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HomeMy WebLinkAboutZoning ComplianceOFFICE USE ONLY: 10 1-70� j pp V f�`c) I DATE FILED: IQ�p OyD PERMIT NUMBER: ©O I -/ u PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: __ CERT. CAP. NO.: ALL INFO MUST BE COMPIIETE & FILLED IN TO BE ACCEPTED �60 J�\E CpG St.Lucie County Building and Zoning • `•� 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE ADDRESS: O O ' 2. PROJECT NAME. 6 �r_ SITE PLAN ,I,Ii nest 3. PROPERTY TAX ID #: t 4. LEGAL DESCRIPTION (attach extra sheets if necessary): 5. PLAT BOOK 6. AGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): � LOT DIMENSIONS: 10. COMPLETE DESCFMON OF CONSTRUCTION PROJECT O; WORK ACTIVITY: 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT SIDE: 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) [ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL `` ` _ [ ] UST�LIAL (.k OTHER (SPECIFY) t0 It — (La h� PYI/1 V C IC o 1 13. 14. DESCRIPTION OF PROPOSED USE: �ZFPA'(� �1rS/%/ntL ,�7Z%CCO{G'O/tC�FT�' SQ. FT OF CONSTRUCTION:�-`j • 15. SF. FT 1 st FLOOR: 16. VALUE OF CONSTRUCTION: $ sesv13G/ 00 The value of constmction is sped 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 4@moustmted 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 0--� GINNER 0 \ 0 - ADDRESS: AD 9 0 �o� CITY: F STATE: A= 0 (lX fl- ZIP: -?S GI S % PHONE (DAYTIME): ('I'Y.2)1)1 Z Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. q FEE SIMPLE TITLEHOLDER: S*4t r ADDRESS: CITY: STATE: 21P: PHONE (DAYTIME): C8MTRAC70R OMFORll ATUGH ST, of FL REG.CERT #: - 0 C. O2 O In 12 pp S . LUCIE COUNTY CERT #: �S,V y BUSINESS NAME: �fl VI i F \ t. - Ong -i-A Q, V C.AF--c Pm -w C QUALIFIEF ADDRESS: CITY: UJ . 'i - 15 STATE: F i_ ZIP: PHONE(DAYTiME): (SCE ??3' 5 -"A a'2t' FAXNO..Sfot V33 523Email: Ate, Cb7 -t- CITY: T jkj Vq PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: i ^A F- V4 STATE: 'f 1 0 (CL C\ CZ ZIP: Vrc-TO,4 G.eCE� I STATE: STATE: 00 4N: IMPORTANT NOTICE:When will he voided and re When a permit is issued and it is not picked up within Aft after notification �f!'ned to you by mail. 1 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, FENCES, 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 Homeowners Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurency 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: 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. STATE OF FLORIra l m mar COUNTY OF The foregoing instrumentt was acknowledged before me this I d/=T ay of �V',.JC:l by Pamela Cede g who is personally (mown ✓ or has produced identification. of Notary Commission No 16 3175 COMACTORKIGNATURE STATE OF FLO COUNTY OFj f e The foregoing instrument was acknowledged before me this day of dJ9_- 204T, by Z: %o lVi� o who is personally known —.L- '®r has produced QaaMrmdO 49"s Of No. as identification. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERIBUILDER, 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 OWNEWBUD.DER APPLICANTS. ' .•.•,, AUDREY B. HUMPHREY aR• fi• MY COMMISSION N DO 633047 011 For specift'tc instructions see appropriate permit checklist. EXPIRES. March 6, 21i ••> BMIIRCTbtp NfllRw Pbkrro Wgemrilen OFFICE USE ONLY BP #: 0)'L0' 2 go SECTION TOWNSHIP RANGE f ,'r l•` L MAP NO, 1 sac �{ ZONING L LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # I s FLR ELV MAX HGT CONSTTYPE OCCUP TYPE MAX OCCUP #OFFLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC LOT SPLIT LOT SPLIT Before 1/1990 After 1/1990 REQUIRED APPROVED REPORT HABITABLE RADON PERMIT CODE ` O AREA 17EE FEE (RADON) LIBRARY PUBLIC BID PUBI PARKS IMPACT IMPACT FEE ACT IMPACT FEE .CORRECTION FEE FEE GENERAL SCHOOL ROAD CREDIT Y N LAW ENF IMPACT IMPA IMPACT FEE FEE FEE FIRE%EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT REQUIRED FEE VARIANCE FEE FEE SPECIFY MECHANIC _ ROOF _ NON CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: �! REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE c MPIHFED dip p .O ULN tALS I