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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:' k76Permit 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: 4 Property Tax ID #: ���� — ��'� Com— Lot No. \ "1 Site Plan Name: Block No. 62), Project Name: Setbacks Front Back: Right Side: Left Side: Addltlonal work to be nertormed under this permit — check all that apply: HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors 1-1 Electric ❑ Plumbing Sprinklers 11 Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. of First Floor: Cost of Construction: $ '�� �� Utilities: 0Sewer OSeptic Building Height: Name ,_3 C;hn n \ \ Address: A..�'a. C( - City: �--v �'� eel' State: Zip Code:�C-%\ Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company:`_ Address: City:c'QCC — i!:— A -C— \ State -� Zip Code:`��'� Fax: Phone No. E -Mail: State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: A Not Applicable Name: Addre! City:_ Zip: Phone: MORTGAGE COMPANY: Y Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: ` KNot Applicable Name:_ Address: City:_ 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 vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signa ure of Contractor/Li6ense Holder STATE OF FLORIDA i STATE OF FLORID COUNTY OF—,, COUNTY OF c C ,. The foxing instrument was acknowledged fore me this � day of \ (�O••C="—\ , 20 L%y Name of persaking statement Personally Known onOR Produced Identification Type of Identification Produced (Signature of Notary Public- Sate of Flor,idaro) e TI-Fi,NYA U"i Commission No.��re� z ,(Sql MyCOi?;''SCiUP! # FF e e �r f e° The forgoing instrument was acknowledge efore me th is � day of t��� , 20 �by Name of person,making statement Personally Known OR Produced Identification Type of Identification Produced REVIEWS FRONT ZONING SUPERVISOR (Signature of Notary Public- Stade of Floridath VEGETATION c TiFIFAINYla.l_E )�tt�mmission No. �iQx _) e I� M %.Al CGS MISSIUi r FF tXPIRES:April26, )18 r�r Banded i!iru BudytNlotary 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 r Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 6692 PICANTE CIR Sec/Town/Range: 06/34S/39E Map ID: 13/06N Zoning: PUD Ownership John B Newell Bernadette Newell 6692 Picante CIR Fort Pierce, FL 34951 Legal Description SPANISH LAKES FAIRWAYS BLK 52 LOT 19 (OR 3872-1939) Current Values Just/Market Value: $85,200 Assessed Value: $85,200 Exemptions: $0 Taxable Value: $85,200 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF p Parcel ID: 1306-500-0213-000-3 Account #: 138093 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,714 Gross Area (SF): 2,704 Land Size (acres): 0.13 Land Size (SF): 5,814 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. 4ttp://www.paslc.org/RECard/ 3/2/2018