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HomeMy WebLinkAboutSUBMITTED PAPERSr t =Date--.&:, 4O:Fe:e Due: Recei tik--- TP4 =0�0� Planning & Development Services Building & Code Regul ations Division COUNTY 2300 Virginia Ave. F L 0 R I D A Fort Pierce, FL 34982 UNQ COU17t (772)462-1553 -V SPECIALTY PERMIT APPLICATION 0 Electrical M'Plumbing [I E[VAC 0 Fence 0 Shed 0 Demolition E3 Gas 0 Siding Seepage 2for Instructions and additionalpaperwork requiredfir sPeciak Permits 1. Location/Site A ddress: 44 PALM d/' 2. Parcel ID Number: 3 S6Q,�!=Ib a -2 mi I 3. Complete Description of Project or Work: 12z,,,� 14 x A-_9 �- 'So- 11 J 1111C_t� 11 H-6 11�ak ) I,, 11A�1� 4. Owners Information 5. Contractors Information Name: AK Pa 6*� 41-0- FL Reg/Cert #: Address: 10a2!,e County Cert#: AS(— State: Business Name: Al 0 P UAIY� city: 2 qO Phone: ol-01 Otlg-7 Phone-7?�) Fax: Zip: _) 7 6. Value of Construction: S OWNER'S AFFIDAVIT: I certify that all of the information contained in this appl�caMnis correct and that all work will be done in compliance with all applicable laws regulathWoognstruc d zoning. mce with a able laws reg�l�a ns c a" ppic t* SIGNAT OF PRINT OWNER OR CONT ORN IGN OF R OR CONTRACTOR RACT STATE OF FLORIDA, COUNTY OF -A J—t L Y US 204 J1 ACKNOWLEDGED BEFORE ME TI`HS DAY OF BY e J,)J I 0 Z-+3 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED Eta AS IDENYWICATJON. /AJJ1-AJ � &PRINT ATURE OF 140TA)(Y TTVPE COMNHSSION NUNMER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING IMPROVEMENTS To YOUR PROPERTY. IF you INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: AIC-HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. NOTICE TO OWNER: F RE TO RECORD A NOTICE OF COM[MENCI [T MAY RESULT IN YOUR PAYING TWICE FOR H )VEMENTS TO YOUR PROPERTY. IF YOU END To OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COW-1ENCEMEW- EXEMWT: A/C -BEAT REPLACEMENT WIT11 CONTRACT UNDER $5,000. INSTRUCTIQNS 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 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 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. • Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance • 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. Property Appraiser - St.Lucie Count), P1. Page I of I PK,Port SaiNt Lucie #3 LLC Record: 1 of I Property Identification Site Address: 5014 PALM DR Sec/Town/Range� 02:36S:40E Map ID. 34/02S Zoning: RS-4 Ownership and Mailing PROPERTY RECORD CARD <<Prev Next Spec.Assmnt Taxes Exemptions Permits Home Print ParcellD� 3402-608-0175-000-6 Account#� 37270 Land Use SF Res City/Cnty: St Lucie County Ciwner� PK Port Saint Lucie #3 LLC Address: 7950 Poppy Hills Ln Port St Lucie FL 34986-3056 Sales Information Date Price Code Deed Book/Page 8/31/2009 100 0111 QC 3122/2349 6/19/2006 100 01 QC 2593/1875 9/9/2002 100 01 CT 1578/0335 12/31/1999 71000 00 WD 1274/1645 12/20/1999 50000 00 WD 1270/1002 12/13/1999 100 01 CT 1268/1260 6/1/1998 21000 04 QC 1149/2513 10/31/1996 69900 00 WD 1045/0975 10/30/1996 77900 00 WD 1045/0974 12/18/1991 78900 00 WD 0768/1804 2/28/1990 60000 00 WD 0680/0299 Legal Description INDIAN RIVER ESTATES -UNIT 07- BLK 44 LOT 3 (MAP 34/02S) (OR 1578-336: 2593-1875: 3122-2349) Assessment 2009 Final Total Land and Building 2009 Final: 61600 Land Value� 16600 Acres. 0.24 Assesse& 61600 Building Value. 45000 Ag.Credit� 0 Finished Area: 1336 SqFt Exerript� Taxable: Taxes. 1204.67 BUILDING INFORMATION Exterior Features View RoofCover SD - Dim Shingle ExtType. HC- - HC- YearBlt: 1978 Grade. C_ - C_ EffYrBlt: 1978 Storyl-Ight. 0010- 1 Story No.Units: 1 Interior Features Bec!Roorns� 2 lzlectric� MX - MAXIMUM FLIIIBath: 2 HeatType� FHA - FrcdHotAir 1/213ath: 0 HeatFuel ELEC - Electric %A/C. 100 %Heatedi 100 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBIt. No. Land Use FEN4 - CHAINLINK 4' Y 1 180 AV AV 1978 1 0100-SF Res DWC - Driv-Concret Y 1 500 AV AV 1978 Rool`Struct� GA - Gable Frame: PrimeWall. WS - Wood/Sheath SecWall: PrmlntWall DW - Drywall AvgHt/Fl: Prm.Flors: CU - Carpet %Sprinkled: 0 Type Measure Depth BCS -Front Ft 90 117 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED. http://www.pasic.org/prc.asp?prclid=340260801750006 8/4/2010