HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: _
-0J -'
`? L' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: t Ro Lot No.
Site Plan Name: VA Block No.
Project Name: _
DETAILED DESCRIPTION OF WORK:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
A i Tonal work to be performed under this permit— check all that apply:
echanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $� _ Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name
Name: lQ
Company:
Addre
City: State (_
Address:
City: - State:
Zip Code: Fax:
Phone No.� ", 1
Zip Code: , Fax:
Phone No Jv _ gS `ti q
E-Mail:
Fk1I in fee simple Title Holder on next page ( if different
E-Mail Vcospn4mm r �
State or County License,%SI
from the Owner listed above)
is required.
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC 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:
Zip: Phone
City: State:
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 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 f ilure to Record a Notice of Commencement may result in paying twice for
improvements to your perty. A Notice of Commencement must rec ded in the public records of St.
u i end to obtain financing, consult
Lucie County and pos on the jobsite before the first inspection. I�be
with lender, r e before commencingwork or record' tice of Commencement.
Signature of O e ee/Contractor as Agent for Owner
Sign a actor/License Holder
STATE O FLORID
COUNTY OF F ���
STATE OF FL RI
COUNTY OF 0 O
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
P sical Presence or Online Notarization
thQ(7 dayo�f�/� 20210by,/�
h sical Pre s ce or Online Notarization
this—, day of 2020 by
Name of person making statement.
Name of person making statement.
duced Identification
Pe ally nown 1�7_
ersonally Known OR Produced Identification
--
a of Id tificatio
Prod
( gnature GLN4ry Public- State of Florid )
ignature f ary ic- State of Flori
Commission No. dSeal)
NRVNR� �'S'LF0 3 �s
Commission No. I)
; PGo ,..,,. KATHRYN ROSEN920415
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
Property Identification
Parcel ID: 1003889
Identification #: 700520059378
Account Status: Open
Location: 60 VISTA DE
LAGUNA
City: Saint Lucie County
Business Name: Hart, Francis J
Business Type: 7005 - Sp Lks
DBA: Hart, Rose M
CC
Contact: Francis J Hart
State Code: 814190 - Mobile
Home Attachments
Ownership
Current Values
Hart, Francis J
Market Value:
60 Vista De Laguna
$2,170.00
Fort Pierce, FL
Exemption Value:
34951
$2,170.00
Taxable Value:
$0.00
Return Received:
Not Yet Received
Penalty: None
Download TRIM
PDF
Exemptions
Grant Exemption Exemption Description
Year Code Tangible Personal
2008 TPPX Property Exemption
Asset Group and Value
Asset
Value
MH Awnings
$108.00
Asset
Value
MH Carport
$144.00
Asset
Value
MH CentralAC
$320.00
4.OT
Asset
Value
Exemption
Value
$2,170.00
MH Florida $560.00
RoomR
Asset Value
MH Main Area $0.00
Asset
Value
MH Screen Rm
$902.00
Vinyl Windows
Asset
Value
MH Util Rm
$136.00
Asset
Value
TotalAppraisedValue
$2,170.00