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Building Permit Appliation
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � ' �'��� Permit Number: 4 • o®�r 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 V PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line .,... may yA rjtY. �tsax Address: Legal Description: �� � -c-- Property Tax ID#: G\��-_z__ Lot No. E. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Additional work to be nertormed under this permit-check all h apply: �HVAC I_I Gas Tank ❑Gas Piping _Shutters 11 Windows/Doors Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ �a� .� Utilities:cn Sewer F]Septic Building Height: Name � � � �-�ii1��j Name: �a-�yC` Address: �� �C?�\�Ca �� �� Company: City: State: FL- Address: Lk�� Zip Code: ���ucq Fax: City: � � c�� State: Phone No. LoO(_'7L- QO\1 U Zip Code: Fax: E-Mail: PhoneNo.��l Fill in fee simple Title Holder on next page(if different E-Mai1\\ ca�i1 from the Owner listed above) State or County License: t � If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. €1€:kwr ,- r:4 i' €ii w��} \ "3.01�„ . DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ')(-Not Applicable Name: Name: T Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 lender or an attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF___�- COUNTY OFF The forgoing instrument was acknowledg d before me The forgoing instr ent was acknowledged before me this Z day of X`��II. Qom},20��by this ZL day of 26 T by Name of person aking statement Name of person making statement Personally Known OR Produced Identification Personally Known 17 OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public-15tate ofF,,lor=j4, St a _�: (Signature of Notary Public- ate of Florida) n lit \ A _ 1p: Ti;=FNYA1LEE Commission No. ��l�i��� S,eal '`' pli -Commission No. �\oy`c)`f �Seal4)YCOiP1�1' S€ i' `" €'' 1'' t.1{ EF f : � x Af REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address: 133 PARLIAMENT CT Parcel ID: 1414-701-0162-000-9 Sec/Town/Range: 14/34S/40E Account#:7568 Map ID: 14/14S Use Type:0100 Zoning:RS-4 Jurisdiction:Saint Lucie County Ownership Ralph W Henry Sr Rene Zanelotti-Bunting 133 Parliament CT Hutchinson Island,FL 34949 Legal Description QUEENS COVE-UNIT 1-BLK 17 LOT E(OR 4029-1369) Current Values Just/Market Value: $464,100 Assessed Value: $464,100 Exemptions: $0 Taxable Value: $464,100 Total Areas Taxes for this parcel: SLC Tax Collector's Office 92 Download TRIM for this parcel:Download PDF® Finished/Under Air(SF): 2,132 Gross Area(SF): 4,376 Land Size(acres): 0.3 Land Size(SF): 13,260 This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2018 Saint Lucie County Property Appraiser.All rights reserved. http://www.paslc.org/RECard/ 1/31/2018