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HomeMy WebLinkAboutZoning ComplianceDATE FILED: z-� �?,}.� PLAN REVIEW FEE: U ' 0 U RECEIPT NO_: T � � PERMIT NUMBER: iO U f 0/ / CONCURRENCY FEE: ' 5—rQ- RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie County Building and Zoning o� .. 2300 Virginia Avenue dR1� Ft. Pierce, FL 34992-5652 772462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE L PROTECT INFORMATION 1. LOCATION/SITE ADDRESS o- h o / All U' f— 2. S/D NAME: , / ® SITE PLAN NAME: . 3. PROPERTYTAXID#: _y 5�� p aS�O/SO''�Uy'L�V Lo-r`ro xtvvy J.Q 4_ LEGAL DESCRIPTION (attach extra sheets if necessary): Cf, V "r--j ff 0 S'-en 0 N-1 e — t a i" f 7 2 /f/v 5. PLAT j 6. PAGE - 7. BLOCK 8. LOT / BOOK i NO' l / A NO. NO. 9. PARCEL SIZE: ACRES/SQ FT. g�13'"AdOT DIMENSIONS 3 10. DESCRIPTION OF CONSTRUCTION PROJECT PROJECT OR WORK ACTIVITY: Q (i! c, -o .4 � S'9z12ff v . D.33 IL SETBACKS (ACTUAL) FRONT: BACK: RIGHT: ,/ LEFT: ? SIDE 71—e"5 SIDE 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) ,FICNEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: xL l U✓ �' 6 - /Lk-S/� r.E 14. Sq. Ft./CONSTRUCTION:_!/- L%' / 15. Sq. Ft. 1st Floor 16. VALUE OF CONSTRUCTION:1f $1�52 * [ 6 CJ L) ov mo- 29 The value of construction 4 used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it ig demommd d that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Cutmnencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER INFORMATION NAME: 1571-d V 0 /0r�J 041'L5-1 ADDRESS: L 6? o! _ S .. 0 v L .CITY: PHONE (DAYTIME): 7? 3 3 Z - y IF THE FEE SIMPLE TITLEHOLDER (PROPERTY FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): (� V i STATE: ZIP CONTRACTOR INFORMATION ST. of FL REGJCERT #: CBG G 5 U Z ST. LUL CIE COUNTY CERT #: BUSINESS NAME: Q&� k4nA41- ca 4 STV- lo''C D f4 QUALIFIERS NAME: P At) iC� D&J i%4vw-/2Ay- n p ADDRESSZ-72-z- S � &S-& J" A /� / v I' CITY: C c e � L-yG E STATE: FL ZIP 3 t � 5-3 PHONE (DAYTIME): (7) Z-ZIL `ii Z— FAX NO.-??2" 37 y��A2% email: ARCHIT/ENGBJE�E/R: 'Z ADDRESS: S%-L. LGU�t /4U t Q CITY: S T-u ftAx- STATE: ZIP 7 1 Q PHONE(DAYTIME):( 7jL2 i S'Dl S.(, CUH -A Z 7Z BONDING COMPANY: ` ADDRESS: CITY: STATE: ZIP' MORTGAGE LENDER: ADDRESS: CITY: STATE: ZIP IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. CERTIMCAUCIN: , 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 conciumcy 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. j WNE �C�` N'T�E v OWNER/C OR SIG A CO- I NdTRAC,TOR SIGNATURE FLORIDASTATE OF STATE OF FLORIDA COUNTY c L uGt� COUNTY OF -9r` ` . i' The foregoing ins ent was acknowledged The foregoing instrument was acknowledged before me this of�"�7 f before me this /fday ofyi Y , 20 by r>+ o is personally /�R `` ° a% r^" f+�c sonall known to me or own to me or as pro uce as identification. as identification. GEIAFDGERLY Signatur� of Notary COMA EDGERLy� 11 MYC 011.IONnDD741798 EXPI S�„�Na00j EXPIRES: December 17, 2071 c itl mE M�f Og'^� 112079 e'Ynm o�nixaawrcers Type�rPriytNam fNot �r Commission No i —1 " Sea]) Commission No. %(Seal) NOTE: TWQ (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR TFU§ BUILING PERMIT AS AN OWNKMUILDER, THE OWNER MUST PERSONALLY`APPEAR TO SIGN THI§ SUPPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For specie instructions see appropriate permit checklist. SECTION r�' TOWNSHIP RANGE l ,' MAP NO. �„( -7--iF ('`'- ZONING �( jq�—� LAND USE LOT CVG%o TAZNO_ FLOOD ZONE ' 1' FIRMMAP# ISrFIR ELV MAXHGT ` CONST TYPE v15 OCCUP TYPE �% ? 