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HomeMy WebLinkAboutApplication for Zoning ComplianceOFFICE USE j Iz : DATE FI EI) •- <Y1 PLAN REVIE%r FEE; RECEIPT NO. C E2 X! PERMIT NUMBER: CONCURRENCY FEE: . RECEIPT NO. CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED J �E St. Lucie County Building and Zoning 2300 Virginia Avenue OR P • Ft. Pierce, FL 34982-5652 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION TE 1. LOCATION/SIADDRESS: .50� I a L Y/I aN—t o 2 2. PROJECT NAME:j1n0Lron&Q ]erne S SITE PLAN NAME: 3. PROPERTY TAXIDti: 4. LEGAL DESCRIPTION (attach extra sheets if necessary): [—off Qwg�c rSv�e_ [t 1Ms 5. PLAT BOOK oZ� 6. PAGE NO. Q 00 7. BLOCK NO. 8. LOT NO. _ 3S6 9. PARCEL SIZE (ACRES/SQ FT.): a LOT DIMENSIONS: 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: M • F• SETBACKS (ACTUAL) FRONT: 25 BACK: TYPE OF CONSTRUCTION (Check all appropriate [1 NEW CONSTRUCTION RESIDENTIAL OTHER (SPECIFY) _ RIGHT SIDE: LEFT SIDE: 0 7— f J EXPANSION/ADDITION (J INTERIOR RENOVATION I J COMMERCIAL [ ] INDUSTRIAL DESCRIPTION OF PROPOSED USE: , �. P. r J/J� - a� SQ. FT OF CONSTRUCTION: a 3$ -7 15. SF. FT I st FLOOR: [ a)? a, VALUE OF CONSTRUCTION: $ The value Of %listruction 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 constfktion 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 14mice of Commencement must be submitted with this application. SLCCDV Pbrm No.: 001-02 04,14 , c�a6,-74i,13 OWNER INFORMATION NAME: MARONDA HOMES INC. ADDRESS: 4610 LIPSCOMB ST STE. 1 _ CITY: PALM BAY STATE: FL ZIP: 32905 PHONE(DAYTIME): (M) 725-5645 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 31 21 ST. LUCIE COUNTY CERT #: 1 BUSINESS NAME: MARONDA HOMES INC QUALIFIERS NAME: JEROME ANUSZEWSKI ADDRESS: 4610 LIPSCOMB ST STE 1 Cam. PALM BAY STATE: FL ZIP: 32905 PHONE(DAYTIME): C3211 725-5645 FAXNO.321_725_57II3 Email: ARCHIVENGINEER: DONALD ROBERTS ADDRESS: 4005 MARONDA WAY CITY: SANFORD PHONE (DAYTIME): (q 0 1) 121 _ n n 6 e BONDING COMPANY: ADDRESS: CITY: STATE: FL Z[P: 37.771 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 afteF notification it will be voided and returned to you by mail. 1 CERTIFICATION: This gfflication is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if app){gable, 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 bo 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) AFFIDAVIT: I certify t all the foregoing information is accurate and that all work will bJ m compliance with all plicable laws regulating constructionjaid zoning �, OR OF FLORIDA 'Y OF The foregoing instrument was acknowledged before me this day o 20 l by rwho III personally kkn�ow, n _- o�h r who- aas produced y W - as identification. Tr OF FI Y OF The foregoing instrument was acknowledged. before me this `J' day of�l.,\ > 20�, _ who is personally known -)(-- or who has produced _ as identification. Sa Signature A'ntary Signatu ofN ryI, ggAtpIZGoyCOCH�+ n NogtANCHE SCHONECK Seal) .gpIMISSION # OD 09143G Commission No. �` '` IRgglJuly2,2011'- MYCOMMISSI'1tz4 ti! aan9adTn�uNrdeNNourUManvfiiaa '�@ EXPIRES'. Match 26,2010 Band+OTbm Notary Fublic UnEerv+ntars NOTE; TWO (2) SIGNATURES ARE REQUHIEII. 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/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. C OFFICE USE ONLY BP #; 0 9 - SECTION SIN TOWNSHIP Say RANGE 31 vv5'l4 MAP NO. I31I S ZONING PUJ) LAND USE / ,i LOT CVG % ji) % TAZ NO. FLOOD ZONE x FIRM MAP # 11T F'LR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP n OF FLRS WATER LO& SEWER op JL SPRINKLERS STORMWATER LOT OF REC OF REC LOT SPLIT LOT SPLIT Be(ore 1/1990TITZ 1/I990 REQUIRED APPROVED REPORT �O. I_ HABITABLE RADON PERMIT CODE T AREA FEE FEE (RADON) LIBRARY IMPAC PUBLIC BLD IMPACT FEE 1 O( I q. 33 PUBIC BLD G / I 0 7 PARKS FEE IMPACT /, 10 IMPACT — CORRECTION FEE FEE GENERAL SCHOOL IMPACT //ROAD O��Q •� IQ! yJ�3, CREDIT Y N LAW ENF r IMPACTtf ` IMPACT FEE FEE FEE FIRE(EMS IMPACT �V V DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE FEE REQUIRED — FEE VARIANCE FEE SPECIFY MECHANIC_ ROOF — NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING — FEES � DATE SENT TO ADDRESSING: O•.7 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED /11-1 Q 1 E COMPLETED -`f' INITIALS DATE FILED: 4 PLAN REVIEW FEES RECEIPT NO_: CONCURRENCY FEE: RECEIPT NO.: PERMIT NUMBER: S CERT_ CAP. NO.: 6 jo 1 - o6-1 ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie County Building and Zoning 2300 Virginia Avenue ' aR1D Ft. Pierce, FL 1553 5652 " 772-462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROTECT INFORMATION 1: 2. 