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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUS_ BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date; �24permit 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 f PERMIT APPLICATION FOR: To Select from dropbox, click here PROPOSED lNPROVEMENT LOCA IQN: Address: 'le t7 � V{ Legal Description: Property Tax ID # Site Plan Name: Project Name: Setbacks. Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Left Side: C)(A( ;o-- V 6 CONSTRUCTION INFORMATION: itiona war to e e Orme un,112 rs permit- c ec I a app y: HVAC Gas Tank []Gas Piping L_J_ Shutters 0 r fectrlc 0 Plumbing Sprinklers 11 Generator Total Sq. Ft of Construction: S Ft. of First Floor: _ Cost of Construction: $zlf Q Utiliitles:n Sewer ElSeptic OWNER/LESSEE: — CONTRACTOR: Name fV� flame: Add Ss: �� i Company: City State: Addr. Zip Cod Fax: City!1�. A Phone No,"-" Zip Code' E -Mail: Phone No.".' C Fill in fee simple Title Holder on next page ( if different E -Mail: Cid from the Owner listed above) State or County License If value of construction is $2500 or more, a RECORDED Notice of Commencement is required, Lot No._ Block No. N Windows/Doors Roof Building Height: _ Fax: _ 5 17 4 Name: Address: City: ZIP: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable FNMa ORTGAGE COMPANY: Not Applicable me: State: ____ Not Applicable Address: _ City: State: ZIP' Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: —Not Applicable 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 1 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 commencina work or rqcnrdin&your Notice of Commencement. 01gnat&ureof Owner/ Lessee/Agent `SiXure Contractor/License Holder S STATE OF FLORIp,4 STATE OF FLORI COUNTY OF _ U it COUNTY OF ' 'l The ing instrument as acknowledged before me The for cling instru t wa acknowledged before me thiay of fy boy � this day of 2€l by li� u, � �' On n,4 (Name of per cknowl o engin (Name of P5rWn acknowiedgi13 r}g�} of Notary Public- State ic- State of Florida ) r Personally Known �OR Produced Identificati.+7tjr Personally Known OR produced Identification _ T `� c'•*���``. Type of Identification Produced Type of Identification Produced yuruyn+l `� (Seal) Commission No Ei(Seal) Commission No.E�i 'Y ' , Revised 07/15/2014 REVIEWS IFRONT COUNTER DATE COMPLETE INITIALS ZONINGI SUPERVISOR PLANS REVIEW REVIEW REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW Property Identification Parcel ID: 008120 Identification #: 706020121566 Account Status: ©pen Location: 1856 WALDEN $238.00 POND DR City: Saint Lucie County Business Name: Zyivoloski, $240.00 Jeannette Business Type: 7060 - Golden DBA: Zyivoloski, Jeannette Ponds Contact: Jeannette Zyvoloski State Code: 814190 - Mobile Home Attachments Ownership Current Values Zyvoloski, Market Value: Jeannette $884.00 1856 Walden Pond Exemption Value: Dr $884.00 Fort Pierce, FL Taxable Value: 34945 $0.00 Return Received: Not Yet Received Penalty: None Download TRIM PDF i - Exemptions Grant Exemption Exemption Description Exemption Year Code Tangible Personal Value 2008 TPPX Property Exemption $884.00 Asset Group and Value Asset Value MH Carport $238.00 Asset Value MH CentralAC $240.00 3.OT Asset Value MH Main Area $0.00