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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/20/18 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 X PERMIT APPLICATION FOR: Window/door Address: Legal Description: Property Tax ID #: \�`��� �`� "C)QLC© - -3 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: REPLACE 16X6'9" GARAGE DOOR t1-Ao �, �-- -k0\'� . �a HVAC Electric I• Windows/Doors ❑ Plumbing Sprinklers 11 Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: _ Cost of Construction: $ 1945.00 Name SFt. of First Floor: Utilities:]Sewer 0Septic Building Height: Address: City: State: FL Zip Code: 34951 Fax: Phone No. 772-332-6971 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Company: D&D GARAGE DOORS PSL Address:-c� ISS Gam. C City: Rc;cA— - --* State: FL Zip Code: 34986 Fax: Phone No. 772-460-7630 E -Mail: TIFFANY@DDGARAGEDOORSPSL.COM State or County License: 19007 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applica Name:_ Address: City: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone:_ State: Not Applicable MORTGAGE COMPANY: lot Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: t'_Aot 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. z of Owner/ Less ee/Conact r as Agent for Owner 966ature of Contractor/Li nse Holder STATE OF FLORIDA STATE OF FLORID COUNTY OF -5-',– COUNTY OF The forgoing instrument was acknowledged before me this,_,Oday of 20\$ by Name of person making statement Personally Known ✓ OR Produced Identification Type of Identification Produced 0 (Signature of Notary PublicXState of Florida ) Sl Ay PUd6 TIFFANYSUIT 20 ! Commission No. * *a 1) Commission#GG19 Expires Aprit 26, X pTFOF Fl.oQ`oe Bonded Tk„ Budget s, REVIEWS FRONT I ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 The forgoing instrument was acknowledged before me this=.KDday of 20 (S by Name of person making statement Personally Known ✓ OR Produced Identification Type of Identification Produced T, - (Signature of Notary Public -'State of Florida ) 0%y P°B<� TIFFANY SUIT commission No. a T'15ea4mmission#GG191 N Q Expires April 26,21M 9rFOF �o��a Bonded DO Budget Notary se SUPERVISOR PLANS I VEGETATION I SEA TURTLE I MANGROVE REVIEW I REVIEW REVIEW REVIEW REVIEW Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 6112 DEBORAH WAY Sec/Town/Range: 02/34S/39E Map ID: 13/025 Zoning: RS -4 Ownership Lynn T Atkinson 6112 Deborah WAY Fort Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 5- BLK 52 LOT24 (MAP 13/025) (OR 3734- 1109) Current Values Just/Market Value: $127,200 Assessed Value: $85,258 Exemptions: $50,000 Taxable Value: $35,258 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 1301-605-0290-000-3 Account #: 1314 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,586 Gross Area (SF): 2,783 Land Size (acres): 0.24 Land Size (SF): 10,480 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/ 9/20/2018