HomeMy WebLinkAboutSUBMITTED PAPERS- '�'_ b I I — C):7f'_ �_
Date: 0 JU Fee Due: , N Receipt# Pei #
St. Lucie County Building & Zoning
2300 Virginia Avenue Ft. Pierce, FL 34982-5652
Tel. 561-462-1553
SPECIALTY PERMIT APPLICATION
0 Electrical
[3 Shed
2�Plumbing
0 Demolition
0 HVAC 0 Fence
0 Gas 0 Siding
6>
C,
See page 2for instructions and additional paperwork requiredfor specialty permits
1. Location/Site Address:.K L4 (0 o (A yyq—_tb - 1-1,T)U, e-L PL_':�q982_
2. Parcel ID Number: � �3q02_-(obS-C64k-aL-q.
Ofrice Use
Only
SectioKzTownship
Ranue
Map Paxe
Zoning
Land Use
Initials
I
3. Description of Projector Work Activity: YU(N ?VC- �inf +b con ncc+-
LoafC�(
4. Owners Information 5. Contractors Information
Name: c)ona�_a et FL Reg/Cert #:
Address: CALcO(A :�)ALn6E�ftt_ I)V County Cert#: 4(05q
City: E—L State: Bus' Name: ?)each �).LLMUOC�
77 .1J
Zip: --23LI I Phone:=YLOI -30t4J-�Phone_)a5"LJ)_Fax 07P)M5-G�7q
6. Value of Construction: S 743,n
OWNEWS AFFWAVIT: 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.
Won-& Cluibtrtson
PRINT QUALIFIERSIOWNERS NAME
SIGNATURE OF QUALIFIER)OWNER
STATE OF FLORIDA, COUNTY OF TRCUI�(-�, - ACKNOWLEDGED BEFORE ME TfUS 1 (0 DAY OF
2oQJBY J_q�nte UberA-Scy-) -WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
SIGNATURE OF NOTARY
RNMAN&0JAMIA
St. Lucie County Specialty Permit Application rev. 9/25/05 dmg
AS IDENTIFICATION.
" cfty-�l 'a ila � ) (sea[)
tYPE OR PRINT NAME OF NOTARY
cowwssioN NumBERDT)RIS40
CYNTMA HALL
My COMMISSION # DD818461
EXPIRES August 28, 2012
3 F106dallotarYSON46-COM
t,�WATER
SEWER
Comm
RES
METER SZ.
M/F
l ��) d
$ AI
IRR
SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
oo METER INSTALL.
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
Z77721 TOTAL
CUSTOMER
SIGNATURE
NAME OF SPOUSE 114 W re -e?
ST. �UCIE CbUNTY UTILITIES - P.O. BOX 728. FT. PIERCE. FL 34982
NAME 06'4)&"P 1;96
4-7
ACCT # 4&12 9
SERVICE ADDRESS
r-1
J�Q-- - LOT BLOCK3V
SUBDIVISION_ L, -� 3
L(6 e L�
A
BILLING ADDRESS
PHONE# 72 )-- y 1� I 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 ONL
DATE RECEIVED_q,130
k0 CASH EffKr�
RECEIVED BY
Property Appraiser - St.Lucie County, F1
Page I of I
PROPERTY RECORD CARD
Donald R Erb Record: 1 of 1 <<Prev
Next Spec.Assmnt Taxes Exemptions Permits Home Print
Property Identification
Site Address: 4604 PALMETTO DR
ParcelID: 3402-605-0046-000-4 -.4-
Sec/Town/Range: 02 :36S :40E
Account#: 36806
Map ID: 34/02N
Land Use SF Res
Zoning: RS-2
City/Cnty: St Lucie County
Aeal'A
Ownership and Mailing
Legal Description
Owner� Donald R Erb Maureen P Erb
INDIAN RIVER ESTATES -UNIT 04- BLK 34 LOT 23 (MAP 34/02N) (OR
Address: 4604 Palmetto Dr
698-32: 815-1668)
Fort Pierce FL 34982-7164
Sales Information
Assessment 2009 Final Total Land and Building
Date Price Code Deed
Book/Page 2009 Final: 110700 Land Value 25700 Acres: 0.51
11/6/1992 100 01 WD
0815/1668 Assessed: 110700 Building Value: 85000
6/29/1990 100000 00 WD
0698/0032 Ag.Credit 0 Finished Area: 2035 SqFt
3/1/1979 5000 01 Cv
0307/0288 Exempt* 50000
Taxable: 60700
Taxes 1386.46
PD,
Exterior Features
BUILDING INFORMATION
View:
RoofCover
SA - Asph Shingle
RoofStruct HP - Hip
ExtType.
HC- - HC- YearBlt:
1979
Frame.
Grade:
C_ - C_ EffYrBIt:
1979
PrimeWall� CB - Cedar Bd/Btn
StorvHoht
0010 - 1 Story No.Units:
1
SecWall:
Interior Features
BedRooms. 3
Electric:
MX - MAXIMUM
PrmIntWaIL
DW - Drywall
FuIlBath: 2
HeatType�
FHA - FrcdHotAir
AvgHt/Fl:
STID
1/213ath� 0
HeatFuel
ELEC - Electric
Prm.Flors�
CU - Carpet
%A/C 100
%Heated
100
%Sprinkled:
0
Special Features and Yard Items
Land Information
Type
Y/S
Qty
Units Qua] Cond
YrBIt
No. Land Use
Type
Measure Depth
SWAV - RES POOL AVG
Y
1
512 AV
AV
1984
1 0100-SF Res
238 -Front Ft
100 220
PA01 - POOL DK-AVG
Y
1
478 AV
AV
1984
4CNT - 4CNT
S
1
1 AV
AV
1979
SDSF - SITE DEV S-F
Y
1
1 AV
AV
2001
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED
http://www.pas]c.org/prc.asp?prcIid=340260500460004 8/4/2010