HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `� —` ' Permit Number:
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MENEW
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: -�� � E �i�� C—C
Legal Description:
Property Tax ID#: `�" Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
NAME ... ..,. ,. .... _ ev_. ..
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Additional work to e er orme under this permit—check a apply:
❑HVAC 11 Gas Tank ❑Gas Piping Shutter
s n-Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: Scl. Ft. of First Floor:
Cost of Construction:$ ` ``. � .C�_ Utilities:El Sewer 0Septic Building Height:
Name Name: �i���C'
Address: 0:^�.?t �� Lt���� CompanyC�- C : c�
City: � '� �i, a s�tP State: �'�-- Address:
Zip Code:�'` `�` —� Fax: City: � ����C �= State:-R
Phone No. ` ul— �`6 1� Zip Code: Fax:
E-Mail: Phone
Fill in fee simple Title Holder on next page(if different E-Maii❑- S- :S rJC� � �j l✓"
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from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: T 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.
Sig ure of Owner/Lessee/Contractor as Agent for Owner Signarure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OFA-en COUNTY OF ��-
The for oing instrument was acknowledged before me The forgoing inst ument wa acknowledged before me
this_day of �_1C9.X'C.N'� ,20V�by this Tway of � 20 by
Name of person making statement Name of person making statement
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Publi -State of Flp.ridp) (Signature of Notary Public- tate of Florida)
ec TiFFANYA LEE _ t � o�P;>e:9<� '�CiFFA,\)V A LEE
Commission No.Fk" O�-) K�} ( al')��`�C�Iviil iQl1#FF iC1 �` \§Z�✓k-n �v Ji'A',1 SSI^ui` F i01
Commission No. �{ , {�da�,
?' EXPIRES:April 26,2k" EXPIRES April 26,28I8
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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:7378 PINE CREEK WAY Parcel ID:3322-233-0011-000-4
Sec/Town/Range:22/36S/39E Account#:36023
Map ID:33/22S Use Type:0100
Zoning:PUD Jurisdiction:Saint Lucie County
ownership
Joseph Nudelman
7378 Pine Creek WAY
Port St Lucie,FL 34986
Legal Description
22 36 39 THAT PART OF SEC 22 MPDIN OR 502-1397 AND KNOWN
AS PINE CREEK TOWNHOMES-PHASE I-BLDG 4UNIT 12(MAP
33/22N)(OR 4109-59)
Current Values
Just/Market Value: $142,900
�K
Assessed Value: $102,704
Exemptions: $50,000
Taxable Value: $52,704 Total Areas
Taxes for this parcel: SLC Tax Collector's Office 19 Finished/Under Air(SF): 1,703
Download TRIM for this parcel:Download PDF p Gross Area(SF): 2,231
Land Size(acres): 0.03
Land Size(SF): 1,370.29
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/ 3/28/2018