HomeMy WebLinkAboutApplication for Zoning Compliance�I�i�,lr�ra
DATE FILED:
PLAN REVIEW FEE:
CONCURRENCY FEE:
I b PR NUMBER: 453
RECEIPT NO.: IL�a LI G PERNIIT NUMBER:
RECEIPT NO.: CERT. CAP. NO.:
V 10: � b 0'a-0 d Gan �� &A � 1 2o11 d395
ST. LUCIE COUNTY 3's_ileiYl i
DEPARTMENT OF COMMUNITY DEVELOPMENT--_"RQUEU
2300 VIMINw AVENUE; ROOM 2M
FORT PIERCE• FL 34M5652
407.462-1553 Yes No
APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION i
Init. ,4U.,
1. LOCATION/SITE ADDRES 13 =7 T��=T, t t i� ' 4
U
2 S/D NAME: 5UN(,4Np SITE P NAME: �L- t
PROPERTYTAX ID #: 2-4-DC� - 5-b6 � Z S
4. LEGAL DESCRIPTION emasheetsl'dneeessary): Sr .rr
5. PLAT 6. PAGE 7. BLOCK 8. OT t Z 13�
BOOK NO. NO. / NO. / p
9. P EL SIZ RES FT y LOT DI ENSId�*;
1 K> t �o- )C t mil-- Y�
10. i�PTI p{-OF CONSTRUCTION ROJE OR WORKACTMTY: r
On SETBACKS (ACTUAL) FRONT: BACK RIGHT LEFT
SIDE �} _SIDE
12 TYPE OF CONSTRUCTION (Check all a boxes) `
(� NEW CONSTRUCTION I ] EXPANSIOWADDITION [ ] MERK)RRENOVATiON
[ ] RESIDENTIAL [k] COMMERCIAL (] INDUSTRIAL
[ j OTHER (SPECIFI)
13. DESCRIPTION OF PROPOSED USE: 17, �cvw5riu�GL
�/4. s% FL/CONSTRUCTION: j6 29 -� 15. S% FL 1st Floor
16. VALUE OF CONSTRUCTION: $ / 00 O-
I The value of construction is used to determine the srmouru d permit fees to be assessed St. Lucie
Indicated value of eonstru minty reserves the right to question and/or modify tha
ction If it is demonstrated that the submitted figures are not cow with similar, types of ccnalru on activities.
ST. LUCIE COUNT`(
APPUCATION for 13UILDIfG PERRMffT
�,
SLCCDV Fam No.: o0E-0o
I i(>1
DATE FILED:� � '� •� f < PR NUMBER:
PLAN REVIEW FEE: RECEIPT NO.: l� PERMIT NUMBER
CONCURRENCY FEE: — RECEIPT NO.: CERT. CAP. NO.: S [ Z
d Cart �P[ en C� 2011 b3°t�
ST. LUCIE COUNTY t� i11
DEPARTMENT OF COMMUNITY DEVELOPMENT
2=1 VIRGINIA AVENUE, ROOM 201
_ FORT PIERCE. FL 34982S652
\407-062-1553 �9N
APPLICATION for BU[LDING PERMIT 1�
?$,��41�-ERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION 1
�y,
+, LOCATION/SITE ADDRESS: /V !J^ � '� Titer—T�.,
e
2. S/DNAME: :)LWe,a SITE P NAME:
3. PROPERTY TAX ID #:
4. LEGAL DESCRIPTION extra sheets if necessary):
8. �tZ+3T-
5. PLAT 6. PAGE 7. BLOCK
NOf NO.
BOOK .
!�
�9. P EL SIM�U��OF�CONS�TRUCTI:!,PEOaJ
FT3 LOT DI ENSI CJ/
. 10. DER�OWORK A r
1 L l..l l ; "vw at _
11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT fl, LEFT !�
/ SIDE y, SIDE:
12 TYPE OF CONSTRUCTION (Check all priate boxes) `
[ ] NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] W UVOR RENOVATION
[ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL
(] OTHER (SPECIFY)
13. DESCRIPTKIrq OF PROPOSED USE: t� wSN�6
14. Sq. FQCONi=-RUCTION: ,t - -
�S } FL 1st Floor:
a
16. VALUE OF •:ONSTRUCTION: $ 2r�` �OG Z 7 3 / [ ZU ' " '2'
The value of construcfio:, is used to determine the amount of Peron fees to be assessed SL Lucie County reserves the right to question and/or modify the
indicated value of consl... cti«, if it is dwnenstreted that the submitted figures we not consistent with similar types of construction activities.
SLCCDV Form No.: 00i-00
ST. LUCIE COUNTY
APPLICATION for BUILDING PERMIT -
—�� 7
ST.
