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DATE FILED: C� n
PLAN REVIEW FEE: �_ RECEIPT NO.: �� ° PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
1 ST. LUCIE COUNTY)
j DEPARTMENT OF COMMUNITY DEVELOPMENT
23W VIRGINIA AVENUF, ROOM 201
' FORr PIERCE. FL SOW-MM , n b t✓'
4W-4W-1553 Y Il
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SffE ADDRESS: 1814 North 13th Str
2 S/D NAME:
„,
3. PROPERTY TAX ID #: 24-04-112-0003-0001
4. LEGAL DESCRIPTION (attach extra sheets If necessary):
S. PLAT
BOOK
6. PAGE
NO.
9. PARCEL SIZE: ACRES/SO FT.
1.93 Acres
SITE PLAN NAME:
See Attached
7. BLOCK
NO.
i
B LOT
NO.
LOT DIMENSIONS Pie shape 320' x 332'
10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
Remodel existing day care r: - I-
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT LEFT
55' 180' SIDE 32' SIDE: 130'
12. TYPE OF CONSTRUCTION (Check all appropfte boxes)
[ j NEW CONSTRUCTION
[ ] RESIDENTIAL
[ ] OTHER (SPECIFY)
[ ] EXPANSION/ADDITION Ix ] INTERIOR RENOVATION
[ ] COMMERCIAL [ I INDUSTRIAL
13. DESCRIPTION OF PROPOSED USE: Day Care
14. Sq. FL/CONSTRUCTION: 8214
15. Sq. FL 1st Floor. 8214
16. VALUE OF COWTRUCTION: $ 220,000.00 r i q (v mwuo.
The value of construction Is us-d to determine the amount of permit fees to be assessed. St Lucie County reserves the ftM to question and/or modXy the
Indicated value of construction If it is demonstrated ttunt the submtted figures are not consistent with similar types of ConsWction activMss.
ST. LUCIE COUNTY SLCCDV Form No.: ODIQ
APPLICATION for BUILDING PEAMrr
ST. LUCIE COUNTY
APPLICATION for BUILDING PERMIT
ADDRESS:
OWNER INFORMATION:
NAME: Agricultural & Labor Program, Inc.
PO Box 3126
CRY: Winter Haven STATE: Florida ZIP 33885
PHONE (DAYTIME): (863) 956-3491
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:
CITY:
STATE: ZIP
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. FL REGJCERT
CFC 060473
/y1A�n/1
of ar:
ST. LUCIE COUNTY CERT •:
BUSINESS NAME:
Paul Jacquin & Sons, Inc.
QUALIFIERS NAME:
Michael Jacquin
ADDRESS:
PO Box 4343
CITY:
Fort Pierce
STATE: Florida ZIP 34948
.., PHONE (DAYTIME):
1 7721 465-2475
(P
ARCHITfENGINEER
Florida Architects, Inc.
ADDRESS:
1217 Delaware Avenue
CITY:
Fort Pierce
STATE: Florida ZIP 34950
PHONE (DAYTIME):
( 772) 468-0053
BONDING COMPANY:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
STATE: ZIP
CyfSi31
0
IMPORTANT NOTICE: when a permit is issued and it is not picked up within 60 d
after notification it will be voided and returned to you by mail.
5T. LUCIE COUNTY
APPLICATION for BUILDING PERMIT
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 ORAN 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
compliance with all applicable laws regulay g I
OW _R/ CTO GNATURE CONTRACTC
STATE OF FIL STATE OF IF
OF ID COUNTY OF
to and that all work will be done in
Iction and zoning.
A
The foregoing instrument w s acknowledged The foregoing instrument was acknowledged
before me this iL day of 19 L r by before me this L' day of 19®;
wh3 IS"personal t known me by M l C N A E �J R cc u i r who is personally
or who has prod u as known to me or who has produced
V'lion. ISSigna
de tiff
Signa Notary \o tu of Notary
J
QL� }}
Type or Print Na Type df Print Name of Notary
Notary Public Notary Public Title
Commission Number C-CLkc�I� Commission Number
.— ,ew% Alyssa F.Poole
(seal) (mil) * *My Commission CC826923
Expires April 14, 1003
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED.
IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY
APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
BP #:lC
OFFICE USE ONLY
SECTION:
TOWNSHIP:
RANGE:
MAP NO.:
ZONING:
LAND USE:
LOT CVG %:
TAZ NO.:
FLOOD 20NE:
FIRM MAP #:
1ST FLR ELV:
MAX HGT:
CST TYPE:
OCCP TYPE:
MAX. OCCP:
N OF FURS:
WATER:
SEWER:
SPRINKLERS
STORMWATER
LOT OF REC (betr 1/90)
LOT OF REC (aft 1/90)
LOT SPLIT
REQ'D
LOT SPLIT
APPRV'D
DECAL
NUMBER
LIBRARY
IMPACT FEE„
PARKS
IMPACT FEE
PERMIT
FEE
REPORT
CODE
-
PUBLIC BLDG
IMPACT FEE
Cam/ �%/.
HABITABALE
AREA
(RADON)
RADON FEE
ROAD
IMPACT ZONE
I
F
GROSS ROAD
IMPACT FEE
DUE
I v� c.
CREDIT
Y
N
TOTAL ROAD
IMPACT FEE
SCHOOL
IMPACT FEE
CREDIT
Y
N
TOTAL
SCHOOL
IMPACT FEE
POLICE FEE
FIRE FEE
�ran/1:
7 1 L
Ct
MISC FEES:
TOTAL
POUCE/FIRE/��
MISC. FEES
ADDITIONAL
PERMITS
REWD
SPECIFY;
E I-
/4 4:'L /f✓}n/tC¢ C- ^
TOTAL ALL
FEES
REVIEWS
ZONING
ZONING
REVIEWED BY
PLANS
EXAMINING
VEGETATION
SEA TURTLE
MANGROVE
DATE
COMPLrTE
INITIALS
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