HomeMy WebLinkAboutApplication for Zoning Compliancet im AOR -111
/j
DATE FILED "1- ` — ^-12
PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: 3
CONCURRENCY FEE: RECEIPT NO.: i_ CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
J6
St. Lucie County Building and Zoning
-F, 2300 Virginia Avenue
R10 Ft, Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
I. LOCATION/SITEA,DDDRESS: 5D 1` 1 • Q r _ 34CJ `-1
(�
2. PROJECT NAME: \ r \,� �r�a �yrw�nsS SITE PLAN NAME:
3. PROPERTY TAX ID #: 13 I I - 6['O— (pp \ 1
4. LEGAL� DESCRIPTION (attach extra sheets if nO
necessary): %'6� IJ , t a_f'S'FOVIQ
1..YV�ct S•e. �p C�P�JG�1
5. PLAT BOOR 6. PAGE NO.-M-"� 7. BLOCK NO. 8. LOT NO. �J
52 cwi 35-4-1
9. PARCEL SIZE (ACRES/SQ FT.): LOT DIMENSIONS: -� -' rt`y54 • ( o x
341+
10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: .
owr�ha-.432,
11. SETBACKS (ACTUAL) FRONT' BACK: RIGHT SIDE: LEFT SIDE:
.� 2$
12. TYPE OF CONSTRUCTION (Check ✓
appropriate boxes)
KA NEW CONSTRUCTION [ ] EXPANSION/ADDITION [) INTERIOR RENOVATION
rRESIDENTIAL [) COMMERCIAL [ ] INDUSTRIAL
[ ] OTHER (SPECIFY)
13. DESCRIPTION OF PROPOSED USE: M ' - �`n ��[` a 6at_s .3�2, �r-✓
14. SQ. FT OF CONSTRUCTION: c�ii �!>L - J 15. SF. FT 1 st FLOOR: ) 3 O
16. VALUE OF CONSTRUCTION: $ 151 1 qp%. 4 O
Thg 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 modifythe indicated
14810e of constmenon 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
1?fitORDED Notice of Commencement must be submitted with this application
$LivCDV Form No.: 001-02
OWNER INFORMATION
NAME: MARONDA HOMES INC. �y
ADDRESS: tm �rK W • 1r
CITY: STATE: PA ZIP: -3i9$ �rJZ%Jr
PHONE (DAYTIME): (321) 7 2 5 - 5 d5 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: ZIP. -_—
PHONE (DAYTIME): (_)
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: CRC 0 5 3121 ST. LUCIE COUNTY CERT #:
BUSINESS NAME: MARONDA HOMES INC
QUALIFIERSNAME: JEROME ANUSZEWSKI
ADDRESS: 4610 LIPSCOMB ST STE 1
CITY: PALM BAY STATE: FL —
PHONE(DAYTIME): 62j) 724-Sh45 FAXNO.j2-725-F7()'1 Email:
ARCHITIENGINEER: DONALD ROBERTS
ADDRESS: 4005 MARONDA WAY
CITY: SA FORD
PHONE (DAYTIME):(gpZ) '121-0064
BONDING COMPANY:
ADDRESS:
CITY:
� ��
ZIp 3290
STATE: FL ZIP: '12771
STATE:
ZIP.
MORTGAGELENDER: BANK OF AMERICA
ADDRESS: 750 S, ORLANDO AVE STE 202
CITY: WINTER PARK STATE: FL zip: 32789
IMPORTANT NOTICE• When a permit is issued and it is not picked up within 60 days after notification
it will bR voided and returned to you by mail.
� 4'
t
1�
CERTIFICATION:
This application is hereby made to obtain 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 FFID .- I certify that all a foregoing information is accurate and that all work will be done
with all applic le laws regulating constructio nd zoning.
OWNE OR CONTRACTORrSATURE/ C TRACTOR SIGN RE
STACOT OFOF ORIDA `t1 COUNTY OF S ATE OF RID "_eta
The foregoing instrument w�ass acknowledged before
me this `�7 day o;SeP 2`0
by TC�K Q�1 t�71 t�i
who is personally known _ or who has
The foregoing instrument was. acknowledged before
me this 5_day of '" F 20_7 ;
by 1 y- t SZQtr7S�i
who is personally known ✓\ or who has produced
1✓—Y' Jam^' k0d'� iiii6cation. as identification.
Wrnll*t_0j0_
Si ature of ry Sig ature of Notai'` ^� ^
C mmission No. r BEAIA OCHER Co
__�L7.`JD IS al)
+ �x MYCOMMISSIONgDD691439 ;i."""'yai;•. BIANCHESCHONECK
+� n.. L, r MYCCMMISSICNNDD531664
EXPIRES: JuI 2 2011
aandedThmN y o= EXPIRES Mach26,2010
�eP/ P�mundswur! %'b),p, n,°." BontletlThru Notary Public WtlarvuRerB
NOTE: TWO (2) SIGNATURES A ACH SIGNAT I PPLYING 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/BUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY BP #:
SECTION
' V1
TOWNSHIP.
