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HomeMy WebLinkAboutSUBMITTED PAPERSDate• �- Fee Du,I' Receipt# Permit # �3 Planning & Development Services Building & Code Regulations Division S 2300 Virginia Ave. SC Fort Pierce, FL 34982 N N E (772)462-1553 S't SPECIALTY PERMIT APPLICATION Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits y 1. Location/Site Address: '&1,70 J S ,jn rt se fJ / V /D )"7— */), fi-e ­e G�a 2. Parcel ID Number: �� �/ ' �G 67 `� _ 0O6 ! .4-5 Office ti.se Only Section Township Range Map Page Zoning Land Use Initials I- 3. C mplete Description of Project or Work: DO�y / C-jo Se, J-FIg6 44b 4 X e-,C) t)ocJS��f, I%,e�eis�oC�/C "9- 7izi 4. Owners Information 5. Contractors Information S Name: t/�(�( "Ll I f}� l �— FL Reg/Cert #: ©o L��� N Address: y7Q� �l t S� D I County Cert#: c20 5 / City: �1-�C C �- Stater Business Name: 4/L--- h714 11_�1U.-tC) G Zip: -3 q6)9d L Phone: 6. Value of Construction: $ f% Phone: §d 91`-qCr7 Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained ' is application is correct and that all work will be done in compliance with all applicable laws regulatin construction and zo ' g. PRINT OWNER OR CONTRACTOR N �p SI \ A OF OWNE OR CON RACTOR STATE OF FLORIDA, COUNTY OF ` p !, ACKNOWLEDGED BEFORE ME THIS � DAY OF , 20�, BY (`i l� �G l�" N e lt . WHO IS PERSONALLY TO ME OR WHO HAS PRODUCED AS IDE IF(CATION. rLJ 4ku SIGNATURE OF O TYPE OR PRINT NAME OF NO ARY 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'OBT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CQI IME IM1111INSINUMPNREY EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00 MY COMMISSION # EE 061159 TS EXPIRES- March 6, 2015 Revised 04/26/2010 ' ' ,rinded Thru Notary Public Underwrite NOTICE TO OWNER: FAILURE TO _-_ORD A NOTICE OF GOMMENCEMENT MAY LILT 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.Lucie rn>>nty, FL Laura R Sivalia Record: 1 of 2 Property Identification .5;,. Site Address: 4700 SUNRISE BV Sec/Town/Range: 04 :36S :40E Map ID: 34/04N Zoning: RS-3 Ownership and Mailing Page 1 of 1 PROPERTY RECORD CARD <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Parceli D: 3404-501-0622-000-3 � VUCIE C0G2 Account #: 39848 y� Land Use: SF Res " City/Cnty: St Lucie County �• Legal Description Owner: Laura R Sivalia Francis D Sivalia Jr WHITE CITY N 233 FT OF W 150 FT OF OUTLOT 17 AND N 233 FT Address: 4700 Sunrise Blvd OF OUTLOT 20 AND S 1/2 OF VAC SILVIA ST (3 Fort Pierce FL 34982-4151 More... Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 191700 Land Value: 97700 Acres: 3.74 9/17/2004 61200 01 QC 2070 / 2535 Assessed: 155486 Building Value 94000 9/5/2001 150000 00 WD 1432 / 0628 Ag.Credit: 0 Finished Area. 2272 SgFt 8/14/2001 100 01 QC 1432 / 0605 Exempt: 50000 12/5/2000 100 01 PR 1350 / 2124 Taxable: 105486 8/14/2000 100 04 QC 1347 / 1584 Taxes 2343.14 1/1/1900 0 / BUILDING INFORMATION vvC tnl7 reiX t�J ✓a f mlt � file ie x leis f � t! DIM Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType: HC+ - HC+ YearBlt: 1930 Frame Grade: C+ - C+ EffYrBlt: 1965 PrimeWall: SB - Abs Shingle StoryHght: 0020 - 2 Story No.Units: 1 SecWall: Interior Features BedRooms 4 Electric: MX - MAXIMUM PrmintWall: DW - Drywall FullBath: 2 HeatType: - AvgHUFI: 1/2Bath: 0 HeatFuel: - Prm.Flors: DP - Double Pine %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 FNA4 - Alumn Fen 4' Y 1 198 AV AV 2005 1 0100-SF Res 213 -Front Ft 253 150 SWAY - RES POOL AVG Y 1 260 AV AV 2005 2 0100-SF Res 520 -Acres 2.87 PA01 - POOL DK-AVG Y 1 318 AV AV 2005 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=340450106220003 2/10/2012