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HomeMy WebLinkAboutBuilding Permit Application ACL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:l,P-/ /to Permit Number: RECEP'":D DEC 4 13 2016 fflm- MRR'_�'-n , BuNd0ng 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 Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line doe �t,r t1 -PROPOSED IMOROUEMENT LQ•CATIOI _ - Address: Legal Description: 14) .9 t, .9,? Ul 11ag-A 4 la &,j fV&J A/, 4 AfE 1/y Al 13-6 1--7- lob L6.ss 09-S RD aloedUllva `,A5 °lU 6,e 29.S--IA06'- (! /7'9C) (orz i4(,- 475 G7&) Property Tax ID#: 3210 121- oC5 1 I- Daea- L'y Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION-' F:WORK - JQOtE 13PZ1LJ on C;O"NSTRUCTICON E>1lFORI17IATI0N_ Additional work to be oe orme un er t is permit-c ec a that appy: HVAC Gas Tank —]Gas Piping _Shutters Windows/Doors oElectric Plumbing O Sprinklers 0Generator Roof Roof pitch Total Sq. Ft of Constructs n: Sq. Ft.of First Floor: 0a Cost of Construction:$ aha Utilities: ^Sewer F-Septic Building Height: ODUNER%LESSEE CONTRACTOR Name&6oef F.ad MAPi 1pE�� Name: R69LRh &12� Address:'1260 Company: 6&66d0ab U1. -ilk� �- City: FT. 4 lez- ,a State: P'l Address:t�7 10, J7 - Zip Code: Y 9 PCR Fax: City: 6� - T State: Phone No.`7 7a b,!9 7 7-6 200 Zip Code:J Fax: E-Mail:kn/l r"La A7- d` CO(P, f fir..1 Phone No. Fill in fee simple Title bolder on next page(if different E-Mail: Gyre kg V I,"/ /,IL � � 45;' s-2_j, from the Owner listed above) State or County License: C/4 G•-e z? 313 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i SUPPLEMENTAL CONS T RUC7[-ION LIEN LAW INFORMAi ION-' FSiGNER/ENGiNEER: Not ApplicableMOR T GAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SiMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: /Not Applicable Name: Name: Address: Address: City: City: 1 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 i 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 our Notice of Commencement. - - �•�`� S gr-a ur ner/!essEVContract= r asAEent or Owner Signature of Contractor/License Holder S STI AT E€F FLORIDA STATE OF FLORIDA COUNTY OF Sar �Uct� COUNTY OF Theforgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this �o day of tk C. 20 by this (o day of ��C 20 \6 by (Name of pers- o� n acknowledbging^) (Name of person acknowledging) ,a (Signature of Notay Public-State of Florida} (Signature of Nota ubl"ic-State of Florida} Personally Known OR Produced identification Personally Known OR Prod ed Identification Type of Identification Produced 1'.D of Identifica " ® ' pEANNA MARIE GIV EN$ 'L 5�1�0 �'►"'� Seal D ' ION#GG02'O o fission No. ro YCOMMISS i UG022023 Commission No. :.a; .� COMM15 m T� 2 y0 ��: :obe jj>e((16,2020 iRES:Decem is EXPIRES:D Pub1k Und 060ters s; to o• g r}uu Notary Public Undervxiters No •,°},aa• Revised 07/1512014 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:TBD Parcel ID:3210-121-0011-000-6 Sec/Town/Range: 10/36S/38E Account#:35151 Map ID:32/09X Use Type:6000 Zoning:AG-5 Jurisdiction:Saint Lucie County Ownership George E Tippins Mary S Tippins 800 Cory Campbell Rd Fort Pierce,FL 34982 Legal Description ` 10 36 38 W 1/2 OF E 1/2 OF NW 1/4 OF NE 1/4-LESS N 43.5 FT AND ' LESS OKEE RD WIDENING AS IN OR 295-1105-(9.17 AC)(OR 746- 675,676) 46-675,676) b ` Current Values Just/Market Value: $73,728 _ Assessed Value: $2,522 Exemptions: $0 Total Areas Taxable Value: $2,522 Taxes for this parcel: SLC Tax Collector's Office© Finished/Under Air(SF): 0 Download TRIM for this parcel:Download PDF© Gross Area(SF): 0 Land Size(acres): 9.17 Land Size(SF): 399,445.2 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. httD://www.Daslc.org/RECard/ 12/6/2016 Property Card Page 1 of 1 Values 2016 a Values Breakdown Current Year Exemption Value Breakdown Tax Grant Code Description Amount Year Year Building: $0 Land: $73,728 Just/Mark $73,728 Ag Credit: $71,20 ave Our Homes or $0 10%Cap: Assessed: $2,522 Exemption(s): $0 Taxable: $2,522 Current Year Special Assessment Breakdown Start Year AssessCode Units Description Amount 2013 0054 9.17 North St.Lucie Water Management $114.63 District This does not necessarily represent the total Special Assessments that could be charged against this property.The total amount charged for special assessments is reflected on the most current tax statement and information is available with the SLC Tax Collector'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. httn-//www_naglc_nru/RFCgrrl/ 19/6/9(116