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Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date, ) --3/-2—. , Permit dumber: 4 e Planning and Development Services Building Permit Application Building and Code Regulations Division -1300 Virginia Avenue, Fort Pierce FL 34992 Phore: (772) 462-1553 Fax: (772) 452_1578 Commercial PERMIT APPLICATION FOR:To Select PROPOSED INFROVEMENT LOCATION: dropbox, click hero Legal Description: Property Tax I(] Site Plan Name: Project Name: 5etbacks Front---. Back: Right Side: DETAILED- DESCRIPTION OF WORK: VC, --� Left Side: CONSTRUCTION INFORMATION: O1,�``11[1rt�ona11 wor to e e Orme un ert rs permit -c ec a HVAC Gas Tank ❑Gas Piping 11 Electric Plumbing L.JSprinklers Total Sq, Ft of Construction: Cost of Construction: $ OWN /LESSEE: Name �j, Addr City: - 1 Zip Code- State: Phone No, Fax: E -Mail: Residential V Lot No. 1 6 Block No, Shutters Windows/Doors Generator Roof SFt. of First Floor: _ Utilities:]Sewer aseptic Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Buiiding Height;___ Name: 6r�� Company:�(l A(-61, � Address: SSC.' /�}cc� i� Pe(-5tD l ' . , City: 1 VICZ / Lctc /� � J ` State: r� Zip Code: jf %� , l=ax: 7'7C2 ~ ` r I Phone No. / <Lr� E -Mail: def Cif sit State or C© t If value of construction is $251]© or more, a RECORbED Notice of Cammencem un Y Licenser ent is required. vL R ana IYGlC�tlt7iiVrt�; Not Applicable MORTGAGE COMPANY:' Not Applicable Address: Name: City:. Address: Zip: Phone: State: CZity: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY; Name: .,.Not Applicable Address: Name: city: Address: - Zip: Phone: City: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. which is n conflict with any applicable Home OwnnerstAssoc atlo irules, authorize ar and covenants that build oir crstructure hibit s ch 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,e first ins ec#ion. If you intend to obtain financing, consul co enci r or recon i ur Notice of CommencemP n attorney before Signature of Owner/ Lessee/Agent o STATE OF FLORIDA COUNTY OFA .Ea t� °1k r S The €ding instrume was acknowledged before n 9 this day of s Iq 20 b (Name - f person acknowled Ing) _ (Signature of Notary Public -State of Florida 9 Personally Known �Og Produced Identification Type of Identification Produced Commission Nol �1-7 (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING QATE COUNTER REVIEW COMPLETE INITIALS Signature STATE OF FLOR, COUNTY OF z, The for ping instrument was acknowledged before ` a m thls day of, 1 20 ILpby W � ^^ Personally Known OR Produced Identification Type of Identification Produced Commission (Seal) SUPERVISOR PLANS VEGETATION SEA TURTLE REVIEW REVIEW REVIEW REVIEW MANGROVE REVIEW Property Card Site Address: 3733 Pendula Circle Sec/Town/Range : 25/36S/40E Map Ill: 34/25N Zoning: PUD Ownership Paul E Ralston Jr Carol A Ralston 8288 Sandpine Cir Port St Lucie, FL 34952 Property identification Legal Description THE PRESERVE AT SAVANNA CLUB- BLK 51 LOT 18 (OR 1815-1235) Current Values Just/Market Value: Assessed Value: Exemptions: Taxable Value: Taxes for this parcel $70,000 $70,000 $0 $70,000 SLC Tax Collector's Office IM Parcel ID: 3425-706-0256-000-0 Account #: 141557 Use Type: 0200 Jurisdiction: Saint Lucie County Page 1 of 1 TotaiAreas Finished/Under Air 1,558 (SF): Gross Area (SF): 2,834 Land Size (acres): 0.12 Land Size (SF): 5,200 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/RECa.rd/ 7/21/2016