LAICIE COUNTY
y �
i
APPLICATION for BUILDING
FERRET
OWNER INFORMATION:
NAME:
XPO -- ,-L3
i
ADDRESS:
Iv 1 �Q Gam' • _"'`
� It
,
CITY:
,,
LT, 9''/f ZG` e7-
STATE: ZIP
PHONE (DAYTIME):
S$/t 1 4't— z/R �'
-7 -� —y�+
— l GAG--
IF THE FEE SIMPLE SS (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE 7RLE IOLDER:
ADDRESS:
CITY:
STATE: ZIP
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REGJCERT
L//� /,,��L- O Z20
COUNTY CERT #t: 4327
BUSINESS NAME
(��V� II.vu6T//
� ^ST..LUCIE
�� CQAe 57
QUALIFIERS NAME
` �.,�� ..°
A"
ADDRESS:
CITY.,/
�' ��eC��
i
STATE: 21P
PHONE (DAYTIME):
C'�' l V'Yp-S �.
ARCHTT/ENGINEER:
F.• ' l •-4
\ -0..2,
ADDRESS:
DZ(. �iffiS
Flo l7n�iiG p`
crtv:
STAM. aP 9
PHONE (DAYTIME):
('i�G/ 1. �7/^� �J 7
BONDING COMPANY:
ADDRESS:
CITY:
STATE 21P
MORTGAGE LENDER:
G
m' N
ADDRESS:
cxev:
6{0t'/a 0 /
- srAiE ZIP 772�9
ST. LUCIE COUNTY
APPLICATION for BUILDING PERMIT
CERTIFICATION:
1
This application is hereby made to obtain a permit to do the work at id irrs-Wjlations 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 the undergoing a full concurrency review: room additions, accessory
structures (ail 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 DELVER 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.
I:.
4CaiiR SIGNA "—
�` OWNERIAGENT SIGNATURE
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was aCknowledged
before me th' bday of
t9 . .. by Wh6 is
personally known to me or who has produced
(L - >• . as iderroficazfom
a
Signature of Notary
Type or Print Name of Notary
�•::
Nota ••`TANN N. STALEY .
. `: +�1YMISSION# CC 7989d7 .
�•.• - EXPIRES: March6.2003
'? �;ibfaflfllt'kSitfPP'N�i'ce'
(seso
STATE OF FLORIDA
COUNTY OF a-i- J061t
foregoingThe :..
M a this day �
who
is personality knawffto me or who hasproduced
L u .ati
NotarySignature of
1'vQp—of Print
(seal)
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED.
IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNERiBUIL.DER, THE OWNER MUST PERSONALLY APPEAR TO
SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
sT. LUCIE COUNTY
APPUCATION for BUILDING PBUT
A.t,t i i -(OG CA4r
Iol c)44S3
-
SECTION:
._
TOWNSHIP,:
RIWGE:
MAP NO.:
ZONING:
LAND USE
/
LOT CVG %:
l I ±
TAZ NO.:
_....
FLOOD ZONE:
FIRM MAP 3M:
'
1ST FLR ELV:
MAX HGT-
CST TYPE:
OCCP TYPE
A ' Z.
MAX OCCP:
S OF FLRS:
;4
WATER:
1
�' I A
SEWER.
'�/�j
v TZI
IN
SPRINKLERS
G
r r
STORMWATER
G^•
_
LOT OF REC (betr 1/90)
(,;
LOT OF REC (aft 1/go)
LOT SPLIT
�
LOT SPLIT
U ` +
�I
APPRV'D
—
DECAL
MUMBER
PERMIT
FTC
IIIEPORT
,. 1�'_
\
LADE
-
REEITABALE
RADON FEE
.
1�
ROAD IMPACT
DONE
GROSS _
CREDIT
Y
N
TOTAL ROAD
IMPACTFEE
4
IMPACT FEE
.
SCHOOL
CREDIT
Y
N
^`
IMPACT FEE
�
_
-
TOTAL
SCHOOL
'
IMPACT FEE
E.
Y
�-1
POLICE FEE
FIRE FEE
, c
MISC FEES -
TOTAL
1
POUC&nRFJ
' .......
MISC. FEES
Y N
ADDITIONAL
P7iMfTS
SPECIFY :
:=-1.,� C.
TOTAL ALL
f€O'D
f.]�`} 6. C.
FEES
fiG�lc��
Y
REVIEWS
ZONING
ZONING
REVIEWED BY
PLANS
EXAMINING
VEGETATION
SEA TURTLE
MANGROVEEXAANNING
DATE
COMPLETE1
auTuis
r