HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:--------
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ---- Residential ----
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOS'ED IMPRQVEMENt LOCATION:
Address: 1612. CfraO .fuJa (t, J>oct &: \,M,Ue I FL 2;ACJS2
Legal Description: lf,l,'a . LA! ue.,. EStza:ks -\?\a+ k\O Ole,,, Ltit4::,
Lot No. 4 C>
Block No. _ :i�:P;1�t: :::�: n_
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Project Name:
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Setbacks Front.____ Bae : Right Side: Left Side: _
Building Height: _
DElectric
Total Sq. Ft of Construction: _
Cost of Construction:$ ___,\C\�q"-"'-�..___ _
D Generator
S9,:-f!; of First Floor:
Utilities: LJ Sewer D Septic
O Windows/Doors
ORoof D Roof pitch
City: --'----"c:........L--""""'---=-=-=-"'--"-"----- State: fL
Zip Code: 64952 Fax: _
Phone No. _
E-Mail: _
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
_ Not Applicable _ Not Applicable DESIGNER/ENGINEER:
Name: _
Address: -----------------� City:-------------- State: Zip: Phone: _
MORTGAGE COMPANY:
Name: _
Address: ------------------ City: State:
Zip: Phone: _
_Not Applicable FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Address--
:
------------------
City: ------------------- Zip: Phone: _
BONDING COMPANY:
Name: _
Address:------------------
City: _
Zip: Phone: _
STATE OF FLORIDA '2t: \..»t\.Q_) COUNTY OF ' STATE OF FLORIDAS\: \ COUNTY OF '- J � ().fj "
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with I nder or an attorney before
commencin work or recordin our Notice of Commencement.
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Personally Known OR Produce�entification _k__
Type of Identification Produced D) =---
The f�ing instrumtn\]ucknowledged before me
this day of \] J , 20 Q by
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(Name of person acknowledging)
Personally Known )/L OR Produced Identification _
Type of Identification Produced _
Revised 07/
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS
REVIEW REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS
A BOUNDARY AND RECORD SURVEY FOR RONALD YOUNG ANO PHYLLIS YOUNG
Boundary Survey
Note: All Bearings &: Distances
Are As Per Plat Unless
Noted Otherwise.
42 • .....
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44
0.7'
ADDRESS: 1512 Coralbean Court
Port St. Lucie, Florido
·1 ·· ._, .• >;:,· J- -· .i->
Lot 43, LAKE LUCIE ESTATES, PLAT NO. ONE, according to the Plot thereof, as recorded in
Plot Book 34, Pages 1, 1A through 1C, of the Public Records of St. Lucie County, Florido.
LEGAL DESCRIPTION: I .. 1
j CERTIFIED TO:
RONALD YOUNG AND PHYLLIS YOUNG;
COUNTRYWIDE HOME LOANS, INC., ITS SUCCESSORS AND/OR ASSIGNS, AS THEIR INTEREST MAY APPEAR;
UNIVERSAL LAND TITLE, INC.;
LAWYERS TITLE INSURANCE CORPOF�ATION
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