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SUBMITTED PAPERS
COUNTY` F L O R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: ! 0 � �a- ✓I) IV SW,[ /� t III r 2. Parcel ID Number: l �,�Z — M" _ 0 U? L v b U ",L Office fha Only Section Township Range Map Page Zoning Land Use Initials 3. Complete Description of Project or Work: ;4r( %`La -t- i D P Qw P Iay S c r' i/- Z e * e, % o /Tz' (4 I 4. Owners Information 5. Contractors Information Name: FL Reg/Cert #: G O ©CI Address: � � � ,� e vo w S f'l ��- � _ �` County Cert#: City: / ( . /1 (/CC ( State: /-G Business Name: ' [-(,I/V M f"19/W/ . ti C Zip: 3 �4 a YC Phone: 0 OQ Phone:)Off" i�'Fax:1l; - S f-f -00r% 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 construction and zoning. PRINT OWNER OR CONTRACTOR NAME `1 / - ON OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF _yew% ACKNOWLEDGED BEFORE ME TIES _ DAY OF WHO IS PERSONALLY KNOWN TO ME _ OR WHO 14 AS FICATION. ,n r 1'; F TAR COMMISSION NUMBER 20—IL BY PRODUCED ISLi ✓-�y 0-1 p DAWN MILONE j' NMISSION # DD 852587 TYPE OR P T NAME OF NOTARY -! Pl E8: M9rch 22, 2013 Bonded Thra Notary Public Undenniters 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: F RE TO RECORD A NOTICE OF COMMENCEM 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 $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 County FL Page 1 of 1 Grace Spivey Record: 1 of 1 Property Identification Site Address 105 Devonshire Dr Sec/Town/Range 32:34S:40E Map ID 14/32S Zoning RS-4 Ownership and Mailing Owner: Grace Spivey Address 105 Devonshire Dr Fort Pierce FL 34946-1226 PROPERTY RECORD CARD «Prey Next» Spec.Assmnt Taxes Exemptions Permits Home Print ��UCIE00 ParcellD 1432-805-0078-000-8 Account#: 11161 Land Use SF Res City/Cnty St Lucie County '•'; !. Legal Description SHERATON PLAZA UNIT 2 REPLAT LOT78 (OR 192-558) Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 39100 Land Value: 6500 Acres: 0.19 1/1/1900 0 / Assessed: 39100 Building Value: 32600 Ag.CrediL 0 Finished Area 1456 SgFt Exempt: 25500 Taxable. 13600 Taxes 282.67 BUILDING INFORMATION AN � "7, 7, •A Exterior Features e View. RoofCover SA - Asph Shingle RoofStruck GA - Gable ExtType: HD -HD YearBlt. 1971 Frame Grade: D - D EffYrBlt: 1977 PrimeWall: BP - Conc Block StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BeclRooms. 3 Electric: MX - MAXIMUM PrmintWall. DW - Drywall FullBath: 1 HeatType. AvgHUFI: STD 1/2Bath 1 HeatFuel: - Prm.Flors: CU - Carpet %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 a:-,;,, C .. 2CNT - 2CNT S 1 1 AV AV 1977 1 0100-SF Res 205 -Front Ft 75 110 SDSF - SITE DEV S-F Y 1 1 AV AV 2001 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED littp:/iwww.paslc.org/prc.asp?prclid=143280500780008 1/14/2011