HomeMy WebLinkAboutZoning ComplianceDATE I ILED: 5li "- t �7
PLAN REVIEW FEE: RECEIPT NO: _js�_53 PERMIT NUMBER:' r
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INF ST BE COMPLETE & FILLED IN TO BE ACC
E C� fo 0Ccr o.'7,v
St. Lucie County Building anA Zoning
2300 Virginia Avenue
ZORIO Ft Pierce, FL 34982-5652
772462-1553
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3.
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS:
S/D NAME:
PROPERTY TAX ID ##: 9311 - VV 3 -
-' 11q-..
SrFBPLANNAME: i/gxf—sou c 67+Key� ®AAK
U00/— t3oc)—'? Vf
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
6l .5
5. PLAT 6. PAGE 7. BLOCK 8. LOT
BOOK NO. �t% 3 NO. NO.
9. PARCEL SIZE: ACRES/SQ FT. 7. 0 -1 LOT DIMENSIONS 6 30 " X / / % O '
10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: e tMr S? fiu ems/ O P j O r—
tirD6L5:T`dL/4 s_ W A-rct;r-jL6us 05 -
9-a ui
11. SETBACKS (ACTUAL) FRONT: N/BACK: " yq� SIDE T:, LEFT: W1
SIDE
10-3111,
12.
TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ J RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: VV/
[ ] INTERIOR RENOVATION
INDUSTRIAL
C
(t..X Lafh-i G- /�
14. Sq. Ft./CONSTRUCTION: (yO ®O 15. Sq. Ft. 1st FI or: 094
16. VALUE ®P CONSTRUCTION: $ 3, o c—o- 61, Q1 75
The value of constructigh is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated V`
value of eOnstmction if It is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is S2500 or more, a
RECORDED Notice Of Commencement must be submitted with this application. ('a
SLCCDV Form No.: 001-02
VIP
OWNER INFORMATION
10
NAME: / i�/ C' O M % d / 6 F- T e c2 S .,L
ADDRESS: 80( Sj6t n , �lT/% 1ef, t3I J d
CITY: Co�C' w��p STATE: CL ZIP 3 TTT ��4I t
PHONE (DAYTIME): (1Z� i�t; p - % of O email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS: /74
CITY: STATE: ZIP
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG./CERT #: c-6e' - O,`c),A % O
BUSINESS NAME: DO tc B C c �.
QUALIFIERS NAME:
ADDRESS: / S/A7llS'73 u.
- ST. LUCIE COUNTY CERT #: 0
CITY: p4totl 0e;4-CH STATE: f-L.
PHONE(DAYTIME): (�!) �✓�3-%2FOFAXNO.��-L3�-,�Osy
ARCHITIENGINEER: A10 -e � >='
ADDRESS:
,'ySSd / C7"/4
CITYAtA G-AtoCW $
PHONE (DAYTIME): (Of) 776 ^6Z I D
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE:
STATE:
ZIP
email:
ZIP
ZIP
33 yt / _
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notifica6
it will be voided and returned to you by mail.
CERTIFICATION- "
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE,
AND INTEREST THAT IS SUBJECT TO ATTACHMENT, AS A CONDITION OF THIS
PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO. ATTACHMENT.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and zoning. i
• �.; � ' e
lr
The foregoing ins ment? acknowled ed
b fore V thisPl y of /PC , 20M by
6 1 + In
who is personally
known to trCed
e a&i4enbiftsatao-ii.•
De. C�-asrra
Type r:PruENatfofNatarer 94J2007
NA V+gx.
i+_ __ __�oF PBontlea h .ae:ancq_Inc. 800385.1
CONTR4UTORSIGNATURE
STATE OF FLO DA
COUNTY OF A
The foregoing ins m -nt as acknowledged
ore me ! s�2 ay of ems, _, 20.g by
t_k Y �_, who is personally
known to m
Guerra
°F'F''�Bontletl Troy Fein-Ins:narice,irt; 9-�'
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED.
THIS BULLING PERMIT AS AN OWNERIBUILDER, THE OWNER MUST PERSONALLY
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
For specific instructions see appropriate permit checklist.
(Seal)
IF APPLYING FOR
APPEAR TO SIGN
4j Cf6 �L� [ •� —� 1
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RANGE
C�
MAP NO. D:�5
SECTION
TOWNSHIP
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
In FLR ELV
MAX HGT
CONST TYPE.
OCCUP TYPE
/
MAX OCCUP
# OF FLRS
—_
WATER
u
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC (after
LOT SPLIT
LOT SPLIT
before 1/90)
1/90)
REQUIRED
APPROVED
•
r
ADMINST
LIBRARY
PARKS
PERMIT
VARIANCE
IMPACTFEE
IMPACTFEE
FEE
REPORT
PUBLIC BLD
HABITABLE
RADON FEE
�O
_.
CODE
IMPACTFEE
i SmLcO
AREA
_e
O,
(RADON)
IMPACT FEE
mCoxi
GROSS ROAD
IMPACTFEE
Q� LL
/pU:;.1{'D
CREDIT
Y
N
-TOTAL ROAD
IMPACTFEE
DUE
-R w
SCHOOL
CREDIT
Y
N
TOTAL
IMPACT FEE
�/
SCHOOL
001.a-_,.,,Je�.. -,
lowIMPACTFEE
POC'9FEE
FIRE FEE
�Il'Z
MISC FEE
TOTAL
/FIRE
POLICEMISC
�
FEES
ADDITIONAL
n Y
N SPECIFY
TOTAL
PERMITS
of ALL
REQUIRED(')
FEES
REVIEWS
7;ZONING
ZONING PLANS
MISC.
VEGETATION
SEA TURTLE MANGROVE
VIEWED BY EXAMING
DATE
COMPLETE
INITIALS
UA
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