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PERMITAPPANDPROPERTYAPPRISER
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: m 11 _ �- j Permit Number: ST. LClC1E �i Cout��r�� F L O FZ' I D A Building 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: Address: Property Tax ID i Site Plan Name: Project Name: i I 11 New Electrical Meter Second Electrical Meter. Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank _ Gas Piping Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: pco Cost of Construction: $ Utilities: Name (_11 117f Cif b1f &Y> 40 Address: City:fC �� 116? State: _ Zip Code:���Fax: Phone No.�- E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) 0 Lot No. Block No. _ Shutters :Windows/Doors _ Pond _ Generator �(_ Roof Pitch Sq. Ft. of First Floor: 0 —Sewer _ Septic Building Height: Name: 1 A - VI 5 r aC Y Compan` Address: 75&b S1/J City: State: Zip Code:3 LICIC Fax: Phone No E-Mail State or County License (fr C/ If value of construction is 2500 or more, a RECORDED Nonce of commencement is requueu. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. ;',„�t� ei2r ?,'10 r .v�� .try i t Nn" t'� INS DESIGNER/ENGINEER: _ -, Not Applicable v sky. n -.,. .;.._ 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 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attornev before commencine work or recordine vour Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signatur o Contractor/License Ho STATE OF FLORIDA f�>C,r STATE OF FLORIDA COUNTY OF COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presen a or Online Notarization __kPhysical Presence or Online Notarization by 7-1 t is day of M0 by Z/ this day of 2GZe Lrla p°1 UI Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced %. Produced (Signs ure" .. otaYy Rtffrt�c� 5taf�i�£ i Irrda ` ' y t {{{{ (Signat ffi yrj (�Sp e cftlari{ t� 5 �k i �A {h . `e'1� L i k PL C lu J tiY ''lli�f ji Issi 0,\ � 1 L J� � 'i S� u �t is tit r , < < o��PY n�!// S //''�� Syr_�K 1' 'S )Il„�4 tV4T`�a i My I LO�int =cr+GF� l7 i7, 20yea, Comn rL�or;o (Seel) Commissary Nr U�finm3ers t \' a yubllcde REVIEWS FRONT ""ZON1NG " SUPERVISOR PLANS VEGETATION SEATORTLE``' 'MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/b/ZU Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 4904 EAGLE DR Sec/Town/Range: 13/34S/39E Parcel ID: 1312-801-0027-000-5 Jurisdiction: Saint Lucie County Ownership Anna M Anderson 4904 Eagle Dr Fort Pierce, FL 34951 Legal Description HOLIDAY PINES S/D-PHASE 11-13- LOT 224 (MAP 13/13N) (OR 367-1820) Current Values Just/Market Value: $162,700 Assessed Value: $99,171 Exemptions: $75,500 Taxable Value: $23,671 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. Use Type: 0100 Account #: 4470 Map ID: 13/13N Zoning: RS-4 Count Total Areas Finished/Under Air (SF): 1,784 Gross Sketched Area 2,606 (SF): Land Size (acres): 0.38 Land Size (SF): 16,509 Building Design • Speed Taxes for this parcel: SLC Tax Collector's Office 12- - - Download TRIM for this parcel: Download PDF 12 Occupancy I II III & Category IV Speed 140 150 160 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. https://www.pasic.org/RECard/#/propCard/4470 5/29121, 2:34 PM Page 1 of 1