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HomeMy WebLinkAboutSUBMITTED PAPERSDate: J z / ifi3 / 11 I Fee Due: I Receipt# 6 -7!SU j� (c 0k, _ �e Planning & Development Services J' - Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SCANNE© BY St. LuC1e County SPECIALTY PERMIT APPLICATION .Electrical ❑ Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page l for instructions and additional paperwork required for specialty permits 1. Location/Site Address: -7 Sa o A 1< � j ILq' , 2. Parcel ID Number: 3 q 19 So 1 - n o 7 G - goo - `7 0(,9ce fJse Only Section Township Range Map Page Zoning Land Use Initials -3&S 1 I Complete Description of Project or Work: R to , A , , rt E- ,v 6 w A ti /2 1 a 11 iZ CL (i tV tJ i.(::\ t O (fit L_Y / 4. Owners Information 5. Contractors Information Name: \Cz F >j N rs, L D Oe cRY FL Reg/Cert #: Address: > L L C'i:- i A nti c. P a 'av E City: Qn,,-��i State: rL Zip: 3 .q g s Z Phone: 6. Value of Construction: $ `ann _ ��� Rv-P►t\cL County Cert#: o00Z3`11 l q-�- 7-y- Business Name: �l` py2.oq Cn R s tt 1�-y� ` Z►Jc_ Phone 7) OB-11 -Lou Fak- 71 Z) 6--),3 -4J f7 OWNERS AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliangewith all app cable laws regulating construction and zoning. Sram,�s MA2�rk.t>~ anzs,o:�,�- PRINT OWNER OR CONTRACTOR NAME SIGN OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS t::?; ey DAY OF D&C • 20 BY �7 J WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED f7) AS TIFICATION. SIGNATURE OF NqTARY TYPE OR PRINTAAAE OF NOTARY COMMISSION NUMBER (seal) 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 ON iN" ', r TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'I'YC9' FAMW9 PHfiEY y� ., . EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER S7500.00 '.' pqY COMMISSION # EE 061159 us € EXPIrAES: March 6, 2015 Revised 04/26/2010 -' 0or ied Thru Notary Public Unda writers o %'I ``_---- t.aF A4 NOTICE TO OWNER: FAILURE i ECORD A NOTICE OF COMMENCEMENT W ;SULT IN YOUR PAYING TWICE FOR DOROVEMENTS TO YOUR PROPERTY. IF YOU INTEND -10 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WTIN 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 infonmation 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 ❑ FIVAC 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 County, FL Page 1 of 1 PROPERTY RECORD CARD Reynald Dery Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification V1CIE FOoy� Site Address: 750 OAK ST ParcellD: 3419-501-0079-000-7 Sec/Town/Range: 22 :36S :40E Account #: 41694 < Map ID: Land Use: SF Res RS-4 Zoning: RS-4 City/Cnty: St Lucie County -C;k Ownership and Mailing Legal Description Owner: Reynald Dery RIVER PARK -UNIT 1 BILK 8 LOT 8 (MAP 34/22S) (OR 2567-2928) Address: 126 Belanger Ave Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 61400 Land Value: 10700 Acres: 0.29 4/26/2006 185000 00 WD 2567 / 2928 Assessed: 61400 Building Value: 50700 2/15/2006 100 01 DE 2567/2926 Ag.Credit: 0 Finished Area: 1566 SgFt 1/1/1900 0 / Exempt: Taxable: Taxes: 1249.22 BUILDING INFORMATION Exterior Features View: - RoofCover: TG - Tar & Gravel RoofStruct: HP - Hip ExtType: HD+ - HD+ Yea(Blt: 1967 Frame: - Grade: D+ - D+ EffYrBlt: 1977 PrimeWall: BS - CB Stucco StoryHght: 0010 -1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmintWall: PF - PF FullBath: 1 HeatType: FHA - FrcdHotAir AvgHUFI: STD 1/28ath: 1 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 SWAY - RES POOL AVG Y 1 512 AV AV 1977 1 0100-SF Res 215 -Front Ft 110.4 PAO1 - POOL DK-AVG Y 1 944 AV AV 1977 2CHT - 2CHT S 1 1 AV AV 1977 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 C) 3 Depth 115 http://www.paslc.org/prc.asp?prclid=341950100790007 12/22/2011