HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:_'
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PROPOSED IMPROVEMENT LOCATION:
Address: . L_hnnnr(),"i
Property Tax ID #: ' L � 0017-7
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Site Plan Name:.�iC�.
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Project Name: A k
DETAILED DESCRIPTION OF WORK:
Residential
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Lot No. { /
Block No.
Additio I 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:
Cost of Construction:
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name + AVe
Name:
Company: 1.i�'c1`'
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Address:
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State: �..
Zip Code:�
Phone NoffIJ!3
Address: 109 i
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Zip Code
Phone No _T�)
State: _.
Fax: - q
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E-Mail: 10,
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mails (�fli'C `�Ci�� r`tJ✓YJ
State or County License�`�
If value of construction is 2500 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 CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V 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:
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 attorney before commencing work or recording our Notice of Commencement.
Signature of Ow / Lessee/Contractor as Agent for Owner
STATE OF FL RI A
COUNTY OF
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Sworn t (fir affirmed) and subscribed before me of Physical Presence or Online Notarization
this L2 day of- 77f .CC�(`�W� ')(-' 20 by
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Name of person making statement.
PersonailyK''n'own, �" OR Produced Identification
ype of Identificatio,`n Produced
(Signature of Notary Public- State of Florida )
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Commission No. li i t��G$�%.)� (Seal) t*RYP�e�: KONNI LENAE DEWITT
Notary Public - State of Florida
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P Commission I HH 165134
bat�°�' My Comm. Expires Dec 10, 2025
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev
12/23/21, 7:01 AM
Property Card
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 9124 Champions Parcel TD: 3334-501-0097- Account #: 154929 Sec/Town/Range: 34/36S/39E
WAY 000-9 Map ID: 33/34S Zoning: Planned Un
Use Type: 0100 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Agim Gjuka LAKES AT PGA VILLAGE (PB 43-32) BLK B LOT 19 (OR 2747-
Aferdita Gjuka 2963)
9124 Champions Way
Port ST Lucie, FL 34986
Current Values Historical Values 3-year
Just/Market:
$284,100 Assessed:
$206,614 Year Just/Market Assessed
Exemptions
Taxable
Exemptions:
$50,000 Taxable:
$156,614 2021 $284,100 $206,614
$50,000
$156,614
2020 $260,900 $203,762
$50,000
$153,762
2019 $262,900 $199,181
$50,000
$149,181
Sale History
Date
Book/Page
Sale Code Deed Grantor
Price
01-02-2007
04-21-1998
2747 / 2963
1140/1945
XX00 SP Reserve Homes Ltd LP,
XX04 WD CALLAWAY LAND AND
$310,000
$21,320,600
CATTLE CO
Primary Building Information
Finished Area of this building: 2,084 SF
Gross Sketched Area: 2,856 SF
View:
Year Built: 2006
Primary Wall: CB Stucco
Bedrooms: 2
Full Baths: 2
Half Baths: 0
Roof Cover: Cone Tile
Frame:
Story Height: 1 Story
A/C %: 100%
Heated %: 100%
Sprinkled %: 0%
Exterior Data
Roof Structure: Hip
Grade: A -
No. Units: 1
Interior Data
Electric: MAXIMUM
Heat Type: FrcdHotAir
Heat Fuel: ELEC
Total Areas
Building Type: HA -
Effective Year: 2006
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors: Tile -Ceramic
Finished/Under Air
2,084
(SF):
Gross Sketched Area
2,856
(SF):
Land Size (acres):
0.2
Land Size (SF):
8,712
Total Building Count:
1
Special Features and Yard Items
Type Qty Units Year Blt
Drive-BrkPav 1 703 2006
https://www.paslc.gov/RECard/#/propCard/l54929 1/2