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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �( _ Date: Permit Numbe JANY' Building Permit Application P �V113 20 EP. 167�7i yG _ Planning and Development Services St,Lucie County F� 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: 'K,6 i ©SED IN'"PRO�/EM;ENT l.©CA I N: Address: d�t✓v �� jyy 4l C- ')r►ye- Legal Description: LO+ joL� O �vi Jra.,. div,- 6SJJeS (,Qiu �e+•�K Property Tax ID#: Lot No. Site Plan Name: Block No. `/() Project Name: Setbacks Front Back: Right Side: Left Side: DETAI'LE® DFS�CRIPTIO a t�F WORK:, a _ eevnoc.AL C-1 le"alez-e-, AIi/d-LJ4y Loi'-4"94 lc 1 Q 0-4 ta:,; e9 4'D 1�ro .r ®� 0)&9r-, GidA S ;-,"e2tz. %e Q r e�pc,r6c eSlorhs;-c. D R _ LJ, r a4. ri J'44" a S i/A r► u c erg q ye ti ®rt r 081 101 INFOR�MATI'ON; Additional work to be performed under this permit-clieck all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator _Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ -3 20D,DO Utilities: —Sewer _Septic Building Height: O�IIVNiER/LESSE: C®NTRAC[`®'R: Name-De-brq C<-e-rl`L Name: p. r ord geL 1& 6&nefrG <— l. Address: 41610 Alyr��[� (���r� CoFnpany: Citpe�Z. State:0=( Address:. 7 7l �"'� e�� ro4C �' Zip-Code: ,.;ty z, 3�l � k Z Fax: _ City: State: �l Phone No. Zip Coder c/ Fax: 1'168r g2111•- E-Mail: Phone No Z�� y ? "�7C��1 L/(No fl, Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State or County License S L C Z U If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. NO]PPLEMENTA CQNSTRIlCTION LIE =NF(, RMATI®N: DESIGNER/ENGINEER: _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 thepermit 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 our Notice of Commencement. wre/C - u Signature of,Owner/Lesseontractor as Agent for Owner ignature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDAI 'Jnr. COUNTY OF "�V / (l P , COUNTY OF 'SL C_.( Thefor ping instrume q t was acknowledged before me The for oing instrume t was acknowledged before me this day of 201b by this day of 20V by (Name of person acknowledging) (Name of person acknowledging) (Signature&f Notary Public-State of Florida) (Signature f Notary Public-State of Florida) Persio' lly�Ii I/ OR Produced Identification P sonally K n l/ OR Produced Identification Type n entification Produced ,.•`;:�'�' •., MARCIA TALBER prod ed Notary Public-State of Florida r/'�Jf7 /PRY PL' MARCIA.7ALBERT Commission # FF 94 'N 'ssion No. /'r �"/� �p� _Stec Commission No. !� Y09y Comm.Expires Mar 0,202 ;. `). �� �Y Public-State of FI ri aF F�,,• - Commission#FF 9417 5 Bonged through National Not ry Assn. �F Q My Comm.Expires 0 0 Bond d through National Notary As i. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA,TU COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW' REVIEW DATE RECEIVED DATE COMPLETED ev. CE71�f E Prepared by and Return To: Gina Powers-Cella JAN 13 2016 Fidelity National Title of Florida, Inc., Chelsea Title Division PERMITTING 1100 Sw St Lucie West Blvd., Suite 201 St. Lucie County, FL Port St. Lucie, FL 34986 Order No.: 61-15-0758 For Documentary Stamp Tax purposes the consideration is$125,000.00 APN/ParcellD(S): 3402-608-0080-000/3 WARRANTY DEED THIS WARRANTY DEED dated December 29, 2015, by Kevin Dickerson and Susan Dickerson, husband and wife, hereinafter called the grantor, to Debra J Keseric, an unmarried woman, whose post office address is 4610 Myrtle Drive , FT Pierce, FL 34982, hereinafter called the grantee: (Wherever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) WITNESSETH: That the grantor, for and inconsideration of the sum of Ten And No/100 Dollars ($10.00) and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys, and confirms unto the grantee, all the certain land situated in City of FT Pierce, County of Saint Lucie, State of Florida,to wit: Lot 5, Block 40, Indian River Estates Unit Seven, according to the map or plat thereof, as recorded in Plat Book 10, Page(s)75, of the Public Records of St. Lucie County, Florida. Subject to easements, restrictions, reservations and limitations of record, if any. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in any wise appertaining. TO HAVE AND TO HOLD the same in Fee Simple forever. AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2015. Deed(Warranty-Indiv.to Indiv.) FLD1121.doc/Updated: 05.21.14 Page 1 FL-CT-FMOC-02325.179161-61-15-0758