HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Q- Permit Number:
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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
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Address: �-
Legal Description:Lo�
Property Tax ID#: ����-�'o v'-k-ggss _ Lot No. a�
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Additional work to be pertormed under this permit-check all h apply:
�HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ ��0. � Utilities:[]Sewer OSeptic Building Height:
Name T�ca�c� �. �1�.u'`\LC'�.f1 .Name:
Address: V \\�'g_r Jam, Company: '�::) -
City: Pi-c rcG state:FL- Address:q_��5 (.)_
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Zip Code: �� Fax: City: ���11�1A(�A State:-FL
Phone No.�515\'- Zip Code:b Fax:
E-Mail: Phone No.�r� -- C4 (0 -�t�y �
Fill in fee simple Title Holder on next page(if different E-Mail: —,Z" �_J co)Cko-
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
119nolm"NW, W
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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.
Signa7t6re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF , COUNTY OF S>4' L-, ' 5,4f—
The foor�going instr ent was acknowledged before me The f oing instr ent was acknowledge me
this cJa day of t��U ,20 (? by this day of �ti�. 120 l by
Name of person aking statement Name of person Paking statement
Personally Known 17 OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pubic-State of Flori p) c�s (Signature of Notary Public State of Florida)
c TiFt r!;v.,A.LEE '�,sR't ec,� T i`s=FE1yiY A.LEE
` MY COi ii4{iSS!iiV iF'i0`4 ° �i\O L4� t�y�dr(�iu1,,,�S101 4 rF i01Yi;
Commission No. ��1���� fiead) Commission No. "
EXPIRES A '2e 018 �; 1 ,;,
s �P N` Ef FCa Afi.II 26,_�,8
Bend
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE 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:5507 KILLARNEY AVE Parcel ID: 1301-614-0051-000-4
Sec/Town/Range: 12/34S/39E Account#:3526
Map ID: 13/I2S Use Type:0100
Zoning:RS-4 Jurisdiction:Saint Lucie County
Ownership
.lames C Munyan
Darlene S Munyan
VP.
5507 Killarney AVE
Fort Pierce,FL 34951
Legal Description
LAKEWOOD PARK-UNIT 12-BLK 158 LOT 23(MAP 13/12S)(OR
3881-2809)
Current Values
.lust/Market Value: $71,000
Assessed Value: $71,000
Exemptions: $0
Taxable Value: $71,000 Total Areas
Taxes for this parcel: SLC Tax Collector's Office p Finished/Under Air(SF): 1,008
Download TRIM for this parcel:Download PDF p Gross Area(SF): 1,512
Land Size(acres): 0.21
Land Size(SF): 9,075
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.pasle.org/RECard/ 2/2/2018