HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: x `fit 1 Z U 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_
PERMIT TYPE:
TION:
Address: 1\ A <-ey s r-,_ T( , 'D 6"1
Property Tax ID #: 3` t 2 - Soo - OL 5 k " 000 - 3 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORE:
�`� = � roc r►-. .
CONSTRUCTION INFO11 RMATION:
Additional work to be performed under this permit - check all that apply:
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ C. JO -0i
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Name R(AktA t'^ a0.:ac rco0f
Address: lb 5 V ,-e
City: L ,,tom 00?i State: NNJ
Zip Code: L31)9 Q Fax:
Phone No
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name:_'-er! ; i>
Company: ki-, k ti n
Address: �.t,'1� T
City: -F-r. 9,-.erc.e State: 1" C
Zip Code: 3 tib] 2, Fax:
Phone No 'l -1 Z - Zt -oC- Z k 2-
E -Mail
E -Mail k 0,)r-lo>n�^ - LG7I-t
State or County License C'k_ 1
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ICE OF COMMEN MENTI"
Signat a of ner/ ssee/Contractor as Agent for Owner
Sign re of Contr ctor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 4' W V' 1
COUNTY OF�S�+Xl
The forgoing instrument was acknowledged before me
The for�g`oing instrument was acknowledged before me
this 1l9^nnday of O�,.wr�.w. 20� by
this R day of -M^-J G�.n„ 20_?dl by
l9cc�� I=err. 5
�Gcu i-�r,S
Name of person makin�tement.
Name of person making statement.
Personally Known v-' OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
-l"'C - It— ". , L
c��l.0 —y
(Signature of Notary Public- State -of Florida
(Signature of Notary Public- State of Florida )
Commission No.71111111111111
Commission No. otary Pube Stat of Florida
NoIllytary Public State of Florida
Kerr Lee Hite
Kerri Lee Hite
My Comm so on
ton 38 402
e Exp res 08/19/ 3
oFa Expires 08/19/20 3
REVIEWS SUPE ISOR
PLANS VEGET E
COUNTER RVI W
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. Notary Public State of Florida
fid*
Kerri Lee Hite
If My commission GG 367402
ofa Expires 08/19/2023
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 11 LAKE VISTA TRL 204
Sec/Town/Range: 22/36S/40E
Map ID: 34/22N
Zoning:
Ownership
Malcolm L Daignault
Ellen B Daignault
105 Riverine Rd
Liverpool, NY 13090
Legal Description
VISTA ST LUCIE BLDG I 1 UNIT 204 (OR 1915-607)
Current Values
Just/Market Value: $42,300
Assessed Value: $35,723
Exemptions: $0
Taxable Value: $35,723
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future taxes.
• The sale of a property will prompt the removal of all
exemptions, assessment caps, and special
classifications.
Taxes for this parcel: SLC Tax Collector's Office
Download TRIM for this parcel: Download PDF
Parcel ID: 3422-500-0151-000-3
Account #: 110240
Use Type: 0400
Jurisdiction: Saint Lucie County
Total Areas
Finished/Under Air (SF):
Gross Sketched Area (SF):
Land Size (acres):
Land Size (SF):
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
C Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.