE ME THIS V DAY OF 2Q�, BY 6h-ei-y 7c? Z �� 14 WHO IS PERSONALLY KNOWN TO ME OR WHO HA PRODUCED A5 [D� 'ICATIONRAWNMOM sea . J) SIGN F NOTARY TYPE OR PRINT NAME OF NOTARY '*: r MV (X)NpdISSION A DD 852587 a EXPIRES: March 22, 2013 COMMISSION NUMBER Rfh - BandedThruNofatyPubkUndafmfhn 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: FAILURE :ECORD A NOTICE OF COMMENCEMENT MA SULT 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 $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. Property Appraiser - St.Lucie C-inty, FL Page 1 of 1 PROPERTY RECORD CARD Timothy A Lei Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,,\,�CIE CO Site Address: 2907 SHERWOOD LN ParcellD: 2421-701-0020-000-7 G2 Sec/Town/Range: 21 :35S :40E Account #: 29363 T Map ID 24/21S Land Use: SF Res Zoning. RS-4 City/Cnty St Lucie County �' ! Ownership and Mailing Legal Description Owner Timothy A Lei Alicia S Lei SHERWOOD ACRES UNIT 1 LOT 20 (0.25 AC) (OR 851-2428) Address. 2907 Sherwood Ln Fort Pierce FL 34982-6164 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final 50800 Land Value: 12500 Acres 0.25 7/22/1993 62000 00 WD 0851 / 2428 Assessed50800 Building Value 38300 2/22/1991 58000 00 WD 0727 / 2422 Ag Credit: 0 Finished Area 1204 SgFt 10/1/1986 55900 00 CV 0516 / 1715 Exempt: 25800 6/1/1978 37500 00 CV 0289 / 0164 Taxable 25000 7/1/1973 3900 00 CV 0217/1593 Taxes 526.16 BUILDING INFORMATION Iu Exterior Features View: RoofCover. SA -Asph Shingle ExtType HD+ - HD+ YearBlt 1973 Grade: D+ -D+ EffYrBlt: 1973 StoryHght: 0010 - 1 Story No.Units 1 Interior Features BedRooms 3 Electric: MX - MAXIMUM FullBath: 2 HeatType FHA - FrcdHotAir 1/28ath. 0 HeatFuel ELEC - Electric %A/C: 100 %Heated 100 Special Features and Yard Items Land Information Type Y/S Qty Units Qual. Cond YrBlt. No Land Use 3CHT - 3CHT S 1 1 AV AV 1977 1 0100-SF Res SDSF - SITE DEV S-F Y 1 1 AV AV 2001 RoofStruct: GA - Gable Frame PnmeWall BS - CB Stucco SecWall PrmintWall DW - Drywall AvgHt/FI STD Prm Flors CU - Carpet %Sprinkled 0 Type Measure Depth 220 -Front Ft 77 123.8 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?prcIid=242170100200007 1/10/201 1