HomeMy WebLinkAboutSUBMITTED PAPERS►a• .I
Date: Fee Due: • • Rmipt# _ Permit #
Planning & Development Services
Building & Code Regulations Division SC �IvEG
2300 Virginia Ave.
Fort Pierce, FL 34982 t. / Ucie
(772)462-1553 mor��7t�
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC ❑ Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instrucdons and additional paperwork required for specialty permits
1. Locadou/Site Address: '9103— '
2. Parcel ID Number:
Office Use
Only
Section
Township
Range
Map Page
Zoning
Laud Use
laitials
3. Complete Description of Project or Work:
/S .A i=-5_: `
4. Owners Information /► �`` 5. Contractors Information
Name: 1=1ci V�/V/�NJ C.O/YJ (.3`c��li—AL • FL Reg/Cert lk
Address: P/0 Titt County Cert#:its'
City: State: Business Name: OW(vol-i �tLf
Zip: Phone: Phone:
6. Value of Construction: S A20 We
OWNER'S 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 zan g.
PRINT OWNER OR CONTRACTOR NAME SIGNATURE OF OWNER OR CONTRACTOR
STATE OF FLORIDA, COUNTY OF &�- I UL 01 -4-- �}
ACKNOWLEDGED BEFORE NIE THIS _ DAY OF e' 20 1 BY ' v Sk-4—
WHO IS PERSONALLY KNOWN TO 14E ""OR WHO HAS PRODUCED
NOTARY PL'I3L?C-STATE OF FLORIDA
ENTIFICATION. ? _ v fcMillan
°A;-)D937820 ( )
SI A F NOTARYJ .ii� , ��y , TYPE OR PRII�+}ilviE OF NOTARY . N G CO., INC.
COMNUSSION NUMBER P.DG% 3 78 —2Z
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IINPROVEMENTS 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 S5,000.
NOTICE TO OWNER: FAILURE T" "?CORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
WROVEr S TO YOUR PROPERTY: IF YGU INTEND . OBTAIN FINANCING, CONSULT WITH
YOUR LENuza OR AN ATTORNEY BEFORE RECORDING YOL__ _ . JTICE 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 dame 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 fall 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.
ST. LUCIE COUNTY
BUILDING & ZONING DEPT.
=IRE DAMAGE REPORT
DATA: / a-- -,A I— l/
0 .-) N E' R : no 0; B µ he,
ADDRESS: 9[0,3V RCf
TENANT:
The above premises have been inspected by �j{%%4-�j��, Pj�,�d� •sw
and the following items must be done to
bring building up to code:
Plans Required
Electrical
Plumbing ?
•
Structural
A/C (� Other:
COMMENTS: i.2 C S�"A/�.�e.l �� 7►`�/i/a Gt1r�
&Y11 AeLd-Ifi,G RRojo
C O //d
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F 1. Po 1 c - 'F�" p *, j.1 her e!i /�e f-i4S
Tice ri Qy Ve, . Cv,70;w*x.. P9ftnv,t-t- J5 k►
Eec. 7'� 8e. )?d4L.i9U%6L (3tf?1o^.1q. y� 3•o P m - 1'2..-A5--11 .
BUILDING PERMIT NEEDED: '` "
Signed /C.
Title:
Property Appraiser - St.Lucie County, FL
Page 1 of 1
New Covenant Comm Church Inc Record: 1 of 1
Property Identification
Site Address: 8103 INDRIO RD
Secrrown/Range: 14 :34S :39E
Map ID: 13/14S
Zoning: I
PROPERTY RECORD CARD
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CIE
ParcellD: 1314-311-0003-000-3 � —G,
Account #: 5072 J
Land Use: CHRCHS
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner:
New Covenant Comm Church Inc
14 34 39 FROM NE COR OF N 1/2 OFNE 1/4 OF SW 1/4 RUN WLY
Address:
8103 Indrio Rd
ALG 1/4SEC LI 80 FT, TH S 00 DEG 12 MIN 22
Fort Pierce FL 34951-1609
More...
Sales Information
Assessment 2011 Final Total Land and Building
Date Price
Code Deed Book/Page
2011 Final: 557500 Land Value: 126100 Acres: 3.33
1/1/1988
0 01 CV 0574 / 2303
Assessed: 557500 Building Value: 431400
8/1/1987 100 01 CV 0556 / 0288
Ag.Credit: 0 Finished Area: 12724 SgFt
Exempt: 557500
Taxable: 0
Taxes: 0
BUILDING INFORMATION
1
1�1
osl ;
calVIIII6, a �.
1 4 _
i.
CIO
Exterior Features
View: - RoofCover: SD - Dim Shingle RoofStruct: GA - Gable
ExtType: CH3 - CH3 YearBlt: 1982 Frame:
Grade: Y_D+ - Commer D+ EffYrBlt: 1982 PrimeWall: BS - CB Stucco
StoryHght: 0010 - 1 Story No.Units: 1 SecWall:
Interior Features
BedRooms: 0 Electric: MX - MAXIMUM PrmintWall: DW - Drywall
FullBath: 0 HeatType: FHA - FrcdHotAir AvgHUFI:
1/2Bath: 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
CNC2 - CONCRETE LOW Y 1 11613 AV AV 1982 1 7100-CHRCHS 540 -Acres 4.85
LGT1 - SINGLE LIGHT Y 1 2 AV AV 1982
CURB - CEMENT CURB Y 1 96 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=131431100030003 12/19/2011