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HomeMy WebLinkAboutSUBMITTED PAPERSCOUNTY F L O R I D R ❑ Electrical ❑ Shed Due: i —7- V Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 Permit # S�O cl(::)/ 0,,r� • S S-4 SPECIALTY PERMIT APPLICATION r Plumbing ❑ 14VAC ❑ Fence Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address: '3- Z -G f o . 0 c" G-e SCANNED St. Lay ucie County 2. Parcel ID Number: 3 Va 5 p & 7 (% d Y L— b 0 0— 3 Office Use Section Township Range Map Page Zoning Land Use Initials Only I/ 3. Complete Description of Project or Work: ��PIiL� O / � /' <ze 4. Owners Information 5. Contractors Information n� Name: S lCL CC�<ts� /J Oa•>/ �Reg/Cert#: nx `--'I Address: �! S L6 leea cl, A., CountyCert#: �7 City: >L��� r � State: Business Name: SD �� Zip: �� /�C? C Phone: Phone. `t(z l— c%4�r'ax- 6. Value of Construction: S — OWNERS AFFIDAVIT: I certify that all of the information contained "is application is correct and that all work will be done in / comp with all applicable laws regulating c s on and zonin PRINT OWNER OR CONTRACTOR NAME S URE OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF / �� ACKNOWLEDGED BEFORE ME THIS <1—_ DAY OF , 20�, BY�� JH S PERSO OWN ME OR WHO HAS PRODUCED IF'ICATION. Y M. SIGNATUREOFN ATYPERP NAME NO 5*r .* MYCOMMSSIONtEE083530 a EXPIRES: April 12, 2015 COMMISSION NUMBER "ff �W � N0� �aic 0n�L, 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 f NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF CONIN ENCEMENT 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 COMNIENCEMENT. 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. Planning & Development Services Building & Code Regulation Division Permitting Department ASBESTOS NOTICE 2300 Virginia Avenue Fort Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Asbestos Notice To Contractor 12/21 /2011 BRUCE C MCGUINN 8622 FLORENCE DR PORT ST LUCIE, FL 34952 RE: Building Permit Numbe 1112-0230 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of any intentions to remove asbestos, when applicable, in accordance with state and federal law. Signature / Z — 2 I,' ( � Date Property Appraiser - St.Lucie County FT, Page 1 of 1 PROPERTY RECORD CARD Seacoast National Bank Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification �\,t1CIE CO Site Address: 8622 Florence or ParcellD: 3426-664-0086-000-3 Gy Sec/Town/Range 26 :36S :40E Account #: 146043 y� < Map ID: 34/26S Land Use: CPRATVES 'e Zoning: RMH-5 City/Cnty: St Lucie County 70% Ownership and Mailing Legal Description Owner: Seacoast National Bank LA BUONA VITA COOPERATIVE UNIT/LOT 87 (OR 3274-2697) Address: 815 Colorado Ave Stuart FL 34994 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 41600 Land Value: 15000 Acres: 0.02 3/1/2011 100 0112 CT 3274 / 2697 Assessed: 41600 Building Value: 26600 1/16/2004 24500 01 MS 1886 / 1741 Ag.Credit: 0 Finished Area: 1266 SgFt 5/31/2001 4450000 02 WD 1398 / 1783 Exempt: Taxable: Taxes: 846.41 BUILDING INFORMATION Exterior Features View: - RoofCover: - RoofStruct: - ExtType: MHA - MHA YearBlt: 1987 Frame: - Grade: LABV - LaBuonaV MH EffYrBlt: 1987 PrimeWall: - StoryHght: 0010 - 1 Story No.Units: 1 SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWall: FullBath: 0 HeatType: FHA - FrcdHotAir AvgHt/FI: 1/26ath: 0 HeatFuel: ELEC - Electric Prm.Flors: - %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 1 632 AV AV 1987 1 0500-CPRATVES 111 -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/l)rc.asp?prclid=342666400860003 12/21 /2011