HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: i C J SCANNED Permit Number: / ���•���
BY
St. Lucie Countv
Building Permit Application
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 Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name: _
Setbacks Front
Back: Right Side:
k
Left Side:
Lot No.
Block No.
Addit' nal work to be ertormed under this permit— cnecK an apply:
_ KHVAC E] Gas Tank Gas Piping In Shutters Q Windows/Doors
11 Electric 0 PlumbingSprinklers 0 Generator Roof
Total Sq. Ft of Construction: ( I G1 . S . Ft. of First Floor:
Cost of Construction: $ �_ Utilities:ESewer 0Septic Building Height:
OWN )�55E x K'� �' �d
CONTRACTOR
Name ol'-�
Name: l
ti
Address: <
h
Company: �--
City: State:
Address:
0) vY r_--
Zip Code: 3 1 Fax:
City: State.
Phone No. !� Z p
Zip Code: � Fax:
Z I
E-Mail:
Phone No.
Fill in fee simple Title Holder on next page ( if different
E-Mail.
State or County License: C ikC I $ 1
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea.
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
-Name:
Aaaress
Address:
City:
City: State:
State:
Zip: Phone:
Zip: 1 Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
_
Name:
Address.:
Address:
City:
City:
Zip: Phone:
Zip: \ Phone:
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 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 your Notice of Commencement.
of Owner/ Agent/ Lessee
re of ContractoVteense Holder
STATE OF FLORIDA < STATE OF FLORIDA
COUNTY OF I� COUNTY OF
� i�
The forgoing instrument was acknowledged before me The forgoing instr ent was acknowledged before me
this day of 20 14 b this( day of 20__g by
f
t C�YI a 'lick'` F�,�- L1 J lt3�m Z c�
(Name of person acknowledgin )c me of person acknowledging) N
rof Notary Public- St(3te f Florida)
Known OR Pr uced Identification
ientification Produced _,p L,
ion No.W0 7 3 / 71Sealj_.___.---._.._.....__
07/15/2014
(Signdture of Notary �Yplic- Ptate of Florida )
Personally Known OR Produced Identif
Type of Identification Produced
Cote . ' n No E�r Q T-3 ( (Seal
•� ��A:il
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
•'�
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
TE
COMPLETE
INITIALS
9/17/2014
Jon 4_ Ashe:ubwa h Record. I of I
Propt-r y Id4nit€Iicat€on
Site Address:
5140 Slash Pine Tr1
Scc!Town/Range:
18 :34S :40E
Map ID:
14/18N
Zoning:
AR -I
(:)%Inership and :hailing
Owner: Jon G Ashenback Rebecca Ashenback
Address: 5140 Slash Pine Trl
Fort Pierce FL 34951
� 'lss Infor?nrrti(sn
_. Date
Price Code
Deed
7/18/2013
100 0111
QC
9/15/2003
27000 00
WD
4/11/2003
12000 00
WD
12/12/2002
11000 00
WD
7/1/1978
6000 00
CV
um
--------------..
el
a
b IME lJ:
(IOl] 7
1!
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137as
10 E 6PN1 11
(14i) J
It I]
(iB01)
B� a ,ble a oM=I
OP011 0 1(k�'�
Property Appraiser - St.Lucie County, FL
PROPERTY RECORD
CARD
•::<l�'a't.v £^A:t %'::• Spe
C.AaMInt 1i.`:emptions
Pe`rmit.s florae Print
ParcellD:
1418-212-0025-000-8
2
Account F-:
7957
Use Type:
SF Res
• fir..• '
City/Cnty;
Saint Lucie County
I.,et atl Description
18 34 40 N 1/2 OF SW 1/4 OF NW 1/4 OF NE 1/4 OF NW 1/4-LESS W 60 FT- (1.16
AC) (OR 1801-49:
3540-184
More...
As�wssment 2014
T€€ial Lan+l :and Ruildinj!
Book/Page
2014 TRIM:
180100 Land Value: 32100 Acres: 1.16
3540 / 0184
Assessed:
177016 Building Value: 148000
1801 / 0049
Ag.Credit:
0 Finished Area: 1961 SgFt
1693 / 0626
Exempt:
50000
1629 / 0951
Taxable:
127016
0292 / 0244
Taxes:
3532.01
IBI',II.1)BNC INWf)IdMA IONS
�i=,atcr?{rr
I<cat€€res
View:
-
RoofCover:
TN - Metal
ExtType:
HB - HB
YearBlt:
2005
Grade:
B - B
EffYrBit:
2005
StoryHght:
0010 - 1 Story
No.Units:
I
luterior features
BedRooms:
3
Electric:
MX - MAXIMUM
FullBath:
2
HcatTypc:
FHA - FrcdHotAir
1/2Bath:
0
hleatFuel:
ELEC - Electric
%A/C:
100
%Heated:
100
Special features and Yard Item,;
Land Information
Type
Y/S Qty.
Units Qual. Cond.
YrBlt. No. Use Type
DATC - Driv-Concret
Y 1
1000 AV AV
2005 1 0100-SF Res
FNC2 - POOL ENC-AVG
Y 1
1623 AV AV
2005
hftp://www,paSic.org/pasic/prc-asp?prclid=141821200250008
RoofStruct:
Frame:
Primewall:
SecWalL-
PrmintA'all:
AvgHt/Fl:
Prm.Flors:
%Sprinkled:
Type
125 -Acres
HP - Hip
HP - Hardi Plank
DW - Drywall
CT - Tile -Ceramic
0
Measure
1.16
Depth
1/2
9/T7/2014
Property Appraiser - St.Lucie County, FL
Y
1 390
AV
AV
2005
SWAV - RES POOL AVG
PAO I - POOL DK-AVG -
Y
1 1217
AV
AV
2005
SPA - SPA -HOT TUB
Y
' 1 16
AV
AV
2005 '
PHTR - POOL HEATER
Y
1 1
AV
AV
2005
THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.
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