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Home My WebLink AboutSUBMITTED PAPERSDate: - a JFeeDuc 3 q. dd I Receipt# 53 9,3 Permit # Planning & Development Services S - J = Building & Code Regulations Division 8Cq r 2300 Virginia Ave. - Fort Pierce, FL 34982 5't j (772)462-1553 re C��nty SPECIALTY PERMIT APPLICATION r ❑ Electrical ❑ Plumbing ❑ RVAC ❑ Fence ❑ Shed demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Addrt 2. Parcel ID Number: 011ke Use Only Section Township Range Map Page Zoning Land Use I itial ' 3. Complete Description of Project or Work: Q c 4. Owners Information es r G 1 5. Contractors Information Name: ` t FL Reg/Cert #: Address: 12 D 7 1 -foil X(2 &,/ (/0' County Cert#: A Z l� City: / �.� ✓ e cam. State: /- Business Name: Zip: �/A � Phone: *2-7 9 Phone:28%6550 Fax: 2,q,7 S ,g 9 y 6. Value of Construction: $ M1 2 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 and zoning. RINT OWNER OR CONTRACTOR NAME n SIGNATURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 20 I Q, BY 1 1Q `�St WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED L... I 1 aC Z-i - O A ENTIFICATION. Y ANGEIA M. HUFF 4h 'l4F� SIGNATURE OF OT Y TYPE OR P T N F NOTARY ��a M�j(�April 12, 201 b ReV.,d Bonded Thru Notary Puolic Underw ite(s 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 T ;CORD A NOTICE OF COMMENCEMENT MP :SULT IN YOUR PAYING TWICE FOR IMPROVEM4NiS TO YOUR PROPERTY. IF YOU INTEND iv 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. Planning & Development Services Building & Code Regulation Division Permitting Department ASBESTOS NOTICE 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Asbestos Notice To Contractor 02/09/2012 COASTAL CONSTRUCTION CO HOUK THEODORE CHARLES 1660 DYER POINT RD PALM CITY, FL 34990 RE: Building Permit Numbe 1202-0102 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of any intentions to remove asbestos, when applicable, in accordance with state and federal law. Signature 7 � � Date Property Appraiser - St.Lucie f --ity, FL Page 1 110,109 T PROPERTY RECORD CARD Michael Farrell Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �y�CIE CO Site Address: 12069 S INDIAN RIVER DR ParcellD: 4504-602-0009-000-0 Sec/Town/Range: 04 :37S :41 E Account #: 122578 y�G�< Map ID: Land Use: SF Res RE-2 Zoning: RE-2 CitylCnty: St Lucie County Ownership and Mailing Legal Description Owner: Michael Farrell Lesley K Farrell FEE'S S/D SLY 134 FT OF NLY 149 FT OF LOT 10-WITH RIP RTS- Address: 12069 S Indian River Dr (OR 3312-2038) Jensen Beach FL 34957-2209 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 361500 Land Value: 223800 Acres: 1.45 7/19/2011 439000 0001 WD 3312 / 2038 Assessed: 251629 Building Value 137700 1/24/2000 215000 00 WD 1275 / 0805 Ag.Credit: 0 Finished Area 3011 SgFt 12/1/1986 13700 01 CV 0525 / 1456 Exempt: 50000 6/1/1977 28800 00 CV 0270 / 1778 Taxable: 201629 Taxes: 4299.24 BUILDING INFORMATION Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC+ - HC+ YearBlt: 1982 Frame: Grade: C+ - C+ EffYrBlt: 1982 PrimeWall: BS - CB Stucco StoryHght: 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl: 1/26ath: 0 HeatFuel: ELEC - Electric Prm.Flors: CT - Tile -Ceramic %A/C: 100 %Heated: 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBIt. No. Land Use Type Measure Depth SWAY - RES POOL AVG Y 1 450 AV AV 2004 1 0100-SF Res 240 -Front Ft 134 500 SPA - SPA -HOT TUB Y 1 81 AV AV 1982 2 0100-SF Res 520 -Acres 1.45 PA02 - POOL DK-GOOD Y 1 1977 AV AV 2004 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=450460200090000 2/9/2012