HomeMy WebLinkAboutBuilding Permit Application.pdfAll APPLICABLEINFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (OI(71%/I Permit Number:
gig LUG
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:
IPROPOSED IMPROVEMENT LOCATION:
Address: 100`4 SI OtO,tll'D✓.I_W,vf5P,V1'PX)/7 Fr.'/4.1S�7
Property Tax ID N: ik t'2`&D OOOod•o00, If Lot No.
Site Plan Name: 15C Wlgc;8i �ra�17F1 pA-'e -1 a!lo jvnur' Block No.
Project Name: in�'Y c��dC/AWN/YJ15 6mndD
I DETAILED DESCRIPTION OF WORK: I
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: r -!Sum
Additional work to be performed under this permit- check all that apply:
_Mechanical _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: $ 10('2W Utilities: —Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name'icgWwgl5 Con&o A ,F: Ict vi. tv
Name:
Address: kriN4/15�0&eA*-, A,
Compan': V'.
City Y'l/lSf.Vt edl.Q/1 State:�L
Zip Code:3LIfc(5-7 Fax:
PhoneNo. 177-1-',Y-3 -I LI-I
Address:43Q7O la's (.P .
city:e; IN ,f{' State:FL-
Zip Code: ', Fax:
Phone No�)'7228'h Z!5-
E-Mail:Li�foAl11�Yf4,amc (d_<]nlnaifi.
-� O—
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail I
State or County License (6 I--'t7-R0i ri-
If value of construction is ZSOO or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicab e
Name:
Name:
Address:
Address:
City: e:
City: State:
Zip: Phone
11101
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 recording vour Notice of Commencement_
oj�'
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Signature of Owner/ L e/Co tractor as Agent for Owner
Signature of Co r ctor/Li nse Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF May-A-1 1n
COUNTY OF Y ay--�'l
Sw rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
VV P slcal Presence or Online Notarization
6U.b1.Pi
: Physical Presence or Online Notarization
this ay of . 2021 by
w
this j�Jday of ,u-ne— 2021 by
Nme of pdrson makin statement.
Name off pers�g statement.
f
Personally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced IL
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I.
(SignaturetNo..
(Signature of N I' - I a
Commission p GG 3669y1
CommissioI
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Commission No. .. mOMAS W. STcttror
wlmission.•
n�NMJ.RIIIUUJG1YId111ImuGIRVIJ:CkJ u:�.-761
ExpiresOclober9,2023
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MANGROVE
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
nev. 3/0//u
Michelle Franklin, CFA— Saint Lucie County Property Appraiser--Allrights reserved.
Sitc Address:'rOD
Seerroum/Range: OV37S/41E
Parcel ID: 4502-80Y0o00-000-I
Jurisdiction: Saint Lucia County
Ownership
SeawimLs Cund.minium Assn What
Inc
10044 S Occan DR
mist. Beach. FL 34957
Property Identification
Use Type: West
Account O: 179925
Map ID: 45102S
Zoning: I l inch Isla
Legal Description
SEA WINDS('OSDOM IN I CM- A CONDOMINIUM COMPRISING APART
OF SECTION 02 "f0 W NSI UP 37S RANGE 41 AS SI IOWN IN
DECLARATION OF CONDOMINIUM OR 395.558 (5.27 A0
Current Values
Jux/Market Value: S0
Assessed Value: 5a
Exemptions: S0
Taxable Value: :0
Property taxes are subject to change upon
change of ownership.
CPvsnal..fo n pert,.111 pr.uptivn Inno-1euvn.
• The svte v(e properly will prompt lLe rcnun:d of all
axan�paans, assa::ment naps. nna spad:u rl,::imatnu..
Taxes for this porccl: SLC Tax Coliecmis Gnice G
Download TRIM for this parcel: Download PDF G
Total Areas
FinishcdfUndcr Air (SF): 0
Gross Sketched Are. (SF): 0
Land Size (acres): 5,'7
Land Size(SF): '-"/="I
Building Design Wind
Speed
Occupancy Category 1 11 III & IV
Speed 150 160 170
S.rc&h.ks:
All infommtion is believed to be correct at this time. but is subject to change and is provided without any warranty.
4) Copyright 2021 Saint Lucie County Pmpcny Appraiser. All rights reserved.
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE N 4873563 OR BOOK 4622 PAGE 2213, Recorded 06/03/2021 04:46:05 PM
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alternative format by contacting tho County ADA Coar
Adminlal7ation GMVA ("2) 20654006 Rarlda Relay 7". or by
form at
Rev.10.20
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