HomeMy WebLinkAboutApplication for Zoning ComplianceOFFICE USE ONLY:
DATE FILED:
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER:
CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.:
ALL INFO_ MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
UE
St. Lucie County Building and Zoning n
2300 Virginia Avenue v
. ��OR1 �• Ft. Pierce, FL 84982-5652
772462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITEADDRESS: 3053 Industrial '31st St, Fort Pierce, FL
2. S/D NAME: Airport Industrial Park SITE PLAN NAME: Cold A i r
3. PROPERTY TAX ID #: 1429-501-0035-000-2
4. LEGAL DESCRIPTION (attach extra sheets if necessary): Airport Industrial Park Unit 1, blk 3
lots 11, 12 and 13
5. PLAT 6. PAGE 7. BLOCK 8. LOT
BOOK 0399, NO, 1340 NO. 3 NO.11,12,13
9. PARCEL SIZE: ACRES/SQ FT. 3.65 LOT DIMENSIONS
10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: hurrincane damage
metal re roof , 5/12 a j,,0 uA V61 Wa It
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT: LEFT:
SIDE SIDE
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
[ OTHER (SPECIFY) metal re roof can d wolf(
13. DESCRIPTION OF PROPOSED USE: warehouse
14. Sq. Ft./CONSTRUCTION: 6j%3jj:0 sf 15. Sq. Ft. 1st Floor: 60,352
16. VALUE OF CONSTRUCTION: $ 450 , 000
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
a
OWNER INFORMATION
NAME: Cold Air Distributors
ADDRESS: 3053 Industrial 31st St, Fort Pierce, FT,34946
CITY: Fort Pierce STATE: FL ZIP '34946
PHONE (DAYTIME): ( 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: n-a
ADDRESS: n-a
CITY: n-a STATE: ZIP
PHONE (DAYTA]E): (_)
CONTRACTOR INFORMATION
ST. of FL REG./CERT #: CCC 053853 ST. LUCIE COUNTY CERT #: 18178
BUSINESS NAME: Richard K Davis Construction Corporation
QUALIFIERSNAME: Douglas F Davis
ADDRESS: PO Box 186
CITY: Fort Pierce STATE: FL ZIP 34954
PHONE (DAYTIME): 772 461-8335 FAX NO. (772) 465-7665 emailrnullins@rkdavis.cam
ARCHIT/ENGINEER:
ADDRESS:
CITY: STATE:
PHONE (DAYTIME): L�
BONDING COMPANY: n-a
ADDRESS: n-a
CITY: n STATE:
MORTGAGE LENDER:
ADDRESS: n-a
CITY: n-E
n-a
ZIP
ZIP
STATE: ZIP
IA
IWORTANT 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.
. -4,
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 appli le laws regulating construction and zoning.
0 CR;I- ONTRACTOR SIGMA CONTRACT R SIGNATURE
STATE OF FLORIDA STATE OF FL RIDA
COUNTY OF COUNTY OF L I/
The foregoing miskWent
before me thisv of
RAVN I S , who isersonally�
known to me or who has produced
as identification.
The foregoing V3Y
ent w acknowledged
before me this of 20��by
who is ers� orally
knownno me oar who has produced
as identification.
A 9" W,
• t
Sa of Notary S' re of Notary
t
Type or Print Name of QB �,� Priest Type or Print Name of No
Raget ��„���r.ser A. priest.
Commission No. =�`� = ggission #DD356301 Commission 1� %Commis�D356301
xpires: NOV. 07, 2008 ar$Rlires: NO 07, 2008
Bonded Thru '•;�' �•• Bonded Thru
m `� Atlantic Boadin Co., Inc. ••.�` OF gyp` , g�t �1g,� lnc.
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NCj"C1iI1�IZERSV AYlsLY11VG FOR
THIS BUILING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
For specific instructions see appropriate permit checklist.
4
OFFICE USE ONLY BP #:
SECTION
09 4
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FLR ELV
T
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
R
SPRINKLERS
STORMWATER
LOT OF REC
(before 1/90
LOT OF REC (after
1/90)
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
ADMINST
VARIANCE
LIBRARY
IMPACT FEE
PARKS
DAPACT FEE
FEE
REPORT
CODE
i
PUBLIC BLD
IMPACT FEE
MLE
A
(RADON)
RADON FEE
SCHOOL
IMPACT FEE
GROSS ROAD
IMPACT FE
DUE
CREDIT
Y
N
TOTAL ROAD
IMPACT FEE
SCHOOL
IMPACT FEE
DTI'
Y
N
TOTAL
SCHOOL
IMPACT FEE
POLICE FEE
74ti
FIRE FEE
MISC FEE
TOTAL
POLICENIRE
MISC FEES
ADDITIONAL
PERMITS
REQUIRED
Y
N
SPECIFY
TOTAL
of ALL
FEES
REVIEWS
ZONING
ZONING
REVIEWED BY
PLANS
EXAMING
MISC.
VEGETATION
SEA TURTLE
MANGROVE
DATE(
COMPLETE
D4
INITIALS