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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: NR 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 L1__1' PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line f {y�� b A3' /%� � y A Pn ✓� Q , � 'ice � ,.hii ^� `r S�,..h 4 II\ \1���.y ST 1 ''. ! t� ,+}, ti' � a�"' ?,�' SiS �3” ,. xe_,,,--, ..,/,,,,,6, D,L� »,.rar... „6*f� ,-„,,,,i,_ .v....,,/- ,»,.,,➢&. .,.,,.,», ,.alb` .A.... :i".a„v,,,,�, ,,, a..o ,}�..m,.+�a ..S»... w... a,•:) 5'� Address: LoQgg� JbY-,YIS�C Legal Description: Property Tax ID #: 1���J— ����-- ���" Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ,. »,�- ,,,.,,os,„✓� ami. ^ ,,,, .J, ,, , ., .,, / n•.. ,.,, .. .�,,....,. _ .,,,,,,_.<...> i 4 �I 011� Additionalwork to be pertormed un er t is permit —check all rhJ appy: 11HVAC Gas Tank []Gas Piping _ Shutters Windows/Doors FlElectric ❑ Plumbing O Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: F] Cost of Construction: $ `�b�� . C� Utilities: Sewer Septic Building Height: �i 'to'Y `�' IN �,.N;.. .. ...�as�� Name Name Name:�r1� C\�� Addresskazx� Company:'k: Gn=f(2ac City:GOC4 State: FL_ Address: LA-'�5 K1� �t \fit SSC= City: L L State: Jl_ Zip Code: �—�s\ Fax: Phone No._Y_)oD—kAO�3'i��Q Zip CodeFax: E -Mail: Phone No. --?--)o).— (07jr__? Fill in fee simple Title Holder on next page (if different E -Mail: a ®M GY .S State or County License: from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. Sig ure of Owner/ Lessee/Contractor as Agent for Owner r,W A STATE OF FLORIDA .✓a,u 4 mak' a,,, z .it Leu•? COUNTY OF -fi...p �r.�a. �x.'•a DESIGNER/ENGINEER: this day of 20VR by Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Personally Known OR Produced Identification Type of Identification Type of Identification Name: Produced Address: (Signature of Notary Public- ate�Iorida) (Signature of Notary Public- S �kjorida ) TiFFANYSUIT � Address: Commission # GG 191421 City: Commission No. * qe (_';b0$sApd126,2022 State: ! ''FoF�o�� Bonded Tin Budget NotarySerket; City: State: Zip: Phone FRONT ZONING SUPERVISOR Zip: Phone: VEGETATION FEE SIMPLE TITLE HOLDER: MANGROVE Not Applicable COUNTER BONDING COMPANY: Not Applicable Name: REVIEW REVIEW REVIEW Name: Address: Address: City: City: Zip: Phone: DATE 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. Rev. 8/2/17 Sig ure of Owner/ Lessee/Contractor as Agent for Owner i e of Contra ctor%Licerise Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The for oing instr ent was acknowledgggd before me Oday The for oing instrument was acknowledged before me this of 20 `g by this day of 20VR by Name of persoi>waking 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- ate�Iorida) (Signature of Notary Public- S �kjorida ) TiFFANYSUIT � �e TIFFANY SUIT Commission # GG 191421 Commission No. (S&rjn1ssion#GG 191421( Commission No. * qe (_';b0$sApd126,2022 o= Expires April 26,2022 ! ''FoF�o�� Bonded Tin Budget NotarySerket; 'eop F1 BOOM iiw :...;a; Notary 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: 6200 JOHNSTON RD Sec/Town/Range: 03/34S/39E Map ID: 13/03S Zoning: AG -I Ownership Daniel Brolmann 6200 Johnston RD Fort Pierce, FL 34951 Legal Description 03 34 39 E 391 FT OF S 1/2 OF NW 1/4 OF SW 1/4 -LESS S 13 FT AND THAT PART OF S 1/2 OF NW 1/4 OF SW 1/4 MPDAF: N 60 FT OF S 73 FT- LESS W 80 FT OF N 20 FT OF S 33 FT AND LESS W 75 FT OF N 40 FT OF S 73 FT - (7.06 AC -295,336 SF) (OR 3429-2287) Current Values Just/Market Value: $188,585 Assessed Value: $93,601 Exemptions: $50,000 Taxable Value: $43,601 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF Parcel ID: 1303-323-0001-010-5 Account #: 128089 Use Type: 6000 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 1,836 Gross Area (SF): 3,030 Land Size (acres): 7.06 Land Size (SF): 307,534 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/ 10/10/2018