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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1/23/17 Permit Number: 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 X PERMIT APPLICATION FOR: Window/door Address: 201 HARTMAN RD Legal Description: 7 35 40 N 140FT OF S 354.3 FT OF W 330FT OF OW 355 FT OF NE 1/4 OF SE 1/4 -LESS RD R/W Property Tax ID #: 2407-414-0002-000-0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: TEAR OUT AND REPLACE (2) 9X7 GARAGE DOORS }( .y . moi;.' Additiona(work to b(e�erlormed under this permit — check all h app HVAC L_J Gas Tank ❑Gas Piping LJ Shutters Windows/Doors FlElectric ❑ Plumbing Sprinklers F Generator F]Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 2110.00 S Ft. of First Floor: Utilities:Sewer Septic Building Height: Name GREGORY ROSSLOW Address: 201 HARTMAN RD City: FORT PIERCE State: FL Zip Code: 34947 Fax: Phone No. 772-216-7231 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) {.'>. .... _•.Y [rrCCi N.'I RAC " R. ',.. "I Name: DENVER MILLER Company: D & D GARAGE DOORS PSL Address: 435 NW ENTERPRISE DR City: PORT ST LUCIE State: FL Zip Code: 34986 Fax: 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. N�,r1'0 .;LiE"�"V.. DESIGNER/ENGINEER: x 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 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, 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. Sig -re o� ner/LesseeContractor Agen ner STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me this nW3 day of 20 1") by DENVER MILLERI (Name of person acknowledging) (Signature o Notary Public -Nate of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Sigrra—ure of Contract r/ tens older STATE OF FLORIDA COUNTY OF ST LUCIE The forgoing instrument was acknowledged before me this --_D3 day of\:S cLt1� , 20 _!-)_ by 11 DENVER MILLER (Name of person acknowledging ) (Signature of Notary Public- S ate of Florida ) Personally Known x OR Produced Identification Type of Identification Produced Commission No. FF101474 o��;Y,; e�,�(Seal) TiFFANYA. LEE Commission No. FF101474�v Puss (Se*FAW A. LEE * t � MY COt4i4i{SSION # FF 101474 April 26, 2018 c MY COh"mISSION If FF 101474 a N'q �o¢°" EXPIRES: e. ,-o rX.PipF - Anril 26, 2018 — cFr Bonded ThruJuagerrvocary s .o° TeoFe ° 0A ySery BondedThruBud ir,as 9 Revised 07/15/2014 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 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 201 HARTMAN RD Sec/Town/Range: 07/35 S/40E Map ID: 24/07S Zoning: RS -3 Ownership Gregory J Rosslow Cynthia B Rosslow 201 Hartman Rd Fort Pierce, FL 34947 Legal Description 7 35 40 N 140 FT OF S 354.3 FT OF W 330 FT OF E 355 FT OF NE 1/4 OF SE 1/4 -LESS RD R/W- (1.06AC) (106B) (OR 845-2471: 902-1927) Current Values Just/Market Value: $215,700 Assessed Value: $178,649 Exemptions: $50,000 Taxable Value: $128,649 Taxes for this parcel: SLC Tax Collector's Office Download TRIM for this parcel: Download PDF 12 Parcel ID: 2407-414-0002-000-0 Account #: 19910 Use Type: 0100 Jurisdiction: Saint Lucie County Total Areas Finished/Under Air (SF): 3,654 Gross Area (SF): 4,546 Land Size (acres): 1.06 Land Size (SF): 46,173.6 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. http://www.paslc.org/RECard/ 1/23/2017