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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Q Permit Number: w f - 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION Address: , Lf—1 Legal Description ^ r 31 L E L uF :-3 1 Property Tax ID#; �`' �' �� �� ^ Lot No, Site Plan Name: Block No._ Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 0,`;[.A_ar nQa � �1 CA C C CONSTRUCTION INFORMATION: Additional work to e e orme under t is permit—c ec a at apply: 0HVAC 11 Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric IX Plumbing Sprinklers Generator 0 Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction: $ �® �� _ utilities, Sewer D Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Name: JOSEPH F TULLY Address: ii. Company: GENESIS PLUMBING SERVICES INC ' City: '" State:_� Address: 1532 SE VILLAGE GREEN DRIVE UNIT B IPORT ST LUCII= State:FL€ Zip Code: .� Fax:: City: 34952 772-335-2fi80 Phone No '� L4 Zip Code.. Fax: E IViaii.�° Phone No. 772-337-3682 Fill in fee simple Title Molder on next page(if different E-Mail: genesisplumbingservices@gmaii.com from the Owner listed above) 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 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: I certffy that no work or installation has commenced prior to the issuance of a permit. 5t, 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 recording our Notice of Commencement. �r 4y S 5ig6ature of Owner. seeftontractor as Agent for Owner ignature of Contract r/License•ITdIder STATE OF FLORIDA,--, ',-,. STATE' OF FLORIDA COUNTY OF '; � _ = COUNTY OF The fpr o. g instr nt was acknowledged before me The forgr{ng instr ent was acknowledged before me this �ay of 2Q�by thi day of C;rQi 20 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Publ.i'-State of Florida ) SSggnature of Notary Public State of Florida Personally Known Z Personally Known ",':' PrgplgAleh�c Type of Identificati - Commission a GG 9715o Type of Identificati °o ""Ei Commission#GG 97150 y ommissEon xp '-" my Commission ExPe Commission No. Commission No. „° Aprl 24 2021 r`-;fa�tid '' April 021 ���� „,�`` Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REViEW REVIEW RFVIEW DATE COMPLETE INITIALS Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 673 PONYTAIL LN Use Type:0100 Sec/Town/Range: 10/36S/40E Account#: 133287 uParcel ID:3410-503-0168-000-7 Map ID:34/108 Jurisdiction:Saint Lucie County Zoning:Planned Un Ownership Lori A Chase 673 Ponytail LN Fort Pierce,FL 34982 Legal Description - PALM GROVE SID BLK E LOT 31(0,12 AC} Current Values Just/Market Value: $133,000 Assessed Value: $133,000 ` Exemptions: $o Taxable Value: $133,000 Property taxes are subject to change upon Total Areas change of ownership. Finished/UnderAir(SF): 1,450 • Past taxes are not a reliable projection of future taxes. Gross Sketched Area(SF): 1,972 • The sale of a property will prompt the removal of all Land Size(acres): 0.12 exemptions,assessment caps,and special classifications. NUMEWWor.... Land Size(SF): 5,227.2 Taxes for this parcel: SLC Tax Collector's Office 11 Building Design Wind Download TRIM for this parcel.Download PDF❑ Speed Occupancy Category I II III&IV Speed 140 160 170 Sources/links: All information is believed to be correct at this time,but is subject to change and is provided without any warranty. ©Copyright 2021 Saint Lucie County Property Appraiser.All rights reserved.