HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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
Address. -�
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Naive:
Setbacks Front Back:
Commercial
Tl dropbox, click arro'
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK-.
�Lg&& PA&ZL �-
CONSTRUCTION INFORMATION:
Residential
Lot No._
Block No.
-.Additional work to be performed under this permit— check all h apply:
❑HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ❑ Generator Roof u Roof pitch
Total Sq. Ft of Construction: Sq- Ft- of First Floor:
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name I
Name:
Address: k
a
Company: rauk
City: State•
Zip Code: Fax:
Phone No. "'
Addrersss_: 'm
City: i"�, A e, Lq� _ Stater
Zip Code: 34979 Fax: -Ty -4�0 V_'1 f ft�
Phone No.
E-Mai{:
Fill in fee simple Title Holder on next page [ if different
from the Owner listed above]
E-Mail: f�
State or County License: + q 7
If value of construction is $2500 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: —
OWN E R/ 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
commencin g work or record pS your Notice of Commencement.
r
Signature of Owner/ Lessee/Corr or as Agen or Owner
Signature oicontractor/Lic s older
STATE OF FLORI {
STATE OF FLORID °`
COUNTY OF
COUNTY OF
The forgoing instr ent was acknowledged before me
this day of 2040 by
The f rgoing instr ment was acknowledged before me
thiOr day of 2�by
f erson making statement
Name of person m� statement
Personally Kno OR Produced Identification
erson An OR Produced Identification
cation
pe of Identification
Pro duc d
Produc
ri
r I
(Signature of
(Signature of Nota - I a
;�;?: °�''• , tIBERTYA, KIN
Commission
LiBE
Commission s:
(Vo
o= ES: P1&y 202
� p ? aondk irr} Notary Public Uride writlm
Ct31NMi5S Q9U638
: EXNRES� May 4, 2021
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Tarn: *t;ry public Ur&j*Tgm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE l
COUNTER
REVIEW
REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Property Identification
Parcel ID: 1002237 Identification #: 700520034793
Account Status: Open Location: 37 La Puerte Del
Norte
City: Saint Lucie County Business Name. Wynne
Building Corp
Business Type: 7005 - Sp Lks DBA: Mobile Home
CC Contact: Wynne Building Corp
State Code: 814190 _ Mobile
Home Attachments
Ownership
Current Values
Wynne Building
Market Value:
Corp
$719.00
8000 S US Hwy 1
Exemption Value:
#402
$719.00
Port St Lucie, FL
Taxable Value;
34952
$0.0D
Return Received:
Not Yet Received
Penalty: None
Download TRIM
PDF Ii
Exemptions
Grant Exemption
Year Code
2008 TPPX
Asset Group and Value
Asset
Value
MH Carport
$274.00
Asset
Value
MH CenfralAC
$320.00
4.OT
Asset
Value
MH Main Area
$0.00
Exemption Description
Tangible Personal
Property Exemption
Exemption
Value
$719.00