3. 4_ LOCATION/SITE ADDRESS: L 1 VV\ A, r "a S � S/D NAME: « y 91 -L SITE PLAN NAME: PROPERTY TAX ID #: 13 1 1 ` -1 oe - 0 2.0.? - (nOo - $ LEGAL DESCRIPTION (attach extra sheets if necessary): Ld -Pr +cf 5-j.,t Q A d Me 5. PLAT 6. PAGE 7.'BLOCk " S. LOT BOOK NO. NO., NO. 9. PARCEL SIZE: ACR2 _S/SQ FT. LOT DIMENSIONS 10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY PC-J Z S Ivy ] L SETBACKS (ACTUAL) FRONT: `ZrBACK: zy RIGHT: !J LEFT: SIDE. ` SIDE 12. TYPE CONSTRUCTION (Check all appropriate boxes) "[ NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [- ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. �7^ DESCRIPTION OF PROPOSED USE: /tCi3 ` LWM h0 A,,9 r Z 3 L- 14. Sq. Ft./CONSTRUCTION: 15. Sq. Ft. I st Floor: 16. VALUE OF CONSTRUCTION: $ _G 2- -711 ( • 1 3 The vahr 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 clydonstmction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the RECOMED Notice of Commrncement must be submitted with this application. alue is $2500 or more, a SLCCDV Form No.: 001-02 } OWNER INFORMATION NAME: M tof }ply �� f .�F- a ADDRESS: 20 Z Q ArL� �ctt �r .CITY: 10, rn STATE: .. ZIP 1 Zvi r PHONE (DAYTIME) 3( 21) 72 f- 5-6 `1� email: JId ArjA)44. CcA4, - 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 REGICERT #: C 8 C I Z 5 315-5- ST. LUCIE COUNTY CERT #: Z.S ( BUSINESS NAME: M A n.31) (' 0 A GLI�a C .' P I' 1. h A QUALIFIERS NAME:11`1Q ADDRESS: �G to L7 QsL+Mh gi /� L ,S,, A S CITY: STATE: ��— PHONE(DAYTIME): Ull)7ZS-S643-, O3 FAXNO..?21 "7LS-S1-3 ARCHITIENGINEER:' (M (>0 ADDRESS: YOBS MAr,(JOA- CITY: S 0 STATE: PHONE (DAYTIME): (Wl . Li 1- 3 2(- 006 Lf BONDING COMPANY: ADDRESS: CITY: STATE: WA ZIP 32, T- email: ZIP S L1 ANIJOA 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 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 conciarency 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 APPLICANTi 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. A OWNER'S AFFIDA / I rtt 1 the foregoing information is accurate and that all i 1 appli able laws regulating construction and zoning. sz /JJ v„ ATURE ; STATE OF FLO COUNTY OF The foregoing i arum-nt was acknowl aged before me this day of Ag by who is personally kaam to me or who has prodced�_` N10 Type or Print Name Commission No. be done in compliance STATE OF FLM1 COUNTY OF The foregoing instrument was aacknowles[ged before me this 4� day of C 200M by ll1 T.Z a who is personally known to me or who has produzed— �Ztureary I QAjp A-(oest-pef e Type or Print Name of Notary Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILING PERMIT AS AN OWNERIBUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLICATION. For 1peciflc instructions See appropriate permit checldist. LOAtEMIS510N �Ey q 17 v � EXPIRES'. pByu u . SECTION TOWNSHIP RANGE MAP NO. ZONING LAND USE LOT CVG %o TAZ NO. FLOOD ZONE FIRM MAP # I3TFLR ELV MAX HGT ` CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC LOT OF REC (after LOT SPLIT LOT SPLIT ADMINST LIBRARY - PARKS PERMIT - VARIANCE - IMPACT FEE - IMPACT FEE FEE REPORT PUBLIC BLD HABITABLE RADON FEE CODE IMPACI'.FEE AREA (RADON) SCHOOL GROSS ROAD CREDIT Y N - TOTAL ROAD IMPACPFEE IMPACT FEE 'IMPACTFEE DUE SCHOOL CREDIT Y N TOTAL IMPACT FEE SCHOOL IMPACT FEE POLICE FEE FIRE FEE MISC FEE TOTAL POLICE/FIRE MISCEES ADDITIONAL P_::N: TSPECIFY TOTAL PERMITS . of ALL REQUIRED - FEES . REVIEWS ZONING ZONING PLANS MISC. VEGETATION SEATURTLE MANGROVE REVIEWED BY EXAMING DATE COMPLETE . INITIALS