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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: � 6 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 Address: Legal Description: Property Tax ID #: c1C��j1'�— Cj w Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: 1 kw c- 7,y- HVAC ❑ Electric Right Side: Left Side: I _J Shutters ❑ Plumbing 11 Sprinklers 11 GeneratorRoof pitch Windows/Doors ❑ Roof Total Sq. Ft of Construction: Cost of Construction: $_0�� b e co N a m e L _)Cx..\ S-_1 Address: �O`J� ��C P� S Ft. of First Floor: _ Utilities:DSewer 0Septic City: (ZK--V State:M-V—') Zip Code:�p~l�� Fax Phone E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: Name: Company: Address: `A City: R�;� State: �` Zip Code: _a Fax: Phone No. E -Mail: State or County License: LLQ If value of construction is $2500 or more, a RECORDED Notice of Commencement is required 111011mgl. DESIGNER/ENGINEER: N... ... ... ft ot 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: JNot 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. Rev. 8/2/17 Signature of Owner/ Lessee/Contractor as Agent for Owner Signa ure of Contractor/License Holder STATE OF FLORID STATE OF FLORIDA COUNTY OF 5� � COUNTY OF S� ` • �s � The for ing instJr' ment was cknowl edge before me The fo oing instrument was acknowledged ,before me this ��day of \���x' by this �� day of by Name of perso malting statement Name of person making statement Personally Known '� OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced C (Signature of Notary Public- S to of F,Iprida) (Signature of Notary Public- Sta e of Florida ) c Commission No. �l�4Commission No. F P\�i��F 1., 4' EXP R�S� ..t ' or• r �' %' [YF4'c� !` r' '6,2013 tuFr���° Bm;ticdThruBuagalNoiaryS?rvices REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 9416 Portside DR Sec/Town/Range: 10/35 S/39E Map ID: 23/1 ON Zoning: Ownership Daisy L Dubose 405 Hurtt PL Fort Washington, MD 20744 Legal Description PALM BREEZES CLUB (PB 49-32) BLK 3 LOT 5 (OR 3645-1046) Current Values Just/Market Value: $128,600 Assessed Value: $118,217 Exemptions: $0 Taxable Value: $118,217 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 2310-500-0073-000-5 Account #: 166276 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,864 Gross Area (SF): 2,394 Land Size (acres): 0.11 Land Size (SF): 4,966 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