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Date: Due: Y(�7 0-< !COUNTY F L Q R I D A Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERMIT APPLICATION ❑ Electrical ❑ Plumbing i(RVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: �Sm RA R. pI C V CL r t 3 g q s 1 2. Parcel ID Number: I ,, C7 � Ln 13 0 3 9 b O 0 0' 9 S'Cq C 00 Office (Ise i Only K 3. Complete Description of Project or Work: ICE Ce c 1-C-M . lon O < t� 4. Owners Information 5. Contractors Information Name: F-Crkfl k / L 146 n FuIkni et' FL Reg/Cert #: I CACia1Sa Address: � 600 ,sekLsfiaiq f d County Cert#: a(a O S City: Foo I?iPrce State: f:L Business Name: r(OZen Assets ,SITil Zip: 311 S I Phone: 4 7 4- 9 5 �1 l P one. 5 7 -7 - 10$ Fax: 6. Value of Construction: $ 39 c DO OWNERS 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 regulat con cti and Jahn IOil�t©n PRINT OWNER OR CONTRACTOR NAME SIG>ArURE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS DAY OF 201L BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS DENTIFICATIO . AW& M.HUFF SlbTIVUE OF 0 TYPE OR PRINJ NAME OF NOTARY'_ _.. � MY COMMISSION A EE 083530 EXPIRES: April 12, 2015 COMMISSION MBER ? Rlh Bonded ThruNoteryPublic Underwritm 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: FAILL _, rO RECORD A NOTICE OF COMIv1ENCEMEN �Y RESULT IN YOUR PAYING TWICE 1`0,1t 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 Countv- FL r Page 1 of I PROPERTY RECORD CARD Frank L Fulknier Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification \,UCIE CO Site Address: 6500 Sebastian Road ParcellD: 1301-613-0390-000-9 Sec/Town/Range: 12 :34S :39E Account #: 131941 Map ID: 13/12N Land Use: SF Res Zoning: RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner: Frank L Fulknier Lillian R Fulknier LAKEWOOD PARK -UNIT 11- BLK 154 LOT 2 (MAP 13/12N) (OR 1000- Address: 6500 Sebastian Rd 2449) Fort Pierce FL 34951-2048 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 74500 Land Value: 6500 Acres. 0.29 2/23/1996 86000 00 WD 1000 / 2449 Assessed: 74500 Building Value: 68000 1/31/1991 14000 01 WD 0725 / 0715 Ag.Credit. 0 Finished Area: 1640 SgFt Exempt: 49500 Taxable: 25000 Taxes: 701.65 BUILDING INFORMATION Exterior Features View. RoofCover: FS - Fibrglss Shg RoofStruct: HP - Hip ExtType HD+ - HD+ YearBit: 1991 Frame: Grade: D+ - D+ EffYrBlt: 1991 PrimeWall: WS - Wood/Sheath 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: 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 1 392 AV AV 1995 1 0100-SF Res BI -Front Ft 105.2 122 ENC2 - POOL ENC-AVG Y 1 726 AV AV 1995 PA01 - POOL DK-AVG Y 1 334 AV AV 1995 FEN4 - CHAINLINK 4' Y 1 264 AV AV 1995 DWC - Driv-Concret Y 1 760 AV AV 1991 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?prclld=130161303900009 12/30/2011