HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: lUV- I Recei t# Permit # J o,),-C
SCANNED
Planning & Development Services BY
Building & Code Regulations Divisionf.
COUNTY 2300 Virginia Ave.
- Fort Pierce, FL 34982 IIVJJ,
1 (772)462-1553
• \�'00
I SPECIALTY PERMIT APPLICATION
❑ Electricar ❑ Plumbing ❑ HVAC 0 Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: f o Reac� AIJP_,
2. Parcel ID Number: h 1 - S 1n - cape 7- 000✓ O
t
Cram, ati,,�,a-
Ce
Uftica Use
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
�i
3. Complete Description of Project or Work:
C
� 1p fro �, �q S �,r•c.,-f ..
iS S i� 5 C cc./n inKC/�1�
fro.-) re c 1- c arnc, - `c4i
"f 6i0I3 S fcv`� +o Gdrn
4. Owners Information 5. Contractors Information
Name: (N o i^� Sc, FL Reg/Cert #:
Address: V b 1364
City: Pp r t 5't State: rC,
Zip: -3 iqg- Phone: 77d-607-qjq
6. Value of Construction: $ Leo
k+ t ; C-
g0104
County Cert#:GI
Business Name: A 6'Gc-{ (:7'c #NC z_
Phone: 7 21 @iad a ..)3 Fax: 7 7 a U b 8-0 a-1 c-,�
OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and at all work will be done
(� n compliance with all applicable laws regulating cons ction and z ' g.
PRINT OWNER OR CONTRACT NAME*RODUCED
ATURE OF OWNER OR CONTRACT
STATE OF FLORIDA, COUNTY OF y� ) n. I, pp�,
ACKNOWLEDGED BEFORE ME THIS O D20� BY �'1 l� ( (, k_ t
WHO IS PERSONALL OWN O ME OR W_
AS NTIFICATION.
SIGNATURE OFUDTARY TYPE OR PRINT NA7E OF NOTARY
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
ay, Jan 10, 2012 01:20 PM
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PC- rc e
S�1j-Slor0007-
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FILE COPY �er-J�- '\aoa- 0 0
t
Property Appraiser - St.Lucie C fty, FL
Page 1 of 1
Morissa Gustayson
Record: 1 of 1
Property Identification
Site Address:
629 Beach Ave
Sec/Town/Range:
22 :36S :40E
Map ID:
34/22N
Zoning:
RS4
Ownership and Mailing
Owner: Morissa Gustayson
Address: PO Box 8523
Port St Lucie FL 34985-8523
PROPERTY RECORD CARD
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Spec.Assmnt Taxes
Exemptions Permits Home Print
o,UCIE C0G2
Parcel) D:
3419-510-0007-000-0
Account #.
41753
y�
Land Use
SF Res
City/Cnty:
St Lucie County�C\�r/,�
Legal Description
RIVER PARK -UNIT 2- BLK 1 LOT 7 (MAP 34/22N) (OR 3086-1901)
Sales Information
Assessment 2011 Final
Total Land and Building
Date
Price
Code
Deed
Book/Page
2011 Final
40400
Land Value: 9800 Acres 0.26
4/24/2009
42000
0112
SP
3086 / 1901
Assessed:
40400
Building Value. 30600
4/24/2009
100
0112
QC
3086 / 1900
Ag.Credit:
0
Finished Area: 1298 SgFt
6/13/2008
100
01
CT
2997 / 0644
Exempt:
25500
4/2/2007
160000
00
WD
2797 / 0304
Taxable:
14900
3/20/2002
100
01
WD
1507 / 0626
Taxes
303.15
5/1,11973
32000
00
CV
0214 / 1141
BUILDING INFORMATION
f
Exterior Features
View:
RoofCover:
SA - Asph Shingle
RoofStruct:
HP - Hip
ExtType:
HD+ - HD+
YearBlt:
1973
Frame:
Grade:
D+ - D+
EffYrBlt:
1973
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FullBath:
2
HeatType:
FHA - FrcdHotAir
AvgHUFI:
STD
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled
0
Special Features and Yard Items
Land Information
Type
Y/S Qty.
Units Qual. Cond.
YrBlt. No. Land Use
Type
Measure Depth
3CFT - 3CFT
S 1
1 AV AV
1977 1 0100-SF Res
215 -Front Ft
89 126
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.
http://www. pas I c. org/prc. asp"prc I id=3 419 5 100007 0000 1 / 10/2012