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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: r tO_V o Permit Number: 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, PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: Legal Description:��� Property Tax ID #: ©y ?SQ;_1 - �r " clac)'' _�s Lot No. 1 Site Plan Name: Project Name: Setbacks Front Back: Right Side: fy s ❑ HVAC FlElectric Block No. Left Side: "Shutters ❑ Plumbing Sprinklers GeneratorRoof pitch EWindows/Doors Roof Total Sq. Ft of Construction: SFt. of First Floor: Cost of Construction: $ ���� UtilitiesInSewer Septic Building Height: PWI, ,01YOIICIAC"�" Name 7V0VNX_--,, Name:��P� Address: ��C�`-o ��,C���_%__ _ �--�i Company: ' City: �C P���GC_. State: _� Address:LA-,5 (� �"" Zip Code:. �l�a Fax: �� City: �� �� LX..)— C_ State: �- Phone No. ��yt-- �g�d Zip Code: V�� Fax- Zip E -Mail: Phone No. `���- Lf �O-'_%1a__'50 Fill in fee simple Title Holder on next page ( if different E -Mail- \ GC" C� S� from the Owner listed above) State or County License: <DCD If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. C_5U%­ C% a 1'oil DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:~ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: NC:�Vot 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 thepermit 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. 4 Rev. 8/2/17 d Signa ut re of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO�,IQA _ STATE OF FLORIDA COUNTY OF �'�— COUNTY OF The forgoing instr ent was acl nowledged before me The forgoing instrument was a nowledged before me this ay of -20 (9 by this O`Oday of�M20 20Uby by Name of perso aking 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 Public- St to of Florida) (Signature of Notary Public- Stat^of Florida ) TIFFANY SWT �n � C7"\`01ARY P�� � TIFFANY SUIT Commissioneatjommission#GG191b2 Commission No. � * V e*al Commissio�n,,�.'(GGS9 Expires Apn126, Z0� my `per E ^Y' ^ �� �Of Fl.Op Bonded IAN Budget NOWy ; Of F1.OQ 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: 1206 KINGSWOOD LN Sec/Town/Range: 04/36S/40E Map ID: 34/045 Zoning: RS -3 Ownership John N Smith Melanie A Smith 1206 Kingswood Ln Fort Pierce, FL 34982 Legal Description DRIFTWOOD MANOR -SECTION TWO- LOT1 (0.50 AC) (OR 1806- 1568) Current Values Just/Market Value: $223,500 Assessed Value: $144,989 Exemptions: $50,000 Taxable Value: $94,989 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 3404-807-0001-000-3 Account #: 39964 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 2,251 Gross Area (SF): 4,212 Land Size (acres): 0.5 Land Size (SF): 21,780 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. https://www.paslc.org/RECard/ 9/6/2018