HomeMy WebLinkAboutApplication for Zoning Complianceno
DATE OWED: �q -
PLAN R%VIEVr FEE: RECEIPT NO.: S G ' PERMIT NUMBER:
CONCUWNCY FE RECEIPT NO.: CERT. CAP. NO.: -
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACVEPTED I
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St. Lucie County Building and Zoning
'r►: 2300 Virginia Avenue
�ORIO Ft. Pierce, FL 34982-5652
772-462-1553
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACI TYMONING COMPLIANCE
PROJECT INFORMATION
1. LOCATION/SITE ADDRESS: 0 of 125 I V
PROJECT NAME: M A ron do. �ko„+aS
3. PROPERTYTAXID#: I'Palk—i00-03104-000^77
4. LEGAL DESCRIPTION (attach extra sheets if necessary): I -�— ], % 4 [ A� �1 �n o P 10 "Q
5. PLAT BOOK oaS SL 6. PAGE NO. as o ss 7. BLOCK NO. 1 8. LOT NO. I
9. PARCEL SIZE (ACRES/SQ FF.): �Io^]�O LOT DIMENSIONS: X D
I0. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: a) T�
11. SETBACKS (ACTUAL) FRONT: cPS BACK: 4r RIGIIT SIDE: () LEFT SIDE: 0
12 TYPE OF CONSTRUCTION (Check all appropriate boxes)
NEW CONSTRUCTION [ ] EXPANSION/ADDITION [I INTERIOR RENOVATION
] ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
(] OTHER (SPEC
13. DESCRIPTION OF PROPOSED USE rn 1 1 �� CA -z
14. SQ. FT OF CONSTRUCTION: of — 15. SF. FT 1st FLOOR ] 3 S a
ao.Sl
16. VALUE OF CONSTRUCTION: $ I �ZO3
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 a�`rconstmction if it is demonstrated that the subrrtined figures are not consistent with similar types of consWcbon activities. (E the value is $2500 or more. a
RECI
7RDED Notice of Cgnmarcement must be submitted with this application.
SLCt .� tm 3 b CDV Form No.: 001-02 py^�,
OWNER INFORMATION
NAME: MARONDA HOMES INC.
ADDRESS:4610 LIPSCOMB ST STE. 1 K
CITY: PALM �' �^ X/ w& I STATE: FL ZL ZIP: 32905 J 5-7'
PHONE (DAYTIME). ) -L4 5' 6 4 5
IF THE FEE SIMPLE IF
TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY:
PHONE (DAYTIME): (_) STATE: ZIP:
--�_,—
CONTRACTOR INFORMATION
ST_ of FL REG.CERT #: CRC053121
BUSINESS NAME: MARONDA HOMES INC
ST. LUCIE COUNTY CERT #: z " L J j SO
QUALIFIERS NAME: JEROME ANUSZEWSKI
ADDRESS: 4610 LIPSCOMB ST STE 1
CITY: PALM BAY
PHONE(DAYTIME: STATE:
(321) 7�5 S
FL ZIP: 32905 -
_FAXNO.321_72S
—`---.SZO..'� Email:
ARCHIT/ENGINEER: DONALD ROBERTS
ADDRESS: 4005 MARONDA WAY
CITY: SANFORD
PHONE DAY STATE:
(DAYTIME): 37tom_
FL
23P: 32771 ---
BONDING COMPANY:
ADDRESS:
CITY:
STATE:
'LIP:
MORTGAGE LENDER: BANK OF AMERICA
ADDRESS: 750 S ORLANDO AVE STE 202
CITY: WINTER PARK
STATE: FL
IMPORTANT hen ZIP: 327$9
t wi►I be v_ ded and returned to a Permit is iss
ued and it's not picked u
you b
y mail. p within 6 days after notification
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certifidW of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a pettmt and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that §9parate 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 ATTACH
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
AFFIDAVIT:
f 7
STATE OF F1
COUNTY OF
I certify tall the foregoing information is accurate and that all work will be a in compliance
with aalicable laws regulating constructiop and zoning.
The foregoing instrument was acknowledged before
me this day ofj� Z—�Z�o�)—�+"�'4
who is personally known — or who has produced
OF
The foregoing instrument was acknowlWged before
the this _day of —' 20---,
by —C' .. �ny SZ2 Af3
who is personally known V, or who has produced
Wa � ap identification.as t entification.
^',�
(Jt'�C,Y`� Signature of Notary
Signatur of Note -1b 5'3 �,,,°�'�•,��
Co ion o "s 2� B CHDNECIt
Commission No. (Seat) . MYCdMMISSIDNRDD531694
GOYCOCIIFA.. EXpIRES: March26,2010
BEATRR
*, A�� f�dad irhru NWary Public UndarurAers
i MYCOMMISSI 091430 ZED. APPLYING FOR
�E H SIGNATURE MUST BE NOTARIAPPEAR TO SIGN
NOTE: TWO (2) SI
THIS BULL LDER, THE OWNER MUST PERSONALLY
FICE LISTED ON THE FRONT OF THIS APPLICATIONLIcANTs.
�ppLICATION IN THE OF
OWNER ROD
fv(IR ALL QW RMUILDER APPLI
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