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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 _Y_1 PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Legal Description: Le>_\<_x� Property Tax ID #: \__1L)0\_ Lot No. Ok Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: V.. .:s: "-" "vW c\_ g 71 WE zZ AW Additional work to tie nertormed under this permit - check all h apply: 11HVAC Gas Tank E]Gas Piping Shutters 13windows/Doors 1-1 Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. First Floor: F]F] Sewerof Cost of Construction: $ Utilities: — — Septic Building Height: Name MCN-\ � Name: Addre--A�-kvzD 9<:C� ����N(CompanyI�'-'Z) ss:;CC4 GQ_r6"C_ 1-)� psk- City: VP"'e_CC_V'- State: R Address:4� Z< City: 0� State: F::L Zip Code: Fax: Phone No. 30S- �AC)- Zip Code: 2�4�ct<27('o Fax:- E-Mail: Phone No. Fill in fee simple Title Holder on next page ( if different E - M a i FL-;k4_0_r\'4 4D rn frcr' State or County License: I from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 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 your Notice of Commencement. +kin I W W. I Signature of Owner/ Lessee/Contractor as Agent for Owner --"""9 -%"WM i "i DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: this of Name: Name of person making statement Address: L,***'Personally Known iOR Produced Identification Personally Known OR Produced Identification Address: Type of Identification City: State: City: State: Zip: Phone -:°�,•a.B�c iiFFfiNY A. LEC Commission No. �F1011 ��1Y CO��IuiiSSiON k FF i�" EXPIRES: Apfrll 26,20 �nY"'U6� F t30f Ir, !`Commission No. ���©1V1�al) Ml' CO�iiNii,;S10 ! fFF * Zip: Phone: 4 EXPIRES: April 25,1 FEE SIMPLE TITLE HOLDER: Not Applicable REVIEWS BONDING COMPANY: Not Applicable Name: PLANS VEGETATION Name: MANGROVE Address: COUNTER REVIEW Address: REVIEW City: REVIEW REVIEW 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 your Notice of Commencement. Rev. 8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor License Holder STATE OF FLORIDA, '- A-- L� STATE OF FLORID COUNTY OF � COUNTY OF e, .ci The forgoing instrument was acknowledge efore me The f oing instrument was acknowledge efore me day `` ��-�`�C1 20 by this day of by this of Name of person making statement Name of persa�aking statement L,***'Personally Known iOR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Publicl State of fJ,pXJda) (Signature of Notary Publi - State of Florida ) -:°�,•a.B�c iiFFfiNY A. LEC Commission No. �F1011 ��1Y CO��IuiiSSiON k FF i�" EXPIRES: Apfrll 26,20 �nY"'U6� F t30f Ir, !`Commission No. ���©1V1�al) Ml' CO�iiNii,;S10 ! fFF * ;, oP Bonded Thru Budget 4 EXPIRES: April 25,1 Notary Ss;,,' :c q OF ,` OP Bonded Thru Budget Notary 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: 7410 SANTA ROSA PKWY Sec/Town/Range: 11 /34S/39E Map ID: 13/11N Zoning: RS -4 Ownership Michael S Brown 7410 Santa Rosa PKWY Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 4- BLK 39 LOT9 (MAP 13/11N) (OR 710-195; 3460-610) Current Values Just/Market Value: $101,400 Assessed Value: $77,740 Exemptions: $0 Taxable Value: $77,740 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 1301-604-0213-000-7 Account #: 1036 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,401 Gross Area (SF): 3,143 Land Size (acres): 0.24 Land Size (SF): 10,284 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/ 3/2/2018