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Building & Code Regulations Division ratdA 2300 Virginia Ave.
► A Fort Pierce, FL 34982
(772)462-1553
SPECIALTY PERMIT APPLICATION
❑ Electrical ❑ Plumbing ❑ HVAC Fence
❑ Shed ❑ Demolition ❑ Gas ❑ Siding
Seepage 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address: Sao 3 .S1AaA,4A 4 V. , Fo rf PI '&_rC e
2. Parcel ID Number: Pf3A " `60.3 —000a— 000 —
0%5cr! Ilse
Only
Section
Township
Range
Map Page
Zoning
Land Use
Initials
3. Complete Description of Projector Work: --TIA s fall 00' L f o7` 6 t h t' PVC icer)ce-
OCrOS-5 7Xe Z 74/ /00' L a!�'Li: li w�i.'ft- PvC
�enc� d%vI'clI'n ora�e�fy eQual�y 6��cvee.l Ae-ighior5.
4. Owners Informationtt// 5. Contractors Information
Name: NOysl'll A44Aori,//K, ¢y For+P/glee- FLReg/Cert#: efSC/.2SSV-%S'
Address: Oranp e, /4V County Cert#: R S5c�—J
City: rAr+ Pje.►(-e State: t` L• Business Name: (0MMCrC1r~1 Fend ConfraCiys, Ine—
Zip: -�tf'?SoZ Phone: % 70 216-17(S Phone: 56( 889- l771 Fax: 4 07� 3 (-7q$q
6. Value of Construction: $ ' 300 - ° o
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
corn fi a with all applicable laws regulating construction and mg.
PRINT OR CONTRACT -OR NAME SIGNATURE OF O77RACTOR
STATE OF FLORIDA, COUNTY OF i
ACKNOWLEDGED BEFORE ME THIS L� DAY OF C- 20�, Gt r!G ✓W/ ,e,!10M'+I!/f
I1.
S O ALLY KNOWN TOME OR WHO HAS PRODUCED•,,F r`,y
Vi
— Go��Miss/oti •, 9�
AS EN ATION. : C �ember2o FfA F�
T OF NOT Y TYPE OR PRIN NAME OF NOTARY a '(seal f� 131
OMMIS ON NUMBER ! �D `( / /%!i ••; na�sure�.•••OQ .�-
'.y C STATE O�
TICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIIYRt�Ifl!11t[WFOR
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
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-------------- _____—�___.I
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PROPERTY RECORD CARD
I'nl• n �1,, ;
Site Address:
3203 JUANITA AV
Sec/Town/Range:
32 :34S :40E
Map ID:
14/32S
Zoning:
RS-4
(1%u1cl,hi1, .:n l �lailiIi ,
Owner. Housing Auth City Of Ft Pi=
Address: 511 Orange Ave
Fort Pierce FL 349504278
Date Price Code
7/1/1982 466000 02
6/1/1977 0 02
ant
CCGi
PamIID:
1432-803-0002-000-9
��
Account if:
11074
v
�� c
Land Use:
Mncpal Prop
City/Cnty:
St Lucie County
SHERATON PLAZA -UNIT THREE- LOT 121 (OR 379-1776)
1,.c• nl.nP '101 1 mol
Deed Book Page 2011 Final:
28400
CV 0379 / 1776 Assessed:
28400
CV 0271 / 1129 Ag.Credit:
0
Exempt:
28400
Taxable:
0
Taxes:
0
I -I(nl Land and 1;m1din_
Land Value: 5600.Acres: 0.23
Building Value: 22800
Finished Area 1232 SgFt
�
I
1
e
5
--
View.
-
RoolCover:
SA - Asph Shingle
RoolStruct:
GA - Gable
ExtType:
HD - HD
YearBlt:
1968
Frame:
-
Grade:
D - D
EffYrBlt:
1965
PrimeWall:
BP - Conc Block
StoryHght:
0010 - 1 Story
No.Units:
SecWall:
-
.,: a I'%"
BedRooms:
4
Electric:
MX - MAXIMUM
PrrnlntWall:
DW - Drywall
FullBath:
1
HeatType:
FHA - FrcdHotAir
AvgHt/FI:
STD
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors:
CU - Carpet
%A/C:
100
%Heated:
100
%Sprinkled:
0
�lriYKll Ianll
N an) I(Cm,
1_and Inflanuatimt
Type
Y/S Qty. Units
Qual. Cond.
YrBlt. No. Land Use
Type
Measure
3CHT - 3CHT
S 1 1
AV AV
1970 1 8900-Mncpal Prop
205 -Front Ft
80
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
Depth
125