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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: I Recei t# Sr Permit # 71 U1. C b,� Planning & Development Services, Building & Code Regulations Division 2300 Virginia Ave. Jt , ey Fo Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shedj, Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 7 C �J 1. Location/Site Address: Ib 70/ S � �-�� ``' �f`� � �� `vS'C A tr-t d'" - i ` 7 2. Parcel ID Number: L/J / ! — `� Iy _ U� ���� V 3. Office Use Section Township Range Map Page Zoning Land Use Initials Only Description of Project or Work: /u v 2 G''/ I >a I )--e-n ��� � � --r 4. Owners Information j Name:n�! j✓ �5 5 d l }� f'IGi wl Address: /d%©/ 5 QV7 . City: State: Zip:rPhone: 6. Value of Construction: $ji D �� 5. Contractors Information FL Reg/Cert #: County Cert#: C� 0 Business Name: q'77 Ly y Cv tiSJ Phone: Fax: 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 construction and zoning. PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER R CONTRACTOR STATE OF FLORIDA, COUNTY OF } J.Z,,e; 6 ACKNOWLEDGED BEFORE ME THIS � DAY OF J�AA1. 20 � / BY / "I k k WHO IS PERSONALLY KNOWN TO ME 11OR WHO HAS PRODUCED AS IDENJICATI�O '�) ��fl I✓ ram (seal) SIGN A UR OF NO NARY TYPE OR PRINT NAME OF NOTARY COMMISSION NUM3F�P AVID N Kpp Commission # DD 995518 NOTICE TO OWN ' R. w. FA�I)k�lllt� $�' ' ego OTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILURE T( CORD A NOTICE OF COMMENCEMENT M? BSULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEFTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT Wrrul 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. Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue ASBESTOS NOTICE Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Asbestos Notice To Contractor 01/10/2011 FRANCES S OLDHAM (TR) 9508 TWELVE TREES LN KNOXVILLE, TN 37922-3428 RE: Building Permit Numbe 1101-0065 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of any intentions to remove asbestos, when applicable, in accordance with state and federal law. Signature Date Property Appraiser - St.Lucie Cntmty, FL Page 1 of 1 Frances S Oldham JR) Record: 1 of 1 Property Identification Site Address: 10701 S OCEAN DR Sec/Town/Range 11 :37S :41E Map ID: 45/11B Zoning HIRD Ownership and Mailing Owner. Frances S Oldham (TR) Address 9508 Twelve Trees Ln Knoxville TN 37922-3428 Sales Information Date Price .de Deed 3/24/2003 100 01 TR 1/18/2002 100 01 PR 7/1/1978 18000 00 CV 4/1/1973 10250 00 CV Exterior Features PROPERTY RECORD CARD <<Prev Next » Spec.Assmnt Taxes Exemptions Permits Home Print �\'�cIE ParcellD: 4511-510-0078-000-4 Account #: 123784 Land Use: Mob Homes City/Cnty' St Lucie County Legal Description VENTURE OUT AT INDIAN RIVER INC LOT 877 (OR 1689-934) Assessment 2010 Final Total Land and Building Book/Page 2010 Final 176300 Land Value 170000 Acres 0.05 1669 / 0934 Assessed. 176300 Building Value 6300 1514 / 2827 Ag Credit 0 Finished Area 420 SgFt 0291 / 1881 Exempt. 0213 / 2489 Taxable. Taxes 3664.25 BUILDING INFORMATION View: RoofCover - RoofStruct - ExtType: MHH - MHH YearBlt. 1983 Frame - Grade: PKMB - PKMB EffYrBlt. 1983 PrimeWall - StoryHght 0010 - 1 Story No.Units: 1 SecWall - Interior Features BedRooms 0 Electric: MN - MINIMUM PrmintWall - FullBath 0 HeatType FHA - FrcdHotAir AvgHt/Fl 1/2Bath: 0 HeatFuel: ELEC - Electric Prm.Flors - %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBIt. No Land Use Tvpe Measure 1 0200-Mob Homes 190 -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED Depth http://www.paslc.org/prc.asp?prclid=451151000780004 1 / 10/2011