HomeMy WebLinkAboutSUBMITTED PAPERS�(
. 1
Date: I Fee Due:
Permit #
0-i� f
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave. s
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical dPlumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: Q 6 b / HOP)D W
2. Parcel ID Number: 14 32. E62b 16 1
Township
Range
Map Page
Zoning
Land Use
Initials
Office Use
Section
Only
`
Llr�n7!
.
3. Complete Description of Project or Work: CbAIVG6 Cat fT i lam T 46 %9"Y J
J elm . 7�� 1 YU�S rl7 F LIT VU Fi e S 1nfm-
4. owners Information 5. Contractors Information
Name: J Q ]� �Q� FL Reg/Cert #: % 71 f
Address: of ,�7ans(3l [ Y. � County Cert#:
City: qBegf-e-
State: FLU Business Name:
P Pcnc- a l L/TJr 5 �c h
zip: `�� Q qg_ Phone•772- 33 -' �) 3 Phone: 14C-11a60 Fax: -7'n -4/lo $ dy/ 3
Gc g7415
, 6. Value of Construction: $
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 constructionandzoning.
i C,o�3t� I'a 1.1 5 nip
PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF _Q�_t_y!f4C-j:
ACKNOWLEDGED BEFORE ME THIS DAY OF , 20LX_ BY�g/
WHO IS PERSON�ALLY KNOWN TOM
AS IDENTIFICATION. _
_ (-[ KOL 4!V✓U 1-4
TYPE OR PRINT NAME OF NOT
COMNIISSIONNUMBER % 7�
C�MgL ANN PEARS
MY COMMISSION # DD959585
EXPIRES March 01, 2014
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 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 BEFORERECORDING 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 1 Attach 2 piping schematics with tan k•size,location, and BTU of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, Tanchor 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,
FI 3;4982.•All-permit applications must be filled out completely before submission. No applications will be
S
i4, ., ;accepted for^proces n -after 4:30 P.M. For assistance in completing this application, please call 772
462 ,1,553, during re. g� larF ' ffice hours (8:00 AM - 5:00 PM), Monday through Friday.
NOTE: Emergency'-elecirc 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) 462-1.261.
Property Appraiser - St.Lucie Cn»nty, FL
Page 1 of 1
PROPERTY RECORD
CARD
Elaine Quadrel
Record: 1 of 1
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
\,UCIE CO
Site Address:
5840 Dream Ct 34C
ParcellD:
3410-507-0135-000-9
Sec/Town/Range:
10 :36S :40E
Account #: 40438
Map ID:
34/10A
Land Use:
Condo
Zoning:
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner:
Elaine Quadrel
THE GROVE CONDOMINIUM -SECTION ONE- UNIT 34C (OR 3133-
Address:
433 Danbury Ln
206)
East Brunswick NJ 08816
Sales Information
Assessment 2011 Final Total Land and Building
Date
Price Code Deed
Book/Page
2011 Final: 41800 Land Value: 0 Acres: 0.02
9/30/2009
43500 0001 WD
3133 / 0206
Assessed: 41800 Building Value: 41800
7/7/2004
75000 00 WD
2013 / 1510
Ag.Credit: 0 Finished Area: 1100 SgFt
5/24/2002
59000 00 WD
1534 / 2623
Exempt:
5/2/1994
46500 00 WD
0898 / 1314
Taxable:
3/1 /1983
49900 00 CV
0396 / 2256
Taxes: 850.44
11/1/1982
79700 01 CV
0396 / 2016
BUILDING INFORMATION
0
Exterior Features
0010
View: - RoofCover. -
Base
ExtType: X055 - GroveConSec1 YearBlt: 1983
Grade: XGC - GroveCondC EffYrBlt: 1983
StoryHght: 0010 - 1 Story No.Units: 1
Interior Features
RoofStruct: -
Frame: -
PrimeWall: BS - CB Stucco
SecWall: -
BedRooms: 0
Electric: -
PrmintWall:
FullBath: 0
HeatType: -
AvgHt/FI:
STD
1/213ath: 0
HeatFuel: -
Prm.Flors:
-
%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
Measure Depth
1 0400-Condo
N -Unit
0 0
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?prelid=341050701350009 2/3/2012
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