HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INFOrLIVE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1 /CO
E 0 ul"�'
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Building Permit Applic n NOV 1 6 2017
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 BY: Resid nti� al x -
PERMIT APPLICATION FOR: Dock.00-f 3G64 (i7{=-{-
P;ROPOSED IMPROVEIVIENT.LOCATION II
Address: 3921 SHORESIDE DR. FT PIERCE FL 34949 1
Legal Description: TARPON FLATS SUBDIVISION (PB 69-27) LOT 5(OR 3906-1990)
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Property Tax ID#: 1423-566-0008-000-7 Lot No.5
Site Plan Name: TARPON FLATS LOT 5 Block No.
Project Name: TARPON FLATS LOT 5
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIRTI04 OF WORK �;': �
Furnish t lnAal I a n�vq wood d0c4t321g '-/- and
hall+q wil h 22
CONSTRUCTION INFORM.- ATION
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Additional work to be nertormed under t is permit—check a apply:
11HVAC Gas Tank Gas Piping Shutters a Windows/Doors
Electric 0 PlumbingSprinklers El Generator El R'I of Roof pitch
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Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �� ��c Utilities: _Sewer[]Septic Buii ding Height:
OWNER/LESSEE CO:NTRACTOR
Name KEITH&SUSAN JANSEN Name: ROBERT WILLIAMS
Address:525 PLUM BLOSSOM LN Company: WILCO CONSTRUCTION INC
y CAMPBELL CA 10751 ORANGE AVE "
City: State:_ Address:
Zip Code: 95008-1962 Fax:NIA City: FORT PIERCE State:FL
I�Phone No. ('Q 10 —v 9-6 ZipCode: 34945 I ax: 772-460-6929
I .E-Mail: Ki?1/�uyi15�91�+ � Phone No. 772-460-6928
Fill in fee simple Title Holder on next page(if different E-Mail: WILCOINC@BELLSOUfH.NET
from the Owner listed above) State or County License: SCC131151026 29115
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SURFLEM'ENTALCONSTRUCTIONIIEN LAWINFORMATION
DESIGNER/ENGINEER: _ _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: DANILE PAUL RETHERFORD Name:
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Address:1402 HARTMAN RD Address: I
City: FORT PIERCE State: FL City: I State:
Zip: 34947 Phone: 772-224-9826 Zip: Phone: I
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address: I
City: City:
Zip: Phone: Zip: Phone: I
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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 restriction�which may apply.
In consideration of the granting of this requested permit,1 do hereby agree that 1 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 anothe 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 r Notice of Commencement.
s
ig of Owner/L s e/ ontrac r s Agent for Owner Signature ofContractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF �C COUNTY OF
The fo going ins ru ent as a nowledg before me The forgoing instrument was acknowledged before me
this day o 2 by this�day of ,20 by
(Name of person ackn edging) (Name of person acknowledging)
(Signature of Notary Public-St of Florida) (Signature of No'4y State if Florida)
Personally Known v OR Produced Identification Personally Known OR Produced identification
Type of Identification Prod ype of Iden'ific Pr ed
g�paY Po Notary Public State o on a
1�Y Ps DAWN RTZG BALD
Commission No. Fjj� ��SS Donza ommission No. _ = COMMI5510N *529
Nf�]'90ml ission GG 092440
`�Q` EXPIRES:December 17,2017.
OF Expires 07/27/2021 '•".',:-F Bonded Thru Notary Public Underwriters
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Revised 07/15/2014 II
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION arm
TURTLE MANGROVE
COUNTER REVIEW REVI W REVIEW REVIEW REVIEW REVIEW
DATE 7
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COMPLETE
INITIALS
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Michelle Franklin,CFA—Saint Lucie County Property Appraiser—All rights reserved,
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Property Identification
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Site Address: 3921 Shoreside DR
Parcel ID: 1423-566-0008-000-7
Account : 177739
Mao ID: 141213S
Use Type: 0000
70nin_: HIRD
City/County., Saint Lucie County !'
Ownership _
Kevin JansenSusan Jansen
525 Plum Blossom LN
Campbell,CA95003-1962
Legal Description = n, { •°� � 8
TARPON FLATS SUBDMSION(PB 69-27)LOT 5(OR 3906-1990) ' 7
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Current Values
Just/Market Value: SI56.000 t ,_
Assessed Value: $156.000 _50 --
Exemptions:
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Taxable Value: 5156,000
Taus for this parcel:SLC Tax Collecmes OB"i«p �`"�_—+—...�"--+�' ""' a. ✓^ "'�,.�
Download TRIM for this parcel:Do—load PDFU 7;Sritk3\Fts�`jS:. 'e t-;
Total Areas
FinishedlUnder Air(SF): 0
Gross Area(SF): 0
(and Size(acres): 0.27
Land Size(SF): 11,761
This iftforniation is believed to be correct at this time but it is subject to change and is not warranted.
C'Copyright 2017 Saint Lucie County Property Appraiser.All rights reserved.
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