HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED, 1
Date: `a ��I .�� Permit Number:
RECEIVED
Building Permit Application DEC 17 2013 .. .
Planning and Development Services ST. Lucie CounCy, (' rmitiilg
Building and Code Regulation Division -- --_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 COi'1' &iercial _ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click.arrow at the end-of.line. �
e S f. -C .
PROPOSED MP;ROVEMENT LOCATION ..
Address:.,
Legal Description:
Property Tax ID#: 60 Yo , foo Lot No.
Site Plan Name: Block No.
Project Name: `
Setbacks Front Back: Right Side:.. .Left Side:
DETAILED DESCRIPTION OF WORK: , -
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CONSTRUCTION INFORMATION:
Additional work to be performed under tispermit—checka appy:
HVAC Gas Tank Gas Piping Shutters a Windows/Doors
Electric ❑Plumbing �Sprinklers� Generator Roof • Roof pitch
Total Sq. Ft of Construction: - Sq. Ft.of First Floor:
Cost of Construction: (� o 0 Utilities:0 Sewer O Septic Building Height:
OWNER/LESSEE t
CONTRACTOR:_
Nae:Name:
c,
Address: Je ad Company,,
City: I�e✓tie State: Address:
Zip Code: Y 7 Fax: 7 Z City: i�r State:—F--C,:,,
Phone'No: '77 Z_ q(0".— <r 3 zip Code:' ` `��C�!7 Fax: t7(66 -OSLO
E-Mail: Phone No. u,ofyo LFiln"fee simple Title Holder on next page(if different E-Mail: LAJ r`CK-J-L_ 1�xAQ_ 4d<the Owner listed above) State or County License:ue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN-LAW IN ,0•RMATION
DESIGNER/ENGINEER: =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:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the'work and"iristallation as indicated.
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
i 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
comment' work Qr recordin ur Notice of Commencement.
Owl
Signature of Owner/Lessee/Contfactor as Agent for Owner Signature of Contractor/L-ic nse Holder
STATE OF FLORA STATE OF FLO51PA .
COUNTY OF • l-� \'Z COUNTY OF = , L 3 c1
The forgoing instrument was acknowlecigght before me The forgoing instrument was acknowledged before me
this day of 20_ by this day of OCC - 20 by -
`i; -
Name.of person•making statement Name of..person making statement
•Personally Known • OR Produced Identification. Personally Known OR Produced Identification
Type of Identif atio Type of Identification
Produced t' L- Produced
(Signature of Notary P blit-State of Florida}-` (Signature of Not -State EGN1M
'•'�1 (dY COMMISSION-#GG 022023
Commission No. OEC GIVENS. Commission No. -a� •• IRES:da�@IE16,2020
MY COMM SIGN#GG 0220203 , ;oP, Bonded Thru No PuEfic Uridewdlers
IS 6 202 •'O�`••''
*: EXPIRES:Decem>n�Uadeiwnlers
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REVIEWS F G - 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.
Values
2018 Values Breakdown Current Year Exemption Value Breakdown
Tax Grant Code Description Amount
Year Year
Building: $1,600
Land: $1,308,556
Just/Market:— 10156 `
CAg Credit: $1,255,994
Save Our Homes or $0 RECEIVED
10%Cap:
Assessed: $54,162 DEC 17 '3',3
Exemption(s): $0
Taxable: $54,162 ST. Luele Formitting
Current Year Special Assessment Breakdown
Start Year AssessCode . Units Description Amount
This does not necessarily represent the total Special Assessments that could be charged against this property.The total amount charged for special
assessments is reflected on the most current tax statement and information is available with the SLC Tax Collector's Office
This information is believed to be correct at this time but it is subject to change and is not warranted.
0 Copyright 2018 Saint Lucie County Property Appraiser.All rights reserved.
https://www.pasle.org/RECard/ 12/17/2018