HomeMy WebLinkAboutSUBMITTED PAPERSDate:.Q. .2 Fee Due V_ V • Receipt# Permit #
�a0� •01-3 Planning & Development Services 7
Building & Code Regulations Division S
2300 Virginia Ave. QI�/VF
- Fort Pierce, FL 34982 St. 8y
(772)462-1553�UCie County
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing * RVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:
2. Parcel ID Number: 3 H V 2- : � 0 ()`" - 0)-C)n - oa-% O
3. C
4.
Township
Range
Map Page
Zoning
Land Use
Initials
OfFie flsc
Section
Only
j
Y��t'
Owners Information 5. Contractors Information
Name: M 101r Ulf" U-k
Address: yJ(�� -(SU �tlQ(✓,
City: �f- �t. l LIGIQ, State: Ebrida--
Zip: , 3`t0 �"( C Phone: I 1?1) - 0J13
6. Value of Construction: $ z2 75, Do
OWNERS AFFIDAVIT: I certify that all of the information con
—� ncompliance with all applicable laws re
PRINT OWNER OR CONTRACTOR NAME
FL Reg/Cert #: RE w l� 0 `7 1
County Cert#: y L4 a 0
Business Name: Carl rf1QS P(h fYt l I
Phone: HUI- S-)/ ( Fag: y(-Ql -4'7�9
applicQtia co cthat all work will be done in
truction and Q. , '0
STATE OF FLORIDA, COUNTY OF St Lott' -�'
ACKNOWLEDGED BEFORE ME THIS DAY OF 1 20� BY rJCtmCS
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCE
CS IF CATION.
"I N o°pe rJoiary Public State of Florida
�; K*dp M Costigan
SI ATURE F NOT Y E OR P NAME OF NOTAR av My Commission DD767748
Expires 05/09/2012
COMMISSION NUMBER_ 1,/1 r I 1 L7 II
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 S7500.00
Revised 04/26/2010
Date:
ee Due:
COUNTY
F L 0 R.
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing * HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 1 foJrJin�structioo^ns and additionalpaperwork required for Specially permits
1. Location/Site Address:
2. Parcel ID Number:
Township
Range
Map I's
ing
Load Use
Initlab
Cif F Cc' Us a SPC b
-:A--
Only
_
3. (
4. owners` information S. Contractors Information
Name: FL Reg/Cert W j 20 -7 f ^`
Address: (� ` Cr�iSU r-_{LQ, County Cert#: i-� L4 Q L,Q
City: T�-� U.C,Q State: r/�j Business Name: t,�rlCf1Q5 P nn J, 41� _
Zip: 340 tL f: Phone: l w)- a.513 Phone: HUI—S71 f, Fax: i_Q — -7-J-Q
6. Value of Construction: S t" %_ , C9
OWNER'S AMDAVIT: 1 certify that all of the information containe m is appiic f�.(3 that all work will be done in
compliance with all applicable IaWS regal nstruction and g
PRINT OWNER OR CONTRACTOR NAME AT OF OWNSR NTRAC R
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OR �' 1 20L- BY
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCE
S IF CATION.
Notary Fub!ic State of Florida
Kpj�ffp Oh Costlgan
Si ATURE I= NOT Y ( � G T E OR P NAME OF NOTAR a < Ply Cbmnussion DD767748
MTI--�--�.� � Expite5 05109/2012
CONL�USSION NUER
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCE-MENT MAY RESULT LTV YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR #ROPERTY. IF YOU INTEND TO OBTAIN FTNANCIVG, CONSULT WITH YOUR
LENDER OR AN ATTORNEY WORE RECORDING YOUR NOTICE OF COMMENCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER 57500-00
Revised 04126/20I0
d/j:abed 8)-ST29b:ol 9d 2 9NIid3H SdWIiJS:WOJd 6T:SZ 2T02-0l-33d
Property Appraiser - St.Lucie County FL Page 1 of 1
<r'
PROPERTY RECORD CARD
Virginia Darby JR)
Record: 1 of 2
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
\,k�CIE CO
Site Address:
409 Easy St
ParcellD:
3402-603-0206-000-8
Sec/Town/Range:
11 :36S :40E
Account #: 36708
Map I
Land Use:
SF Res
Zoning:g:
RS-3 RS-3
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner:
Virginia Darby JR)
INDIAN RIVER ESTATES -UNIT 02- BLK 13 E 1/2 OF LOT 16 AND ALL
Address:
409 Easy St
LOT17 (MAP 34/11S) (OR 3351-1175)
Port St Lucie FL 34986
Sales Information
Assessment 2011 Final Total Land and Building
Date Price
Code Deed
Book/Page
2011 Final: 142000 Land Value: 20500 Acres: 0.66
11/28/2011
100 0311 QC
3351 / 1175
Assessed: 142000 Building Value: 121500
11/21/2011
77500 0312 SP
3342 / 1084
Ag.Credit: 0 Finished Area 2450 SgFt
3/1/2011
100 0312 CT
3274 / 2707
Exempt: 50000
8/5/1996
100 01 WD
1030 / 1258
Taxable: 92000
Taxes: 2068.75
BUILDING INFORMATION
Exterior Features
View:
RoofCover.
