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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Dater Iri Permit Number: 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 CBDG Funding PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: N Address: Q9lpq CJ\ �' • C 'v a Luete �Q� Property Tax ID #: 3E5� — — tziu Lot No. r7 Z2 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: R OF New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: (Affidavit required) Additional work to be performed under this permit— check all that apply: Mechanical Electric _ Gas Tank Plumbing _ Gas Piping Sprinklers Total Sq. Ft of Construction: Cost of Construction: Shutters Generator Sq. Ft. of First Floor: Windows/Doors Roof Block No. Utilities: —Sewer —Septic Building Height: Pond Pitch OWNER/LESSEE: CONTRACTOR: Name Name: Q'3epr1 rk,: Address: Company: ''--3prv, City: State: _ Zip Code: Fax: Phone No. E- Address: [S :I -s'C vfk ��. City: 3Ilr. L1.F&f- State:pL Zip Code: < Fax: Phone No nr'\O t�f-1 - �J1d a --a Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Z�t3*1 mzerVkk-> 9441 1 State or County License CSC. l� 49 1 V5 a value or 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. 0 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERJENGINEER- _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: _ Address: City: _ Zip: Phone: te: BONDING COMPANY: _Not Applicable Name: _ Address: City: _ Zip: Phone: Uvdevr.K/ LUN I KAL I OR AFFIDVIT. Application is hereby made toobtain 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 commencing work or recording vrnir Notirp of (-nmmpnrpmPnt ignature of contractor- caner Builder as applicable STATE OF FLORIDA COUNTY OF Sworn (or affire and subscribed before me of Physical Presence or online Notarization this m ay of 2� by Name of person making statement. Personally Known "S OR Produced Identification Type of Identification Produced (Signature of Notary Public- State of-P(arida) Commission No.}.g9(Se� Yj?Ue BARtlARAJ.LOPEZ aa�� Commission # HH 099764 * Expires Apo i24,2025 � oe �fat'pF FtO� 13.MW Thru Budget Notary Sr l{ "s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE _ COMPLETED itev iu/12/21 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 10769 GREY HERON CT Sec/Townaange: 281365/39E Parcel ID: 3321-803-0076-000-3 Jurisdiction: Saint Lucie County Ownership R E McLaughlin Judith McLaughlin 10769 Grey Heron Ct Port St Lucie, FL 34986 Legal Description RESERVE PLANTATION -PHASE 11A- LOT 72 (MAP 33128N) (OR 893464) Current Values Just/Market Value: $612,200 Assessed Value: $528,007 Exemptions: $50,000 Taxable Value: $478,007 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. Taxes for this parcel: SLC Tax Collectors Office 12 Download TRIM for this parcel: Download PDF 12 Use Type: mo Account #: 35997 Map ID: 33/28N Zoning: RS-2 - Cou Total Areas Finished/UnderAir (SF): 3,611 Gross Sketched Area (SF): 6,519 Land Size (acres): 1.57 Land Size (SF): 68,357 Building Design Wind Speed Occupancy Category 1 11 III & 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 2022 Saint Lucie County Property Appraiser. All rights reserved.