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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Bate:-t�'' ;� /l / /7 A ., ,.r.: y, Permit Number: Planning and Development Services Building Permit Application Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 349$2 Phone: {772} 462-1553 Fax: (772) 462-157$ Commercial �'ERM11 IT APPLICATION FOR: ---- Residential Select from dropbox, click here PROPOSED INPROVEMENT LOCATION: Address: I� �,ri/ ..► :., s Legal Description: 1_ Property Tax ID #: Site Pian Name: Project Name: Setbacks Front`_,_ Back!--. Right Side: ----� Left Side: DETAILED` DESCRIPTION OF WORK: W CONSTRUCTION IN FOR I T Ia wor to e e orme Onn un ert rsperrnrt—c ec a appy: HVAC Gas Tank Gas Piping _ Shutters Electric 9 Plumbing ,Gas Generator Total Sq. Ft of Constructio �WNE�RJLESSEE st of Construction; $. �Z S Ft. of First Floor: Utilities: {'� Sewer 1�15ePtic Name Address: City:=Fax: . iate: Zip Code: Phone No, E -Mail: Fill in fee simple Title Holder on next page { if different from the Owner listed above) / If value of construction is $2500 or more a RECORDED Block No, Windows/Doors Roof Building Height: CONTRACTOR—.--------------- Name: ONTRACTOR:Name: Company:���'/}r/�G} ,�Gr1�t6 �; Roz ce, Address: 7SC At City: State: 2 - Zip Code: Fax: Phone No. 7171-r7Y� �/ f) state State or County License: C j ,G OT Commencement is required. 4 lYf Y 10" 6 C� ti lrC n{ c�C G Iy)vr'ii -cs 11(2S. C " S11pPLEMENTAL CONSTRUCT10LIEN LAW INFORMATION:. ..licable R: _ DESIGNER/ENGINEENot Applicable Name: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone: FEE SIMPLE TITLE MOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 Nome 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 a first ins ection. if you intend to obtain financing, consul n attorney before co enci rc or recor I ur Notice of Commenceme _ Signature of Owner/ Lessee/Agent w o STATE OF FLORI A COUNTY OF 5 a The forgoing instrume twas cknowledged before rr@ ,e o this day of 20 _by z LOQQ Gr u) (I 6� I X%' 1=1 'IT, I I !ob,4 (Namepf person acknowle4mg ) re of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No.P"r( -7 (Seal) Revised 07/15/2014 REVIEWS FRONT ZONING COUNTER REVIEW [SATE COMPLETE INITIALS Signature of Contractor/License Holder STATE OF FLOR> COUNTY OF ig The forgoing instrumenj was . knowl edged before thi s day o 20 _ by g y� (� ••�.. r3 T7 C/ �.1 (Name ofd rson acknowledging ) ( ignature of N Lary Public- State of Florida) 04' y" ` + illoss Personally Known [I'—OR Produced Identification Type of Identification Produced Commission No. (Seal) SUPERVISORPLANS VEGETATION I SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW Fort ,Pi�rce U a fities Authority " ommittDd' To Quality" WV�It�r�'Wa gtiewM4 Engineering 205 South 6t'hlatreet� I =t, Pie r(�e, FV 34S50 y�r i4. I§t�1 IN 1310 NG Lr CATION IM: ADDRESS: ADDITIGNA INFO: W-3/4 MTR U10 I ' vv -00N FEE NEYW 4E�()SIT INVOI tiF VV, PEES PAID �'rJ`fI�L dGARGE � I � Custlamem will bleu ass( Conrleclior�0"prge is hAu58 I buiilding I i73 the Department must be obis CDnstruo,on cost ftti; the ppmpletion cit th7 weather conditions and customer ;shall boot OXC customer that exeied caee�u�ctiian, , Notal This In orAv an submit acl tl Cust�ame�' �igi;�ature: ,�� P1terd Name i y Ii I , IO�EIt INxl1t��EtR�4i,CV1C Pr v rig JILL v 111 {lp I GB"CII iP"L 61 N FNS "T' i.I.. W'S!8 X X4W l"f irR W Eft 1 f+Ci.Y - N i13RDOID0Q' WT885i CidQf3g�u4 1 , t17 PALRAND B3 FORT PIERCE FL IDSA 34982-7685 Pune (772) 466®166 Fax (772) 461 -1 M a I�Ir I �I tp I �lil �I PREP RK 13"': WARE FEIN 3IA MINER ONLY WG t $260.00 52`0.00 TI1 CONNECT FEE NEW COST $0.01 $40.00 `0StT FOR INVOICE INEW OUST $0,01 $80.00 .'ER FRES NO $0,00 $0,00 $350,00 *3tew?8tt charg" the day they C4nnW to the wastewater system or within 1366 pays from data wastewater wl1i01116 er is 'riMt . The cost of the service lines from the point of del€very at the property line tD the ibility of the Customer and is not included In this invd'oee . State taws require that a permit front the Health r](1 initia1_c.8 §qQfig tank abandonment. Contact the Health Qepariment at (772) 8734931, I basad on Cu nt hobor, equipment and material prices, Actual casts of + onstruc6on Will be det$rMined at . ShouiId unforeseen cirwirrstances be encountered during construction , inOdding Dot not limited to adverse ruction Wriflicts. „; the customer will be req*nsible for increased COStS , Addrdonal Costs incurred by the son ( 75 ) percent of the total estimated construction costs shown above Estimated =is paid by the Taal QW of con4ructlon wIII be refunded by Fort Pierre Utilities Authority .All fm H6 duo prior to any I . A hill will be provided following acceptance of the Customer Involm pnc* fined and dated. Please s to Customer Service at 206 South 6th Street. rt. Piero. FL 34950 or call (772) 461600 to setup an Date: Property Card Property Identification Site Address: 1317 PARKLAND BLVD Sec/To wn/R ang e : 0 9/3 6 S/ 40E Map ID: 34/09S Zoning: RS -3 Ownership William H Hood Jill S Hood 1317 Parkland BIvd Fort Pierce, FL 34982 Legal Description PJVERDALE YACHT CLUB ESTATES --UNIT 2 BLK 20 LOTS 1 AND 2AND E 1/2 OF LOT 3 AND W 1/2 OF VAC LENAPE ST ADJ ON E OF LOT 1 (0.43 AC) (OR 469-972: 494-2877) current Values Just/Market Value: $150,000 Assessed Value: $119,719 Exemptions: $60,000 Taxable Value: $69,719 Taxes for this parcel: SLG Tax Collector's Office Download TRIM for this parcel: Download PDF 12 Parcel ID: 3409-703-0127-000-8 Account #: 40284 Use Type: 0100 Jurisdiction: Saint Lucie County Page 1 of 1 Total Areas Finished/Under Air 2,274 (SF): Gross Area (SF): 4,669 Land Size (acres): 0.43 Land Size (SF): 18,730.8 This information is believed to be correct at this time but it is subject to change and is not warranted. 00 Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved. h4://Www.paslc.org/RECard/ 9126/2016