7`J MAX OCCUP H OF FLRS WATER ' 1 l ,. SEWER -: SPRINKLERS STORMWATER LOT OF REC ' . =t .. LOT OF REC (after LOT SPLIT LOT SPLIT •GROSS •p ROAD ©® ,o,8 - --®- SCHOOL IMPACT FEE �SCROOL FEE-- IA13DIUONALPERMITS REQUIRED REVIEWS ZONING ZONING PLANS i! ,,MISC. VEGETATION SEA TURTLE MANGROVE /yam RFVIEWtD BY EXAMING ` DATE COMPLETE O - INITIALS a c 5 6.2s)L t4 s 2AG.r,57 s�; ro O r� ?sJX ` x ©`f�� ��, �5 ? �e.Qtr r.�� �•.c� ;n �- DATE FILED: �3 pcl Q `% f PLAN REVIEW `�0 / ' W FEE: RECEIPT NO.: PERMIT NUMBER: V O ©1V0-1--, CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED \ C G St. Lucie County Building and Zoning Char] if &4- '16yr q 2300 Virginia Avenue �F- fOR10P Ft. Pierce, FL 34982-5652 Co 772-462-1553 c�' S•--r� , ;may APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: ID�70/ .5ALA e4V 1.79L-47"%'9-:IS'Vd&4eC r/3#f-'Y? 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: 't7�,j�J- 94 — 101-S o -lea* 4. LEGAL DESCRIPTION (attach extra sheets if necessary): - (/^e✓�vA C e &�t- o-J i le 1-50 — 0 S-v -S 5. PLAT BOOK 6. PAGE NO. w —7 7. BLOCK NO. S. LOT NO. i .1 O 9. PARCEL SIZE (ACRES/SQ FT.): OT DIMENSIONS: 3'�..D % x /��• 6� 10. COMPLETE DE%CRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: �CS l d1n° •%� t� SETBACKS (ACTUAL) FRONT: W BACK: C RIGHT SIDE: '{ i.,/ LEFT SIDE: TYPE OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION [ ] EXPANSION/ADDITION [I INTERIOR RENOVATION -[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) p / DESCRIPTION OF PROPOSED USE: 1 �(� ".[,� �✓ w,. to SQ. FT OF CONSTRUCTION: 4S SO 15. SF. FT 1 at FLOOR: C;L�D VALUE OF CONSTRUCTION: $ The value of construction 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 value of construction if it is demonstrated that the submitted Figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 OWNER ,INFORMATION / NAME: ADDRE,SSS� CITY: %/STATE. R ��.�1 PHONE (DAYTIME): (% 75 2 L 41I--- 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: CITY: STATE: IZIP: PHONE (DAYTIME): ( _) CONTRACTOR INFORMATION ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: BUSINESS NAME: QUALIFIERS NAME`. ADDRESS: CITY: STATE: ZIP:' PHONE (DAYTIME): FAX NO. Email: ARCHIT/ENGINEER:r ADDRESS: �'M 1� 5' �9 r� F�l 1.✓' by° / - CITY:U A-�' fi STATE: ZIP: PHONE (DAYTIME): BONDING COMPANY: - - - ADDRESS:. CITY: STATE: _ ZIP: MORTGAGE LENDER: ADDRESS: CITY: STATE: ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. CERTIFICATION: This application is hereby made to obtain a permit to do thework 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. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. Thefollowingbudding permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (ail 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. OWN R dCONTRACTOR SIGNATUKE STATE OF FI COUNTY OF The foregoing instrument was acknowledged me this _a day of �20 t who is personally known �r has produced / 01 FJ��asidentificatio Signatureof N Commission (Seal) CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this _day of 20 , who is personally known _ or has produced Signature of Notary . Commission No. as identification. (Seal) 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. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUH DER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY BP #: SECTION TOWNSHIP. RANGE MAP NO. ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1sT FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA (RADON) RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACTFEE CORRECTION PUBIC BLD IMPACT FEE GENERAL PARKS IMPACT t- FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY REQUIREDJEE CHANICROOF LECTRICGAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUSSUBS FEES DATE SENT TO ADDRESSING. REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE .REVIEW DATE RECEIVED DATE COMPLETED INITIALS