HomeMy WebLinkAboutbuilding Permit ApplicaionALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: P� 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 Col't'll']'lercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
M�INRMIP.�
Legal Description:
Property Tax ID #: ` C - °aQ Lot No. �
Site Plan Name: Block No.
Prniart Name-
.. -,--- ---
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
A itrona work to (e P r Dime un er t is permit — c ec a t app y:
1_1HVAC LJ Gas Tank Gas Piping _ Shutters Windows/Doors
Electric Plumbing []Sprsnklers FIGenerator F] Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ q 013
OWNER/LESSEE:
5 Ft. of First Floor-
Utilities: 0 Sewer 7 Septic
Name ��\+
Address:
City: State: st
Zip Code: - c Fax:
Phone No. — Q)n_
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
1\1,mr,. JOSEPH F TULLY
Building Height:
(mm�amr• GENESIS PLUMBING SERVICES INC
pddrQr— 1532 SE VILLAGE GREEN DRIVE UNIT B
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: 772-335-2680
oh,,, N, 772-337-3682
_Rail. genesisplumbingservices@gmaii-com
State or County License: CFC1429103
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER;
Name:
Address:
City:
Zip: Phone:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 recordin,- vour Notice of Commencement.
Signature of OwneL eeJ[Contractor as Agent for Owner
ature of Contractdr/License Felder
STATE OF FLORIDA,. STATE OF FLORIDA, .l
COUNTY OF - '� COUNTY OF
The faM, , g instrument was acknowledged hefore me
this day of !Q 1\r RT 20-:�: -b
(Name of person acknowledging }
(Signature of Notary Public- State of Florida)
,1}�t}T'A,ll Pr�J9�tPik
Personally Known c,•
Type of Identificati i Commission # GG 9715
= y x
Commission No.
��rv°::a' Aprf 242021
Revised 07/15/2014
The for ;wing instrument was acknowledged before me
this)ayof_���'� 201J by
(Name of person acknowledging)
f -N,
(Signature of Notary Public- State of Florida) `
Personally Known Prq Ag0IeJANiVcffZ
Type of Identificati'°o `*d commission a GG 97150
My commission Expires
rstd`'.``�
Commission No.�p�r„+t`� April 021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
3/6/2020
Feature Report
V�)CIF CO
Saint Lucie County Property Appraiser
Michelle Franklin CFA
Report generated: Friday, March 6, 2020
Parcel Report
Parcel
Parcel ID:
3402-609-0335-000-9
Property ID:
37868
Owner 1:
Lude-Rose Poitevien
Site Address:
5812 MYRTLE DR
Owner
Owner 1:
Lude-Rose Poitevien
Owner 2:
Owner 3:
Mailing Address:
5812 Myrtle DR Fort Pierce, FL
34982-7535
Legal Description
Legal Description: INDIAN RIVER ESTATES-UNIT-
08- SLK 61 LOT 17 (MAP 34111 S)
Overview
Primary Land Use
District Group:
Subdivision:
JustfMarket Value
Finished Area:
Acres:
Total Area:
0100 - SF Res
0002 - Saint Lucie County
Indian River Estates Unit 8
$173,300
1,746
0.23
10,000
hftps:/Ipat.bhamaps.com/TabReport.aspx?appid=8c2O5c54407f4486855e54116cfd8390&PARCELN0=3402-609-0335-000-9 111