HomeMy WebLinkAboutSUBMITTED PAPERSPEOM-11-
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Date:
OUNTY
L 0 R I D A
0 Electrical
0 Shed
Fee Due: Xjj 'I Ixeceipw
Planning & Development Services
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 34982
(772)462-1553
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049 COO,
114,
SPECIALTY PERMIT APPLICATION
0 Plumbing 0 RVAC 0 Fence
0 Demolition [I Gas 0 Siding
Seepage 2for instructions and additionalpaperwork requiredfor specialty permits
1. Loc9tion/Site Address: .5-- o �J S J ACt, -4 � t V J P -)- f P,-,c /NC C- r- L- 3 '-t
1
2. Parcel ID Number: -3 -L 6 0 rs-
Section
lownship
7d��
I
zoni�n,
;4�
I --A I I..
I.;t; I
I
.)ffj c e Us t
Only
4
3. Complete Description of Project or Work: <I, 0 (\"c C-ir I C;,4 C j- 0 C-
-e ,N A-9 4M
4. Owners Information 5. Contractors Information
FL Reg/Cert #:
Name: Z-
Address: V J County Cert#:
City: F+ State: Business Name:
zip: C( �1- Pbone: '77 S Yo I -50-S�6 Pbone: Fax:
- - , Z-- ::-
6. Value of Construction: S
OWNER'S AFFUDAVIT:
lcer* that all of the'infonnation contained MTRT-sa-f plication is coff ect and that all work will be done
compliance with all applicable laws regulating construction and zoning.
SIGNATURE OF OWNER OR CONTRACTOR
-fRINT OWNER OR CONTRACTOR NA7�,
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE METFUS C:23 DAYOF 2011_2� BY 16 A/
140 )c
WHO IS PERSONALLY KNOWN TO ME OR WHO ROD D rc
AS
NOTARY
COMMISSION NUNMER
"o
-&R- PRINT NAME OF NCKARY
2, r'no
co col)
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 S5.000-
NOTICE TO OVANER: FA E TO RECORD A NOTICE OF COMNIENCEN 'MAY RESULT IN YOUR PAYING TWICE FOR
M fEMENTS TO YOUR PROPERTY. IF YOU I ND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFOJRE RECORDING YOUR NOTICE OF CONMffiNCEMENT.
EXEMPT: A/C -HEAT REPLACEMENT Wrffl CONIMACT 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.
0 Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance
11 Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications
1:3 Fence Attach 2 plot plans showing location of fence height of fence and type of fence
0 Siding Attach 2 copies of manufactures specifications
0 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.
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Overlay Zones
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Historic Structures
V Address Master
Mtsc Addresses
Hydrology Names
Road ROV; Dimenso
Lot Lines
Block Nurnbes Anno
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Petitions
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S,te Plans
V �.zure Land Use
A :� Zoning
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�eatures, places and addrems on ft map 88211,5.Sl 1104248.62Feet
87 Afuw93 - Arc BZ—Aranap93 - A,... lnbo� - Mic osoft. o [Propert... 1� Property Appraiser— /�' Prolperty Appr�
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(i,.jay, Jul 23, 2010 01 �27 PIVI
WATER
SEWER
METER SZ.
MM
RES
M/F
IRR
SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE �
METERINSTALL.
CFC[WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
�ZI70 - d TOTAL
CUSTOMER ------
SIGNATURE 'Y�
NAME OF SPOUSE
- P.O. BOX 728. FT. PIERCE. FL
NAME
ACCT. #I
SERVICE ADDRESS
SUBDIVISION LOT BLOCK 5-3
BILLINGADDRESS-
C-4-P�-Trc. F-L- 3,,j99-7-
PHONE # 7-7 ), &--fJ (50-5-6 MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED_�11- "36 CASH Zitg; V66— RECEIVEI� BY
JOSEPH E. SMITH, CLERK OF CIRCUIT COURT - SAINT LUCIE COMITY
FILE # 3500666 OR BOOK 3zib PAGE 432, Recorded 08/03/2010 at 10:14 AM
Doc Tax; $812.00
7,115 INSTILINIE-NTI'RLPARED BY AND RETURN TO-
JILL A. 8110THERTON
SOLITH FLORIOA TITLE SERVICES, IN(:.
