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HomeMy WebLinkAboutBuilding Permit ApplicationALL APP IC BLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Da�i5 Permit Number: o - "`""' 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 here PROPOSED �j INPROVEM1ENT LOCATION: Address:c�(?� Legal Description Ck PropertyTax ID4:.4"-�F� �```I Lot No. Site Plan Name: Block No, Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: i C" 1 Low CONSTRUCTION INFORMATION: L Additional work to be nerformed under this permit= check all tbalapply: HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors l i Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: r+��"� S Ft. of First Floor: Cost of Construction: $ 1 ()V Utilities: 0 Sewer[] Septic Building Height: OWNERf LESSEE: CONTRACTOR: Name: D6,1,1 A4 r� of AddreCompany: ,P,,�,r� G 1�Cdl City: vor I _tr.jf'` State:- Address: 7Sc Aiu Zip Cod�3- L 9 Fax: City: % .Si Lcic / State: FL Phone No-->� 96A g - Zip Code: 2'f /e�fO, Fax: 77-�2 -�57� E-Mail:wi` 0 i c- y�Phone No. Fill in fee simple Title Holder on next page { if titfferent E -Mail: ") CILl0 I q-6 Cy%,It Cc( c -m_;>_1 n, < 5 , C,=,�:� from the Owner listed above) State or County License: CCC:, 14,� 7,,�2 9 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. arn:'°C1Y1- s NTALCflNSTRUCI'Ifll LIEI`1 L.AII �NFf)fMATiON`` V .,. r ... 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: 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 a first inspection. If you intend to obtain financing, consul n attorney before co enci r or recordi�-�Qur Notice of Commencem Signature of Owner/ Lessee/Agent m cn , Signature of ContrdctorJLicense Holder` =, _CS v" c. STATE OF FLORIDA 5, M COUNTY OF F_�' L',r +, �' --- -5 -- E� The forgoing instrument was acknowledged before 171.9 z this day of 20 ____by a . (Name f person acknowled ing)� +nnuti� %(Signature of Notary Public- State of Florida ) Personally Known L -""__OR Produced Identification Type of Identification Produced STATE OF FLORID I,- Q-� ' COUNTY OF f �� i �E',► The forgoing instrument was acknowledged before m�, this _ day of 20 by o cs •0 a ' 1 ��'� _ (Name of, rson acknowledging) ( �gnature of N`btary Public- State of Florida) r,rnn�" Personally Known L— OR Produced Identification Type of Identification Produced Commission No.Fl— M-/ (Seal) Commission No. (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Property Card Page 1 of 1 Property Identification Site Address: 28 LAKE VISTA TRL 201 Sec/Town/Range: 22/36S/40E Map ID: 34/22N Zoning: Ownership Theresa McLeod Ross A McLeod 1861 Grand Ave Apt A-2 Baldwin, NX 11510 Legal Description VISTA ST LUCIE BLDG 28 UNIT 201 (OR 478-1379: 913-862) Current Values Just/Market Value: $43,300 Assessed Value: $43,300 Exemptions: $0 Taxable Value: $43,300 Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 Total Areas Finished/Under Air (SF): Gross Area (SF): Land Size (acres): Land Size (SF): L Parcel ID: 3422-500-0386-000-9 Account #: 110475 Use Type: 0400 Jurisdiction: Saint Lucie County This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved. http://www.pasle.org/RECard/ 4/15/2016