HomeMy WebLinkAboutpermit105/25/2012 16;01 7724621I4B ST LUCIE COUNTY PAGE 01/01
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982
772-462-1553
FAX 772-462-2578
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO: St Lucie County
r' 1
RE: .,
Permit #
Credit Card Users: 1.5% Surcharge added per transacaon.
Payments must be received in this department by 4:00 PM for transaction to be
processed that day, .if not it will be processed the following business day.
VISA \ MASTERCARD
Credit Card Numb r _ {
Expiration Date z
3 digit security eod
Amount $
Business Name:
Authorized Signature: r
Print Name: , .
-- Zip Code
+ 1.511/0 surcharge
Phone: (�L�a )
Fax: (j 1) ca -1
Comments:
SLCPDSD Revised 4/0112()10 EN
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Planning anc! Development Services Building Permit ApPlication
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462.1553 Fax: (772) 462-1578 Commercial
___ residential _Z�
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IIVIPROVEM8NT LOCATLON:
Address:
Legal Description:
Property Tax ID #:
Site Plan Name:
Project Name:
Setbacks Front--. Back:
...��` Right Side; Left Side:
DETAILED DESCRIPTION O'F 1NOR.K; `'
cc(�W
-I
PlOw Le- eko C \C(0-\
CONSTRU12VON INI=ORMAT)ON,
L�ME 1 wo rk toe e Orme un ert ispermit_c ec a
HV f appy:
Lot No,
Block No.
Gas Tank Gas Piping _ Shutters
Windows/Doors
Electric Q Plumbing Sprinklers F -j
,.J Gener t
Total Sq. Ft of Construction:
a or
Scl.
Cost of Construction: $ �1 r
J
Utilities:05ewer
Ft. of First Floor:
Septic
OWNER/LESSEE:
CONTRACTOR:
IVa
ur
{.
rd e i :
Name.
City: C
Company: es
Zip Code: Fax:
Addrs:!
Phone No.
City: 0 { I
Zip Coder ,
E -Mail:'
Fill in fee simple Title Holder on next page ( if different
Phone No. 4A__
E-Mailr = ��`�`�
from the Owner listed above)
State or County License:1
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
Roof
------------
Building Height:
` f
(1 1,
State: PL
Fax: , .5E
:L 4- QT'S - a" "; t r! r1
ucam11tK/ENGINEER:Not
Applicable
Name:
MORTGAGE COMPANY:
NotApplicable
Address:
Name:
City:
Address:
Zip: Rhone:
State: City;
State:
Zip: �` Rhone:
REE SIMPLE TITLE HOLDER: .___
Name:
Not Applicable BONpING COMPANY:
Not Applicable
Address:
Name:
City:
Address:
Zip: Rhone:
City,
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, l 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 recordin our Noti
I rr,pce of Commencpnt
bignature of Owner/ Lessee/Agent
STATE OF FLORID
COUNTY OFA
The or ing instr ent as acknowledged before me
this ay of 20 Eby
(Name of peri cknowle gin
X�.—
re of Notary Vublic_ State of Florida
Personally Known I,� pR Produced Identificatioo �++'��'��"`� "''''•,
Type of Identification Produced y
Commission No,EE�_L/ 4�1 (Seal) ,
Revised 07/15/2014
REVIEWS
COMPLETE
INITIALS
STATE OF FLORI
COUNTY OF A- _
The ing instr nt w s acknowledged before me
for
this day of 20 i_t o by
Personal) Known *xxo%1tNilrrp�,
Y � OR Produced Identification
Type of Identification Produced. ,��s
Commission No. - t3i (Seal} ` PA. -W
,�
nu���y*"
FRONT I ZONING SUPERVISOR PLANS VEGETATION SIATURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
MANGROVE
REVIEW
ELECTRXCIAL RISER PLAN
hrnrr 'rn o C ALE
CONSTRUCTION TYPE:
C7 Commercial
129L Residential
Q Mobile Home
O New Installation
Old Installation
1_ size service: I rb A- AP
2. conductor Size: ;-7/6 fL,
3.a. Meter Main:
b. Meter Can Only:
e CoDduetor Size
qcv�ace Pe el wrfi-f
�Luj O
VL
Tangible Personal Property Card
Property Identification
Account #: 001378
Account Status: Open
City: Port Saint Lucie
Business Type: 1000 -Retail
Contact: Tim Murphy
Year Added:
Identification #:
100020021659
Location: 1496 SE VILLAGE
GREEN DR
Business Name: Murphys
Carpet and Supplies
DBA: Murphys Carpet and
Supplies
State Code: 442210 - Floor
Covering Stores
Ownership Current Values
Murphys Carpet
Market Value:
and Supplies
$8.00
Furniture/Equip-
$0.00
1496 SE Village
Green Dr
Return
Port St Lucie, FL
Received:
34952
Not Yet
Furniture/Equip-
Received
http://www.pasle. org/TPPCard/
Penalty: None
Exemptions
Grant Exemption Exemption
Exemption
Year Code
Description Value
2008 TPPX Tangible Personal
$466.00
Property Exemption
Asset Group and Value
Asset
Value
Office
$8.00
Furniture/Equip-
10 yr
Office
$15.00
Equipment- 6 yr
Office
$20.00
Furniture/Equip-
http://www.pasle. org/TPPCard/
Page 1 of 2
5/17/2016
Tangible Personal Property Card
Furniture/Equip-
10 yr
Office
$4.00
Equipment- 6 yr
Office
$7.00
Furniture/Equip-
10 yr
Office
$82.00
Furniture/Equip-
10 yr
Signs- 10 Yr
$27.00
Office
$36.00
Equipment- 6 yr
EDP
$50.00
Equipment- 3 yr
Supplies
$100.00
Office
$68.00
Furniture/Equip-
10 yr
TotalApp raisedVa I ue $466.00
http://ww-w.paslc.org/TPPCard/
Page 2 of 2
5/17/2016