115 EAST 0CFAN BOULEVARD
STUART.rL0;UDA 34994
Apj%m� P-1 fligniffi-11"n (FuLiis) Vinv*m: 3402-608-0496-4111012
THIS IWAIU INTY
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OF TR I In E Fit INK;rt/
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dress is 5704 5 S VD., It-A.IFIli�LF 3499.hemi C
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511�aj-,-1�11- 11"
LOT in. IILOCK !3, INDIAN RIVER ESTATrS, UNIT SEVEN, ACCORDING TO TUE VL.AT
'1711FREOr, AS RECORDED IN VLAT BOOU Ill. PACE 7!1, OF THE PUBLIC RECORDS OF ST.
LUCIE COUNTY. FLORIDA.
SIlnJr.CT To RFSTRICTIONS AND FASENIEN-17S Or RECORD, IF ANY; TAXES
FOR THE YEAR 2010 AND SLqISEQUF-N'r YEARS, AND TO ALI. VALID ZONING
ORDINANCES.
TOHAVE ANOTO 1101.13,41,. f- liwk W-17
AND. lh� jp.twrs i-by -1�all -ith 1-0 9-1- nau fk la,�!`,Ify --d 31'sind Inind in f.. jiulpk� 11.1
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STATE OF FLORIDA
COLJNTVOF ST. LUCIE
bcf.. y CATRY DOLOF PRESIDENT
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P,
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Htt N.: S-144S4
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Property Appraiser - St.Lucie County- F1,
Page I of I
Florida Real Estate Admin JR) Record: 1 of 1
Property Identification
Site Address: 5204 SUNSET BV
Sec/Town/Range. 02:36S:40E
Map ID. 34/02S
Zoning� RS-4
PAOPERTY RECORD CARD
<<Prev Next >> Spec.Assmnt Taxes Exemptions Permits Home Print
00
ParcelID: 3402-608-0496-000-2
Account#: 37573
Land Use: SF Res
City/Cnty� St Lucie County
Ownership and Mailing
Legal Description
Owner:
Florida Real Estate Admin (TR)
INDIAN RIVER ESTATES -UNIT 07- BLK 53 LOT 10 (MAP 34/02S) (OR
Addres&
10302 S Fed Hwy # 233
3142-2801)
Port St Lucie FL 34952
Sales Information
Assessment 2009 Final
Total Land and Building
Date Price
Code Deed
Book/Page
2009 Final: 96100
Land Value� 24200 Acres 0.23
2/28/2009 100
0130 WD
3142/2801
Assessed: 96100
Building Value 71900
11/17/2003 195900
00 WD
1847/0678
Ag.Credit 0
Finished Area 1652 SqFt
7/111978 7500
01 Cv
0290/1272
Exempt:
Taxable
Taxes 1879.37
BUILDING INFORMATION
Exterior Features
Viewi
RoofCover
TN - Metal
ExtType� HC - HC
YearBIt:
1979
Grade� C-C
EffYrBIt:
1979
StoryHght 0020 - 2 Story
No.Unjts�
1
Interior Features
BedRooms: 3
Electric:
MX - MAXIMUM
FullBath� 2
Heaffype�
FHA - FrcdHotAir
1/2Bath: 1
HeatFuel:
ELEC - Electric
%A/C 100
%Heated:
100
Special Features and Yard Items
Land Information
Type Y/S Qty
Units
Qual Cond
YrBIt.
No. Land Use
ENC2 - POOL ENC-AVG Y 1
1611
AV
AV
1996
1 0100-SF Res
SWAV - RES POOL AVG Y 1
392
AV
AV
1996
PA01 - POOL DK-AVG Y 1
1183
AV
AV
1996
DWC - Driv-Concret Y 1
720
AV
AV
1979
FNW6 - WOOD FEN 6' Y 1
224
AV
AV
1979
SPA - SPA -HOT TUB Y 1
36
AV
AV
1996
RoofStruct GA - Gable
Frame.
PrimeWall: CB - Cedar Bd/Btn
SecWall-
PrmIntWaIIi DW - Drywall
AvgHt/FL
Prm.Flors: CU - Carpet
%Sprinkled: 0
Type Measure Depth
BI -Front Ft 80 125
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?prclld=340260804960002 7/23/2010