HomeMy WebLinkAboutSUBMITTED PAPERSD a t e: /,�;4 T-F ie-D _ue -- Receipt# ermit # I
U I
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. -462-1553
SPECIALTY PERMIT APPLICATION
0"Electrical 0 Plumbing 0 HVAC El Fence
0 Shed El Demolition 0 Gas 1:1 Siding
Seepage 2for instructions and additional paperwork requiredfor specialtypermits
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1. Location/Site Address: —J CO�)_ A-Vfry-If. erC_C_)JL
2. ParcelIDNumber: -CA-kr2- nC)e)-7
Office Use
Sectip
I Township
I Range
I MappPage
I Z( ning
I Land Use
I Ipitials
Only
05
13_5�
140E
124(&W
IKS 4-JW-A
1��W
3. Description of Project or Work Activity:
rus i q 'G F 1: d 0- c-
15blcdec/ /-,-A/C
4. Owners Information 5. Contractors Information
Name: MC P�� 41 e-) FL Reg/Cert #:
Address: L4(7C),q (4fCnL1C-_ M
City: State: Fb
Zip: Phone: <4 (/- 2 S110
County Cert#: DHL455
Business Name:slcr? 4 C- JecTrica Ob-i4�da
-7-K;kEO-f�4&9) _V
Phone -Fax
6. Value of Construction: S _!5_601 00 -7 �-2 -3,5-9 -4, os_� SCANNED
St. Lu By
Cie Countv
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 zoning.
6-E
PRINT QUALIFIERS/OWNERS NAME SIGNATURE Of QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF L_ci C -ACKNOWLEDGED BEFORE ME THIS
_IeDAY OF
2 _)�BY JT)tJ CLr(WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
OIL, O-C�rd
--AS IDENTIFICATION.
NICOLE MCGEE
My dOM)AISSION # EE041894
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY EXPIRES NOvetnber 15, 2014
TITLE: NOIARY PUBLIC COMMISSION NUMBER 6F-0L41 VFIL4 Fbr1c1etqpwryaerv1Ce,r
- wn -.0
St. Lucie County Specialty Permit Application rev. 8/25/05 drng
NOTICE TO OVYWER: 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 $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 other -wise 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 ]ED 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 the
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 build ing/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.
1:1 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
1:1 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.
St. Lucl e County Specialty Permit Application rev. 8/25/05 dmg
Property Appraiser - St.Lueie County, FL
Page I of I
Smithie McKenzie (LF EST) Record: 1 of I
Property Identification
Site Address 4002 Avenue M
Sec/Town/Range 05:35S:40E
Map ID: 24/05N
Zoning: RS-4
PROPERTY RECORD CARD
<<Prev Next Spec.Assmnt Taxes Exemptions Permits Home Print
6, \33 C I E "0
Parcell!D� 2405-601-0463-000-7
Account # 18720
Land Use SF Res
City/Cnty: St Lucie County
Ownership and Mailing
Legal Description
Owner:
Smithie McKenzie
(LF EST)
SUNLAND GARDENS BILK 25 LOT 17 (0.18 AC) (OR 378-1974:1745-
Address:
4002 Ave M
1624; 2171-2481: 2694-1260: 2944-2418)
Fort Pierce FL 34950
Sales Information
Assessment 2011 Final Total Land and Building
Date Price
Code
Deed
Book/Page
2011 Final: 35200 Land Value� 4900 Acres: 0. 18
2/27/2008
100 01
SID
2944/2418
Assessed: 35200 Building Value� 30300
2/14/2005
100 01
QC
2171 /2481
Ag.Credit 0 Finished Area: 1266 SqFt
7/1/2003
100 01
QC
1745/1624
Exempt: 35200
611/1982
0 01
CV
0378/1974
Taxable: 0
3/1/1981
1800 01
CV
0352/0547
Taxes: 105.81
BUILDING INFORMATION
Exterior Features
View�
RoofCover
SID - Dim Shingle
Rool`Struct�
GA - Gable
ExtType:
HC- - HC-
YearBlt:
1981
Frame
Grade:
C_ - C_
EffYrBIt
1981
PrimeWall:
BS - CB Stucco
StoryHght:
0010 - 1 Story
No.Units:
1
SecWall:
Interior Features
BedRooms:
2
Electric:
MX - MAXIMUM
PrmlntWall:
PP - PLYWOOD
FullBath
1
HeatType�
FHA - FrcdHotAir
AvgHt/FI
1/213ath:
0
HeatFuel:
ELEC - Electric
Prm.Flors
CU - Carpet
%A/C:
0
%Heated:
100
%Sprinkled:
0
Special Features and
Yard Items
Land Information
Type
YIS Qty Units
QUal Cond
YrBIt No Land Use
Type
Measuie Depth
DWC - Driv-Concret
Y 1 720
AV AV
1981 1 0100-SF Res
BI -Front Ft
60 134
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=240560104630007 1/13/2012