SD - Dim Shingle
RoofStruct:
GA - Gable
ExtType: HC - HC
YearBlt:
1977
Frame:
Grade: C - C
EffYrBlt:
1977
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:
1/213ath: 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
SWAV - RES POOL AVG Y
1
480
AV
AV
1977
1 0100-SF Res
BI -Front Ft
99 290
PA01 - POOL DK-AVG Y
1
1270
AV
AV
1977
DWC - Driv-Concret Y
1
720
AV
AV
1977
FEN4 - CHAINLINK 4' Y
1
260
AV
AV
1977
FNW6 - WOOD FEN 6' Y
1
400
AV
AV
1994
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=340260302060008 2/10/2012 ;.;
Property Appraiser - St.Lucie r-linty, FL
Page 1 of 1
PROPERTY RECORD CARD
Virginia Darby (TR)
Record: 1 of 2
<<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
�yOCIEC0
Site Address:
409 Easy St
ParcellD:
3402-603-0206-000-8 Gyp
Sec/Town/Range:
11 :36S :40E
y�
Account #: 36708
Map ID
34/11S
Land Use:
SF Res "
Zoning:
RS-3
City/Cnty:
St Lucie County
Ownership and Mailing
Legal Description
Owner:
Virginia Darby JR)
INDIAN RIVER ESTATES -UNIT 02- BLK 13 E 1/2 OF LOT 16 AND ALL
Address:
409 Easy St
LOT17 (MAP 34/11S) (OR 3351-1175)
Port St Lucie FL 34986
Sales Information
Assessment 2011 Final Total Land and Building
Date Price
Code Deed
Book/Page
2011 Final: 142000 Land Value: 20500 Acres: 0.66 ,
11/28/2011
100 0311 QC
3351 / 1175
Assessed: 142000 Building Value: 121500
11/21/2011
77500 0312 SP
3342 / 1084
Ag.Credit: 0 Finished Area: 2450 SgFt
3/1/2011
100 0312 CT
3274 / 2707
Exempt: 50000
8/5/1996
100 01 WD
1030 / 1258
Taxable: 92000
Taxes: 2068.75
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
ExtType:
HC - HC
YearBlt:
Grade:
C - C
EffYrBlt:
StoryHght:
0010 - 1 Story
No.Units:
Interior Features
BedRooms:
3
Electric:
FullBath:
2
HeatType:
1/26ath:
0
HeatFuel:
%A/C:
100
%Heated:
Special Features and Yard
Items
Type
Y/S City
Units Qual Cond
YrBIt.
SWAV - RES POOL AVG Y 1
480
AV
AV
1977
PA01 - POOL DK-AVG
Y 1
1270 AV
AV
1977
DWC - Driv-Concret
Y 1
720
AV
AV
1977
FEN4 - CHAINLINK 4'
Y 1
260
AV
AV
1977
FNW6 - WOOD FEN 6'
Y 1
400
AV
AV
1994
SD - Dim Shingle
RoofStruct:
GA - Gable
1977
Frame:
1977
PrimeWall:
BS - CB Stucco
1
SecWall:
MX - MAXIMUM
PrmintWall:
DW - Drywall
FHA - FrcdHotAir
AvgHUFI:
ELEC - Electric
Prm.Flors:
CU - Carpet
100
%Sprinkled:
0
Land Information
No. Land Use
Type
Measure Depth
1 0100-SF Res
BI -Front Ft
99 290
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?prcIid=340260302060008 2/28/2012