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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 918/16 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: (772) 462-1578 Commercial PERMIT APPLICATION FOR: Window/door Address: 10656 Pine Cone Lane Legal Description: Pine Hollow Property Tax ID #: 2321-801-0015-000-9 Site Plan Name: Project Name: Setbacks Front Back: Right Side Residential x Left Side: Lot No. 15 Block No. NM»«ar:�Pq y.: �:;".:.s,.No„ra,e5;; .,� ...,..~,r ..,� �1'<,a.. n < `, .. .. .o_ ..,,m�..a-r_. _ .,, ,. `�k , ,, ~ •' ;�i3"" .,,s. s `":• m ti>. -.z. ,x ,... to==.3,•.x,. E.ul N Additionalwork to be erforme un er t is permit — heck a appy: HVAC Gas Tank Gas Piping Shutters Windows/Doors Electric ❑ Plumbing Sprinklers 0 Generator E]Roof Roof pitch Total Sq. Ft of Construction: Scl. Ft. of First Floor: Cost of Construction: $ 2420.00 Utilities:Sewer 0 Septic Building Height: I,. <�_ _e<.:at.x,2 3w'.�'n'' s<, > s ,•.,L:'/v�';.,•.,FEi.•,'ai .,, ,s,,".'.i,.� r�2.,,..:E�.:,.�~ ... • FPZ.S-s¢� ,�sy :.~-bn .tVV...,w<, .. s �Elk/ 1% =.i: �•'. .� :* I ': Mr;;,,t;: Name Jason Williamson Address: 10656 Pine Cone Lane City: Fort Pierce State: FL Zip Code: 34945 Fax: Phone No. 772-216-6475 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: Denver Miller Company: D & D Garage Doors PSL Address: 435 NW Enterprise Dr City: Port St Lucie State: FL Zip Code: 34986 Fax: 772-460-7635 Phone No. 772-460-7630 E -Mail: Tiffany@ddgaragedoorspsl.com State or County License: 19007 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. ••;�� (•ii' 'hi(,; �T � ^ /?'Y1f,Y � �.1• � ♦�s"'Sa i .��"�. � � F �$.r ,.r a:�is:.,�.,.at r i tTitl 'a�`"v%�°'''..Z `:�;:":?i°%":. m'`�a',',��, .i :,,i ,c',:.; '��qr• o. �'1M����fu'a��4:s :_� .clic.:,... �,M ea.�'s„4ti�Fr�N::v:";:�.: .�§; ;':`.. _ �.ra.�x ,.��'.a .'�vs�a: `..:: _ DESIGN ER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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, 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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Sigh Pure of Owner/Lessee/-Contractor as Agent for Owner STATE OF FLORIDA CO U NTY OF ST Lucie Theforgoing instrument was acknowledged before me this S' day 20 \�,,by Denver Miller -1- (Name (Name of person acknowledging) (Signature of Notary Publi - State of Florida ) Personally Known X OR Produced Identification Type of Identification Produced Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF St Lucie The forgoing instrument was acknowledged before me this � day ofd, 20 � by Denver Miller (Name of person acknowledging) (Signature of Notary Pub 'c- State of Florida ) Personally Known X OR Produced Identification Type of Identification Produced Commission No. FF101474�tpRYPU1Seal) Commission No. FF101474 �o�P� :Ua�¢ (SealmIFFANYA.LEE z% TIFFANY A. LEE r* MY COMMISSION # FF 101474 MY COMMISSION # FF 1014? 9 EXPIRES: April 26, 2018 J tAHIHES-April �9rFeFFIAw_ sordedThruBudget Notary Services Revised 07/15/2014 NTS FO+F F���`�P Bo ded 7hru Bu*dp i Notary 26,2018 dces 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: 10656 PINE CONE LN Sec/Town/Range: 21 /35S/39E Map ID: 23/215 Zoning: AG -2.5 Ownership Jason Williamson Patricia E Williamson 10656 Pine Cone LN Fort Pierce, FL 34945 Legal Description PINE HOLLOW -UNIT ONE- LOT 15 (1.08 AC) (OR 3792-2143) Current Values Just/Market Value: $210,700 Assessed Value: $191,677 Exemptions: $50,000 Taxable Value: $141,677 Taxes for this parcel: SLC Tax Collector's Office 92 Download TRIM for this parcel: Download PDF Q Parcel ID: 2321-801-0015-000-9 Account #: 127769 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 2,092 Gross Area (SF): 3,240 Land Size (acres): 1.08 Land Size (SF): 47,045 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/ 9/8/2016