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Home My WebLink AboutSUBMITTED PAPERSDate: —?-a— it Fee I � ' Receipt# - - ` Permit # j1 �) • j Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. • Fort Pierce, FL 34982 f C% (772)462-1553 SPECIALTY PERMIT APPLICATION SCANNED Electrical ❑ Plumbing ❑ HVAC ❑ Fence By ❑ Shed ❑ Demolition ❑ Gas ❑ Siding St. Lucie Caunty Seepage 2 for instructions and additional paperwork required for specialty permits p 1. Location/Site Address: 'f (,lzy; Md bi ( e- Ya IC' -Pq,f k i -3 5 I-FOr �-Pl e cei FL 3 y9,9-7— �76 p/ oo5 -* 3/�32�33 2. Parcel ID Number: � � 1 �! � � Township Range Map Page Zoning Land Use Initials ?fTice ffse Section OnlyL AT 3. Complete Description of Project or Work: gee.? ee � OD � n'1(I!t /l l l ^ ,�le>�g � T—O CoMpty %"/ 14-� 4fed C odk- 4Pld Ae/1W /V-' - My,ell f 9-9' UiAn0-4 4. Owners Information 5. Contractors Information Name: f-fye/'$fonf? COMMI, ,41-K FL Reg/Cert#: /3 Address: -? 00 aqP (e le Cf• County Cert#: ;- 6 6 S/ City: State: Business Name: AMP 6i) eC / Il/ -C-9 f Zip: % Phone �g iS-8$tfS Phone: KS-%-W9-ZFax:(3 $62 3T 6. Value of Construction: $ � o Q OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in complian a with all applicable laws regulat' onstruction and ning. 6f e�0 r (It 'ti el PRINT OWNER OR COIqTRACTORNAME SIGNATURE OF O R 6k CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF , 20 BBY V ZV O-A1 WHO IS PERSONALLY KNOWN TO ME OR WHO HA PRODUCED / —40 � _ 7A7�IF,ICA�TION- DAWN MILONE MY ZMI�SSION # DD 852567 SI ATURE OF NOTARY OR PRINT NAME O NOT to EXI�♦�'3: March 22, 2013 6on %fiF dbd Thm tkt&y PUbllo UrtdOWIN rs COMMISSION NUMBER 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 TO PL,c6RD A NOTICE OF COMMENCEMENT MAY RE. T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO Ob i ri�i 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 s a -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, ❑ F1VAC _ Attach 2 residential energy studies, 2 manual X Ciialcula'tions. 2 sets of duct layouts for new system or_°full replacement _.,,".k .,..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) Y 462-1553, during regular office hours (8:00 AM - 5:00 P�V1);1Vlonday 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.