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Home My WebLink AboutApplication for Zoning ComplianceOFFICE USE ONLY: DATE FILED: 0!'03 —0l PLAN REVIEW FEE: RECEIPT NO.: PERMIT NUMBER: '�AlehD D CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 2 10l a0(oa wvu.�at.LaaL ST. LUCIE COUNTY PUBLIC WORKS I ~ BUILDING & ZONING DEPARTMENT �q 2300 VIRGINIA AVENUE 20R\OP FORT PIERCE, FL 34982-5652 561.462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDRESS: FLORIDA TvRn/P1 KF 2. S/D NAME: 3. PROPERTY TAX ID #: / 2 2 6 - 333- SITE PLAN NAME: 4. LEGAL DESCRIPTION (attach extra sheets if necessary): SEE ATTACHED S v R v E y 5. PLAT 6. PAGE 7. BLOCK 8. LOT BOOK NO. NO. NO. 299&` x 1, 321'X 2-996' x 9. PARCEL SIZE: ACRES/SQ FT. 91.00 A C QES LOTDIMENSIONS /,32 3'�5EE' sO'e v esy'e v c' y) 10. DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY: OFF PREMISE S IGn/ 11. SETBACKS (ACTUAL) FRONT: BACK: RIGHT LEFT 25r 11260 SIDE !,37/ SIDE: 1/ 5g7 1 12. TYPE OF CONSTRUCTION (Check ail appropriate boxes) [� NEW CONSTRUCTION (] EXPANSION/ADDITION () INTERIOR RENOVATION [ ] RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13- DESCRIPTION OF PROPOSED USE: ADV ERT I SING SIGN 2. SI GN FACES AT �Tp4 14. Sq. FUCONSTRUCTION: 3-7$ SQ. F-F. EA. 15. Sq. Ft 1st Floor. 16. VALUE OF CONSTRUCTION: $ 2 5 ODD. 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 thq� 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 $2506 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 THE AVERAGE PROCESSING TIME FOR MOST BUILDING PERMITS IS TEN (10) WORKING DAYS OWNER INFORMATION: NAME: OL.0 , INC. ADDRESS: POST OFFICE s c'x I L161 () CITY: FT. P/ERCE STATE: FLORILIA zip 3y974-golq PHONE (DAYTIME): (561 i Ll 69 - 5977 IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: SAME AS ABOVE ADDRESS: Cam: STATE: ZIP PHONE (DAYTIME): ( I CONTRACTOR INFORMATION ST. of FL REGJCERT #: E S 0000o 7 9 ST. LUCIE COUNTY CERT #: / 8 6 2 2 BUSINESS NAME: ECLER MEDIA C'ON)PvVy QUALIFIERS NAME: M/ (SU EL M A RT) AJ E '2, ADDRESS: 5800 N. W. 77 COURT CITY: M(AMI STATE: FLORIDA Zip 33166 PHONE (DAYTIME): (305i 59 2 - 6 2 5 0 FAX NO.005) G'/O Q (0 2 ARCHIT/ENGINEER: CG R C EN &/AJEE R) ti G / A/C , ADDRESS: 5 5 LH \-J. I y 7 57R E-ET- CITY: C A )[ Fo R E ST- STATE: L L L L20 I S ZIP 6,! 5 PHONE (DAYTIME): (709) y s 9- 0 9 00 F A x: (-7 o 8) y g q_ 9 3$ o BONDING COMPANY: NON E ADDRESS: CITY: STATE: LP MORTGAGE LENDER: N ON E 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 concurency 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 1 with all applicable laws regulating construction and zoning. 4 O ONTRACTOR SI TURE STATE OF FLORIDA COUNTY OF 4 AMi - p9p E The foregoing instrument was acknowledged before methis /`/ dayof Dec 20"�,byMrb✓EL- n�q 2 7-1✓ E z, who is personally known to me or who has D ced FL• t f e. as identification. 4ti/63S-sYo- y�_vy6-o i Signature o otary DAUID ewol,-11(' Type or Print Name of Notary STATE OF FLORIDA COUNTYOF41rf/1wr -DADC The foregoing instrument was acknowledged before me this /y day of -0t C , 20oOJ byA41G✓� MAerin Ez who is personally known to me or who s produce )c W4-I e as identification. ��35 SY�-47-oy6-o Signature of N ry DAv11) C2,/o4 4K Type of Print Name of Notary Notary Public Title Notary Public Title CC 5J3 29(P Commission NumberDAVID CP��Z NOTARY"LiC �OL.Ak i Commission Number POBLIC- STATE OF seal COM1MBSSpN s cc FLORIDA (seal) BONDED )U S 1WM20p (seal) NOTARy98 DpO L Cf'IQ AMA 1'808'NOTARYI CO M ISL A STATE C OF FLORM 10"OE6rN u, "Q112 NOTE: P '�TNiY1 IIF PLYIINGSIGNATURES REQUIRED. R TH S BUIILDNGERMITEACH S ANSIGNATURE OWNER/BUI OWNEE NOTARIZED. 9A R/BUILDER, OWNER MUST PERSONAL(-Y APPEAF TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OFFICE USE ONLY SECTION: n TOWNSHIP: l (, �I� RANGE: MAP NO.: o�oCJ (� n�I ZONING: t ,'' ^ LAND USE: n %' Vlv LOT CVG %: JTAZ NO.: FLOOD ZONE: FIRM MAP #: 1 ST FLR ELV: "MA)( HGT: CST TYPE: OCCP TYPE: MAX. OCCP: # OF FLRS: WATER: 815 R: SPRINKLERS STORMWATE R LOT OF REC (befr 1/90) LOT OF REC (aftr 1190) LOT SPLIT LOT SPLIT REQ'D APPRV'D DECAL LIBRARY PARKS PERMIT NUMBER IMPACT FEE IMPACT FEE FE REPORT CODE (� PUBLIC BLDG HABITABALE - RADON FEE �� IMPACT FEE AREA --' ROAD GROSS ROAD 1^^ ` �j CREDIT Y N TOTAL ROAD IMPACTZONE IMPACT FEE (Y IMPACT FEE DUE SCHOOL / J CREDIy''� Y N TOTAL IMPACT FEE SCHOOL IMPACT FEE POLICE FEE FIRE FEE MISC FEES: TOTAL POLICE/FIRE/ MISC. FEES Y N ADDITIONAL SPECIFY: TOTAL ALL PERMITS FEES REQ'D REVIEWS ZONING ZONING PLANS VEGETATION SEA MAN(=ROVE REVIEWED BY EXAMINING TURTLE DATE COMPLETE `� " O, -ass INITIALS .3 l, J