HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 �(
Phone: (772) 452-1553 Fax: (772) 462-1578 Commercial _ _ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 5 -'So -7 VVt l ✓
Legal Description: V-��`+`k� Ci+�� �/ SSC ES 4251 V-
P ro perty
-Property Tax ID #: t 0 - COO k C) Zd OI O Z _ Lot No. f'1
Site Plan Name: k �+ b d Block No. i
Project Name:
Setbacks Front Back: Right Side: Left Side:
tditional worK to oe rrormea unser inns permR — cnecR auapply:
HVAC Gas Tank [:]Gas Piping _shutters ['❑ Windows/Doors
Electric 0 Plumbing QSprinklers E] Generator O Roof
Total Sq. Ft of Construction:
Cost of Construction: $ Z 0 0 r
Sq. Ft. of First Floor:
Utilities: 0 Sewer 0 Septic Building Height:
Name— C-.<_ L0
Address: i o"1 Oe
City: _. ?' &W* State: !
Zip Code: _�4q 67- — Fax:
Phone Nc
E -Mail: _
Name
Company 3'0
Address: 4 7 1-f�_++►r, T�� �'�
City: bas41A-J State: FL
Zip Code: 3 24 5-41 Fax:
Phone No. 7'72-3st9 ~
Fill in fee sim pie Tide Holder on next page ( if different E -Mail:
from the Ow wr listed above) State or County License: Z 6a �2 7
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5UPPI EIV
ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ _ Not Applicable
Name:
Address:
VEGETATION I SEA TURTLE
REVIEW REVIEW
MANGROVE
REVIEW
Address: {
City:
Zip:
Phone:
State:
City: State:
Zip: _ Phone: i
FEE SIMPLE
Name:
TITLE HOLDER:
Not Applicable
_
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
i City:
Zip:
Phone:
j Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. t.uc ie Cou ity makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in c nflict 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 accordant 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 staictures, 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
commenCilgwork or recording our Notice of Commencement.
-3
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Halder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—
COUNTY OF
The fn nin instrument was acknowledged efore me = The forgoing instrument was acknowledged before me
this, of _ �J 20 f� by this of / 20 by
(Name of person acknowledging i (Name of person acknowledging)
! ?C.i l c.t'• tC .tr 1 ,• 7'L� tt �: �.., f 1 Cv L'Lc i i -t .• _ ..._
(Sighature cf Notary Public- State of Florida } (Signature of Notary Public- State of Florida }
Personally Known L""' OR Produced Identification _ � Personally Known _ OR Produced Identification _
Type of Idertification ProducType of Identification Produced
CY THIA LU MARC
�} l ��°`` `' THIA LU MARC fission No.
commission No. `f" 1 { � f COMMISSION "FF
i, MY COMMISSION oFF 42116
f� •.• , ; 'z o, �d!: EXPIRES September 21
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_... __ _-- ,•,,,,_ taot) 3W0153 FtongaNctarySerolce.c
140713WO153 FiorioallotarySew-ce.com
I�rvised 7/15/2014
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION I SEA TURTLE
REVIEW REVIEW
MANGROVE
REVIEW
DATE
i
COMPLETE__
—
-- —
( INITIALS
Property Card
9
Property Identification
Site Addy yrs: 5 -07'�9F I A11 1.0: It l )
Sev;fow /Rame.
'11up ID:.4!10 '
/onink: RS -3
ip
(.ierald 1., 1:10%
Claudia (I 116
tin? Melville R
Fort i'icrc(t. FI. 498'
Legal Description
W 11 1-1, (�'i"rY 1STA 1"ES BLK I LOT 17-L1'SS S 108 FT- (0.32 ACJ (OR
27.1-101.'_: 338 822)
Current
Just/Market V
As'scs'scd Vail
I'xemptions:
raxahle Valli
I w.'es fear this
fk wtiload TF
Dale
Apr 25.
Attg 1, I
-tut: 1. 1
e: 579,4011)
$62.61;
537.615
$2-5,000
I'M: SL,C°'1 sx C'ollector's Office 12
1 tear this parcel: Download PDE 12
?012
View:
Buildi Type: HC-
UradeI"light:
`+tory 1 Story
I3cdro ms:3
1"1111 Baths: 2
1fal1'f3 ths:0
Art' 5"k: 100°lo
Parcel ID-. 3410-601-0020-010-2
Account 4:40523
Use Type: 0100
Jurisdiction: Saint Lucie County
Total areas
Finished/tlnder Air (SF): 1,281
Gross Area (SI'):
Land Size (acres): 0.32
Land Size.(SF): 13,934.2
5/4/2016iG
http:/'www.pas I
c,org/RECard/
Sale History
Book/Page
Deed Grantor
Price
(: ode
3385/0822
111 l 1 SP Bilby.Ctaudia G
560,300
$9.M0
0273 J 1012
0273/1001
t CV
ata CV
$7.000
Building Information (1 of 1)
Fiaaished Arca: 1.281 SF
Gross Total Area: 2.919 SF
Exterior Data
Roof Craver: Fibrgiss Shg
Roof Structure: Nip
Year Built: 1977
Frame:
Effective Year: 1977
Primary Wall: CB Stucco
No. Units: I
Secondary Wall:
Interior Bata
l lectric: MAXIMUM
Primary Int Wall:
Hcat Type: FrcdllotAir
Avg Hgv"Floor: 0
"cat Fuel: E LEC
Primary Floors: Carpet
Heated %: 100%
Sprinkled %: 0%
5/4/2016iG
http:/'www.pas I
c,org/RECard/
z
4
» . a AX
rWro
10 2
e
s
,
5 rO 7 Me4 t✓fLL'
Block. 1MlaTE CITY.
PSTATESIN as recorded :in
Plat Boas 9, Pale; 469,: .OZ the Public Records of St.'
Luoie,. County! Florida.
I IM -MY Cmmf that, the hove
"SIWCH o:f SUMEY" is
true cnd correct to'the
best of ray knowledge 'and belief
IN r
Ir+sc
1966.: There are no:f visable encroachments except as shoAm,,
This survey meets ."the minir= ' technical.: at dards adopted
by.' the Florida Board
of ,.Lancs Surveyors, -i; Sec. 477.07,
Florida Statutes.
Flood Zone uBt'
CIE,tLI3.'IVIED TC. First Citizens Federal
V1
ny
� �
64.7 r ,
r,►
3. L. Holle tt
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rWro
e
The Worth -185.7 ft. ' Of;: Lot '179,
Block. 1MlaTE CITY.
PSTATESIN as recorded :in
Plat Boas 9, Pale; 469,: .OZ the Public Records of St.'
Luoie,. County! Florida.
I IM -MY Cmmf that, the hove
"SIWCH o:f SUMEY" is
true cnd correct to'the
best of ray knowledge 'and belief
as surveyod under W
directim on January= 25,
1966.: There are no:f visable encroachments except as shoAm,,
This survey meets ."the minir= ' technical.: at dards adopted
by.' the Florida Board
of ,.Lancs Surveyors, -i; Sec. 477.07,
Florida Statutes.
Flood Zone uBt'
CIE,tLI3.'IVIED TC. First Citizens Federal
Savings Loan,
heirr Successorsand ' or lissiipns. .
3. L. Holle tt
;;-Rec. Surveyor ita. ".2035
State of Florida
'170 Celeatia Ct.
Port St. Lucie. Florielm , r