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SUBMITTED PAPERS
r Date_ )—I? Fee Due: 0 Receipt# Permit # 116 Z -ZOO Planning & Development Services - ! J Building & Code Regulations Division SCA 2300 Virginia Ave. NNED Fort Pierce, FL 34982 By (772)462-1553Gj@ COUnt Y SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing HV ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: (2"? + A G �S�ES �LL) a 2. Parcel ID Number: �(7 C� '�' '-5(? 1 00 F" A d U 0 Only Section Township Range Map Page Zoning an Use Initials 3. Complete Descri tion of Project or W°�k: ` L14F /<G- (% t T W (V G.) IIV/J— S U 3 6 1-4 1 14, U S • �-- L- 4. Owners Information 5. Contractors Information Name: �� f rr C S o�J Cl <4, P- FL Reg/Cert #: CA Cy I Address: "� NESS(,LS Y�-�v2 County Cert#: (p ?/ City: �L�S�� jCi1� State: L Business Name: �xy Q- 6''I63y /I C •�C Zip: � � � 5 � Phone: -�q a- © a-- C7 iJ Phone: 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 an zo7in r �CI4� L- AR5 PRINT QWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF _i[a �% K ACKNOWLEDGED BEFORE ME THIS 3 DAY OF 20�BY let C� or dT WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED F L i) SIGNATURE OF NOTARY TYPE OR PRINT NA OF NOTARY ; COMMISSION NUMBER 4 @'MILONE MY OO ON # DD 852587 EXPIRES: March 22, 2013 Bonded Thru Notary Public Underwriters 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 T_ _ CORD A NOTICE OF COMMENCEMENT MA iSULT 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.Lucle County, VL PROPERTY RECORD CARD Nettles 2079 LLC Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �\'VCIE Site Address: 2079 NETTLES BV ParcellD: 4502-501-0082-000-9 a��G,y Sec/Town/Range: 02 :37S :41 E Account #: 119682 y ; -4 Map ID: 45/02B Land Use: Mob Homes Zoning: HIRD City/Cnty: St Lucie County ',k �7����7JJJJJJ��� Ownership and Mailing Legal Description Owner: Nettles 2079 LLC NETTLES ISLAND INC, A CONDO -SECTION I PARCEL 79H AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3298-325) Address: 55 Nettles Blvd Jensen Beach FL 34957-3301 Sales Information Assessment 2011 Final Total Land and Budding Date Price Code C;:c;d Book/Page 2011 Final: 63300 Land Value: 46000 Acres: 0.06 5/20/2011 75000 0001 WD 3298 / 0325 Assessed: 53854 Building Value: 17300 2/1/1977 8500 00 CV 0264 / 2571 Ag.Credit: 0 Finished Area: 801 SgFt Exempt: 53854 Taxable: 0 Taxes: 312.16 nni Exterior Features View: ExtType: MHH - MHH Grade: PKMB - PKMB StoryHght: 0010 - 1 Story Interior Features BedRooms: 0 FullBath: 0 1 /2 Bath: 0 %A/C: 100 Special Features and Yard Items Type Y/S Qty. Units BUILDING INFORMATION RoofCover: - RoofStruct: YearBlt: 1988 Frame: EffYrBtt: 1986 PrimeWall: No.Units: 1 SecWall: Electric: - PrmintWall: HeatType: FHA - FrcdHotAir AvgHUFI: HeatFuel: ELEC - Electric Prm.Flors: - %Heated: 100 %Sprinkled: 0 Land Information Qual. Cond. YrBtt. No. Land Use Type Measure Depth 1 0200-Mob Homes BI -Unit 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http-Hwww.paslc.org/prc.asp9prclid=450250100820009 2/3/2012