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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Receipt# Permit # Planning & Development Services Building & Code Regulations Division SCANNED 2300 Virginia Ave. By Fort Pierce, FL 34982 St. Lucie COunty (772)462-1553 SPECIALTY PERMIT APPLICATION • Electrical 0 Plumbing M-ii�AC 0 Fence • Shed 0 Demolition 0 Gas 0 Siding See page 2for instructions and additional paperwork requiredfor specialty permits 1. Location/Site Address:) t-10 - Z- �-+ e' �— /, 1—% , 2. Parcel II) Number:3 1-0 9 - 5-1-lo - oc) \ --� - onn - s- O/PCC Use Only Section Township Range Map Page oning an se Initials 3. Complete escription of Project or Work: )Cr— J "k, 44--- :�_ , - 5 ec? �� :7� k C.'D 3 4. Owners Information 5. Contractors Information Name: /`I FL Reg/Cert #: C Ac i-g- 1 -3 c,, �R- i -7 Address: 2 (0 V County Cert# city: pcs-� �)l State: Business Name: b,-�3& Zip: 1/96-d- Phone: 17; C�— 4(" C/— �/,a — _33-C Phone: �16, Fax: 6. Value of Construction: $ 3 3 OWN ER'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 con ction and zoning. PRINT.46WNER OR CONTRACTOR NA G OF OWNER OR CONTRACTOR STATE OF FLORIDA, COUNTY OF IQ 1.11 ACKNOWLEDGED BEFORE ME THIS DAY OF'51,rt kr 20 BY Z a :V 4 - ' I V cmn t WHO Is PERSONALL�C 0 ME OR WHO HAS PRODUCED �OWN ASI TIFICATION. I-- j.,,A] A A CA 0 C TYPE OR PRINT N�ME OF NO ARY SIGZFN4A F ;TY T 077 COMMISSION NUMBER 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: FAILURE T- -XORD A NOTICE OF COMMENCEMENT MA �SULT IN YOUR PAYING TWICE FOR WROVEMENTS To YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXENTT: 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. El Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance El Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications El Fence Attach 2 plot plans showing location of fence height of fence and type of fence El Siding Attach 2 copies of manufactures specifications El 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. Jan 09 12 09:12a Wolf Air Conditioning 77)-A64-1127 P. 1 'Date: Fee Due: k""Y OU I Receipt# Permit # Planning & Development Services Building & Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 (772)462-1553 SPECIALTY PERNUT APPLICATION • Electrical 0 Plumbing mli� AC 11 Fence • Shed 0 Demolition El Gas El Sidincr I-" Seepage 2forinstrucdom and aMdonalpaperwork requiredforspeciatty permits 1. Location/Site Address: I LJ(D 6i+— 'e ,, /— V1% 1 2. Parcel II) Number:3 Ll 19 - 5-1-lo - ct--� � -s - Ccc-� - 2�: Township I Range Map Page I Zoning Land Use Initials Offin, Use sectior - 4 OUIV I ak 13 V-0 V 0��j Fat i \94W 3. Complete 4. Owners Information Name: Address: Citv- State: Zip: Phone: 22 6. Value of Construction: S -3 3 5. Contractors Information FL Reg/Cert 9: C Ac tg- j 3 (--, �;-z / County Cert#: ,N G -7 Business Name: L'-)'_4 4 'e- C"x'P!-:' Phone:q& (/-8�1 9 6-Fa x: q(-o '-/— 8 a= OWNER'S AFFIDAVIT: I cartify that all of the infornation contained in dds application is correct and that afl work will be done in compliance with all applicable laws regulating cony"ction and zoning. PRR�T,OWNERORCONTPLACTORNA�D. OF OWNER OR CONTRACTOR 4 STATE OF FLORIDA, COUNTY Of AC��OWLEDGEDBFFOREVIETHIS DAY 017'5�,, 20_!_�;L BY L- PO4 0) NAL = W140 IS PERSONALL 0 ME ORWHOHASPRODUCED AS jD�6-3 TirICATION. !YU&OF NOTARY 7YPE OP PRINT COMNESSION NUMBER. NOTICE TO OWNER� FAILURE TO RJECORD 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: AfC-HEAT REPLACEMENT WITH CONTRACT UNDER $75DO.00 Revised 04/2612010 Property Appraiser - St.Lucie nty, FL Page I of I PROPERTY RECORD CARD Margaret A Cooper Record: I of 1 <<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print Property identification Site Address: 140 Estia Ln ParcelID: 3419-540-0013-000-8 Sec/Town/Range: 28:36S:40E Account* 42690 Map ID 34/28N Land Use: SF Res Zoning RS-4 City/Cnty: St Lucie County -4 Ownership and Mailing Legal Description Owner: Margaret A Cooper RIVER PARK -UNIT 5 BLK 43 LOT 13 (MAP 34/28N) Address: 4254 SE Brittney Cir Port St Lucie FL 34952-4736 Sales Information Assessment 2011 Final Total Land and Building Date Price Code Deed Book/Page 2011 Final: 27900 Land Value: 9000 Acres 0.24 6/1111990 46000 00 PR 0695/2700 Assessed: 27900 Buiiding Value: 18900 6/11/1990 0 01 PR 0695/2700 Ag.Credit: 0 Finished Area: 1136 SqFt Exempt� Taxable. Taxes: 567.64 BUILDING INFORMATION Exterior Features View: RoofCover, SA - Asph Shingle RoofStruct: GA - Gable ExtType: HD -HD YearBIt: 1960 Frame: Grade: D-D EffYrBIt: 1960 PrimeWall: BS - CB Stucco StoryHght: 0010-1 Story No.Units: 1 SecWall: Interior Features BedRooms: 2 Electric: MX - MAXIMUM PrmlntWall: PF - PF Ful[Bath: 1 HeatType: AvgHt/F1 STID 1/2Bath: 0 HeatFuel: - Prm.Flors CU - Carpet %A/C: 0 %Heated: 0 %Sprinkle& 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBIt No. Land Use Type Measure Depth SDSF - SITE DEV S-F Y 1 1 AV AV 2001 1 0100-SF Res 260 -Front Ft 82 125 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=341954000130008 1/9/2012