HomeMy WebLinkAboutSUBMITTED PAPERSFee Due: �, Receipt# , Permit # �� . y-
ZOUNTY t
F L O R I D A
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
SC NNEO
St. LuCte COUnf
Y
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC � Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: .717 D 5 Z.C,-kQ ( a4IJ 1 v J El. Pttaf-; c' j
2. Parcel ID Number:
3.
U/Jire Use
Only
Section
Township
Range
Map Page
Zoning
an Use
Initials
of Project or Work:
4. Owners Information %,,� 5. Contractors Information
Name: t f'i�A� / 4el FL Reg/Cert #: L-9e— 1 Sl 4/67
Address: -7705 � k-W CL4 P 1 U County Cert#: p< j71� 7
City: I'�, P(eV-Ce State: Business Name: 1J (pT61P/i(f/
Zip: 9 5 I Phone: �•Zg 7 � Phone• ?�7 I(.- yY-76 Fax: 7?� " �c 7 -135�
2
6. Value of Construction: $
aq00 00
OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
compl' cc witall applicable laws regul g cor structi zoning.
P O ER OR ONTRAC OR NAME - SIGNAT O R OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20,, BY
G1:9 n C
WHO IS PERSONALLY OWN O ME OR WHO HAS PRODUCED _ o
co�
AS n
TIFICATION.
-m o
SIG O OT Y YPE OR PRINT N OF o NOTARY ro $
`11� 3
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 MA ?SULT 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.
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CERTIFICATE QFCLERKcFc1RCUITCgURT
STATE OF FLORIDA
COUNTY OFST. LLG/E
i CLERK Of CIRCUIT COURT OF Sr. LIVE COUNTY
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RAT OF LAKE*COO PARK UNIT 6 AND 7,,;AT TT CONPUES IN
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STATE OF FLORIDA
COUNTY OF INDIAN RIVER
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FILE COPY
Property Appraiser - St.Lucie C--•—ty, FL
Page 1 of 1
PROPERTY RECORD CARD
Tiffany M Adderley
Record: 1 of 1
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Property Identification
Site Address:
Sec/Town/Range:
7705 LAKELAND BV
02 :34S :39E
ParcellD: 1301-606-0167-000-5 \\XIE��G2
Account #: 1563 �� lk*
Map ID:
13/02S
Land Use: SF Res QQ��,,
Zoning:
RS-4
CitylCnty:
St Lucie County 4'�
Ownership and Mailing
Legal Description
Owner:
Tiffany M Adderley
LAKEWOOD PARK -UNIT 6- BLK 66 LOT8 (MAP 13/02S) (OR 3168-
Address:
7705 Lakeland Blvd
1681)
Fort Pierce FL 34951-1437
Sales Information
Assessment 2011 Final Total Land and Building
Date Price Code Deed
Book/Page
2011 Final: 86800 Land Value: 5800 Acres: 0.27
1/22/2010
95000 0001 WD
3168 / 1681
Assessed: 86800 Building Value: 81000
2/20/2004
24000 00 WD
1908 / 0230
Ag.Credit: 0 Finished Area: 1589 SgFt
11/25/2003
15000 00 WD
1853 / 2776
Exempt: 50000
7/19/2003
100 01 QC
1767 / 1856
Taxable: 36800
7/17/2003
6500 00 TR
1767 / 1857
Taxes 945.67
10/1/1982
6000 00 CV
0386 / 0564
BUILDING INFORMATION
Exterior Features
View:
RoofCover:
SD - Dim Shingle
RoofStruct:
HP - Hip
ExtType:
HC - HC
YearBlt:
2004
Frame:
Grade
C - C
EffYrBlt:
2004
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
AvgHUFI:
1/2Bath:
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.
YrBlt. No. Land Use
Type
Measure Depth
DWC - Driv-Concret
Y 1 765
AV AV
2003 1 0100-SF Res
BI -Front Ft
90 131
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
littp://www.pasic.org/prc.asp?prclid=130160601670005
2/13/2012