HomeMy WebLinkAboutSUBMITTED PAPERSApr 17 2000 09:OOPM HP FaxMiraneih Sales 7728710863 page'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED PermitNumber:NbiO3
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click here
FROPQ ED Ck�fPRI(MENT L.QCATIO`N
Address: % Y,->
Legal Description:
Property Tax 1D # —c-�-y Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:
Right Side: Left Side:
7
CQ1 s RUCNFQR:MAR N'..
ja.ciditional work to be nertormedunder t is permit— check a app y:
VAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric Plumbing Sprinklers 11 Generator Roof
Total Sq. Ft of Constructionsr 1 5 Ft. of First Floor:
Cost of Construction: 'J+ ` U. (; � Utilities: Sewer _Septic Building Height:
_
::fJV1+t . SEE:::CONY
NE
ACTOR:
Name Q
Name:,
Addre s: L
Company: t a i,!rh
r iG '
��++
City: ( State:T�-t_..-
t
Address-4,90 00
Zip Code Fax:
City: t i l
Stat
Phone No. .� _
Zip Coder Fax:
E-Mail:
Phone No.
Fill in fee simple Title Holder on next page ( if different
E-MailCA s-af'y. o
0 e
State or County L1cense:C
from the owner listed above)
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
KA-� '5 - lv\�'
Apr 17 2000 09:OOPM HP FaxMirandb Sales 7728710863
page /'-
SUPPLEMENTAL C, NSTRUCION LIENELAIN IN.FOR`IVIATION:.."
DESIGNER/ENGINEER •' _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: i Address:
City: ! State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HO
Name:
Address:
City:
Zip: Phi
Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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 {epresentation 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 gra! ting 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 your paying twice for
improvements to your.; property. A Notice of Commencement must be recorded and posted on the jobsite
before first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm"enhine work or recordine vour Notice of Commencerneni,-- ,
Sigrature of Owner/ Agen1�Lessee
STATE OF FLORIDA
COUNTY OF
:t
The forg9ing instr e t
thi of 00,
as acknowled ed before
20] by
mega ls "%,
rTA=
.lay
5 JR 8 z
(Name of person acknowledging)
� L o70
Notary Public- State of Florida )
Personally Known Le
Type of Identification
Commission No.
Revised 07/ 15/2014
OR Produced Identification
(Seal)
mtractor/License Holder
STATE OF FLORI4A ,
COUNTY OF C�k A ucye'
The for ging instrgime t was acknowledged before me
thi&, ay of 20Uby
me of person acknowledging)
cD
(Signature of Notary public -a, State of Florida ) I 1i '�
Personally Known L' OR Produced Identification
Type of Identification Produced
Commission No, (Seal)
REVIEWS
FROND
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTF�R
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Apr 17 2000 09:OOPM HP FaxMirandb Sales 7728710863 page,.
Stlucie County Propert, __ praiser Page 1 of 1
Lahey, Charles
Property Identification
Account Number:
011304
Identification 11:
706020190686
Ownership Location and Mailing Address
Susiness Name:
Lahey, Charles
Location:
1836 stonybrook dr tl 34950
DSA:
Fahey, Letetia
City:
NA
Contact Name:
Charles Lahey
Current Account Status
Account Status:
Tax Year:
Year Added:
Asset Group and Value
Asset Group
MOBILE HOMES
Open
2014
General Tax
Parcel ID: 2303-211-0025-000-5
Lines
6
Sub Total:
Exemption
Amount:
Total:
Owner Name:
Mailing Address:
2nd Address:
City:
State:
Zip:
Country:
Edit Code: 0
Business Type: 7060
T/R Received
Total Value
$ 901
$ 901
$901
$0
Sketch Map
Territory: 02
Penalty n/a
Lahey, Charles
1636 Stonybrook Or
Fort Pierce
FL
34946-2455
Incl.in Value: Yes
State Code: 814110
Exemption(s) YES
Apply:
%11ClE 00
A . I oA.
http:i/www.pasle.org/pasle/PPpre.asp?account=11304 10/ 27/2014