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Date: Fee Due: Recei t# mit # St. Lucie County Building & Zoning SCANNED 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 8y Tel. 462-1553 e': 1--14�7ilq SPECIALTY PERMIT APPLICATION OElectrical ❑ Shed ❑ Plumbing ❑ HVAC ❑ Fence ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperx ork required for specialty permits 1. Location/Site Address: —5-Qo5 bo,15a br 2. Parcel ID Number: 3401 C?_©5115 _ Office Use Section Township Range MiR Page I Zoning Land Use Initials Only I I 3. Description of Project or Work Activity: 4. Owners Information Name: A ( _ Address: 3a3a 1Sewyy,-at L City: M 1 AYE+ Sbtx _ State: Q N S Cs - -a Zip: C.� Phone' � Sloes 6. Value of Construction: ti J-454C. csO 4 Vl 5. Contractors Information FL Reg/Cert #: E Cl acol(.94 County Cert#: Q=0 f®a Business Name: d C4iC r &C4WS Phone Lkol - 'R A Fax 41 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 QUALIFIERS/OWNERS NAME N 7 URE OF QUALIFIER/OWNER STATE OF FLORID , COUNTY OF ACKNOW11 E QED BEFORE ME THIS 2�)_ DAY OF WHO 1s ONALLY K OWN ME OR WHO HAS PRODUCED i AS if DD Er Niq T if F IC ATION. t e*l (seal) V16NNA EOF NOTARY TYPE OR PRINTNAME OF NOTARY Nl I;I.iC COMMISSION NUMBER LO RIE A. GERSTEMEIER MY OOb1MISSION # 00 514317 St. Lucie County Specialty Permit Application rev. 8/25/05 dmg EXPIRES'. February 14, 2010 } it Eon;Ted Thn� Notary Public undsn+'n19rs i RS-4 RU RS-4 RU RS-4 RU RS-4 RU RS-4 RU 34982 Ft Pierce RS-4 RU BARTOW ST 19 5905 250 Code Compliance Division 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-2172 Fax: (772) 462-6443 http://www.stiucieco.org/public—works/permitting.htm http://airs.slcfl.vetrol.com/AIRSweb.php BUILDING PERMIT Issued: 01/20/2010 Conf #: 743 Permit #: SLC- 1001-0174 Job Location: 5905 BALSAM DR City: FORT PIERCE Permit Type: Electrical Job Description: MISC ELECTRICAL CLEAN UP TO RESTORE POWER (FPL) Subdiv: Indian River Estates Unit 9 Lot: 19 Block: 87 Parcel: 3402-610-0515-000/9 Setbacks Left: Right: Front: Rear: Zoning: RS-4 Number of Units: 1.00 Floors: 1 Buildings: 1 Square Footage: 0.00 Minimum Floor Elevation: Flood Map: Flood Zone: Elev: Page 1 Contractor MATULA JAMES E JAMES E MATULA ELECTRICAL CON- (772) 461-8328 1010 W MIDWAY RD FT PIERCE, FL 34982 Property Owner NATIONAL CITY BANK (772) 828-2566 % NATIONAL CITY MORGAGE MIAMISBURG, OH 45342 Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code including those for all electric, plumbing, mechanical, roofing and structural work. Further, he/she acknowledges responsibility to comply with all requirements of the 2007 Florida Building Code and the St Lucie County Land Development Code. Issuance of this permit may be appealed to the St Lucie County Board of Adjustment by an aggrieved party by filing a notice of appeal with the St Lucie County Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St Lucie County Land Development Code, Section 11.11.00., Appeals. Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.01 (A)(2). NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. s:553.79(10), F.S. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s:713.135 (1)(a), F.S. Christopher Lestrange Building Official Date Property Appraiser - St.Lucie Countv- FL Page 1 of 1 PROPERTY RECORD CARD National City Bank Record: 1 of 1 Prev Next r> Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification Site Address: 5905 Balsam Dr ParcellD: 3402-610-0515-000-9 G2 Sec/Town/Range: 12 :36S :40E Account #: 38621 Map ID: 34/12S Land Use: SF Res Zoning: RS-4 City/Cnty St Lucie County AIJ4A Ownership and Mailing Legal Description Owner: National City Bank INDIAN RIVER ESTATES-UNIT-09- BLK 87 LOT 19 (MAP 34/12S) (OR Address % National City Mortgage 3152-868) 3232 Newmark Dr Miamisburg OH 45342 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final 57300 Land Value: 20000 Acres 0.3 11/24/2009 100 0112 CT 3152 / 0868 Assessed: 57300 Building Value 37300 6/16/2003 10500 01 QC 1739 / 1991 Ag.Credit 0 Finished Area 990 SgFt 3/28/1994 11100 01 QC 0902 / 2565 Exempt: 1/1/1978 33000 00 CV 0281 / 1431 Taxable: 5/1 /1976 2300 00 CV 0252 / 1638 Taxes: 1120.59 BUILDING INFORMATION Efl IMM lb) CVM D I�1 Exterior Features View: RoofCover SD - Dim Shingle ExtType: HC- - HC- YearBlt: 1977 Grade: C- - C- EffYrBlt: 1977 StoryHght 0010 - 1 Story No.Units: 1 Interior Features BedRooms: 2 Electric: MX - MAXIMUM FullBath 1 HeatType FHA - FrcdHotAir 1/26ath: 1 HeatFuel: ELEC - Electric %A/C 100 %Heated: 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qua]. Cond YrBlt. No. Land Use DWC - Driv-Concret Y 1 500 AV AV 1977 1 0100-SF Res FNW6 - WOOD FEN 6' Y 1 120 AV AV 1999 RoofStrucL HP - Hip Frame: PrimeWall: WS - Wood/Sheath SecWall. PrrnlntWall DW - Drywall AvgHt/FI Prm Flors, CU - Carpet %Sprinkled: 0 Type Measure Depth 215 -Front Ft 105 125 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?prclid=340261005150009 1 /20/2010