HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INF9 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) 462-1553 Fax: (777) 462-1578
Legal Description:
Property Tax 1D #:
Site Plan Name:
COCYIfnercial
Residential
Setbacks Front, Back: Right Side:
g `Left Side:
DETAILED DESCRIPTION OF WORK;
CONSTRUCTION INFORMATION:
ona war to ff3asTank
me un er t is perm t—c ec a apP y;HVAC Gas Piping 8 Shutters
11 Electric 9 Plumbing Sprinklers
11 Generator
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost Of Construction:
Utilities: 0 Sewer 75eptic
OWNER/LESSEE;
CONTRACTOR;
Name - I(',rN % e�
Addr
n
City State:
Zip Code SA Fax:
Phone No1�,
E-Mail:1 1 Z
Fill in fee simple Title Holder'�t pB�e�( i� d�{ferent
from the Owner listed above) 46Q a
If value of construction is
Windows/Doors
Roof
Building Height: .�
Name: 0(,l ti4 /'c1 jJr9
Company: /-(i
Address: SSC Ae-c7
City: P114'
._ ._ State;. FL -
Zip Code:.3 � Fax: ?7�
Phone No. 7X, - �7,,_ .5-/m_
E-Mail:_R(111] � (� ; Cif k �t%"�t��f3(�
State or County License: j
or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: T Not Applicable
Name:
Addre!
City:
Zip: —
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State:
— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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, wails, 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 ins ection, If you intend to obtain financing, consu t i4ef er n attorney before
eo enci rcor recor�ur Notice of Corrlmencem��
(Namepf person acknowledging )
of Notary Public- State of Florida )
Personably Known gR Produced Identification
Type of Identification Produced �J
Commission No.�� �` (Seal)
Revised 07/15/2014
Signature of Contactor/License Holder
STATE OF FLOR
_ Signature of Owner/ Lessee/Agent
m
STATIC {3F FLORIDA
VEGETATION
COUNTY OF 2
MANGROVE
.
P 2
The for oing Ins uu��n was acknowledged before ns .e _
this�ay of �� 20 Eby
REVIEW .
fU-)
.il\11111y1FllIL,.
(Namepf person acknowledging )
of Notary Public- State of Florida )
Personably Known gR Produced Identification
Type of Identification Produced �J
Commission No.�� �` (Seal)
Revised 07/15/2014
Signature of Contactor/License Holder
STATE OF FLOR
COUNTY OF A �-e
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
The forgoing instrument was acknowledged before m
P 2
this day of 20 by
,� 2!
REVIEW .
:S
REVIEW
REVIEW
Do'n . l vA I V V v a
RE
(Name ofd rsan acknowledging) `�.�—
n
MRS
(fignature of N tary Public- State of Florida)' ++
411lJJJ'J
Personally Known L -----'OR Produced Identification
Type of identification Produced �1
Commission No._ (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW .
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Property Card
Site Address: 119 NE PENLYNN AVE
Sec/Town/Range: 21/36S/40E
Map ID: 34/21S
Zoning: RS -4
Property Identification
Parcel ID: 3419-570-0111-000-8
Account #: 43532
Use Type: 0100
Jurisdiction: Saint Lucie County
Ownership
Melanie Bragdon
119 NE Penlynn Ave
Port St Lucie, FL 34983
Legal Description
RIVER PARK -UNIT 9 -PART C BLK 81 LOT 13 (MAP 34/21S)
(OR 2129-2942)
Current Values
Just/Market Value:
$59,700
Assessed Value:
$48,228
Exemptions:
$25,000
Taxable Value:
$23,228
Taxes for this parcel:
SLC Tax CoIlector's Office
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.paslc.org/RECard/
Page 1 of 1
7/13/2016
Sc
Total Areas
Finished/Under Air
1,226
(SF):
Gross Area (SF):
2,210
Land Size (acres):
0.2
Land Size (SF):
8,580
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.paslc.org/RECard/
Page 1 of 1
7/13/2016