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HomeMy WebLinkAboutKEIM - WH REPLACEMENTALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: yIO y 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 #: r�i� - ov! • ©%%� Site Plan Name: Project Name: Left M Setbacks Front Back: Right Side: Left Side nuwuvna1 wVln w uC FIVrn7eV unueranis permit-cl ❑HVAC Gas Tank ❑Gas Piping 11 Electric Plumbing Sprinklers Total Sq. Ft of Construction: !� Cost of Construction: $`, Lot No. Block No. Shutters ❑ Windows/Doors Generator Roof Roof pitch SFt. of First Floor: _ Utilities: Sewer U Septic 4,4a me fc Y K, 2 f i ^ Address !!i _1z City: /C, - �� i e fLG a State: L Zip Code: 3 `i 1 Fax: _ Phone No. 7 Z 2- 4 L Lf - 4 4 5' E -Mail. hA y70 eOrv) Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company: Addre AVA City: Zip Code: Phone No.. • - E -Mail: _d &_ 61U State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Building Height: State: Fax: 61,(• 4jlf- -C" 62 1W �I a4-lc�o x 4RMt�T1 r ,; ft ' .� o: �miss� .n k 1 , v t� My t,om �?��ir1:r AF„ "6, PgvPU , e Commission No. _0» �`�= DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Commission # FF 197676 Name: Address: My Comm. Expires Apr 20, 20191 Address: FRONT ZONING SUPERVISOR City: State: City: State: Zip: Phone REVIEW REVIEW 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 -ommencine work or recor9ar Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA yi�W (Z� STATE COUNTOY OF ORID/�iti / h_a'M COUNTY OF �/ KJ ("(•t.( The forgoing instru en t w s acknowledged before me this /0 da of 20� by �� Sa, Name of r on m ing statement Personally Known OR Produced Identification Type of Identification Produced rd The for oing instrug�entyva acknowledged before me t hi PA01,day of K f 1 � 20Aby Nam person Mking statement Personally Known OR Produced Identification Type of Identification Produced i n ure of Notar a olb(A f Florida F" ( g y id�);c - Sate o (Signa`fure of Notary Commission No. ' .� o: �miss� .n k 1 , v t� My t,om �?��ir1:r AF„ "6, PgvPU , e Commission No. _0» �`�= MELANIE JOHNSON Notary"54)- State of Florida - j' Bonded through National Notary Assn .'=� = •'= Commission # FF 197676 9 P°P1 My Comm. Expires Apr 20, 20191 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 81zli7 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID: Account #: Map ID: Use Type: Zoning: City/County: Ownership Barry A Keim Brenda J Keim 5103 Paleo Pines Cir Fort Pierce, FL 34951 Legal Description HOLIDAY PINES S/D-PHASE II -B- LOT 341 (MAP 13/13N) (OR 341-1890) Current Values Just/Market Value: $138,000 Assessed Value: $93,071 Exemptions: $50,000 Taxable Value: $43,071 Taxes for this parcel: SLC Tax Collector's Office 19 Download TRIM for this parcel: Download PDF p 5103 PALEO PINES CIR 1312-801-0144-000-1 4585 13/13N 0100 RS -4 Saint Lucie County Total Areas Finished/Under Air (SF): 1,853 Gross Area (SF): 2,571 Land Size (acres): 0.31 Land Size (SF): 13,500 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.