5,1 C
RANGE
241C
MAP NO..
"Xi
ZONING
TN D
LAND USE
�%'t� jJ
LOT CVG %
�JV OV/_
W
TAZ NO.
FLOOD ZONE
�/
/�
FIRM MAP#
"j�`h""F
1 V
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OFFLRS
2—
WATER
�. I ,
SEWER
uAi (.
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED.
�1//119.90
I®/li
REPORT
CODE
'
ID4
HABITABLE
AREA
(RADON)
RADON
FEE
PERMIT
FEE
LIBRARY
IMPFEEA A
Y1
�J
PUBLIC BLD
CORRECTION IMPACTFEE
Iq •33
PUBIC BLD
FEE IMPACT
GENERAL
` n `']
1 Oq
PARKS
FEE
/1
A431
SCHOOL
IMPACT
FEE
2� ZZ �'
ROAD
IMPACT
FEE
i �q 3
DIT EDIT
CRE
Y
N
LAW ENE
IMPACTL'-
FEE
FIRE/EMS
IMPACT
FEE
pp
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC ✓ ROOF
ELECTRIC _7- GAS
PLUMBING V
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
R�E9VIEW-1
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
RECEIVED
DATE COMPLETED
INITIALS
DATE FILED: C d.oA 0 4 (- 4P
PLAN REVIEW FEE: \3 RECEIPT NO.:
CONCURRENCYFEE: RECEIPTNO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
St. Lucie County Building and Zoning
.. 2300 Virginia Avenue
OR10 Ft. Pierce, FL 34982-5652
772-462-1553
PERMIT NUMBER: SLC- 6707 - 6073
CERT. CAP. NO.:
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: T—Z 114 B A N Ci A-
SID NAME: cot 3 3I w k- 9 SITE PLAN NAME: t J 4e� Sjv n2
PROPERTY TAX ID /I: 13 it 7 00 ^ o Z o 6
LEGAL DESCRIPTION (attachextra sbeetsifnecessary): NC-s C6m.JffLL c n 2 Mol k tAIJ)
aho
5. PLAT 6. PAGE' 7. BLOCK 8: LOT
BOOK NO. NO. NO.
9. PARCEL SIZE ACRES/SQ FT. LOT DIMENSIONS
10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
13.
SETBACKS (ACTUAL) ,FRONT: -Z 7 67BACK: Z RIGHT:
SIDE a
TYPE OF CONSTRUCTION (Cbeck all appropriate boxes)
[) NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[&]--RESIDENTIAL [ COMMERCIAL
[I OTBER (SPECIFY)
DESCRIPTION OF PROPOSED USE; (Ao(fI�tp
At -A,
LEFT: g
SIDE
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
o,�)N ho n.c
14. Sq. Ft./CONSTRUCTION: ' 2 3 a`3 15. Sq. Ft. 1st Floor:
16, VALUE OF CONSTRUCTION:
TbSvalue of construction is used to determine the amount of permit fees to be assessed. SL Lucia County reserves the right to question and/or modify the indicated
va6WOf construction if it is demonstrated that the submittedfigmes are not consistent with similar types of constmction activities. If the value is $2500 or more, a
RECORDEDNotice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
OWNER INF ATION
NAME: T��IKY.aN4A- M.Qj �c n f-'�d, VA
ADDRESS: ys r *b rl ,rQ
CITY: STATE: .. p p, ZIP' 15 Z-1
PHONE (DAYTIME): (32() 1 !C S(, `I email: I nJ 4 Wei' @ IN Ar vyAA -
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:
A I'
ST. of FL REGJCERT if: C 3 C (t5- 3 I S ST. LUCIE COUNTY CERT
BUSINESS NAME:
QUALIFIERS NAM)
ADDRESS:
S. , #r (
ZS (6 ./
CITY: f h Gn 6 ev STATE_ FL- ZIP 32 q ca5
PHONE(DAYTIME): & ) B3IFAX NO. 32I -Z ZS-n43 email:
ARCHIT/ENGINEER:' M AS �ON C
ADDRESS: L{ oo i rY1 AroN 0 A+ "NA/ -
CITY: SANG r Q STATE: F' L ZIP 2. `1 I
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 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 p®rmits
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 conci rency 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 TIF�E
AND INTEREST THAT IS SUBJECT TO ATTACHMENT AS A CONDITlON 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 AF IDAVIT: I certify that all the foregoing information is accurate and that
11 applicable laws regulating construction and zoning.
OWNER/CONTRACTOR SIGNATURE CON CTOR
STATE OFF '
ZA CR
COUNTY OF A.lt..
The foregoing in trument was acknowledged
efore me this Lay % 204Kby
who is personally
Type or Print Name of Notary
Commission No.. (Seal)
STATE OF FLORI
COUNTY OF
The foregoing instrument was -acknowledged
fo a me this y f �20Xby
ho is personally
who
or Print Name
Commission No. (Seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR
THIS BULLING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO PIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION.
For;
AES F& u ry 14, 2010Y.
tPUWktM'ters
permit checklist.