HomeMy WebLinkAboutApplication for Zoning ComplianceOFFICE USE,ONI.Y:
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DATE FILED: t y� I'
PLAN REVIEW FEE: RECEIPT NO.: 011005' PERMIT NUMBER: o (O(p
CONCURRENCRECEIPT NO.: c ((q [ /N�C CERT. CAP. NO.: !l'(q(f
ALL INFO MUST BE COMPLETE u FILLED IN TO BE ACCEPTED
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ST. LUCIE COUNTY PUBLIC WORKS
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2300 RTPVRCE,F AVENUE 't�`�t1 FORT PIERCE,F134982-5652 Q�JS 11(
561-462-1553 ¢.
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APPLICATION for BUILDING PERMIT
1
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
LOCATION/SITE ADDRESS
2. S/D NAME:
3. PROPERTY TAX ID #:
4
El
PROJECT INFORMATION .e
LEGAL DESCRIPTION (attach extra sheets if necessary): _
5. PLAT 6. PAGE 7
BOOK 23 NO. 13
4/14355 0
10.
12 35S 38E
BLOCK 8. LOT
NO. B NO.
PARCEL SIZE: ACRES/SQ FT. 1.00 ACRE LOT DIMENSIONS
DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
NEW PRE—ENGNEERED STEEL BUILDING
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT LEFT
�` - SIDE I -A SIDE:
12, TYPE OF CONSTRUCTION (Check all appropriate boxes)
[x] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: WAREHOUSE
14. Sq. Ft;/CONSTRUCTION: 6 000 SO, FT. 15. Sq. Ft. 1st Floor: Ong
16. VALUE OF CONSTRUCTION: $ i sn, 000 _ n0
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: Bryan Hacht
ADDRESS: 15965 West Park Lane
CITY: Fort Pierce STATE: Florida ZIP 34945
PHONE (DAYTIME): ( 561) 465-1280
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:
PHONE (DAYTIME):
CONTRACTOR INFORMATION
STATE:
g"437
ST. of FL REG.fCERT #: Cr-0077904 ST. LUCIE COUNTY CERT #:
BUSINESS NAME: RF CONCRETE CONSTRUCTION, INC.
QUALIFIERS NAME: RONALD H. FOULRS
ADDRESS: 664 OLD DIXIE HIGHWAY
CITY: VERO BEACH STATE: FLORIDA ZIP 32962
PHONE (DAYTIME): (561) 567-3356 - cp u FAX No. 561-567-3263
ARCHIT/ENGINEER: MOSBY AND ASSOCIATES, INC.
ADDRESS: 2455 14TH AVENUE
CITY: VERO BEACH STATE: FLORIDA ZIP 32960
PHONE (DAYTIME): (561) 569-0035
BONDING COMPANY:
ADDRESS: -
CITY: STATE: ZIP
ZIP
MORTGAGE LENDER:
ADDRESS:
CITY:
GULFSTREAM BUSINESS BANK
2400 SE MONTEREY ROAD
STDART STATE: FIA)RTDA ZIP 34996
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 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.
OWNER05NTRACTOR SIGNATURE C NTRACTOR SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this f-q day of �, 200 t, by _
�1,n
G'� 'I tkJ4 ; who is personally known to me or who
h s produced as identification.
2
Signature of Notary
Type or Print Name of Notary
Notary Public Title
STATE OF FLORIDA
COUNTY OF Florida
The foregoing instrument was acknowledged
before me this 3 day of, 20DL_, by
—4mu0l lel.�, who is personally knownlo=
or who has produced as identification.
Q
Signat a of Notary
A. Jean Helmey
Type of Print Name of Notary
Notary Public Title
Commission Number C mrrllS ion Number
.r`""•. PA�IASN1�ii A. JEAN HELMEY
(seal) MYCOMMISS INJtlCC 968034 (seal) _ No;a Public - slate of Florida
` EXPIRES:WON(4,2000 %may®�' ��`""�DnE'�""'8��'�
' A `. Commission X D0013741
„`� BonCeC ThmPid:alE liuunnce Apml �
NOTE: TWO (2 NATURES 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.
SECTION:
J �J
TOWNSHIP:
RANGE:
MAP NO.:
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ZONING:
LAND USE:
LO CVG %:9
TAZ NO.:
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FLOOD ZONE:
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FIRM MAP #:
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1ST FLR ELV:
QD
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MAX HGT:
CST TYPE:
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OCCP TYPE:
MAX. OCCP:
# OF FLRS:
; T Al
Cxr��i%uy
WATER:
SEWER:
�%�
SPRINKLERS
SRTORMWATE
LOT OF REC (befr 1/90)
LOT OF REC (aftr 1190)
LOT SPLIT
LOT SPLIT
REO'D
APPRV'D
DECAL
LIBRARY
PARKS
PERMIT
NUMBER
IMPACT FEE
IMPACTFEE
FEE
' REPORT
CODE
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PUBLIC BLDG
IMPACT FEE
,�t,C
HABITABALE
AREA
RADON FEE
n
4Ao
(RADON)
Y N
ROAD
IMPACT ZONE
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GROSS ROAD
IMPACT FEE
P-1
CREDIT
TOTAL ROAD
IMPACT FEE
DUE
J
SCHOOL
y
CREDIT
Y
N
TOTAL
IMPACT FEE
SCHOOL
IMPACT FEE
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POLICE FEE
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FIRE FEE
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MISC FEES:
TOTAL
C
MISC.POLIFEES
MISC. FEES
ADDITIONAL
Y
N
SPECIFY:
TOTAL ALL
PERMITS
n'
FEES
REO'D
{ �/
REVIEWS
ZONING
ZONING
PLANS
VEGETATION
SEA
MANGROVE
REVIEWED BY
EXAMINING
TURTLE
DATE
COMPLETE
INITIALS
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